Evidence map›Paper›PMID 42487419›Full record

ArticleJournal of nursing management2026

The Mediating Role of AI Ethics Awareness Between AI Attitudes and AI Utilization: A Multisite Cross-Sectional Study of Saudi Nursing Students.

Daniel Joseph E Berdida, Noura Alhudaib, Rizal Angelo N Grande, Salah A Alsharafi, Cyrelle D Agunod, Adelina M Santos, Hanay Huwaydi Alanazi, Modi Al-Moteri, Nada Alqarawi, Ibrahim Alasqah

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Daniel Joseph E BerdidaNursing Department, North Private College of Nursing, Arar, Northern Border, Saudi Arabia.ORCID https://orcid.org/0000-0002-5001-6946
Noura AlhudaibOffice of the Dean, North Private College of Nursing, Arar, Northern Border, Saudi Arabia.ORCID https://orcid.org/0009-0004-4045-8195
Rizal Angelo N GrandeNursing Department, Fakeeh College for Medical Sciences, Jeddah, Makkah, Saudi Arabia, fakeehcollege.edu.sa.ORCID https://orcid.org/0000-0003-4806-6570
Salah A AlsharafiMedical Sciences and Preparatory Year Department, North Private College of Nursing, Arar, Northern Border, Saudi Arabia.ORCID https://orcid.org/0009-0003-7820-4804
Cyrelle D AgunodNursing Department, North Private College of Nursing, Arar, Northern Border, Saudi Arabia.ORCID https://orcid.org/0000-0002-0094-2685
Adelina M SantosNursing Department, North Private College of Nursing, Arar, Northern Border, Saudi Arabia.ORCID https://orcid.org/0009-0007-0246-0560
Hanay Huwaydi AlanaziNursing Department, North Private College of Nursing, Arar, Northern Border, Saudi Arabia.
Modi Al-MoteriMedical Surgical Nursing Department, College of Nursing, Taif University, Taif 21944, Saudi Arabia, tu.edu.sa.ORCID https://orcid.org/0000-0002-5703-1057
Nada AlqarawiDepartment of Community, Psychiatric and Mental Health Nursing, College of Nursing, Qassim University, Buraydah Qassim, 52571, Saudi Arabia, qu.edu.sa.ORCID https://orcid.org/0000-0002-1814-2248
Ibrahim AlasqahDepartment of Community, Psychiatric and Mental Health Nursing, College of Nursing, Qassim University, Buraydah Qassim, 52571, Saudi Arabia, qu.edu.sa.ORCID https://orcid.org/0000-0002-0316-1374

Funding

Qassim University QU-APC-2026
6 · The paper itself

Abstract

AIMS AND

objectivesTo investigate the mediating role of nursing students' artificial intelligence (AI) ethics awareness between the association of attitudes toward AI technology and perceived AI utilization.

backgroundA paucity of studies exists about the role of AI ethics awareness between attitudes toward AI technology and perceived AI utilization, particularly among nursing students.

methodsA multisite cross-sectional, correlational research participated by nursing students (n = 765) that were consecutively recruited from four nursing colleges (two private and two public owned) in Saudi Arabia. Three standardized self-report scales were utilized to collect data, and covariance-based structural equation modeling, using maximum likelihood estimation and bias-corrected bootstrap method, and mediation analyses were employed for data analyses.

resultsThe mean age of participants was 23.98 years old (SD = 4.40), and majority were females (78.90%), were second year students (33.85%), and had a mean grade point average of 4.16 (SD = 0.65). AI technology attitudes were positively associated with AI ethics awareness (β = 0.84, p = 0.001, and 95% CI = 0.76-0.94) and AI utilization (β = 0.55, p = 0.010, and 95% CI = 0.13-0.97). AI ethics awareness was positively associated with AI utilization (β = 0.41, p = 0.043, and95% CI = 0.01-0.84). Mediation analysis showed that AI technology attitudes were indirectly associated with AI utilization (β = 0.36, p = 0.013, and 95% CI = 0.05-0.68) via the mediation of AI ethics awareness. AI technology attitudes measured 72.05% of the R

conclusionNursing students' AI technology attitudes and AI ethics awareness were positively associated with AI utilization, whereas AI ethics mediated between AI technology attitudes and AI utilization. Policymakers, nursing educational institutions, and educators could integrate AI ethics into nursing curricula to cultivate positive AI attitudes and responsible AI usage, preparing future nurses for an AI-integrated healthcare environment. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse administrators in the nursing educational institutions and nurse managers in affiliated clinical training centers should provide a conducive learning environment (i.e., adequate resources, teaching/learning materials, and AI-trained staff) where students can learn AI-integrated technologies through practical or simulated activities.

Indexed as

Artificial IntelligenceAwarenessStudents, NursingAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleHumansMaleSaudi ArabiaSurveys and QuestionnairesYoung Adultartificial intelligenceattitudeawarenessethicsnursingstudentstechnology

Identifiers

PMID42487419
PMCPMC13392515

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.