GUO Caixia, GUO Caixu, SHI Xiaoning, GUO Jinli. ChatGPT Empowered Nursing Practice: Prospects, Risks, and Countermeasures[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(6): 1170-1174. DOI: 10.12290/xhyxzz.2023-0326
Citation: GUO Caixia, GUO Caixu, SHI Xiaoning, GUO Jinli. ChatGPT Empowered Nursing Practice: Prospects, Risks, and Countermeasures[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(6): 1170-1174. DOI: 10.12290/xhyxzz.2023-0326

ChatGPT Empowered Nursing Practice: Prospects, Risks, and Countermeasures

More Information
  • Corresponding author:

    GUO Jinli, E-mail: gjlgbd@126.com

  • Received Date: July 09, 2023
  • Accepted Date: September 19, 2023
  • Available Online: October 09, 2023
  • Issue Publish Date: November 29, 2023
  • As a natural language processing model based on artificial intelligence technology, ChatGPT provides a new path in assisting clinical care implementation, enhancing patient health management and realizing patient intelligent companionship. Given that any technology has two sides, ChatGPT also has potential risks in nursing practice, such as inadequate construction inducing nursing errors, alienated nurse-patient relationship of "digital dependence", and ethical considerations caused by information worries. Therefore, it is suggested to improve the regulatory system, clarify the main body of responsibility, break the "information cocoon", improve digital literacy, control information "streaked", avoid algorithm discrimination and other strategies to improve the application value of ChatGPT in nursing practice and promote the rational development of ChatGPT artificial intelligence in the field of nursing.
  • [1]
    中华人民共和国科学技术部. 关于支持建设新—代人工智能示范应用场景的通知[EB/OL]. (2022-08-15)[2022-11-14]. https://www.most.gov.cn/xxgk/xinxifenlei/fdzdgknr/qtwj/qtwj2022/202208/t20220815_181874.html.
    [2]
    Clancy TR. Artificial Intelligence and Nursing: The Future Is Now[J]. J Nurs Adm, 2020, 50: 125-127. DOI: 10.1097/NNA.0000000000000855
    [3]
    Van Bulck L, Couturier R, Moons P. Applications of artificial intelligence for nursing: has a new era arrived?[J]. Eur J Cardiovasc Nurs, 2023, 22: e19-e20. DOI: 10.1093/eurjcn/zvac097
    [4]
    Kung TH, Cheatham M, Medenilla A, et al. Performance of ChatGPT on USMLE: Potential for AI-assisted medical education using large language models[J]. PLoS Digit Health, 2023, 2: e0000198. DOI: 10.1371/journal.pdig.0000198
    [5]
    Scerri A, Morin KH. Using chatbots like ChatGPT to support nursing practice[J]. J Clin Nurs, 2023, 32: 4211-4213. DOI: 10.1111/jocn.16677
    [6]
    Dergaa I, Chamari K, Zmijewski P, et al. From human writing to artificialintelligence generated text: examining the prospects and potential threats of ChatGPT in academic writing[J]. Biol Sport, 2023, 40: 615-622. DOI: 10.5114/biolsport.2023.125623
    [7]
    Grünebaum A, Chervenak J, Pollet SL, et al. The exciting potential for ChatGPT in obstetrics and gynecology[J]. Am J Obstet Gynecol, 2023, 228: 696-705. DOI: 10.1016/j.ajog.2023.03.009
    [8]
    Kleesiek J, Wu Y, Stiglic G, et al. An Opinion on ChatGPT inHealth Care-Written by Humans Only[J]. J Nucl Med, 2023, 64: 701-703. DOI: 10.2967/jnumed.123.265687
    [9]
    D'Amico RS, White TG, Shah HA, et al. I Asked a ChatGPT to Write anEditorial About How We Can Incorporate Chatbots Into Neurosurgical Researchand Patient Care[J]. Neurosurgery, 2023, 92: 663-664. DOI: 10.1227/neu.0000000000002414
    [10]
    Moons P, Van Bulck L. ChatGPT: Can artificial intelligence language models be of value for cardiovascular nurses and allied health professionals[J]. EurJ Cardiovasc Nurs, 2023. doi: 10.1093/eurjcn/zvad022.
    [11]
    Hopkins AM, Logan JM, Kichenadasse G, et al. Artificial intelligence chatbots will revolutionize how cancer patients access information: ChatGPT represents a paradigm-shift[J]. JNCI Cancer Spectr, 2023, 7: pkad010. DOI: 10.1093/jncics/pkad010
