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  • Title: [Nursing Education in the Era of Generative Artificial Intelligence: Are We Ready?].
    Author: Chen SL.
    Journal: Hu Li Za Zhi; 2024 Oct; 71(5):4-6. PubMed ID: 39350703.
    Abstract:
    Generative artificial intelligence (GAI) has taken the world by storm, causing notable tension within the field of education. Nursing education is no exception, facing imminent challenges and opportunities. GAI, a unique and immensely powerful technology championed by ChatGPT (Chat generative pre-trained transformer), represents a new frontier in artificial intelligence. ChatGPT, a product of deep learning - a subset of machine learning that mirrors the human brain's approach to learning and responding to data, information, and prompts - exemplifies this technological leap (Sahoo et al., 2022). GAI stands out for its ability not only to provide responses but also to generate the content of those responses, surpassing the human-like interactions typically seen in conversational AI (Lim et al., 2023; Su & Yang, 2023). Currently, ChatGPT has demonstrated significant application potential in nursing education in various aspects. For example, ChatGPT provides personalized learning (Tam et al., 2023); is easy to use (Vaughn et al., 2024); provides rapid information (Goktas et al., 2024; Liu et al., 2023), rapid responses, and assistance in writing (Sun & Hoelscher, 2023); improves students' problem-solving and critical thinking skills (Goktas et al., 2024; Sun & Hoelscher, 2023); supports educators in developing curricula and preparing course materials and may be used in translation processes (Tam et al., 2023); and helps healthcare professionals better understand complex medical concepts and procedures by providing easily comprehensible and up-to-date information (Krüger et al., 2023). Therefore, integrating ChatGPT into nursing education not only provides students with a more effective and interactive learning experience but also offers educators supportive tools that are directly applicable in teaching. These technologies can enhance / improve teaching by providing personalized learning solutions through, for example, generating teaching cases and simulating clinical scenarios to enhance the learning experience of students (Liu et al., 2023; Vaughn et al., 2024). Despite the significant benefits realized, nursing education in the era of GAI also faces challenges and limitations. Over-reliance on ChatGPT may limit students' critical thinking, problem-solving, and innovation capabilities, leading to a lack of independent thought. Educators should integrate GAI-supported tools into the learning process, but encourage and guide students to use ChatGPT as a supplementary learning tool rather than a substitute (Tam et al., 2023). This approach will help ensure students develop the skills and knowledge necessary to use the technology responsibly and ethically and allow educators to better address key related challenges, enhance education quality, and lay a foundation for cultivating high-quality nursing professionals. GAI is inevitable, and banning it may lead to increased attention and psychological reactance, making students more eager to access this technology. Therefore, educational institutions should embrace rather than shun its use (Lim et al., 2023). It is hoped that readers, after reading this special column, will be inspired to learn more about GAI applications and their significance and thus come to view GAI as a driving force for educational transformation, ensuring the continuous development of education and safeguarding the future of education and, by extension, the society of tomorrow. TITLE: 生成式人工智慧時代的護理教育—我們準備好了嗎？. UNLABELLED: 隨著生成式人工智慧（generative artificial intelligence, GAI）席捲全球，教育領域隨之出現顯著的緊張局勢，護理教育亦不例外，正面臨著迫在眉睫的挑戰與機會。GAI作為一類獨特的人工智慧，由ChatGPT（Chat generative pre-trained transformer）等技術推動，展現出極大的威力。ChatGPT是深度學習的產物，而深度學習作為機器學習的一個子集，模仿人類大腦的運作模式，能夠學習並回應各類數據、訊息與提示（Sahoo et al., 2022）。GAI具備獨特的能力，不僅能生成回應，還可創造出回應中的內容，超越傳統對話式人工智慧中的類人互動（Lim et al., 2023; Su & Yang, 2023）。目前，ChatGPT已在護理教育中展現出多方面的應用潛力，例如提供個人化學習（Tam et al., 2023），操作簡便（Vaughn et al., 2024），快速提供資訊（Goktas et al., 2024; Liu et al., 2023），及時回應並提供書面協助（Sun & Hoelscher, 2023），並且能夠提升學生的問題解決能力與批判性思考（Goktas et al., 2024; Sun & Hoelscher, 2023）。此外，ChatGPT還能幫助教育者開發課程、準備教學材料，並在翻譯過程中提供支持（Tam et al., 2023）；同時，也能透過提供易於理解的最新資訊，幫助醫療保健專業人員更深入地理解複雜的醫療概念和流程（Krüger et al., 2023）。因此，將ChatGPT融入護理教育，不僅能為學生提供更有效且互動的學習體驗，亦能為教育者提供教學支持工具。這些技術能夠輔助教學，提供個人化的學習方案，例如生成教學案例、模擬臨床場景，進一步提升學生的學習體驗（Liu et al., 2023; Vaughn et al., 2024）。儘管GAI時代帶來顯著的益處，護理教育亦面臨挑戰與限制。例如，過度依賴ChatGPT可能會削弱學生的批判性思考、問題解決能力與創新力，導致獨立思考能力的缺失。因此，教育者應將其納入學習過程中，並鼓勵與引導學生將ChatGPT作為輔助學習工具，而非替代品（Tam et al., 2023）。如此，才能確保學生掌握負責任且具倫理地使用這項技術所需的技能與知識，更好地應對挑戰，提升教育品質，為培養高素質的護理人才奠定堅實基礎。GAI的發展已然勢不可擋，若試圖禁止其使用，反而可能引發更大的關注與心理反抗，激起學生對這項技術的更強渴望。因此，教育機構應選擇擁抱而非排斥GAI的應用（Lim et al., 2023）。期盼讀者在閱讀本期專欄後，能夠更深刻地理解GAI的運用及其深遠意義，並將其視為推動教育變革的重要力量，以確保教育的持續發展與時俱進，進而保障教育的未來，守護明日的社會。.
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