NAIL Digest · Issue #6

NAIL Digest: AI-Driven Nursing Informatics

Week of Sep 07, 2026 – Sep 21, 2026 · Retrieved from PubMed · Summarized by Claude Sonnet

Issue#6
WeekSep 07, 2026 – Sep 21, 2026
Papers12
Flagged5
GeneratedSep 21, 2026

Issue #6 Week of Sep 07, 2026 – Sep 21, 2026

12Papers
This issue at a glance

This issue's twelve papers center on workforce and education, with five papers covering nursing informatics competencies, simulation training, AI in nursing practice education, workforce management tools, and pharmacy education. A second thread looks at patient-facing AI tools, including a gastric cancer education chatbot and an AI telephone follow-up system, both compared against human-delivered care. Clinical decision support appears twice, covering a dysphagia screening model and a decision mining tool for quality improvement. NLP and generative AI also appear twice, applied to quality-of-life narratives and rheumatoid arthritis literature, while one paper validates a Chinese-language AI ethics awareness scale.

Papers dropped from 30 to 12 this issue. Workforce and Education remains the leading topic but its share is falling, down from 19 papers last issue to 5 now, while Patient-Facing AI's share is rising, appearing twice after being absent last issue. Clinical decision support continued but shrank from 8 papers to 2, and AI ethics and governance held steady in focus with 1 paper compared to 2 previously. NLP and Generative AI grew slightly from 1 paper to 2. The prior issue's emphasis on student attitudes and AI dependency is not present this issue.

AI tools compared to human performance 3Education and competency development 4NLP and text analysis applications 2Governance and ethics measurement 2
Compared withIssue #5
Papers12 ▼ 18
Leading topicWorkforce & Education (unchanged)
Rising▲ Patient-Facing AI
Cooling▼ Workforce & Education
Flagged5 ▼ 9

How this digest is made: Papers retrieved bi-weekly from the community-configured sources (PubMed, arXiv, medRxiv, and/or CINAHL — see Digest Settings for this issue's exact sources) using search terms agreed at AINurse-26. Results are restricted to English-language papers; both title and abstract are checked independently, and either being predominantly non-English excludes the paper. Papers are then classified against the community's chosen topics — anything that doesn't clearly match is left out of the issue rather than shown as "Other." Summaries are generated by Claude Sonnet, constrained to report only what the abstract states, with no speculation or inference. The "At a Glance" section above is written under the same constraints — the model synthesizes themes only from the summaries included in this issue, and every number in it (counts, changes since the previous issue) is computed directly from the archive, not by the model. Flagged items indicate incomplete abstracts or unverified peer-review status.

Clinical Decision Support2 papers
Clinical Decision Support

Development and External Validation of an Explainable Machine Learning Model to Identify Positive Dysphagia Screening Results in People with Dementia: A Multicenter Cross-Sectional Study.

Du J, Zhang H, Wen X, Guo X, Hu J, Liu Z et al.
Clinical interventions in aging · 2026
Researchers studied 620 people with dementia in a hospital and a nursing home to build a machine learning tool predicting a positive swallowing screening result. An AdaBoost model using five factors—BMI, number of teeth, eating ability, diet type, and dementia severity—showed strong, consistent performance across validation groups. A free online tool now exists to help flag patients needing further swallowing assessment, though it cannot diagnose dysphagia or detect silent aspiration.
PMID 42756555 PubMed DOI
Clinical Decision Support

Evaluation of a Decision Mining Tool for Nursing Quality Improvement by Hospital Nurses: Theory-Guided Qualitative Study.

Berkhout M, Leenen JPL, Smit K, van Houwelingen T
JMIR formative research · Sep 2026
This study explored how five quality improvement nurses at a Dutch hospital viewed a new decision mining tool that reviews past nursing decision data for quality improvement, rather than real-time alerts. Nurses saw value in making protocol adherence and decision variation visible for discussion, but acceptance depended on framing the tool as learning-focused rather than for monitoring, plus support for data interpretation. This suggests governance framing and interpretive support matter for adopting retrospective decision tools in nursing quality improvement work.
PMID 42710060 PubMed DOI
NLP & Generative AI2 papers
NLP & Generative AI

Quality of Life of People Living With Dementia Residing in Nursing Homes: Secondary Analysis of Observational Data.

