Impact of artificial intelligence on empowering the future of nursing professionalism, educational and clinical advancements: an umbrella review on AI-driven transformation

Authors

  • Mohammed Umar Department of Nursing, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India
  • Karthika S. Department of Community Health Nursing, Parul Institute of Nursing and Research, Faculty of Nursing, Parul University, Vadodara, Gujarat, India
  • B. Kalyani Department of Obstetrics and Gynaecology, Dr. C. Sobhanadri Siddhartha School of Nursing, Chinnoutpalli, Gannavaram, Vijayawada, Andhra Pradesh, India
  • Lakshmi Priyadharshini V. R. Department of Mental Health Nursing, College POF scholar, Datta Maghe Institute of Higher Education, Maharashtra, India
  • Divya Upreti Department of Medical Surgical Nursing, Sharda School of Nursing Science and Research, Sharda University, Greater Noida, Uttar Pradesh, India
  • Pooja Saini Dehradun, Uttarakhand, India
  • Reshma Tamang Department of Medical Surgical Nursing, Pragati Nursing, College and Nursing School, Siliguri, West Bengal, India
  • Paramasivam Asari Geetha Department of Medical Surgical Nursing, Chettinad Academy of Research and Education, Kelampakkam, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-3259.ijct20260052

Keywords:

Artificial Intelligence, Nursing professionalism, Clinical advancement, Nursing education, Digital health, Healthcare transformation

Abstract

Artificial Intelligence (AI) is rapidly transforming healthcare by augmenting clinical decision-making, streamlining workflows, and personalizing education and patient care. Nursing, as the largest healthcare workforce, stands at the forefront of this transformation. This review examines how AI-driven tools empower nursing professionalism, enhance educational models, and optimize clinical practice. A systematic umbrella concept analysis was conducted using PubMed, Scopus, CINAHL, and Web of Science databases. Literature published between 2010 and 2025 was reviewed. Eligible studies included original research, reviews, policy reports, and frameworks focusing on AI applications in nursing education, practice, and professional development. Data were synthesized thematically under three domains: professional identity, educational innovation, and clinical advancement. Sixty-five studies met inclusion criteria. Evidence suggests that AI supports professional autonomy through clinical decision support systems, predictive analytics, and digital documentation, reducing administrative burdens. In education, AI-enabled simulations, adaptive learning platforms, and virtual mentors enhance critical thinking and competency development. Clinically, AI improves patient monitoring, diagnostic accuracy, and personalized care delivery. However, ethical dilemmas, data privacy risks, and limited digital literacy remain significant barriers. AI offers transformative potential for strengthening nursing professionalism, integrating evidence-based education, and advancing patient-centered clinical practice. To harness these opportunities, investment in nurse-centered AI training, interdisciplinary collaboration, and policy frameworks is essential. Nursing must embrace AI as a partner technology to redefine future roles and leadership in digital healthcare ecosystems.

Metrics

Metrics Loading ...

References

Topol EJ. High-performance medicine: the convergence of human and artificial intelligence. Nat Med. 2019;25(1):44-56.

Jiang F, Jiang Y, Zhi H, Dong Y, Li H, Ma S, et al. Artificial intelligence in healthcare: past, present and future. Stroke Vasc Neurol. 2017;2(4):230-43. DOI: https://doi.org/10.1136/svn-2017-000101

Davenport T, Kalakota R. The potential for artificial intelligence in healthcare. Future Healthc J. 2019;6(2):94-8.

Obermeyer Z, Emanuel EJ. Predicting the future — big data, machine learning, and clinical medicine. N Engl J Med. 2016;375(13):1216-9. DOI: https://doi.org/10.1056/NEJMp1606181

World Health Organization. Ethics and governance of artificial intelligence for health. WHO; 2021.

World Health Organization. Guidance on the ethics and governance of large multi-modal models (LMMs) for health. WHO; 2025.

Chan KS, Zary N. Applications and challenges of implementing artificial intelligence in medical education: integrative review. JMIR Med Educ. 2019;5(1):e13930. DOI: https://doi.org/10.2196/13930

Amann J, Blasimme A, Vayena E, Frey D, Madai VI, Precise4Q consortium. Explainability for artificial intelligence in healthcare: a multidisciplinary perspective. BMC Med Inform Decis Mak. 2020;20(1):310.

