Ethics and Technology in Nursing Education: Rethinking Artificial Intelligence
DOI:
https://doi.org/10.17533/udea.iee.v43n3e14Keywords:
artificial intelligence, ethics, nursing, education, nursing, health equityAbstract
This essay aims to critically reflect on the ethical challenges posed by the incorporation of artificial intelligence (AI) in the education of nursing professionals. Based on an argumentative review of recent scientific literature, three key dimensions are analyzed: personalized learning as an opportunity to promote inclusion and academic autonomy; the potential of AI to reduce educational gaps through public policies that guarantee digital equity; and the strengthening of clinical and ethical judgment through AI-assisted simulations in educational environments. Likewise, the risks associated with its implementation are addressed, such as algorithmic surveillance, the mechanization of moral reasoning, and technological exclusion in contexts with low digital literacy. It is concluded that the real challenge does not lie in the technology itself, but in how it is designed, regulated, and pedagogically integrated in terms of care, dignity, and critical thinking. Finally, the need to advance research that guides regulatory frameworks and educational proposals to ensure an ethical, inclusive, and contextualized integration of AI in nursing education is suggested.
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1. Mondal H. Ethical engagement with artificial intelligence in medical education. Advances in Physiology Education. 2025; 49(1):163–5.
2. Lane SH, Haley T, Brackney DE. Tool or Tyrant: Guiding and Guarding Generative Artificial Intelligence Use in Nursing Education. Creative Nursing. 2024; 30(2):125–32.
3. Esmaeilzadeh P. Challenges and strategies for wide-scale artificial intelligence (AI) deployment in healthcare practices: A perspective for healthcare organizations. Artificial Intelligence in Medicine. 2024; 151:102861.
4. Tam W, Huynh T, Tang A, Luong S, Khatri Y, Zhou W. Nursing education in the age of artificial intelligence powered Chatbots (AI-Chatbots): Are we ready yet? Nurse Education Today. 2023; 129:105917.
5. Srinivasan M, Venugopal A, Venkatesan L, Kumar R. Navigating the Pedagogical Landscape: Exploring the Implications of AI and Chatbots in Nursing Education. JMIR Nursing. 2024; 7:e52105.
6. Huang C, Zhang Z, Mao B, Yao X. An overview of artificial intelligence ethics. IEEE Transactions on Artificial Intelligence. 2023; 4(4):799–819.
7. UNESCO. Recomendación sobre la ética de la inteligencia artificial [Internet]. París: UNESCO; 2021 [cited 2025 Aug 1]. Available from: https://unesdoc.unesco.org/ark:/48223/pf0000381137
8. Yurt E. AI-Powered Personalized Education: Impacts on Student Achievement and Future Perspectives. In: Proceedings of the International Conference on Education. Chicago; 2024. p. 64–72.
9. Sidiropoulos D, Anagnostopoulos CN. Applications, challenges and ethical issues of AI and ChatGPT in education. Ciencias de la Computación. 2024; 1–6.
10. Ramírez Heredia RC, Carcausto-Calla W. Factors associated with student dropout in Latin American universities: Scoping review. Journal of Educational and Social Research. 2024; 14(2):62–72.
11. Pérez-Jaimes AK, Estrada-Reyes CU, Hurtado-Velmar KP. Factores causales de la deserción escolar en alumnos de nivel superior. Revista de Investigación Latinoamericana en Competitividad Organizacional. 2025; 7(25):93–100.
12. Martínez Reinoso AR, Laínez Tomalá AD, Bravo López JA, Cevallos Mendoza LA, Vera Delgado FV. Factores asociados a la deserción estudiantil en los primeros años de carreras de salud: una revisión sistemática de intervenciones y estrategias de retención. Revista Social Fronteriza. 2024; 4(5):e45461.
13. American Nurses Association. The ethical use of artificial intelligence in nursing practice [Internet]. Silver Spring (MD): ANA; 2022 [cited 2025 Aug 1]. Available from: https://www.nursingworld.org/globalassets/practiceandpolicy/nursing-excellence/ana-position-statements/the-ethical-use-of-artificial-intelligence-in-nursing-practice_bod-approved-12_20_22.pdf
14. Oye E, Edwin F, Owen J. Ethical considerations in AI-driven education. ResearchGate Preprint. 2024; 1–23.
15. Williamson B. Policy networks, performance metrics and platform markets: Charting the expanding data infrastructure of higher education. British Journal of Educational Technology. 2019; 50(6):2794–809.
16. Chinta SV, Wang Z, Yin Z, Hoang N, Gonzalez M, Le QT, et al. FairAIED: Navigating fairness, bias, and ethics in educational AI applications. AI and Ethics. 2024. Available from: https://arxiv.org/pdf/2407.18745
17. Escobar-Castellanos B, Jara Concha P. Filosofía de Patricia Benner, aplicación en la formación de enfermería: propuestas de estrategias de aprendizaje. Educación. 2019; 28(54):182–202.
18. Knopp MI, Warm EJ, Weber D, Kelleher M, Kinnear B, Schumacher DJ, et al. AI-Enabled Medical Education: Threads of change, promising futures, and risky realities across four potential future worlds. JMIR Medical Education. 2023; 9:e50373.
19. Vincent-Lancrin S, Van der Vlies R. Trustworthy artificial intelligence (AI) in education. París: OECD; 2020 Apr.
20. OECD. Equity and inclusion in education [Internet]. Paris: Organisation for Economic Co-operation and Development; 2023 [cited 2025 Aug 1]. Available from: https://www.oecd.org/content/dam/oecd/en/publications/reports/2023/01/equity-and-inclusion-in-education_e8cfc768/e9072e21-en.pdf
21. Melo-López VA, Basantes-Andrade A, Gudiño-Mejía CB, Hernández-Martínez E. The impact of artificial intelligence on inclusive education: a systematic review. Education Sciences. 2025; 15(5):539.
22. Comas-Forjas R. Sesgos algorítmicos en educación: Casos y soluciones. In: Proceedings of the 8th Virtual International Conference on Education, Innovation and ICT. Universitat de les Illes Balears; 2023. p. 329–30.
23. Akgun S, Greenhow C. Artificial intelligence in education: Addressing ethical challenges in K-12 settings. AI and Ethics. 2022; 2(3):431–40.
24. Sabzalieva E, Valentini A. ChatGPT and artificial intelligence in higher education: quick start guide. Caracas: UNESCO; 2023.
25. Martínez V. De qué hablamos cuando hablamos de inteligencia artificial [Internet]. Montevideo: UNESCO; 2024 [cited 2025 Jun 9]. Available from: https://unesdoc.unesco.org/ark:/48223/pf0000391087
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