Artificial Intelligence Cannot Replace Nurses: A Systematic Literature Review

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Abstract

Background: Artificial intelligence (AI) can manage patient data and assist in medical procedures, but can it replace aspects such as the emotions and empathy that nurses typically provide to patients. The importance of human relationships in nursing is crucial in crisis situations or long-term care. Objective: The Systematic literature review aimed to determine whether artificial intelligence (AI) could replace nurses. Methods: The review was conducted following PRISMA guidelines. A search was performed in Scopus, Proquest, sagepub, Web of Science (WoS), and Science Direct databases, covering literature from 2020 to 2025. The included articles were in English, full-text, and not reviews. Out of 4,422 screened records, seven articles were selected for this review. The results : showed that artificial intelligence (AI) significantly improves efficiency, accuracy, and information management in nursing practice. However, AI cannot replace the nurse’s role in humanistic aspects, such as empathy, therapeutic communication, clinical intuition, and moral-ethical judgment in complex situations. Conclusion: Systematic Literature Review demonstrate that AI presents significant opportunities for improving efficiency, accuracy, and information management in nursing practice. However, AI cannot replace the nurse’s role in humanistic aspects, such as empathy, therapeutic communication, clinical intuition, and moral-ethical judgment in complex situations. Therefore, the future of nursing in the AI era is not about replacing nurses but about strengthening and expanding their capacity through the synergy between human and artificial intelligence.

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