Mittelstadt BD, Floridi L. The ethics of big data: current and foreseeable issues in biomedical contexts. Sci Eng Ethics. 2016;22(2):303-41. DOI: https://doi.org/10.1007/s11948-015-9652-2

National Academy of Medicine. Artificial intelligence code of conduct. Washington, DC: NAM; 2025.

Mesko B, Hetenyi G, Gyorffy Z. Will artificial intelligence solve the human resource crisis in healthcare? BMC Health Serv Res. 2018;18(1):545. DOI: https://doi.org/10.1186/s12913-018-3359-4

Nelson R. AI in nursing education: revolution or hype? Am J Nurs. 2020;120(4):19-20. DOI: https://doi.org/10.1097/01.NAJ.0000688176.83086.fb

Regmi K, Jones L. A systematic review of the factors — enablers and barriers — affecting e-learning in health sciences education. BMC Med Educ. 2020;20(1):91. DOI: https://doi.org/10.1186/s12909-020-02007-6

Rajkomar A, Dean J, Kohane I. Machine learning in medicine. N Engl J Med. 2019;380(14):1347-58.

Fiske A, Henningsen P, Buyx A. Your robot therapist will see you now: ethical implications of embodied artificial intelligence in psychiatry, psychology, and psychotherapy. J Med Internet Res. 2019;21(5):e13216.

Morley J, Machado CCV, Burr C, Cowls J, Joshi I, Taddeo M, et al. The ethics of AI in health care: a mapping review. Soc Sci Med. 2020;260:113172. DOI: https://doi.org/10.1016/j.socscimed.2020.113172

Price WN, Gerke S, Cohen IG. Potential liability for physicians using artificial intelligence. JAMA. 2019;322(18):1765-6.

van der Niet AG, Bleakley A. Where medical education meets artificial intelligence: “Does technology care?”. Med Educ. 2021;55(1):30-6. DOI: https://doi.org/10.1111/medu.14131

Chen JH, Asch SM. Machine learning and prediction in medicine — beyond the peak of inflated expectations. N Engl J Med. 2017;376(26):2507-9. DOI: https://doi.org/10.1056/NEJMp1702071

Liaw SY, Wu LT, Holroyd E, Wang W, Lopez V, Lim S, et al. Development and evaluation of a Web-based pre-licensure nursing simulation for practicing situational awareness and clinical reasoning. Nurse Educ Today. 2015;35(12):1181-6.

Ellaway RH, Pusic MV, Yavner SD, Kalet AL. Context matters: emergent variability in an e-learning implementation. Med Educ. 2014;48(4):386-96. DOI: https://doi.org/10.1111/medu.12389

Sharma R, Nachum S, Patel J, Wilson R, O’Brien J. Global inequity in AI for health research. Lancet Digit Health. 2021;3(6):e346-7. DOI: https://doi.org/10.1016/S2468-2667(21)00109-2

Esteva A, Robicquet A, Ramsundar B, Kuleshov V, DePristo M, Chou K, et al. A guide to deep learning in healthcare. Nat Med. 2019;25(1):24-9. DOI: https://doi.org/10.1038/s41591-018-0316-z

Rajpurkar P, Chen E, Banerjee O, Topol EJ. AI in health and medicine. Nat Med. 2022;28(1):31-8. DOI: https://doi.org/10.1038/s41591-021-01614-0

Kruse CS, Karem P, Shifflett K, Vegi L, Ravi K, Brooks M. Evaluating barriers to adopting telemedicine worldwide: a systematic review. J Telemed Telecare. 2016;24(1):4-12. DOI: https://doi.org/10.1177/1357633X16674087

Sendak MP, D’Arcy J, Kashyap S, Gao M, Nichols M, Corey K, et al. A path for translation of machine learning products into healthcare delivery. EMJ Innov. 2020;10:19- 00172.

Obermeyer Z, Powers B, Vogeli C, Mullainathan S. Dissecting racial bias in an algorithm used to manage the health of populations. Science. 2019;366(6464):447-53.

International Council of Nurses. Nursing leadership in digital health. Geneva: ICN; 2021.