Steijger D, Scheper MC, van der Willigen RF, Christie H, de Vugt ME, Verbeek H et al.
Journal of medical Internet research · Sep 2026
Researchers used an LLM (GPT-4o-mini) to analyze 5622 narrative observations of 151 people with dementia in Dutch nursing homes, aiming to identify quality-of-life patterns. The tool found frequent passive activities, limited settings, and mostly positive emotional descriptions, though negative expressions carried stronger sentiment intensity. This suggests LLMs may help structure observational data for quality-of-life insights, but the authors say more validation is needed before use in care practice.
PMID 42743440 PubMed DOI
AI Ethics & Governance1 paper
AI Ethics & Governance

Chinesization of the Nurse Artificial Intelligence Ethical Awareness Scale and its reliability and validity test.

TANG, Yifan FENG, Yingpu WANG, Hao WANG, Kexin ZHANG, Chi LIU, Meng LI, Danyang SONG, Wenshuo LI, Bo School of Nursing and Health, Henan University, Henan 475000 China
Chinese Nursing Research · Sep2
Researchers translated the Nurse Artificial Intelligence Ethical Awareness Scale into Chinese and tested it with 384 clinical nurses at a tertiary hospital in Henan province. The 21-item, 6-dimension scale showed strong content validity, factor structure, and reliability, with high internal consistency and test-retest scores. This gives nursing informatics researchers a validated Chinese-language tool to measure nurses' ethical awareness around AI use in clinical care.
Workforce & Education5 papers
Workforce & Education

Artificial Intelligence in Nursing Practice Education: A Systematic Review and Meta‐Analysis.

Wang, Jingting Kuang, Mingxi Chen, Jiayuan Yan, Youqing Li, Zhen Department of Organ Transplantation, , The First Affiliated Hospital of Kunming Medical University, , Kunming 650032, , China, kmmc.cn
Journal of Nursing Management · 9/10
This systematic review and meta-analysis pooled 16 studies (1647 nursing students) to examine how AI tools affect learning in nursing practice courses. AI use showed improvements in knowledge, practical ability, critical thinking, learning satisfaction, and ethical decision-making, though knowledge and practical ability results varied widely across studies. For nursing education and informatics, this suggests AI may support skill-building, but findings remain preliminary and need confirmation from higher-quality research.
Patient-Facing AI2 papers
Patient-Facing AI

Development and Usability Assessment of a Health Education Conversational Agent for Patients With Gastric Cancer: Action Research Study.

Kang Y, Yan Y, Wang T, Yu Z, Hu Y, Wang Z et al.
Journal of medical Internet research · Sep 2026
Researchers at a gastric cancer center in China built an AI conversational agent, using RAG technology, to give patients health education, then tested it with patients, nurses, and other clinicians through an action research approach. Accuracy improved across three rounds (67% to 82%), knowledge hit rates reached up to 100%, and usability scores were high, with users noting ease of use and potential to reduce staff workload. The authors state further testing is needed to confirm effectiveness and safety.
PMID 42721321 PubMed DOI
Patient-Facing AI

Application of artificial intelligence telephone follow?up in patient management for intravitreal injection.