    [12]
    Sng GGR, Tung JYM, Lim DYZ, et al. Potential and Pitfalls of ChatGPTand Natural-Language Artificial Intelli-gence Models for Diabetes Education[J]. Diabetes Care, 2023, 46: e103-e105. . DOI: 10.2337/dc23-0197
    [13]
    Gala D, Makaryus AN. The Utility of Language Models in Cardiology: ANarrative Review of the Benefits and Concerns of ChatGPT-4[J]. Int J Environ Res Public Health, 2023, 20: 6438. DOI: 10.3390/ijerph20156438
    [14]
    Lovic D, Piperidou A, Zografou I, et al. The Growing Epidemic of Diabetes Mellitus[J]. Curr Vasc Pharmacol, 2020, 18: 104-109. DOI: 10.2174/1570161117666190405165911
    [15]
    Sagstad MH, Morken NH, Lund A, et al. Quantitative user data from a chatbot developed for women with gestational diabetes mellitus: observational study[J]. JMIR Form Res, 2022, 6: e28091. DOI: 10.2196/28091
    [16]
    None. Will ChatGPT transform healthcare?[J]. Nat Med, 2023, 29: 505-506. DOI: 10.1038/s41591-023-02289-5
    [17]
    杨玲. ChatGPT能成为优生工作的好帮手吗?[J]. 中国优生与遗传杂志, 2023, 31: 431-432. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYA202303001.htm
    [18]
    Krüger L, Krotsetis S, OpenAI's Generative Pretrained Transformer 3 (GPT-3) Model, et al. ChatGPT: Fluch oder Segen in der Pflege? [ChatGPT: curse or blessing in nursing care?][J]. Med Klin Intensivmed Notfmed, 2023. doi: 10.1007/s00063-023-01038-3.
    [19]
    Dave T, Athaluri SA, Singh S. ChatGPT in medicine: an overview of its applications, advantages, limitations, future prospects, and ethical considerations[J]. Front Artif Intell, 2023, 6: 1169595. DOI: 10.3389/frai.2023.1169595
    [20]
    Chand M, Ramachandran N, Stoyanov D, et al. Robotics, artificial intelligence and distributed ledgers in surgery: data is key![J]. Tech Coloproctol, 2018, 22: 645-648. DOI: 10.1007/s10151-018-1847-5
    [21]
    Sallam M. ChatGPT Utility in Healthcare Education, Research, andPractice: Systematic Review on the Promising Perspectives and Valid Concerns[J]. Healthcare (Basel), 2023, 11: 887.
    [22]
    Blanchard F, Assefi M, Gatulle N, et al. ChatGPT in the world of medical research: From how it works to how to use it[J]. Anaesth Crit Care Pain Med, 2023, 42: 101231. DOI: 10.1016/j.accpm.2023.101231
    [23]
    Palanica A, Flaschner P, Thommandram A, et al. Physicians' Perceptions of Chatbots in Health Care: Cross-Sectional Web-BasedSurvey[J]. J Med Internet Res, 2019, 21: e12887. DOI: 10.2196/12887
    [24]
    Flott K, Maguire J, Phillips N. Digital safety: the next frontier for patientsafety[J]. Future Healthc J, 2021, 8: e598-e601. DOI: 10.7861/fhj.2021-0152
    [25]
    Parviainen J, Rantala J. Chatbot breakthrough in the 2020s? An ethical reflection on the trend of automated consultations in health care[J]. Med Health Care Philos, 2022, 25: 61-71. DOI: 10.1007/s11019-021-10049-w
    [26]
    Beltrami EJ, Grant-Kels JM. Consulting ChatGPT: Ethical dilemmasin language model artificial intelligence[J]. J Am Acad Dermatol, 2023. doi: 10.1016/j.jaad.2023.02.052.
    [27]
    Obermeyer Z, Powers B, Vogeli C, et al. Dissecting racial bias in an algorithm used to manage the health of populations[J]. Science, 2019, 366: 447-453. DOI: 10.1126/science.aax2342
    [28]
    O'Sullivan S, Nevejans N, Allen C, et al. Legal, regula-tory, andethical frameworks for development of standards in artificial intelligence (AI) and autonomous robotic surgery[J]. Int J Med Robot, 2019, 15: e1968. DOI: 10.1002/rcs.1968
    [29]
    高奇琦, 张蓥文. 主体弥散化与主体责任的终结: ChatGPT对全球安全实践的影响[J]. 国际安全研究, 2023(3): 3-27. https://www.cnki.com.cn/Article/CJFDTOTAL-GGXB202303001.htm
    [30]
    国家互联网信息办公室, 中华人民共和国国家发展和改革委员会, 中华人民共和国教育部, 等. 生成式人工智能服务管理暂行办法[EB/OL]. (2023-07-10)[2023-09-28]. https://www.gov.cn/zhengce/zhengceku/202307/content_6891752.htm.
    [31]
    李正风, 王硕. 数字素养、数据权利与数字伦理[J]. 科普研究, 2022, 17: 8-14+108. https://www.cnki.com.cn/Article/CJFDTOTAL-KUYT202206002.htm
  • Related Articles

