Perceived worries in the adoption of artificial intelligence among nurses in neonatal intensive care units

Abstract Introduction Artificial Intelligence (AI) comprises computational algorithms designed to analyze data, learn patterns, and execute tasks traditionally requiring human cognition. These models can support public health initiatives, expedite clinical care, and improve diagnosis accuracy. Thus,...

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Main Authors: Ahmad Ayed, Ahmad Batran, Ibrahim Aqtam, Malakeh Z. Malak, Moath Abu Ejheisheh, Mosaab Farajallah, Lamees Farraj, Sanaa Alkhatib
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-025-03318-z
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author Ahmad Ayed
Ahmad Batran
Ibrahim Aqtam
Malakeh Z. Malak
Moath Abu Ejheisheh
Mosaab Farajallah
Lamees Farraj
Sanaa Alkhatib
author_facet Ahmad Ayed
Ahmad Batran
Ibrahim Aqtam
Malakeh Z. Malak
Moath Abu Ejheisheh
Mosaab Farajallah
Lamees Farraj
Sanaa Alkhatib
author_sort Ahmad Ayed
collection DOAJ
description Abstract Introduction Artificial Intelligence (AI) comprises computational algorithms designed to analyze data, learn patterns, and execute tasks traditionally requiring human cognition. These models can support public health initiatives, expedite clinical care, and improve diagnosis accuracy. Thus, artificial intelligence in healthcare sectors has the potential to enhance nursing care by assisting nurses with tasks like documentation, workflow improvement, and decision-making, while reducing workforce stress. This study, guided by the Technology Acceptance Model (TAM), assesses perceived worries regarding AI adoption among nurses in neonatal intensive care units (NICUs). Methods A cross-sectional quantitative design was employed using convenience sampling. Data were collected using the Worries of Applying AI in Healthcare Questionnaire (WAAI-HCQ) from 227 NICU nurses across nine hospitals in the West Bank (January 2–March 3, 2025). SPSS version 26 was used for analysis. Results Participants demonstrated intermediate levels of AI awareness (M = 2.7, SD = 0.5) and limited prior AI experience (M = 2.3, SD = 0.5). Total AI-related worries were moderate (M = 3.2, SD = 0.9), with healthcare provider-related concerns being highest. Multiple linear regression (R² = 0.846) identified education level (B = 0.074, p = 0.026), AI awareness (B = 2.006, p < 0.001), and AI experience (B = -0.959, p < 0.001) as significant predictors, explaining 84.6% of the variance in AI-related worries. Conclusions NICU nurses in Palestine exhibit moderate AI awareness and concerns, highlighting the need for targeted education and training to address knowledge gaps and facilitate AI integration. This study contributes new knowledge specifically for conflict-affected, resource-constrained NICU settings, where AI implementation faces unique challenges. Clinical trial number Not applicable.
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spelling doaj-art-2e2b8aa8d76a4dd9b8c70d26ed28c0cd2025-08-20T04:01:25ZengBMCBMC Nursing1472-69552025-07-012411910.1186/s12912-025-03318-zPerceived worries in the adoption of artificial intelligence among nurses in neonatal intensive care unitsAhmad Ayed0Ahmad Batran1Ibrahim Aqtam2Malakeh Z. Malak3Moath Abu Ejheisheh4Mosaab Farajallah5Lamees Farraj6Sanaa Alkhatib7Faculty of Nursing, Arab American UniversityFaculty of Allied Medical Sciences, Department of Nursing, Palestine Ahliya UniversityDepartment of Nursing, Ibn Sina College for Health Professions, Nablus University for Vocational and Technical EducationCommunity Health Nursing, Faculty of Nursing, Al-Zaytoonah University of JordanFaculty of Allied Medical Sciences, Department of Nursing, Palestine Ahliya UniversityFaculty of Allied Medical Sciences, Department of Nursing, Palestine Ahliya UniversityFaculty of Allied Medical Sciences, Department of Nursing, Palestine Ahliya UniversityFaculty of Allied Medical Sciences, Department of Nursing, Palestine Ahliya UniversityAbstract Introduction Artificial Intelligence (AI) comprises computational algorithms designed to analyze data, learn patterns, and execute tasks traditionally requiring human cognition. These models can support public health initiatives, expedite clinical care, and improve diagnosis accuracy. Thus, artificial intelligence in healthcare sectors has the potential to enhance nursing care by assisting nurses with tasks like documentation, workflow improvement, and decision-making, while reducing workforce stress. This study, guided by the Technology Acceptance Model (TAM), assesses perceived worries regarding AI adoption among nurses in neonatal intensive care units (NICUs). Methods A cross-sectional quantitative design was employed using convenience sampling. Data were collected using the Worries of Applying AI in Healthcare Questionnaire (WAAI-HCQ) from 227 NICU nurses across nine hospitals in the West Bank (January 2–March 3, 2025). SPSS version 26 was used for analysis. Results Participants demonstrated intermediate levels of AI awareness (M = 2.7, SD = 0.5) and limited prior AI experience (M = 2.3, SD = 0.5). Total AI-related worries were moderate (M = 3.2, SD = 0.9), with healthcare provider-related concerns being highest. Multiple linear regression (R² = 0.846) identified education level (B = 0.074, p = 0.026), AI awareness (B = 2.006, p < 0.001), and AI experience (B = -0.959, p < 0.001) as significant predictors, explaining 84.6% of the variance in AI-related worries. Conclusions NICU nurses in Palestine exhibit moderate AI awareness and concerns, highlighting the need for targeted education and training to address knowledge gaps and facilitate AI integration. This study contributes new knowledge specifically for conflict-affected, resource-constrained NICU settings, where AI implementation faces unique challenges. Clinical trial number Not applicable.https://doi.org/10.1186/s12912-025-03318-zArtificial intelligenceTechnology adoptionHealthcareNeonatal intensive careNurses
spellingShingle Ahmad Ayed
Ahmad Batran
Ibrahim Aqtam
Malakeh Z. Malak
Moath Abu Ejheisheh
Mosaab Farajallah
Lamees Farraj
Sanaa Alkhatib
Perceived worries in the adoption of artificial intelligence among nurses in neonatal intensive care units
BMC Nursing
Artificial intelligence
Technology adoption
Healthcare
Neonatal intensive care
Nurses
title Perceived worries in the adoption of artificial intelligence among nurses in neonatal intensive care units
title_full Perceived worries in the adoption of artificial intelligence among nurses in neonatal intensive care units
title_fullStr Perceived worries in the adoption of artificial intelligence among nurses in neonatal intensive care units
title_full_unstemmed Perceived worries in the adoption of artificial intelligence among nurses in neonatal intensive care units
title_short Perceived worries in the adoption of artificial intelligence among nurses in neonatal intensive care units
title_sort perceived worries in the adoption of artificial intelligence among nurses in neonatal intensive care units
topic Artificial intelligence
Technology adoption
Healthcare
Neonatal intensive care
Nurses
url https://doi.org/10.1186/s12912-025-03318-z
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