Haddad LM, Geiger RA. Nursing ethical considerations with artificial intelligence. Nurs Clin North Am. 2020;55(1):1-10.

Frank JR, Snell LS, Cate OT, Holmboe ES, Carraccio C, Swing SR, et al. Competency-based medical education: theory to practice. Med Teach. 2010;32(8):638-45.

Foronda C, Fernandez-Burgos M, Nadeau C, Kelley CN, Henry MN. Virtual simulation in nursing education: a systematic review spanning 1996 to 2018. Simul Healthc. 2020;15(1):46-54.

Sheikh A, Anderson M, Albala S, Casadei B, Franklin BD, Richards M, et al. Health information technology and digital innovation for national learning health and care systems. Lancet Digit Health. 2021;3(6):e383-96. DOI: https://doi.org/10.1016/S2589-7500(21)00005-4

Mehta N, Pandit A, Shukla S. Transforming healthcare with big data analytics and artificial intelligence: challenges and opportunities. Health Inf Sci Syst. 2019;7(1):5. DOI: https://doi.org/10.1016/j.jbi.2019.103311

Doshi-Velez F, Kim B. Towards a rigorous science of interpretable machine learning. arXiv. 2017.

Tuckett A, Winters-Chang P, Bogossian F, Wood M. Nursing leadership and the digital health transformation. J Adv Nurs. 2021;77(9):3751-9.

Goodman KW. Ethics, medicine, and information technology: intelligent machines and the transformation of health care. Cambridge: Cambridge University Press. 2016.

Mittelstadt BD. Principles for AI governance. Commun ACM. 2019;62(12):15-7. DOI: https://doi.org/10.1145/3317673

Shaw J, Rudzicz F, Jamieson T, Goldfarb A. Artificial intelligence and the implementation challenge. J Med Internet Res. 2019;21(7):e13659. DOI: https://doi.org/10.2196/13659

Krittanawong C, Johnson KW, Rosenson RS, Wang Z, Aydar M, Halperin JL, et al. Deep learning for cardiovascular medicine: a practical primer. Eur Heart J. 2019;40(25):2058-73. DOI: https://doi.org/10.1093/eurheartj/ehz056

Kelly CJ, Karthikesalingam A, Suleyman M, Corrado G, King D. Key challenges for delivering clinical impact with artificial intelligence. BMC Med. 2019;17(1):195.

Greenhalgh T, Wherton J, Papoutsi C, Lynch J, A'Court C, Hughes G, et al. Beyond adoption: a new framework for theorizing and evaluating nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability of health and care technologies. J Med Internet Res. 2017;19(11):e367. DOI: https://doi.org/10.2196/jmir.8775

Rajkomar A, Dean J, Kohane I. Machine learning in medicine. N Engl J Med. 2019;380(14):1347-58. DOI: https://doi.org/10.1056/NEJMra1814259

Davenport T, Kalakota R. The potential for artificial intelligence in healthcare. Future Healthc J. 2019;6(2):94-8. DOI: https://doi.org/10.7861/futurehosp.6-2-94

Topol EJ. High-performance medicine: the convergence of human and artificial intelligence. Nat Med. 2019;25(1):44-56. DOI: https://doi.org/10.1038/s41591-018-0300-7

Sendak M, D’Arcy J, Kashyap S, Gao M, Nichols M, Corey K, Ratliff W, Balu S. A path for translation of machine learning products into healthcare delivery. EMJ Innov. 2020;4(1):49-56.

Wade VA, Eliott JA, Hiller JE. Clinician acceptance is the key factor for sustainable telehealth services. Qual Health Res. 2014;24(5):682-94. DOI: https://doi.org/10.1177/1049732314528809

Bates DW, Saria S, Ohno-Machado L, Shah A, Escobar G. Big data in health care: using analytics to identify and manage high-risk and high-cost patients. Health Aff. 2014;33(7):1123-31. DOI: https://doi.org/10.1377/hlthaff.2014.0041

Reddy S, Allan S, Coghlan S, Cooper P. A governance model for the application of AI in health care. J Am Med Inform Assoc. 2020;27(3):491-7. DOI: https://doi.org/10.1093/jamia/ocz192

