{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:55:37Z","timestamp":1791917737891,"version":"4.3.4"},"reference-count":80,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Nursing"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although the use of artificial intelligence (AI)\u2013based technologies, such as AI-based decision support systems (AI-DSSs), can help sustain and improve the quality and efficiency of care, their deployment creates ethical and social challenges. In recent years, a growing prevalence of high-level guidelines and frameworks for responsible AI innovation has been observed. However, few studies have specified the responsible embedding of AI-based technologies, such as AI-DSSs, in specific contexts, such as the nursing process in long-term care (LTC) for older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Prerequisites for responsible AI-assisted decision-making in nursing practice were explored from the perspectives of nurses and other professional stakeholders in LTC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semistructured interviews were conducted with 24 care professionals in Dutch LTC, including nurses, care coordinators, data specialists, and care centralists. A total of 2 imaginary scenarios about AI-DSSs were developed beforehand and used to enable participants articulate their expectations regarding the opportunities and risks of AI-assisted decision-making. In addition, 6 high-level principles for responsible AI were used as probing themes to evoke further consideration of the risks associated with using AI-DSSs in LTC. Furthermore, the participants were asked to brainstorm possible strategies and actions in the design, implementation, and use of AI-DSSs to address or mitigate these risks. A thematic analysis was performed to identify the opportunities and risks of AI-assisted decision-making in nursing practice and the associated prerequisites for responsible innovation in this area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The stance of care professionals on the use of AI-DSSs is not a matter of purely positive or negative expectations but rather a nuanced interplay of positive and negative elements that lead to a weighed perception of the prerequisites for responsible AI-assisted decision-making. Both opportunities and risks were identified in relation to the early identification of care needs, guidance in devising care strategies, shared decision-making, and the workload of and work experience of caregivers. To optimally balance the opportunities and risks of AI-assisted decision-making, seven categories of prerequisites for responsible AI-assisted decision-making in nursing practice were identified: (1) regular deliberation on data collection; (2) a balanced proactive nature of AI-DSSs; (3) incremental advancements aligned with trust and experience; (4) customization for all user groups, including clients and caregivers; (5) measures to counteract bias and narrow perspectives; (6) human-centric learning loops; and (7) the routinization of using AI-DSSs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The opportunities of AI-assisted decision-making in nursing practice could turn into drawbacks depending on the specific shaping of the design and deployment of AI-DSSs. Therefore, we recommend considering the responsible use of AI-DSSs as a balancing act. Moreover, considering the interrelatedness of the identified prerequisites, we call for various actors, including developers and users of AI-DSSs, to cohesively address the different factors important to the responsible embedding of AI-DSSs in practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/55962","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T18:06:12Z","timestamp":1716573972000},"page":"e55962","source":"Crossref","is-referenced-by-count":34,"title":["AI-Assisted Decision-Making in Long-Term Care: Qualitative Study on Prerequisites for Responsible Innovation"],"prefix":"10.2196","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5911-0958","authenticated-orcid":false,"given":"Dirk R M","family":"Lukkien","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0635-6839","authenticated-orcid":false,"given":"Nathalie 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Publishing202432024-06-26https:\/\/www.oecd-ilibrary.org\/docserver\/623da898-en.pdf?expires=1718864105&id=id&accname=guest&checksum=C7425CED5968520597F4424F309F050A"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1097\/01.NCN.0000432127.99644.25"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.15265\/IYS-2016-s034"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-020-0221-y"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-021-00679-3"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaa319"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.3389\/fsoc.2022.957246"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2020.113172"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnab167"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s00146-022-01553-5"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1038\/s42256-019-0088-2"},{"key":"ref29","unstructured":"FjeldJAchtenNHilligossHNagyASrikumarMPrincipled 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Morr, C","year":"2019","journal-title":"Analytics in Healthcare"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.1016\/j.procs.2020.10.073"},{"key":"ref43","unstructured":"Ethics and governance of artificial intelligence for health: WHO guidanceWorld Health Organization20216282024-06-26https:\/\/www.who.int\/publications\/i\/item\/9789240029200"},{"key":"ref44","unstructured":"Your research: Is it subject to the WMO or not?Central Committee on Research Involving Human 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