CHATGPT DALAM PRAKTIK KEPERAWATAN: REVIEW LITERATUR LENGKAP
CHATGPT IN NURSING PRACTICE: AN EXHAUSTIVE LITERATURE REVIEW
Keywords:
ChatGPT, Nursing Practice; Literature ReviewAbstract
ChatGPT menjadi trending topik sejak edisi 3.5 pertama diluncurkan pada 30 November 2022. Aplikasi ini memiliki manfaat yang sangat besar dalam bidang pendidikan, praktik, dan penelitian. Namun, didapati beberapa kekhawatiran mengenai potensi risiko dan keterbatasan dalam praktik klinis. Aplikasi ChatGPT merupakan hal yang baru, diperlukan lebih banyak publikasi khususnya tinjauan lengkap terkait kegunaannya di dalam praktik keperawatan. Oleh karena itu, kajian ini bertujuan untuk mengeksplorasi manfaat, potensi risiko, keterbatasan, dan rekomendasi yang lengkap mengenai penggunaannya di dalam praktik keperawatan. Kajian lengkap ini menggunakan literatur yang berhubungan menggunakan publish or perish edisi ke 8. Kriteria inklusi adalah literatur yang berhubungan dengan topik yang diterbitkan tahun 2022-2024. Literatur tersebut kemudian dianalisis dan dikelompokkan ke dalam empat tema yaitu: manfaat, potensi risiko, keterbatasan, dan rekomendasi. Hasil dari kajian ini menunjukkan manfaat dari ChatGPT dalam praktik keperawatan termasuk meningkatkan dokumentasi keperawatan, membantu pengambilan keputusan klinis, dan manajemen pengobatan. Aplikasi ini juga berfungsi sebagai alat komunikasi, menghasilkan pengajaran kesehatan klien, ringkasan discharge planning, dan menghasilkan simulasi klinis. Tinjauan juga menemukan beberapa potensi risiko dan keterbatasan seperti masih ada ketidakakuratan, kurangnya rasa dan emosi manusia, kurangnya perlindungan data, dapat membahayakan hubungan perawat-klien, dan tanggung jawab hukum. Disarankan untuk memanfaatkan teknologi ChatGPT dengan validasi manusia, perhatian penuh, dan penilaian klinis. Dianjurkan juga untuk menetapkan peraturan dan pedoman yang jelas dalam penggunaannya, dan menjamin perlindungan data. ChatGPT menawarkan manfaat penting dalam praktik keperawatan dalam memberikan perawatan klien secara efisien selama digunakan secara sadar, etis, dengan hati-hati dan penuh perhatian untuk mengurangi potensi risiko.
ChatGPT has been a trending topic since the launch of its version 3.5 on November 30, 2022. This application has shown immense benefits in education, practice, and research. However, concerns have been raised regarding its potential risks and limitations in clinical practice. ChatGPT requires further exploration as a novel technology, particularly comprehensive reviews of its utility in nursing practice. Therefore, this study aims to explore the benefits, potential risks, and limitations and provide comprehensive recommendations for its use in nursing practice. This review utilized relevant literature identified through Publish or Perish version 8—the inclusion criteria comprised publications related to the topic from 2022 to 2024. The literature was analyzed and categorized into four themes: benefits, potential risks, limitations, and recommendations. The findings of this review indicate that ChatGPT offers several benefits in nursing practice, including enhancing nursing documentation, supporting clinical decision-making, and managing medication. Additionally, it serves as a communication tool, facilitates client health education, creates discharge planning summaries, and generates clinical simulations. However, the review also identified potential risks and limitations, such as inaccuracies, lack of human touch and emotions, insufficient data protection, risks to the nurse-client relationship, and legal liability concerns. It is recommended that the use of ChatGPT in nursing practice be accompanied by human validation, careful attention, and clinical judgment. Furthermore, it is essential to establish clear regulations and guidelines for its use and ensure data protection. While ChatGPT offers significant advantages for efficient client care in nursing practice, its use must be conscious, ethical, cautious, and attentive to mitigate potential risks. It is used consciously, ethically, cautiously, and with mindfulness to reduce potential risks.
Downloads
References
Abdulai, A. F., & Hung, L. (2023). Will ChatGPT undermine ethical values in nursing education,research, and practice? Nursing Inquiry, 1-3.
Ali, S.R., et al., (2023). Using ChatGPT to write patient clinic letters. The Lancet Digital Health, 5(4): p. e179-e181.
Alkhaqani, A. (2023). ChatGPT and Future of Medical Writing. Journal of Medical and Clinical Nursing, 1-4.