    [1]HUANG Wanqing, ZHONG Dongmei, LIU Siyuan, XIE Yunyun, CHEN Jiangyun, XU Dong. A Method for Developing Implementation Strategies to Address Implementation Barriers: the CFIR-ERIC Matching Tool[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(5): 1182-1191. DOI: 10.12290/xhyxzz.2024-0463
    [2]HUANG Lu, WU Youbin, NI Yiran, LIU Mengyuan, WU Jiangfeng, ZHANG Yanqiong. The Mechanism of miRNAs in Liver Fibrosis[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(6): 1251-1257. DOI: 10.12290/xhyxzz.2023-0125
    [3]LIU Xun, RUI Biyu, ZHANG Weijun, YU Hongyi, JIA Yingjie. Analysis and Mitigation Strategies for Failure in Orthopedic Surgical Robots[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(6): 1149-1154. DOI: 10.12290/xhyxzz.2023-0367
    [4]WANG Feiyue. Parallel Doctors and Parallel Hospitals: Impact and Perspective of ChatGPT-like AIGC and AGI on Medicine and Medicare[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(4): 673-679. DOI: 10.12290/xhyxzz.2023-0220
    [5]KANG Junren, XU Qiang, LI Hailong, WEI Wei. Clinical Research Progress of the Intragastric Balloon for Weight Loss[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(3): 591-597. DOI: 10.12290/xhyxzz.2022-0486
    [6]CHEN Hongda, LIAO Xianzhen, DU Lingbin, DONG Dong, WEI Donghua, GAO Yi, ZHENG Weifang, CHEN Jingjun, LU Ming, ZHANG Yuhan, LU Bin, LUO Chenyu, LI Na, ZHOU Yueyang, LUO Jiahui, CAI Jie, SHI Jufang, DAI Min. Evaluation of the Effectiveness of Colonoscopy, Fecal Immunochemical Test and Risk-adapted Screening Strategies in Population-based Colorectal Cancer Screening: A Multicenter Randomized Controlled Trial[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 114-123. DOI: 10.12290/xhyxzz.2022-0537
    [7]Xiao-ning SUN, Yue-hong ZHENG. Strategies for Managing Superior Mesenteric Artery Aneurysms[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(5): 537-541. DOI: 10.3969/j.issn.1674-9081.2020.05.008
    [8]Fei WANG, Zhi-hui WU, Hao-wei MIN, Le YU, Zhao-yun JIANG, Chong ZHU, Meng-chun GONG, Wen-zhao SHI, Wei-guo ZHU, Yan-zhen XIANG. Clinical Deployment Strategies and Processes for Pharmacogenomics[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(4): 443-448. DOI: 10.3969/j.issn.1674-9081.2020.04.015
    [9]A-fang ZHU, Yu-guang HUANG. Strategies of Anesthesia and Perioperative Recovery to Enhance the Gastrointestinal Function[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(6): 496-500. DOI: 10.3969/j.issn.1674-9081.2018.06.004
    [10]Jia-yuan DAI, Sheng-yong XU, Jun XU, Ye-cheng LIU, Ji-hai LIU, Hua-dong ZHU, Xue-zhong YU. Current Situation and Strategy of Blood Transfusion in Emergency Department of Peking Union Medical College Hospital[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(5): 384-387. DOI: 10.3969/j.issn.1674-9081.2016.05.012
  • Cited by

