{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:15:14Z","timestamp":1792156514809,"version":"4.4.0"},"reference-count":50,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["140272\/2026\u20107"],"award-info":[{"award-number":["140272\/2026\u20107"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To critically analyse how the integration of artificial intelligence into clinical nursing practice reconfigures the foundations of person\u2010centred care, in light of the Fundamentals of Care Framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a theoretical\u2010reflective study using the relational, integrative and contextual dimensions of the Fundamentals of Care Framework as analytical axes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The analysis argues that the integration of artificial intelligence modifies the conditions under which person\u2010centred care is delivered. In the relational dimension, technological mediation redistributes professional attention and influences clinical decision\u2010making. In the integrative dimension, the expansion of monitoring and coordination does not, by itself, ensure coherent articulation among physical, psychosocial and relational needs. In the contextual dimension, the adoption of this technology is conditioned by organizational, political and regulatory factors that shape care priorities and quality criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Artificial intelligence does not replace care but transforms the structural conditions under which person\u2010centred fundamental care is delivered. The quality of care remains dependent on the nurse's professional mediation, responsible for integrating digital data with lived experience and sustaining the relational, integrative and ethical commitment that underpins nursing practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession<\/jats:title>\n                    <jats:p>The integration of artificial intelligence requires relational competence, critical judgement and the ability to calibrate trust in algorithmic recommendations in light of the person's circumstances. Nursing organizations and leadership must ensure that digital transformation remains aligned with the principles of person\u2010centred care, incorporating ethical governance, data protection and evaluation sensitive to patient experience. Professional education should prepare nurses to compare algorithmic outputs with patient narratives and their own clinical assessments, and to sustain the care relationship across varying levels of cognition, communication and cultural reference.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70756","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T07:42:30Z","timestamp":1788939750000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Artificial Intelligence as a Structural Mediator of Person\u2010Centred Nursing Care: A Theoretical\u2010Reflective Analysis Using the Fundamentals of Care Framework"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8879-2975","authenticated-orcid":false,"given":"Matheus Moraes","family":"Silva","sequence":"first","affiliation":[{"name":"Nursing Graduate Program Universidade Federal de Santa Catarina  Florian\u00f3polis Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3186-8286","authenticated-orcid":false,"given":"Jos\u00e9 Lu\u00eds Guedes","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Nursing Graduate Program Universidade Federal de Santa Catarina  Florian\u00f3polis Brazil"},{"name":"Nursing Department Universidade Federal de Santa Catarina  Florian\u00f3polis Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4845-8515","authenticated-orcid":false,"given":"Alacoque Lorenzini","family":"Erdmann","sequence":"additional","affiliation":[{"name":"Nursing Graduate Program Universidade Federal de Santa Catarina  Florian\u00f3polis Brazil"},{"name":"Nursing Department Universidade Federal de Santa Catarina  Florian\u00f3polis Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.70040"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/make5030053"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.13059"},{"key":"e_1_2_12_5_1","volume-title":"Shaping the Care Economy Debate: How Person\u2010Centred Fundamental Care Shapes Quality, Safety, and Evidence\u2010Based Practice Success: The International Learning Collaborative (ILC) Genoa 2025 Statement","author":"Bagnasco A.","year":"2026"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12020125"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/1980\u2010265X\u2010TCE\u20102025\u2010E001en"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.2196\/23939"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.70579"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13770"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1617138"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2025.03.013"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.59681\/2175\u20104411.v16.2024.1027"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.18502\/ijph.v50i11.7600"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14247"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069251404344"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.19.237487"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010025\u201002798\u20103"},{"key":"e_1_2_12_19_1","volume-title":"Crossing the Quality Chasm: A New Health System for the Twenty\u2010First Century","author":"Institute of Medicine","year":"2001"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.43262"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2012.06064.x"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/nnr.0000000000000271"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16108"},{"key":"e_1_2_12_24_1","unstructured":"Kitson A. 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