Alkhaqani, A. (2023). ChatGPT and Nursing Education: Challenges and Opportunities. Al-Rafidain Journal of Medical Science, 50-51.
Alkhaqani, A. (2023). Potential Benefit and Challenges of Chat GPT in Future Nursing Education. Ma'aen Journal for Medical Science, 1-5.
Ahn, C., (2023). Exploring ChatGPT for information of cardiopulmonary resuscitation. Resuscitation, 185.
Archibald MM, Clark AM ( 2023) ChatGTP : What is it and how can nursing and health science education use it ? Journal Advance Nursing 1-4.
Arif, T., Muna, U., & Ul-Haque, I. (2023). The future of medical education and research: Is ChatGPT a blessing or blight in disguise. Medical Edu.Online, 1-2.
Baloglu, G., & Cakali, K. R. (2023). Is Artificial Intelligence a New Threat to the Academic Ethics?: Enron Scandal Revisited By ChatGPT . Isletme, 143-146.
Benoits, J. R. (2023). ChatGPT for Clinical Vignette Generation, Revision, and Evaluation . BMJ Yale, 1-16.
Biswas, S., (2023). ChatGPT and the future of medical writing, Radiological Society of North America. p. e223312.
Brink, D. (2023). A Nursing Professor’s Response to ChatGPT. International Journal of Nursing and Health Care Science, 1-2.
Bollen, J., et al., (2023). ChatGPT: five priorities for research. Nature.
Brown, T., et al., (2020) Language models are few-shot learners. Advances in neural information processing systems, 33: p. 1877-1901
Bulck, L., & Moons, V. (2023). What if your patient switches from Dr. Google to Dr. ChatGPT? A vignette-based survey of the trustworthiness, value, and danger of ChatGPT-generated responses to health questions. European Journal of Cardiovascular Nursing, 1-4.
Carlini, N., et al. (2021). Extracting training data from large language models. in 30th USENIX Security Symposium (USENIX Security 21).
Cascella, M., Montomoli, J., Bellini, V., & Bignami, E. (2023). Evaluating the Feasibility of ChatGPT in Healthcare: An Analysis of Multiple Clinical and Research Scenarios. Journal of Medical Systems, 1-5.
Cheng, S.W., et al., (2023) The now and future of ChatGPT and GPT in psychiatry. Psychiatry and clinical neurosciences, 77(11): p. 592-596.
Chervenak, J., Lieman, H., BlancoBreindel, M., & Jindal, S. (2023). The Promise and Peril of Using a Large Language Model to obtain Clinical Information: ChatGPT performs Strongly as a Fertility Counseling Tool with Limitations. Fertility and Sterility, 575-583.
Dağcı, M., Çam, F., and Dost, A., (2023). Reliability and Quality of the Nursing Care Planning Texts Generated by ChatGPT. Nurse Educator, p. 10.1097.
D'Amico, R.S., et al., (2023). I asked a ChatGPT to write an editorial about how we can incorporate chatbots into neurosurgical research and patient care, LWW. p. 663-664.
Debby R. E. Cotton, Peter A. Cotton & J. Reuben Shipway (2023): Chatting and cheating: Ensuring academic integrity in the era of ChatGPT, Innovations in Education and Teaching International. P. 1-12. DOI: 10.1080/14703297.2023.2190148
Dehouche, N. (2021). Plagiarism in the age of massive generative pre-trained transformers (GPT-3). Ethics in Science and Environmental Politics, 2, 17–23. https://doi.org/10.3354/esep00195
Deng, J., et al., (2024). Artificial intelligence in clinical practice: A look at ChatGPT. Cleve Clin J Med.
Flanagin,A., Bibbins-Domingo., and Berkwits, M., (2023). Nonhuman “authors” and implications for the integrity of scientific publication and medical knowledge. Jama, 2023. 329(8): p. 637-639.
Frith, K. H. (2023). ChatGPT: Disruptive Educational Technology. Nursing Education Perspectives, 198-199.
Gilson, A., Safranek, C., Huang, T., Socrates, V., Chi, L., Taylor, R. A., & Chartash, D. (2022). How does ChatGPT perform on the medical licensing exams? The implications of large language models for medical education and knowledge assessment. MedRxiv, 2022-12.
Gosak, L., et al., (2024). The ChatGPT effect and transforming nursing education with generative AI: Discussion paper. Nurse Education in Practice, 2024. 75: p. 103888.
Gunawan, J. (2023). Exploring the Future of Nursing: Insight from the ChatGPTmodel. Belitung Nursing Journal, 1-5.