    Periodical cited type(13)

    1. 刘漫,沈鹏熠,张茹梦. 人工智能技术在医疗护理中的应用研究. 中国农村卫生事业管理. 2025(03): 177-182 .
    2. 吕静,何平,王永芬,冉朝霞,曹钦兴,古文帆,彭敏,田敏. ChatGPT在医学领域研究态势的文献计量学分析. 医学与哲学. 2024(07): 30-35 .
    3. 彭稳立,成鑫花,周敏杰,张宪. 探索ChatGPT在护理教育中的虚拟实践与模拟训练. 循证护理. 2024(11): 1961-1963 .
    4. 马应卓,王俊,李雪连,孙文,吴洁,刘彤,赵庆华,肖明朝. 护生对大语言模型聊天机器人使用体验的质性研究. 护理学杂志. 2024(16): 69-72 .
    5. 徐文博,周晓平. 类ChatGPT大语言模型在护理课程考核中的应用探索——基于ChatGPT、文心一言、讯飞星火测试. 中国医学教育技术. 2024(05): 567-571 .
    6. 张美怡,梁莉莉. ChatGPT在护理领域中的应用现状及展望. 当代护士(上旬刊). 2024(09): 36-39 .
    7. 彭稳立. ChatGPT在护理教育领域潜在应用的研究进展. 循证护理. 2024(19): 3517-3519 .
    8. 穆兰,徐文博,王学通. 类ChatGPT大语言模型在护理教育中应用的实证探讨与前景展望. 卫生职业教育. 2024(20): 4-7 .
    9. 刘婷,杨富国,杨丽,杨秀玲,韩晶,王爱敏. 护理硕士研究生使用人工智能生成内容工具体验的质性研究. 中华护理教育. 2024(09): 1046-1051 .
    10. 徐文博,陈凤敏,王超,陈洁,侯辉. GPT-4大语言模型对护理知识理解的测试研究. 护理学杂志. 2024(19): 93-96 .
    11. 何晓娣,王伊钶,兰美娟. 移动医疗在左心室辅助装置植入患者延续护理中的应用进展. 中国护理管理. 2024(10): 1533-1538 .
    12. 李源,罗碧如,Fu Mei R,胡艳玲. 大语言模型在临床护理实践的潜在应用及障碍分析. 护理学报. 2024(21): 44-48 .
    13. 姚芳,杨焱平,范小艳,刘滟华,代小梅. 基于CiteSpace的临床护理教学模式的可视化分析. 中国医药导报. 2024(34): 190-196 .

    Other cited types(0)

Catalog

    Article Metrics

    Article views (632) PDF downloads (209) Cited by(13)
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close