Artificial Intelligence in the Nursing Industry

By: Myka Villegas

AI, or artificial intelligence, is a group of technology that allows computers to perform a variety of advanced, human-like functions. AI was first incorporated in healthcare in 1973, and has greatly advanced since then. However, many have feared that Artificial Intelligence would take over their jobs: approximately 56% of individuals say that it will decrease job opportunities for them, and 51% of individuals believe that it will also decrease their pay in their jobs. Numerous people fret that AI has the ability to cause harm towards the healthcare system, but the majority of people believe that AI will bring more patient convenience and safety in the healthcare system. Either way, artificial intelligence in the healthcare industry worries patients of care being provided to them. 

 With the rapid improvement of AI today, many questions emerge: why is AI being incorporated into the healthcare system? Why should we consider it a safe route for treating patients? How will AI benefit nurses in a hospital setting and how is AI being used in nursing education? And of course, what makes many fear AI pursuing its career in the healthcare industry? (Though, no matter how advanced and skilled these computers are, it is less likely that they will replace human nurses entirely.)

 Currently in Canada, there has been a crisis in the nursing labor market: a shortage of nurses across the country. According to PMC, an estimated 13 million nurses are needed over the next 10 years. However, it is believed that by 2030, there will be an estimated shortage of more than 100,000 nurses nationwide. Dr. Leigh Chapman, Canada’s Chief Nursing Officer states that “nurses are the backbone of our healthcare system, yet too many in Canada are struggling with their mental health, experiencing burnout, distress, feeling overworked, and unappreciated, [causing] them to leave their jobs” (canada.ca). Due to this, the implementation of artificial intelligence is being considered to be interpreted into healthcare as technology evolves and becomes more mainstream in society.

Dr. Alex Wong, the Canada Research Chair of AI, declares that the country itself will benefit from Artificial Intelligence, and that it will make healthcare work much more efficiently. Rural Canadians will see a vast impact as the science helps doctors, nurses, and specialists within regions with smaller numbers of staff. Dr. Wong says that “when you see a doctor on a computer, [you will be] looking at images, records, and data. Now you have this additional AI that provides additional insights and information” (cbc.ca). It is also said that AI could produce more occupational opportunities for nurses needing a job. This gives nurses the opportunity to improve their chances in this competitive field of work. Iman Auzeid, the CEO and Co-Founder claims that AI’s impact on the nurse shortage can help healthcare executives by allowing 54% of them to explore AI technologies for nursing operations– 78% believe that AI will have a positive impact on their healthcare system. Since burnout is a recurring phenomenon in the nursing industry, AI could help with this issue by allowing human nurses to decrease their stress over their work. AI is not looking at replacing human nurses–no matter how advanced they get, they will not exactly imitate a human. Instead, it aims to lessen the load of current nurses, allowing them to comfortably stay within the field of healthcare.

There may be many clinical benefits to patients from adapting to AI. Artificial intelligence allows healthcare providers to better understand their patients in regards to their health and treatment plans. AI in the healthcare industry has helped several medical professionals with their line of work. It also has some pros in regarding making patient care much more lighter on healthcare providers, such as telemedicine and remote monitoring, diagnosis and disease detection, drug discovery and development, treatment planning/personalization, predictive analytics, and the increase of administrative efficiency. With these improvements in place, nurses in this field have less worry about the amount of patients they have to handle and monitor.

Dr. Eric Topol, known for his three best selling books regarding AI in the healthcare system believes that “the greatest opportunity offered by AI is not reducing errors or workloads, or even curing cancer; it is the opportunity to restore precious time-honoured connection and trust- the human touch- between patients and doctors.” Generally speaking, AI allows humans to feel less distress in the field of nursing. A known benefit is the Clinical Decision Support System (CDSS): an AI-powered tool that issues nurses with evidenced-based recommendations and alerts, assisting them in identifying potential health issues early in their patients' case, and making accurate clinical decisions. An example of this is CDSS' ability to analyze patients’ data. This data includes the patients’ previous diagnoses, medical history, lab results, age, weight, and drug interactions. 

Another benefit that AI provides in this industry is the ability of enabling patient monitoring and predictive analytics to help the healthcare provider determine the outcome of a patient’s treatment. The predictive aspect of AI allows the foreseeing of a patient's health trends, thus preventing the severity of diseases. Like CDSS, this is done by analyzing the patient’s current and past health data. This allows the technology to predict the outcomes, and let the patient’s providers know the potential events that may happen. This includes early detection from AI: a technology with the ability to scout out patterns that indicate an early set of conditions towards a patient. With this insight, nurses are able to help the patient readjust their lifestyle and better the care of its patient. AI has also improved patient monitoring. This includes continuous care towards a patient, and real-time analysis, allowing the healthcare professionals to keep their eyes on their patients’ health metrics, and issuing timely interventions when needed. Examples of these features are remote monitoring: where AI devices are able to keep track of vital signs and certain health metrics from a distance. This allows the providers to have insight on how the patient is doing from afar. There are also real-time alerts, systems that alert the healthcare workers if there are any concerning changes towards a patient’s health. Acknowledging the rapid change, this gives the providers a chance to act quickly before anything happens. All these features allow a slightly lighter load towards the nurses that provide care to those in need. However, it is still being studied. Thus, there will be more advances towards AI and its benefits towards the healthcare system.

In spite of having plenty of benefits that AI provides, there are some disadvantages that come along with it. A major issue that comes along with artificial intelligence is the sensitive data that is processed through its system. There is a lack of privacy and security that is issued in this matter. Healthcare systems are required to process this data through its system. This information includes diagnoses, reports, clinical images, and the patients genetic information. If there is an instance where a leakage or an occasion where this information is misused, this could result in serious consequences in regards to the individual’s privacy. However, a fundamental challenge AI struggles with is its lack of transparency within its decision making. This is an important aspect to keep in mind, as it affects the outcome of people’s lives. This is also referred to as the “black-box” problem. This does not ensure that artificial intelligence will have the best outcome throughout its decision making– medical AI systems may make unintelligible mistakes that are difficult to detect. This would result in a possible act of harm towards a patient. Even worse, if a misdiagnosis occurs, such as providing the incorrect medication towards a patient, it may possibly cause serious harm towards the patient. Nonetheless, something AI currently lacks is human empathy. Although AI has the ability to stimulate mental states, to some extent, it cannot relate to the feelings of humans. Clinical Empathy Expert and Berkeley Public Health Bioethics MD, PhD, Professor Jodi Halpern said that “artificial intelligence (AI) cannot replace human empathy in the healthcare setting and that empathy is key to the successful treatment of patients” (publichealth.berkeley.edu). Clinical empathy revolves around the adaptation to another person’s emotional meanings and attempting to understand the situation in their perspective. Thus, attitude plays a grand part: it provides genuine curiosity to be provided more input from one’s perspective. In a clinical setting, if one is provided with negative news, they are there to provide sympathy and support towards the patient. AI lacks this humane feature, since responses are based on their algorithms and patterns within its data system. For the most part, AI still has a long way to go, but understanding that the majority of society revolves around its use of technology, it is for sure to advance more to make better and safer use within the industry.

AI currently has achieved phenomenal progress within the healthcare industry. Having the ability to monitor a patient's stats and the ability to determine possible diagnoses for a patient is an impressive achievement. However, AI will just get better from here. Artificial intelligence is currently aiming in achieving enhancement towards the supplying of treatments, determining diagnosis, and the care process via data-driven conclusions and algorithms. Regardless of how far and developed AI has become, it is safe to say that AI will less likely take over the world of nursing, but will assist in making this industry much less heavy on staff and patients alike.

Work Cited

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