Holzinger, A., et al., (2023). AI for life: Trends in artificial intelligence for biotechnology. New Biotechnology, 74: p. 16-24.
Homolak, J., (2023). Opportunities and risks of ChatGPT in medicine, science, and academic publishing: a modern Promethean dilemma. Croatian Medical Journal, 64(1): p. 1.
Hines, K. (2023, June 4). History Of ChatGPT: A Timeline Of The Meteoric Rise Of Generative AI Chatbots. Retrieved from Algorithm & AI Change: https://www.searchenginejournal.com/history-of-chatgpt-timeline/488370/#close
Hu, (2023) ChatGPT sets record for fastest-growing user base. [cited 2024 February, 29]; Available from: https://www.reuters.com/technology/chatgpt-sets-record-fastest-growing-user-base-analyst-note-2023-02-01/.
Huang, H., (2023). Performance of ChatGPT on registered nurse license exam in Taiwan: a descriptive study. In Healthcare. MDPI.
Inteligence.com. (2023, July 16). Nearly 1 of 3 college students have used ChatGPT on written Assignment. Retrieved from Inteligence.com: https://www.inteligent.com/nealy-1-in-3-college students-have-used-chatgpt-on-written-assignments
Irwin, P., Jones, P., & Fealy, S. (2023). What is ChatGPT and what do we do with it? Implications of the age of AI for nursing and midwifery practice and education: An editorial . Nurse Education Today, 1-3.
Jeblick, K., et al., (2023). ChatGPT makes medicine easy to swallow: an exploratory case study on simplified radiology reports. European radiology, p. 1-9.
Johnson, A.,(2022) Here's what to know about OpenAI's ChatGPT—what it's disrupting and how to use it. Forbes.
Johnson D, Goodman R, Patrinely J, Stone C, Zimmerman E, Donald R, Chang S, Berkowitz S, Finn A, Jahangir E, Scoville E, Reese T, Friedman D, Bastarache J, van der Heijden Y, Wright J, Carter N, Alexander M, Choe J, Chastain C, Zic J, Horst S, Turker I, Agarwal R, Osmundson E, Idrees K, Kieman C, Padmanabhan C, Bailey C, Schlegel C, Chambless L, Gibson M, Osterman T, Wheless L. (2023). Assessing the Accuracy and Reliability of AI-Generated Medical Responses: An Evaluation of the Chat-GPT Model. Res Sq [Preprint] :rs.3.rs-2566942. doi: 10.21203/rs.3.rs-2566942/v1. PMID: 36909565; PMCID: PMC10002821.
Kelly, S.M., (2023). ChatGPT passes exams from law and business schools. CNN Business.
Kung, T.H., Cheatham,M., Medenilla, A., Sillos, C., De Leon, L., Elepaño, C., Madriaga, M., Aggabao, R., et al., Performance of ChatGPT on USMLE: potential for AI-assisted medical education using large language models. PLoS digital health, 2023. 2(2): p. e0000198.
Liu, J., Wang, C., & Liu, S. (2023). Utility of ChatGPT in Clinical Practice. Journal of Medical Internet Research, 1-6.
Levine, D.M., et al., (2023). The diagnostic and triage accuracy of the GPT-3 artificial intelligence model. MedRxiv.
Mann, D.L.,(2023). Artificial intelligence discusses the role of artificial intelligence in translational medicine: a JACC: basic to translational science interview with ChatGPT. Basic to Translational Science. 8(2): p. 221-223.
Mashable (2023) ChatGPT is the fastest growing app of all time; Available from: https://sea.mashable.com/tech/22479/chatgpt-is-the-fastest-growing-app-of-all-time.
Miao, H., & Ahn, H. (2023). Asian Pacific Island Nursing Journal, 1.
Montti, R. (2022, December 26). What is ChatGPT And How Can You Use It? Retrieved from Algoritm and AI Changes: https://www.searchenginejournal.com/what-is-chatgpt/473664/
Moons, P., & Bulck, L. (2023). ChatGPT: can artificial intelligence language models be of value for cardiovascular nurses and allied health professionals. European Journal of Cardiovascular Nursing , 1-5.
Nasr, M., Shokri, R., and A. Houmansadr. A., (2019). Comprehensive privacy analysis of deep learning: Passive and active white-box inference attacks against centralized and federated learning. in 2019 IEEE symposium on security and privacy (SP). IEEE.
O'Connor, S. (2023). Open artificial intelligence platforms in nursing education: Tools for academic progress or abuse? Nurse Educ. Pract., 1.
Odom-Forren, J. (2023). The Role of ChatGPT in Perianesthesia Nursing. Journal of PeriAnesthesia Nursing, 176-177.
