Enhancing End-of-Life Communication in Chinese First-Year Nursing Students: A Mixed-Methods Study of a Culturally Tailored Experiential Course Grounded in Kolb’s Experiential Learning Theory

Jingcheng Wang

doi:10.1016/j.nepr.2026.104842

Generative AI and Intelligent Tutoring Systems in Nursing Education: A Systematic Review of Impacts on Higher-Order Thinking Skills and Clinical Competencyx

2026-04-28

0

PRE

AI

H

Hafizs Nasirun

S

Sigit Mulyono *

A

Ayu Widowati Dwi Hapsari

H

Hendri Hardi Wiradinata

M

Mustika Ratu

DOI：10.1016/j.nepr.2026.104847

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• AI significantly enhances psychomotor and procedural skills in nursing students. • Generative AI facilitates inquiry-based learning but shows mixed impacts on HOTS. • A "trade-off" exists between algorithmic efficiency and deep critical reflection. • Current AI models show a significant gap in enhancing cultural empathy in nursing. • Integration of AI requires a balance to prevent cognitive offloading in students.

Keywords:

AI in nursing education

generative AI

higher-order thinking skills

clinical competency

cultural empathy

Generative AI and Intelligent Tutoring Systems in Nursing Education: A Systematic Review of Impacts on Higher-Order Thinking Skills and Clinical Competencyx

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