NAIL Digest · Issue #8

NAIL Digest: AI-Driven Nursing Informatics

Week of Oct 05, 2026 – Oct 19, 2026 · Retrieved from PubMed · Summarized by Claude Sonnet

Issue#8
WeekOct 05, 2026 – Oct 19, 2026
Papers12
Flagged4
GeneratedOct 19, 2026

Issue #8 Week of Oct 05, 2026 – Oct 19, 2026

12Papers
This issue at a glance

This issue centers on nurses' readiness for AI and testing AI tools against real work. Several papers measure digital literacy, competence, or anxiety among nursing and allied health students, generally finding that ethics-focused and cognitive literacy matter alongside technical skill. A second thread tests large language models on nursing text, including handover transcripts, discharge letters, and free-text care notes, with mixed accuracy and ongoing uncertainty about clinical readiness. A third thread examines decision support design and use, from a long-term care prototype to participatory design practices and ICU nurses' experiences with AI and missed care.

Papers dropped sharply to 12 this issue (-25). Workforce & Education remains the leading topic, continuing last issue's focus on literacy and readiness, though with fewer papers overall. NLP & Generative AI gained ground, now testing concrete tasks like handover extraction and discharge letters rather than general attitudes. AI Ethics & Governance, a major thread last issue with seven papers, is absent this time, and AI Methods & Evaluation does not appear either. Clinical Decision Support continues but shrinks from 10 to 3 papers, now including implementation and participatory design questions rather than prediction-tool comparisons.

AI readiness and literacy in nursing education 4Language models processing clinical text 4Designing and experiencing clinical decision support 3Patient-facing AI tools 1
Compared withIssue #7
Papers12 ▼ 25
Leading topicWorkforce & Education (unchanged)
Rising▲ NLP & Generative AI
Cooling▼ AI Ethics & Governance
Flagged4 ▼ 12

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 Support3 papers
Clinical Decision Support

Prototyping and evaluation of a clinical decision support system in long-term care in German nursing homes.

Pilz M, Gebert A, Brünett M, Steffny L, Schubert C, Flechsig J et al.
Health care management science · Oct 2026
Researchers built a hybrid clinical decision support system for German nursing homes, combining nursing knowledge models, rule-based logic, and a large language model to support care planning for mobility and pain management. In testing, nursing professionals rated 72% of system recommendations as correct, and the language model reached 76% agreement extracting care information from free-text notes. This suggests combining structured and narrative data may help nursing planning in long-term care, though further evaluation is needed.
PMID 42859266 PubMed DOI
Clinical Decision Support

Participatory Design of AI-Based Clinical Decision Support Systems: Scoping Review.

Rambach T, Gleim P, Heizmann C, Kellmeyer P, Kunze C
JMIR medical informatics · Oct 2026
This scoping review looked at 37 studies on how clinical staff participate in building AI-based clinical decision support systems. Physicians took part in nearly all studies and nurses often, but participation mostly focused on usability and workflow design, while fairness, bias, and ethical issues were rarely discussed. For nursing informatics, this points to a need for stronger, more consistent nursing involvement across all design stages, not just early feedback.
PMID 42832741 PubMed DOI
Clinical Decision Support

Nurses' Experiences With Artificial Intelligence and the Association Between Clinical Decision‐Making and Missed Nursing Care: A Convergent Mixed‐Methods Study.

Alanazi, Faisal Khalaf Tawfik, Ahmed Farghaly Mahgoub, Shimaa Abdelfattah Alenezi, Ibrahim Naif Atta, Mohamed Hussein Ramadan El-Ashry, Ayman Mohamed Lotfy, Enas Mohamed Yehia, Alshaimaa Yehia Mohammed Medical Surgical Nursing Department, College of Nursing, Northern Border University, Arar, Saudi Arabia, nbu.edu.sa
Journal of Nursing Management · 10/1
This mixed-methods study surveyed 210 ICU nurses in six Egyptian hospitals and interviewed 14 of them about AI-supported clinical decision support tools and missed nursing care. Decision-making orientation showed a small link to missed care that became non-significant after adjustment; years of experience and higher education were significant predictors instead. Nurses saw potential benefits from AI tools but also raised concerns about trust, overreliance, and training, supporting cautious, nurse-centered implementation.
NLP & Generative AI3 papers
NLP & Generative AI

Natural Language Processing in Nursing Practice for Clinical Reasoning and Workflow: Scoping Review.

Iwase K, Teshima T, Yamakawa M, Takeya Y
JMIR nursing · Oct 2026
This scoping review examined how natural language processing (NLP) is used in real-world nursing practice, screening nearly 2900 records but finding only six studies with empirical evidence. NLP applications fell into three areas: text summarization, information extraction, and real-time risk detection, mainly supporting documentation and care planning rather than replacing nursing judgment. The review shows a large gap between NLP's technical potential and its actual use in nursing, pointing to a need for more implementation research.
PMID 42886841 PubMed DOI
NLP & Generative AI

AI-Based Structured Information Extraction From Synthetic Nursing Handover Transcripts: Comparative Evaluation of Large Language Models.

Conway A, Hada A, Schluter J, Xu HG, Lowden D, Miller T et al.
JMIR nursing · Oct 2026
Researchers tested whether large language models (GPT-5.2, GPT-5-nano, MedGemma 27B) could extract structured information from 203 synthetic nursing handover transcripts, using SBAR categories, content detection, and uncertainty labeling as tasks. Optimized prompts improved performance, with GPT-5.2 scoring highest on content detection and SBAR extraction, though broad uncertainty detection stayed weak. The authors note these results do not prove clinical safety or readiness, and real handover data and workflow testing are still needed.
PMID 42832768 PubMed DOI
NLP & Generative AI

Comprehension of an artificial intelligence-generated discharge letter versus a traditional discharge letter: two controlled quasi-experimental parallel-group studies.

