The Rise of AI in Nursing: A Boon or a Threat to Patient Care?

Patient

Meet Ana, the AI revolutionizing healthcare. Can machines support nurses or risk patient safety? The debate around AI in hospitals intensifies.

Imagine receiving a call before your next medical check-up. A warm, reassuring voice on the other end guides you through the process, answers your concerns, and even speaks your native language—Hindi, Spanish, or Haitian Creole. But here’s the twist: that voice isn’t human—Meet Ana, an artificial intelligence (AI) program created by Hippocratic AI. As AI steadily infiltrates the healthcare industry, it is revolutionizing patient interactions, streamlining workflows, and assisting medical professionals. However, while hospitals hail AI as a solution to staffing shortages and burnout, many nurses fear it threatens their profession and, more importantly, the quality of patient care.

The Growing Role of AI in Healthcare

Hospitals are integrating AI to assist medical professionals in several ways. AI-driven systems are designed to track patient health, predict medical complications, and automate administrative tasks, reducing the burden on human nurses. AI assistants, like Ana, offer support by managing patient communications, organizing records, and helping with appointment scheduling.

Dr. Mehmet Oz, nominee to oversee Medicare and Medicaid, supports AI’s potential, stating that it can “liberate doctors and nurses from all the paperwork.” Similarly, Robert F. Kennedy Jr., the incoming health secretary, suggested that AI-powered nurses could provide care comparable to that of doctors, particularly in underserved rural areas.

However, while AI’s efficiency and cost-effectiveness are appealing to hospital administrators, the nursing community has raised concerns about its impact on patient care.

Nurses Push Back: Concerns About AI in Healthcare

In this image released by National Nurses United, nurses gather for a rally in San Francisco on April 22, 2024, to raise awareness about safety concerns related to artificial intelligence in healthcare.

Nurses and healthcare workers argue that AI lacks the ability to fully replicate human judgment, experience, and emotional intelligence. Michelle Mahon, a representative from National Nurses United, criticized AI-driven care, stating, “Hospitals have been waiting for the moment when they have something that appears to have enough legitimacy to replace nurses. The entire ecosystem is designed to automate, de-skill, and ultimately replace caregivers.”

This sentiment has fueled demonstrations at hospitals nationwide, with nurses advocating for a say in AI implementation and protections against being penalized for disregarding automated advice. Their concerns are not unfounded, as there have been documented instances where AI recommendations conflicted with human expertise, potentially endangering patients.

The Risks of AI in Patient Care

Despite its advancements, AI is not infallible. The integration of AI in hospitals has led to situations where automated alerts and recommendations have confused healthcare professionals.

Adam Hart, an emergency room nurse in Nevada, recalls a case where AI incorrectly flagged a dialysis patient for sepsis, recommending an aggressive IV fluid treatment. Hart recognized the risk and hesitated to follow the protocol. When he voiced his concerns, a supervising nurse initially insisted on following the AI-generated directive. Only after a doctor intervened was the treatment adjusted to prevent potential harm to the patient.

“You need to keep your thinking cap on—that’s why you’re being paid as a nurse,” Hart emphasized. “Turning over our thought processes to these devices is reckless and dangerous.”

False alarms are another major issue. AI systems can misinterpret routine bodily functions as medical emergencies, creating unnecessary distractions for nurses. Melissa Beebe, a cancer nurse at UC Davis Medical Center, shared her frustration: “You’re trying to focus on your work, but then you’re getting all these distracting alerts that may or may not mean something.”

Can AI Be an Asset to Healthcare?

While concerns about AI replacing human nurses persist, some healthcare professionals advocate for a balanced approach. Michelle Collins, dean of Loyola University’s College of Nursing, acknowledges the potential benefits of AI but stresses the importance of human oversight. “It would be foolish to turn our back on this completely. We should embrace what it can do to augment our care, but we should also be careful that it doesn’t replace the human element.”

The COVID-19 pandemic exacerbated nursing shortages, with over 100,000 nurses leaving the workforce—the largest decline in 40 years. The U.S. government projects that by 2032, more than 190,000 new nursing positions will open annually. Given this growing gap, AI may play a vital role in alleviating the burden on healthcare professionals without compromising quality care.

Real-World AI Applications in Hospitals

AI’s impact on healthcare is already evident in several institutions. The University of Arkansas Medical Sciences (UAMS) in Little Rock utilizes an AI assistant from Qventus to streamline pre-surgery communication. The AI contacts patients, gathers health information, and summarizes records for human review, allowing nurses to focus on critical tasks.

Dr. Joseph Sanford, who oversees UAMS’s health IT, emphasized transparency in AI usage. “We always want to be fully transparent with our patients that sometimes they are talking to a human and sometimes they’re not.”

Beyond administrative assistance, AI is being developed to provide direct patient interaction. Israeli startup Xoltar is collaborating with the Mayo Clinic to create AI avatars that help patients manage chronic pain. These avatars engage in video calls, analyze facial expressions and body language, and provide cognitive behavioral techniques. Xoltar is also working on an AI assistant to help individuals quit smoking, demonstrating AI’s potential beyond traditional hospital settings.

The Future of AI in Nursing: Collaboration Over Replacement

AI is poised to transform healthcare, but its success depends on how it is integrated. Nursing experts caution that AI works best as a supplemental tool rather than a replacement for human care. Roschelle Fritz, a researcher at the University of California Davis School of Nursing, highlights the limitations of AI for critical cases. “It’s very sick who are taking up the bulk of healthcare in the U.S., and whether or not chatbots are positioned for those folks is something we really have to consider.”

Hospitals must strike a balance between leveraging AI’s efficiency and preserving the compassionate, hands-on approach that defines nursing. As AI technology advances, ongoing collaboration between healthcare professionals and AI developers will be essential to ensure that patient care remains the top priority.

In the end, AI may enhance nursing capabilities, but the human touch remains irreplaceable.

Read more: Nikhil Kamath: From 16-Year-Old High School Dropout to Finance Billionaire Investor

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