Contributions of Artificial Intelligence to Decision Making in Nursing: A Scoping Review

Abstract

Recognizing the complexity of decision-making is essential in nursing practice, where Artificial Intelligence (AI) can serve as a valuable tool to support nurses in the process of decision-making. This scoping review aims to map and systematize evidence regarding AI's contributions to nursing decision-making, following the Joanna Briggs Institute (JBI) methodological approach. Databases consulted: CINAHL Complete; MEDLINE Complete; Nursing & Allied Health Collection: Comprehensive; Cochrane Databases; MedicLatina; SciELO; Scopus; LILACS; JBI Database of Systematic Reviews and RCAAP. Thirteen studies in English, Portuguese, and Spanish were included. AI can support the nursing decision-making process by improving diagnostic accuracy and workflows. However, interpretability remains a limiting factor that affects the adoption of AI. Although critical healthcare units represent the primary areas of application, meeting the ethical, legal, and technical requirements necessary for effective integration into practice continues to be a challenge. AI offers meaningful contributions to nursing decision-making, particularly through explainable and clinically aligned systems. However, successful integration demands transparency, ethics, and usability, with further studies to ensure safe adoption.

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