OpenAI. (2023, January 14). OpenAI: Models GPT-3. Retrieved from OpenAI: https://beta.openai.com/docs/models
Osei, S. (2023, February 11). How I use ChatGPT in my daily practice as a nurse. Retrieved from Linkedin: https://www.linkedin.com/pulse/how-i-use-chatgpt-my-daily-practice-nurse-stephanopoulos-osei
Ouyang, L., et al., (2022) Training language models to follow instructions with human feedback, 2022. URL https://arxiv. org/abs/2203.02155, 13: p. 1.
Patel, S.B. and Lam, K.., (2023). ChatGPT: the future of discharge summaries? The Lancet Digital Health. 5(3): p. e107-e108.
Rao, A., et al., (2023). Evaluating ChatGPT as an adjunct for radiologic decision-making. MedRxiv, p.02. 02.23285399.
Sallam, M. (2023). ChatGPT utility in healthcare education, research, and practice: systematic review on the promising perspectives and valid concerns. In Healthcare. MDPI.
Salvagno M (2023) ChatGPT, Taccone FS, Gerli AG. Can artificial intelligence help for scientific writing? Crit Care [Internet] 27: 75.
Scerri, A., & Morin, K. (2023). Using chatbots like ChatGPT to support nursing practice. Journal of Clinical Nursing, 4211-4213.
Seney, V., Desroches, M.L., and Schuler, M.S., (2023). Using ChatGPT to teach enhanced clinical judgment in nursing education. Nurse Educator, 48(3): p. 124.
Sharma, G. and Thakur,A., (2023). ChatGPT in drug discovery.
Shen Y, Heacock L, Elias J, Hentel KD, Reig B, Shih G, et al. (2023) ChatGPT and other large language models are double-edged swords. Radiology.307(2):e230163.
Shrestha, N., et al., (2024). Performance of ChatGPT on NASS Clinical Guidelines for the Diagnosis and Treatment of Low Back Pain: A Comparison Study. Spine, p. 1097.
Sepak, I. (2023, March 21). To Embrace or Reject Chat GPT, That is The Question. Retrieved from Linkendin: https://www.linkedin.com/pulse/embrace-reject-chat-gpt-question-ivana-sepak
Stokel-Walcer, D. (2023). ChatGPT listed as author on research paper: Many sicientist disapprove. Nature, 620-621.
Sun, G., & Hoelscher, S. (2023). The ChatGPT Storm and What Faculty Can Do. Nurse Educator, 120-124.
Tangyao, W., Juan, M., Jialing, C., & Chia-Chin, L. (2024). Comparing ChatGPT and Clinical Nurses'performance on Tracheostomy care: A cross-sectional Study. International Journal of Nursing Studies Advances, 1-10.
Thomas, S. (2023). Grappling with the Implication of ChatGPT for Researchers, Clinicians, and Educators. Issues In Mental Health Nurse, 141-142.
Valerie, S., & Melissa, D. (2023). Using ChatGPT to Teach Enhanced Clinical Judgment in Nursing Education. Nurse Educator, 124.
Van Dis, E. A. M., Bollen, J., van Rooij, R., Zuidema, W., & Bockting, C. L. (2023). ChatGPT: Five priorities for research. Nature, 614(7947), 224–226. https://doi.org/10.1038/d41586-023-00288-7
Wang, T., et al., (2024). Comparing ChatGPT and clinical nurses’ performances on tracheostomy care: A cross-sectional study. International Journal of Nursing Studies Advances, 6: p. 100181.
Yeo YH, Samaan JS, Ng WH, Ting PS, Trivedi H, Vipani A, Ayoub W, Yang JD, Liran O, Spiegel B, Kuo A. (2023). Assessing the performance of ChatGPT in answering questions regarding cirrhosis and hepatocellular carcinoma. Clin Mol Hepatol. 29(3):721-732. doi: 10.3350/cmh.2023.0089. Epub 2023 Mar 22. PMID: 36946005; PMCID:
Published
How to Cite
Issue
Section
Copyright (c) 2024 Idauli Simbolon, Albinur Limbong
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Jurnal Keperawatan Tropis Papua (JKTP) agree to the following terms:
Authors retain copyright and grant Jurnal Keperawatan Tropis Papua (JKTP) right of first publication with the work simultaneously licensed under a Creative Commons Attribution License CC-BY-SA that allows others to remix, adapt, build upon the work with an acknowledgment of the work's authorship and initial publication and initial publication in this journal.
Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) before and during the submission process, as it can lead to productive exchanges and earlier and greater citation of published work (See The Effect of Open Access).
