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State of Nursing Education
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Explore All ArticlesAI in Nursing Education: The Risks and Rewards of AI Integration
How Guided Adoption Balances Innovation & Ethics
This article is adapted from the State of Nursing Education, the authoritative ATI series examining key issues affecting today’s academic nursing programs, deans and faculty. State of Nursing Education content reflects extensive research, evidence, and interviews, with perspectives from nursing industry leaders. To read more from the series, click here.
AI is already making big changes to healthcare and healthcare education. In some cases, it’s expected to reinvent the way things are done. It’s no longer a matter of “if” AI will make an impact. It’s now a matter of how effectively institutions integrate AI tools and platforms into their current systems.
Nursing programs have a real opportunity to enhance the learning process. If they succeed, they will find highly efficient and increasingly personalized ways to bolster learning outcomes.1-3 If they fail, they will get left behind faster than ever.
AI integration is not an automatic success, nor is it something to be feared. The outcomes largely depend on how institutions implement the technology, the standards they establish, and the partners they choose. This journey can bring great rewards, but it also brings great risks to those without the right guidance.
RISK: Potential Gaps in Literacy
This isn’t just about the natural risks of AI use, such as an overreliance on informal or indirect sources of information.4 Those risks are real and a threat to overall professional literacy in a number of technical fields. This is also about the broader idea of AI literacy and how that will affect nursing education.
How much should all nurses be expected to understand AI tools? What about the generational divide and scaling proficiencies between aspiring nurses? What about privacy and ethical training? These are new standards, and that means new gaps in professional habits and personal aptitudes.
That's why AI literacy matters so much. Like any clinical tool, the value of AI is heavily dependent on the knowledge, judgment, and training of the person using it. It isn't a force for good or evil. It's an evolution of clinical practice that can be your greatest strength or your greatest weakness—and that's a reality nurses and nurse educators need to face.
Dan Weberg, PhD, MHI, BSN, RN, Executive Director of Nursing Workforce Development and Innovation at Kaiser Permanente, puts it like this: “AI has to be seen as another tool, not something that we either trust or don't trust.”
REWARD: Powerful Faculty Assistance
When it comes to creating assessments and analyzing student diagnostics, educators have two basic concerns: the quality of what’s produced and how long it took to generate. Fortunately, AI integration can address both of these issues, and its capabilities are only improving.
In some cases, AI already produces fully aligned test items 10 times faster than human instructors.5 Even when restricted to something as complicated as healthcare education, support systems like Claire AI® still cuts prep time by 67%.6 The kicker? There's no discernible difference in overall quality and consistency. However, to take advantage of these efficiencies, nursing programs need expert-validated content libraries and powerful support tools for students and faculty.
Intelligence technologies like ATI’s AI engine measure, predict, and personalize the learning journey. Meanwhile, interactive layers of support like ATI’s Claire AI deliver help exactly when and where it’s needed. The result is reduced administrative workload, efficient assessment creation, and round-the-clock student support and remediation.6,7
RISK: The Importance of Ethics
Anytime AI is used in the name of healthcare or healthcare education, ethical concerns arise. Algorithmic bias is a real possibility, especially when training comes from nondiverse data sets.8 Data breaches or data misuse might expose sensitive information, including personal details or medical information. Beyond that, AI tools can make it more difficult to assign accountability when the worst mistakes are made.
For nursing students, these “mistakes” occur within simulated scenarios, but they send a clear message about the diligence the industry demands. That’s part of the reason recent research continues to identify healthy skepticism about AI use.9 Risk-averse industries demand their organizations examine every conceivable angle.
Why? Because potential impacts are too important. Marc Benoy, BSN, RN, Chief Nursing Informatics Officer at Summa Health, says the risks are about much more than tech integration: “If nurses adopt AI without the right training or education, the risk goes beyond technology — it can quietly reshape how nurses think, act and care.”
The obvious solution is experienced guidance, but such expertise isn’t easy to find. ATI is an early-to-market leader in the integration of AI in nursing education, providing trusted support in successfully integrating human-in-the-loop AI systems.
REWARD: The Impact of Personalization
Nursing demands personalization, and nursing education is no different. In fact, since nursing students are often studying outside of traditional hours, flexibility and personalization can be essential.
AI systems and AI personas will be a big part of making that possible. For example, ATI’s AI engine turns data into action and builds personalized paths to student success. At the same time, Claire AI offers robust, real-time feedback with complete integration into the Engage® Series and customized, scalable support. and customized, scalable support.
ATI customizes learning from the classroom to the clinic and from student to practice‑ready professional. Using thousands of data points for every decision, ATI’s AI system creates pathways tailored to the individual. This provides hyperpersonalization for both NCLEX review and clinical preparation.
The results are highly engaged students and insightful, well-equipped instructors—all without putting additional strain on the program itself. Essentially, it’s a cycle. Great instruction breeds engagement, and engaged students are more likely to stick around. This retention yields impressive outcomes, and those outcomes inspire enrollment.