Bert F, Rosset L, Conrado F, Consoli D, Scaioli G, Lo Moro G et al.
International journal for quality in health care : journal of the International Society for Quality in Health Care · Oct 2026
Two quasi-experimental studies compared GPT-4-generated discharge letters with conventional ones among online adults and medical/nursing students in Turin. Participants who received the AI-generated letters scored significantly higher on comprehension and satisfaction measures, though understanding of follow-up appointment dates did not improve. For nursing informatics, this suggests AI-assisted discharge letters could support patient understanding, but testing with real clinical letters and more diverse patients is still needed.
PMID 42730664 PubMed DOI
Workforce & Education4 papers
Workforce & Education

From skills to smart care: The mediating role of digital literacy in the relationship between digital competence and medical artificial intelligence readiness among nursing students.

Amin SM, El-Gazar HE, Alkubati SA, Zoromba MA, Mohamed HS, Elbakry MAAE et al.
PloS one · 2026
This cross-sectional study surveyed 500 undergraduate nursing students at two universities in Saudi Arabia and Egypt to examine how digital competence and digital literacy relate to readiness for medical AI. Digital competence, digital literacy, and AI readiness were all strongly linked, and digital literacy partially explained how competence affected readiness. This suggests nursing education should build AI-focused and ethical digital literacy skills, not just technical ones, to prepare nurses for safe AI use in care.
PMID 42879445 PubMed DOI
Workforce & Education

Artificial intelligence adaptation in the future healthcare workforce: Evaluating literacy and anxiety levels.

Arpacı, Pınar 52953 Manisa Celal Bayar University Health Services Vocational School, Manisa, Türkiye
Work · Oct2
This cross-sectional study surveyed 545 vocational health students in Türkiye on AI literacy and anxiety. Higher cognitive literacy (awareness, evaluation, ethics) linked to lower anxiety, while hands-on AI tool use linked to higher anxiety; the model explained about 12% of variance in anxiety scores. For nursing informatics, this suggests health curricula may need ethics-focused AI training alongside practical skills to build student confidence.
Flagged Papers4
EHR & Workflows 1 Flagged
EHR & Workflows
Population unclear

Hospital Digital Transformation, Nursing Data Burden, and Leadership and Governance Capacity: A Critical Narrative Review.

Xie, Jiang-Ying Liu, Si-Yuan He, Yan Operating Room, Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China, scu.edu.cn
Journal of Nursing Management · 10/6
This critical narrative review examined how hospital digital systems change nursing work and data burden, and how nurse-leader skill and organizational governance each contribute. The review found that digital tools can reduce duplicate work but also add burden through complex documentation, alerts, and fragmented systems; leadership and governance act separately, not as one factor. This matters because it gives nurse managers a framework to measure different types of burden and guide workflow-focused system design.
Workforce & Education 2 Flagged
Workforce & Education
Population unclear

Artificial intelligence integration in allied health professions: A comprehensive review of educational, research, and clinical applications.

DeOliveira, Shushawna Rappaport, Suzanne Struk, Iryna Yannotta, Richard Haeri, Farhad Dhaliwal, Puneet Trimmingham, Andrea Hinds, Lynette Amar-Alattaby, Amal Wiggins, Shakima Lewis, Allen Kaufman, David Jumbo, Adiebonye Faysel, Mohammad School of Health Professions, 12298 SUNY Downstate Health Sciences University , Brooklyn, NY, USA
Work · Oct2
This literature review looked at how AI is used in seven allied health fields, including health informatics, physical therapy, and occupational therapy, between 2018 and 2025. The review found AI supports education through simulations and adaptive learning, aids research through data analysis, and helps clinical decision-making, while raising concerns about privacy, bias, and unequal access. For nursing informatics, this highlights shared cross-discipline challenges in implementing AI responsibly alongside professional judgment.
Workforce & Education
Population unclear

Assessment Tools for Nursing Informatics Competency: A Scoping Review.

Zheng, Kexin Zong, Siyu Fan, Lifang Chen, Weilai Wang, Qian Liu, Fang Nursing Department, Shanghai Xindaopei Hematology Hospital, Shanghai, China
Creative Nursing · Oct2
This scoping review searched eight databases to identify existing tools for assessing nursing informatics competency in China and other countries, finding 41 articles describing 23 tools for development, adaptation, revision, or validation. Most tools came from the United States and have not been adapted for China. This gap suggests a need for culturally adapted tools to support nursing informatics research and practice in China.
Patient-Facing AI 1 Flagged
Patient-Facing AI
Population unclear Setting unclear

AI assistants for cancer pain management: A comparative evaluation of ChatGPT and Gemini responses in terms of response quality and readability.

Duzova, Mursel Saygili Duzova, Ulku Cihan, Emine Sahbaz Pirincci, Cansu Faculty of Medicine, Department of Radiation Oncology, Selcuk University, Konya, Turkey
Work · Oct2
Eleven experts rated ChatGPT-4 and Gemini-2 responses to ten common cancer pain questions for accuracy, completeness, relevance, and usefulness, and checked reading levels. Six of ten questions showed significant differences between the models, and ChatGPT-4 kept a more consistent reading level while Gemini-2 varied more. This suggests nursing informatics teams should consider which AI tool they recommend for patient education on cancer pain.