{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T05:46:30Z","timestamp":1791783990149,"version":"4.3.4"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":283,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100014786","name":"Northern Border University","doi-asserted-by":"publisher","award":["NBU-FPEJ-2026-3539-02"],"award-info":[{"award-number":["NBU-FPEJ-2026-3539-02"]}],"id":[{"id":"10.13039\/501100014786","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Artificial intelligence (AI) is increasingly being incorporated into clinical nursing practice, but evidence remains limited on how nurses experience AI\u2010supported systems and how decision\u2010making orientation relates to missed nursing care (MNC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore nurses\u2019 experiences with AI\u2010supported clinical decision support (CDS) and examine associations among clinical decision\u2010making orientation, professional characteristics, and MNC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A convergent parallel mixed\u2010methods study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study was conducted in six hospitals in Beni Suef Governorate, Egypt. The quantitative sample included 210 intensive care unit (ICU) nurses who completed the Nursing Decision\u2010Making Instrument\u2013Revised 2014 (NDMI\u2010R) and the Missed Intensive Nursing Care Scale (MINCS). Fourteen nurses completed semistructured interviews, and all transcripts were included in the thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      NDMI\u2010R scores showed a small negative bivariate correlation with MNC (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.178,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01), but the adjusted association was not statistically significant (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.124,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.063). The regression model explained 16.9% of the variance in MNC (adjusted\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200914.5%). Years of experience (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.198,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004) and bachelor\u2019s degree or above compared with a technical nursing diploma (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.255,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) were significant predictors. The other education contrast, AI training\/support and MISSCARE Reasons were not statistically significant. In interviews, nurses described AI\u2010related tools as potentially helpful for alerts, information review, workflow, and communication while also raising concerns about trust, overreliance, empathy, and training.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nurses perceived potential benefits from AI\u2010supported tools, but the quantitative findings did not establish an independent effect of AI or a statistically significant adjusted association between decision\u2010making orientation and MNC. These findings support cautious, nurse\u2010centered implementation and further longitudinal evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Managers should pair any AI\u2010supported CDS implementation with role\u2010specific training, clear accountability, usability monitoring, and safeguards that preserve clinical judgment and humanistic care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/5948812","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T05:30:06Z","timestamp":1791783006000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurses\u2019 Experiences With Artificial Intelligence and the Association Between Clinical Decision\u2010Making and Missed Nursing Care: A Convergent Mixed\u2010Methods Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4266-4588","authenticated-orcid":false,"given":"Faisal Khalaf","family":"Alanazi","sequence":"first","affiliation":[{"name":"Medical Surgical Nursing Department College of Nursing Northern Border University  Arar Saudi Arabia  nbu.edu.sa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4394-4637","authenticated-orcid":false,"given":"Ahmed Farghaly","family":"Tawfik","sequence":"additional","affiliation":[{"name":"Department of Public Health Nursing College of Nursing Northern Border University  Arar Saudi Arabia  nbu.edu.sa"},{"name":"Nursing Administration Department Faculty of Nursing Beni-Suef University  Beni-Suef Egypt  bsu.edu.eg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7179-9329","authenticated-orcid":false,"given":"Shimaa 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