Obermeyer Z, Powers B, Vogeli C, Mullainathan S. Dissecting racial bias in an algorithm used to manage the health of populations. Science. 2019;366(6464):447-53. DOI: https://doi.org/10.1126/science.aax2342

Price WN, Gerke S, Cohen IG. Potential liability for physicians using artificial intelligence. JAMA. 2019;322(18):1765-6. DOI: https://doi.org/10.1001/jama.2019.15064

Wang F, Casalino LP, Khullar D. Deep learning in medicine—promise, progress, and challenges. JAMA Intern Med. 2019;179(3):293-4. DOI: https://doi.org/10.1001/jamainternmed.2018.7117

International Council of Nurses. Nurses and digital health: ICN policy brief. Geneva: ICN; 2020.

Skiba DJ. The connected age: big data and data data visualization. Nurs Educ Perspect. 2014;35(4):267-8. DOI: https://doi.org/10.5480/1536-5026-35.4.267

Frank JR, Snell L, Ten Cate O, Holmboe ES, Carraccio C, Swing SR, et al. Competency-based medical education: theory to practice. Med Teach. 2010;32(8):638-45. DOI: https://doi.org/10.3109/0142159X.2010.501190

Foronda C, Fernandez-Burgos M, Nadeau C, Kelley CN, Henry MN. Virtual simulation in nursing education: a systematic review spanning 1996 to 2018. Simul Healthc. 2020;15(1):46-54. DOI: https://doi.org/10.1097/SIH.0000000000000411

World Health Organization. Global strategy on digital health 2020-2025. Geneva: WHO; 2021.

Adler-Milstein J, Holmgren AJ, Kralovec P, Worzala C, Searcy T, Patel V. Electronic health record adoption in US hospitals: the emergence of a digital “advanced use” divide. J Am Med Inform Assoc. 2017;24(6):1142-8. DOI: https://doi.org/10.1093/jamia/ocx080

Amann J, Blasimme A, Vayena E, Frey D, Madai VI. Explainability for artificial intelligence in healthcare: a multidisciplinary perspective. BMC Med Inform Decis Mak. 2020;20(1):310. DOI: https://doi.org/10.1186/s12911-020-01332-6

Booth RG, Strudwick G, McBride S, O’Connor S, Lopez AL. How the nursing profession should adapt for a digital future. BMJ. 2021;373:n1190. DOI: https://doi.org/10.1136/bmj.n1190

Goodman KW. Ethics, medicine, and information technology: intelligent machines and the transformation of health care. Cambridge: Cambridge University Press; 2015. DOI: https://doi.org/10.1017/CBO9781139600330

Floridi L, Cowls J, Beltrametti M, Chatila R, Chazerand P, Dignum V, et al. AI4People—an ethical framework for a good AI society: opportunities, risks, principles, and recommendations. Minds Mach. 2018;28(4):689-707. DOI: https://doi.org/10.1007/s11023-018-9482-5

Schwamm LH, Estrada J, Erskine A, Licurse A. Virtual care: new models of caring for our patients and workforce. Lancet Digit Health. 2020;2(6):282-5. DOI: https://doi.org/10.1016/S2589-7500(20)30104-7

Gaba DM. The future vision of simulation in healthcare. Simul Healthc. 2004;13(1):2-10. DOI: https://doi.org/10.1136/qshc.2004.009878

Kelly CJ, Karthikesalingam A, Suleyman M, Corrado G, King D. Key challenges for delivering clinical impact with artificial intelligence. BMC Med. 2019;17(1):195. DOI: https://doi.org/10.1186/s12916-019-1426-2

Fiske A, Henningsen P, Buyx A. Your robot therapist will see you now: ethical implications of embodied artificial intelligence in psychiatry, psychology, and psychotherapy. J Med Internet Res. 2019;21(5):e13216. DOI: https://doi.org/10.2196/13216

Downloads

Published

2026-01-22

How to Cite

Umar, M., S., K., Kalyani, B., V. R., L. P., Upreti, D., Saini, P., Tamang, R., & Geetha, P. A. (2026). Impact of artificial intelligence on empowering the future of nursing professionalism, educational and clinical advancements: an umbrella review on AI-driven transformation. International Journal of Clinical Trials, 13(1), 91–101. https://doi.org/10.18203/2349-3259.ijct20260052

Issue

Section

Review Articles