Artificial intelligence in nursing: an integrative review of clinical and operational impacts

Advances in digital technologies and artificial intelligence (AI) are reshaping healthcare delivery, with AI increasingly integrated into nursing practice. These innovations promise enhanced diagnostic precision, improved operational workflows, and more personalized patient care. However, the direct impact of AI on clinical outcomes, workflow efficiency, and nursing staff well-being requires further elucidation.

This integrative review synthesized findings from 18 studies published through November 2024 across diverse healthcare settings. Using the PRISMA 2020 and SPIDER frameworks alongside rigorous quality appraisal tools (MMAT and ROBINS-I), the review examined the multifaceted effects of AI integration in nursing. Our analysis focused on three principal domains: clinical advancements and patient monitoring, operational efficiency and workload management, and ethical implications.