Cited by 96Artificial Intelligence in Healthcare and EducationArtificial Intelligence in EducationInnovations in Medical Education

Navigating the Pedagogical Landscape: Exploring the Implications of AI and Chatbots in Nursing Education

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Srinivasan, Muthuvenkatachalam, Venugopal, Ambili, Venkatesan, Latha, Kumar, Rajesh·2024·JMIR Nursing

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Abstract

This viewpoint paper explores the pedagogical implications of artificial intelligence (AI) and AI-based chatbots such as ChatGPT in nursing education, examining their potential uses, benefits, challenges, and ethical considerations. AI and chatbots offer transformative opportunities for nursing education, such as personalized learning, simulation and practice, accessible learning, and improved efficiency. They have the potential to increase student engagement and motivation, enhance learning outcomes, and augment teacher support. However, the integration of these technologies also raises ethical considerations, such as privacy, confidentiality, and bias. The viewpoint paper provides a comprehensive overview of the current state of AI and chatbots in nursing education, offering insights into best practices and guidelines for their integration. By examining the impact of AI and ChatGPT on student learning, engagement, and teacher effectiveness and efficiency, this review aims to contribute to the ongoing discussion on the use of AI and chatbots in nursing education and provide recommendations for future research and development in the field.

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  • Limited hands-on evaluation methods and overreliance risks further challenge effective implementation.

    “Limited hands-on evaluation methods and overreliance risks further challenge effective implementation”

    From Patterns, advances, and gaps in using ChatGPT and similar technologies in nursing education: A PAGER scoping review (2025) · cites this paper as Srinivasan et al., 2024

    The Limitations section (page unavailable) warns that AI and chatbots cannot replace human interaction or the development of interpersonal skills, and that their errors require cautious use. These points support a risk from overreliance, but our copy does not identify limited hands-on evaluation methods as an implementation challenge. (LLM, conf=0.76)

    Experimental — accuracy not yet measured
  • Emerging evidence supports the role of AI in supporting metacognitive processes, adaptive reasoning, and structured learning.

    “The findings of this study also complement emerging evidence on the role of AI in supporting metacognitive processes, adaptive reasoning, and structured learning (Han et al., 2025;Labrague & Al Sabei, 2024;Srinivasan et al., 2024).”

    From AI-assisted concept mapping enhances orthopaedic nursing students’ critical thinking: A quasi-experimental study (2026) · cites this paper as Srinivasan et al., 2024

    The Pedagogical Implications section says AI-supported feedback, tailored assessments, and simulations can improve students’ problem-solving skills. The Teaching Effectiveness and Efficiency section describes adaptive learning systems that tailor materials to students’ needs. These passages support personalized and guided learning, but our copy does not specifically address support for metacognitive processes or adaptive reasoning by learners; its discussion of adaptation concerns the teaching system. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • AI has the potential to function not as a substitute for human reasoning but as a scaffold that reinforces analytical engagement.

    “These studies highlight the potential of AI to function not as a substitute for human reasoning but as a scaffold that reinforces analytical engagement-an important consideration in orthopaedic nursing, where students must integrate musculoskeletal assessment data, pathophysiology, and clinical judgment.”

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Authors
Srinivasan, M., Venugopal, A., Venkatesan, L., & Kumar, R.
Affiliations
  • All India Institute of Medical Sciences, Mangalagiri (IN)
  • All India Institute of Medical Sciences (IN)
  • All India Institute of Medical Sciences Rishikesh (IN)
Corresponding author
Srinivasan, Muthuvenkatachalam
Venue
JMIR Nursing
Published
2024-06-13
Volume
7
Pages
e52105
ISSN
2562-7600 (ISSN-L)
OpenAlex
W4389630687
Cited by
96
References
16
Citations by year
2026: 45 · 2025: 46 · 2024: 5
FWCI
3.82
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • JMIR Nursing (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
  • Physical Sciences › Computer Science › Information Systems › Artificial Intelligence in Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
Keywords
artificial intelligence in education, AI chatbots, ChatGPT, nursing education, personalized learning, simulation-based training, student engagement, ethical considerations, data privacy, algorithmic bias, teacher support, technology integration in pedagogy
MeSH terms
Artificial Intelligence, Education, Nursing, Humans, Students, Nursing

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