为癌症护理导航设计具同理心与主动性的人工智能框架
Empathic and agentic artificial intelligence in nursing: perspectives on a human-centered framework for cancer care navigation in the United States
- 基于护理伦理规范构建人本AI框架
- 提升资源匮乏地区的护理协调效率
- 适合关注医疗AI伦理与护理协同的研究者
癌症患者在复杂治疗中常面临护理协调难题，护士导航可有效缓解此负担，但在资源不足地区，专业护士导航员往往短缺。美国当前日益普及的AI数字健康工具虽有望填补服务缺口，但多数未针对护理需求设计。本文提出一种以人为核心的人工智能框架，融合同理心与主动性设计，遵循美国护士协会伦理准则，旨在增强护士在癌症护理导航中的能力。该框架旨在辅助而非取代人类共情与自主性，同时优化护士工作流程、改善医患关系，并提升资源匮乏地区的护理协调水平。
原文摘要 · Abstract (English)
For patients experiencing cancer, nurse navigation can ease the burden of complex care by enhancing coordination of health services and patient outcomes. However, in under-resourced areas, trained nurse navigators may be limited or non-existent. In the United States, artificial intelligence (AI)-enabled digital health tools are increasingly available and may help address gaps in care coordination; however, most are not designed to specifically support nursing. This perspective piece discusses a human-centered AI framework that integrates empathic and agentic approaches grounded in the American Nurses Association's code of ethics to support nurses in the United States in cancer care navigation. The framework could augment, not replace, human empathy and agency while improving nurse workflow, patient-clinician relationships, and care coordination services in under-resourced areas.
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