Evidence map›Paper›PMID 41292265›Full record

SynthesisJournal of clinical nursing2026

Artificial Intelligence Technologies Supporting Nurses' Clinical Decision-Making: A Systematic Review.

Kristina Mikkonen, Saara Tuunainen, Anne Oikarinen, Miia Jansson, Brigitte Woo, Wentao Zhou, Wilson Tam, Anna-Maria Tuomikoski, Pirjo Kaakinen, Jonna Juntunen and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. DNP-PhD: A transformative shift.The Nurse practitioner · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Kristina MikkonenResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.ORCID 0000-0002-4355-3428
Saara TuunainenResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.
Anne OikarinenResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.ORCID 0000-0002-3509-8912
Miia JanssonResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.ORCID 0000-0001-5815-0325
Brigitte WooAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0000-0003-2988-2169
Wentao ZhouAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0000-0001-9806-2637
Wilson TamAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0000-0003-0641-3060
Anna-Maria TuomikoskiResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.
Pirjo KaakinenResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.ORCID 0000-0002-4991-671X
Jonna JuntunenResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.ORCID 0000-0003-3195-8265
Erika JarvaResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.ORCID 0000-0001-6860-4319

Funding

Finnish National Agency for Education OPH-270-2020The University of Oulu & The Research Council of Finland Profi 7 352788
6 · The paper itself

Abstract

backgroundThe use of technology to support nurses' decision-making is increasing in response to growing healthcare demands. AI, a global trend, holds great potential to enhance nurses' daily work if implemented systematically, paving the way for a promising future in healthcare.

objectivesTo identify and describe AI technologies for nurses' clinical decision-making in healthcare settings.

designA systematic literature review. DATA SOURCES: CINAHL, PubMed, Scopus, ProQuest, and Medic were searched for studies with experimental design published between 2005 and 2024. REVIEW

methodsJBI guidelines guided the review. At least two researchers independently assessed the eligibility of the studies based on title, abstract, and full text, as well as the methodological quality of the studies. Narrative analysis of the study findings was performed.

resultsEight studies showed AI tools improved decision-making, patient care, and staff performance. A discharge support system reduced 30-day readmissions from 22.2% to 9.4% (p = 0.015); a deterioration algorithm cut time to contact senior staff (p = 0.040) and order tests (p = 0.049). Neonatal resuscitation accuracy rose to 94%-95% versus 55%-80% (p < 0.001); seizure assessment confidence improved (p = 0.01); pressure ulcer prevention (p = 0.002) and visual differentiation (p < 0.001) improved. Documentation quality increased (p < 0.001).

conclusionsAI integration in nursing has the potential to optimise decision-making, improve patient care quality, and enhance workflow efficiency. Ethical considerations must address transparency, bias mitigation, data privacy, and accountability in AI-driven decisions, ensuring patient safety and trust while supporting equitable, evidence-based care delivery. IMPACT: The findings underline the transformative role of AI in addressing pressing nursing challenges such as staffing shortages, workload management, and error reduction. By supporting clinical decision-making and workflow efficiency, AI can enhance patient safety, care quality, and nurses' capacity to focus on direct patient care. A stronger emphasis on research and implementation will help bridge usability and scalability gaps, ensuring sustainable integration of AI across diverse healthcare settings.

Indexed as

Artificial IntelligenceClinical Decision-MakingNursing Staff, HospitalHumansAI tool usabilityartificial intelligencenursing decision‐makingsystematic review

Identifiers

PMID41292265
PMCPMC12964510

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.