Evidence map›Paper›PMID 42687346›Full record

ArticleJournal of nursing management2026

An Evaluation Framework for Large Language Models in Clinical Nursing: A Scoping Review and Expert Consultation.

Yingzhuo Ma, Shangqin Liu, Jingyan Song, Xiaobo Song, Xiaoling Yang, Qinghua Zhao, Mingzhao Xiao, Jun Wang

Abstract readScoping Review
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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Yingzhuo MaDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Chongqing 400016, China, cqmu.edu.cn.ORCID https://orcid.org/0009-0008-5315-1052
Shangqin LiuDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Chongqing 400016, China, cqmu.edu.cn.ORCID https://orcid.org/0009-0007-4651-9624
Jingyan SongDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Chongqing 400016, China, cqmu.edu.cn.ORCID https://orcid.org/0009-0007-7255-5960
Xiaobo SongDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Chongqing 400016, China, cqmu.edu.cn.ORCID https://orcid.org/0009-0002-5546-4606
Xiaoling YangDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Chongqing 400016, China, cqmu.edu.cn.ORCID https://orcid.org/0009-0003-3183-354X
Qinghua ZhaoDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Chongqing 400016, China, cqmu.edu.cn.ORCID https://orcid.org/0000-0002-3115-3128
Mingzhao XiaoDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Chongqing 400016, China, cqmu.edu.cn.ORCID https://orcid.org/0000-0001-6989-5971
Jun WangDepartment of Nursing, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Chongqing 400016, China, cqmu.edu.cn.ORCID https://orcid.org/0000-0002-7518-7135

Funding

Chongqing Medical University CYYY-DSTDXM-202409Chongqing Medical University jgxm-202502Chongqing Medical University JY20240202
6 · The paper itself

Abstract

aimTo examine the current state of large language model (LLM) evaluation in clinical nursing, synthesize the evaluation dimensions and metrics reported in the literature, and develop a preliminary evaluation framework for LLMs in clinical nursing through expert consultation.

backgroundThe advancement of artificial intelligence products, exemplified by LLMs, has generated excitement about their potential applications in clinical nursing practice, but their effectiveness remains uncertain.

methodsA scoping review was conducted in accordance with Arksey and O'Malley's framework and incorporated experts' consultation. A literature search was conducted across Web of Science, PubMed, Embase, and the Cochrane Library, from their inception to June 21, 2025. Three expert meetings involving eight experts were conducted between August and October 2025 to synthesize evaluation frameworks and scenarios.

resultsA total of 42 studies were included, and the GPT family was the most frequently evaluated. Thirty-seven evaluation metrics were extracted and refined through expert consultation into six primary domains: performance and accuracy, clinical validity and safety, workflow integration and efficiency, usability and user experience, model reliability and ethical considerations, and competency development. A scenario classification and a proposed minimum technical reporting checklist were also developed to support the transparent and comparable evaluation of LLMs in clinical nursing.

conclusionThis study used a scoping review and expert consultation to summarize contemporary literature on LLM evaluations in clinical nursing practice. It provides a preliminary, structured basis for developing and refining a standardized evaluation framework. IMPLICATIONS FOR NURSING MANAGEMENT: This study highlights the need for systematic and context-sensitive evaluation of LLMs in clinical nursing. The findings provide nursing managers with a structured reference for identifying core evaluation dimensions, interpreting evidence, and planning the evaluation and deployment of nursing-specific LLM applications.

Indexed as

Large Language ModelsHumansReproducibility of Resultsclinical nursing practiceexpert consultationlarge language modelscoping review

Identifiers

PMID42687346
PMCPMC13538949

What Socratic holds

Textmetadata
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.