QIN, Chunxiu ZHANG, Zhanhe QI, Qi ZHANG, Mingxuan ZHAO, Yingxiang GUO, Kanghui ZHANG, Qinru LIU, Hua REN, Xinjun Tianjin Medical University Eye Hospital, Eye Institute and School of Optometry/Tianjin Branch of National Clinical Research Center for Ocular Disease/Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin 300384 China
Chinese Nursing Research · Sep2
This study compared AI-based and manual telephone follow-up for 1,000 patients after intravitreal injection at an eye hospital. AI calls had a higher success rate (79.20% vs 71.40%) but lower effective connection, information collection, complete information collection, and patient satisfaction than manual calls, plus longer call duration. The findings suggest AI follow-up could support, but not replace, manual nursing follow-up.
Flagged Papers5
NLP & Generative AI 1 Flagged
NLP & Generative AI
Population unclear Setting unclear

Application of natural language processing in patients with rheumatoid arthritis:a scoping review.

GUO, Yifan LIU, Sanjiao REN, Hua BAI, Jing School of Nursing, Shanxi University of Chinese Medicine, Shanxi 030619 China
Chinese Nursing Research · Sep2
This scoping review looked at 16 studies on how natural language processing (NLP) is used with rheumatoid arthritis patients, covering areas like lung disease detection, knowledge graphs, medication research, and machine learning support. The review found NLP methods varied but worked well overall. This matters for nursing informatics because it shows NLP's potential in rheumatoid arthritis care, while noting that future work needs clearer models and better handling of mixed text data.
Workforce & Education 4 Flagged
Workforce & Education
Population unclear

Identification of Nursing Informatics Competencies for Ambulatory Care Nurses in Germany: A Cross-Sectional Survey.

Hering A, Egbert N, Kücking F, Hübner UH
Studies in health technology and informatics · Sep 2026
Researchers surveyed ambulatory care nurses in Germany about the relevance of 43 nursing informatics competencies across five nursing roles, using a 0-100% rating scale. Data protection and privacy competency ranked as highly relevant across all roles. These findings support developing targeted education and a context-specific competency framework for digital transformation in ambulatory nursing care.
PMID 42752495 PubMed DOI
Workforce & Education
Population unclear Setting unclear

Practical strategies to maximise medical simulation learning with minimal resources.

Talbot J, Sharp L, Barrett D, Wallace J, Best H, Volkman T
Archives of disease in childhood. Education and practice edition · Sep 2026
This article addresses the challenge of running clinical simulation training when educators face limited resources, time, or institutional support. It argues that effective learning depends on clear goals, engaged faculty, and simple, low-cost scenarios rather than expensive high-fidelity equipment, and suggests cheap tools and careful review can create realistic, safe scenarios. For nursing informatics, this highlights practical, low-tech approaches to simulation design and quality review.
PMID 41605606 PubMed DOI
Workforce & Education
Population unclear Setting unclear

Digital Innovations in Nursing Workforce Management: A Scoping Review of Advanced Applications and Implementation Challenges.

Rezapour-Nasrabad, Rafat Nasrollahi-Nasrabad, Sina Department of Psychiatric Nursing and Management,, School of Nursing and Midwifery,, Shahid Beheshti University of Medical Sciences,, Tehran, Iran, sbmu.ac.ir
Journal of Nursing Management · 9/14
This scoping review examined 28 studies on AI applications in nursing workforce management, covering areas like scheduling, workload optimization, burnout, and analytics. Most studies were conceptual models or pilot projects rather than evaluations of AI systems actually used in practice. The review shows AI may help with staffing decisions, but calls for more research testing real implementations and building nurse-centered governance frameworks.
Workforce & Education
Population unclear

Application of Artificial Intelligence in Pharmacy Education: A Scoping Review.

Watema-Lord, Ronald Sanya, Chiranjeev College of Pharmacy, 3688 Dalhousie University , 
Halifax, Canada
Journal of Pharmacy Practice · Sep2
This scoping review looked at seven studies on how artificial intelligence is used in pharmacy education, including personalized learning, predicting admissions performance, and tools like ChatGPT. The review found very few published studies overall, along with challenges such as limited faculty expertise, unclear generalizability, weak outcomes data, and unresolved ethical and legal questions. For nursing informatics, this highlights similar gaps that may exist in evaluating AI tools across health professions education.