RISK: More Reliance on Tech
Healthcare is a very human endeavor, and the knowledge gained from medical science belongs to humanity. That’s why AI integration into healthcare and healthcare education may be viewed as a dramatic and intimidating leap forward.
Dependence is a real fear, and it becomes more frightening in fields where specialized human knowledge is part of a long tradition. In fact, some studies indicate that excessive or inappropriate use of AI in the medical field can induce “deskilling” and “upskilling inhibition,” both of which can stymie the growth of a hospital or academic program.10
“Excessive” and “inappropriate” are the operative words in that sentence. Why? Because guided, well-informed AI integration can reap the rewards without suffering the risks. It can capture the efficiencies of expert-validated AI tools without crippling students’ self-sufficiency or sacrificing the legacy of knowledge built by a program and its institution.
REWARD: Less Reliance on the Clinic
Hands-on simulations are an essential part of nursing education and a critical component of multidimensional learning. Unfortunately, onsite clinical simulations are subject to tight schedules and limited resources.
Is there an open room? Is everything in working order—manikins, crash carts, IV pumps, and medication dispensers? What are the options for iterative development?
Each of these questions can place a unique restriction on the simulation—sometimes cutting it short and sometimes cancelling it altogether. Not only does this waste time and resources, but it can turn providing practical learning experiences into an uphill battle.
AI makes interactive and individualized learning a natural part of every process, removing the need to cram too much material into onsite simulations beholden to a schedule. It makes “real as you can get” educational experiences more frequent and more feasible. On top of that, AI simplifies and streamlines every administrative process, meaning scheduling is less of a hassle from the beginning.
How Successful Programs Will Respond
Programs that still talk about AI like it’s a “question of technology” are missing out. Successful programs won’t necessarily adopt the most tools or the most automation. Instead, they will treat AI integration as a “question of strategy”—how to use those tools and how to guarantee their success and compliance.
As the opportunities and challenges of AI continue to evolve, nursing leaders will need practical frameworks for confronting critical known issues:
- AI literacy gaps among students, faculty, and practicing nurses
- Ethical concerns related to bias, privacy, accountability, and responsible use
- Faculty workload challenges that continue to strain academic programs
- The demand for personalization across diverse student populations
- The risk of AI overreliance at the expense of clinical judgment and critical thinking
- A need for scalable learning experiences that deliver trusted, high-quality content.
Successful programs will approach these priorities with a well-formed strategy. They will focus on thoughtful implementation and the AI solutions that support nursing education without compromising what makes nursing effective in the first place.
The ATI Advantage in an AI-Powered World
AI can personalize remediation, strengthen exam development, reduce administrative workload, and help educators focus on high-value interactions with their students. However, accessing those benefits is only possible with trusted AI tools that are built specifically for nursing education.
ATI offers an extensive suite of nursing resources, human-in-the-loop oversight, and a first-of-its-kind AI engine to provide cutting-edge support for nursing programs. Solutions like Claire AI help organizations accomplish AI integration in a way that aligns with educational standards, promotes responsible use, and supports stronger student outcomes.
The future of nursing education won’t be defined by AI. However, it will be defined by how well nursing programs integrate AI tools into their educational process.
References
- Andersen BL, Jørnø RL, Nortvig AM. Blending adaptive learning technology into nursing education: a scoping review. Contemporary Educational Technology. 2022;14(1):ep333. doi:10.30935/cedtech/11370
- Hariyanto, Kristianingsih FXD, Maharani R. Artificial intelligence in adaptive education: a systematic review of techniques for personalized learning. Discover Education. 2025. doi:10.1007/s44217-025-00908-6
- Sengul T, Sarıköse Parlak S. Enhancing learning outcomes through AI‑driven simulation in nursing education: a systematic review. Clinical Simulation in Nursing. 2025;106:101797. doi:10.1016/j.ecns.2025.101797
- Alqaissi N, Qtait M. Knowledge, attitudes, practices, and barriers regarding the integration of artificial intelligence in nursing and health sciences education: a systematic review. SAGE Open Nursing. 2025;11:23779608251374185. doi:10.1177/23779608251374185
- Cheung BHH, Lau GKK, Wong GTC, Lee EYP, Kulkarni D, Seow CS, et al. ChatGPT versus human in generating medical graduate exam multiple choice questions: a multinational prospective study (Hong Kong S.A.R., Singapore, Ireland, and the United Kingdom). Public Library of Science One. 2023;18(8):e0290691. doi:10.1371/journal.pone.0290691
- Yoo H, Lin Y, Attenweiler R, Hodge KJ, Miller JE, Phillips BC. Effectiveness of AI-Assisted Item Writing in Nursing Education: A Mixed-Methods Evaluation. Journal of Professional Nursing. 2026;67:284-293. https://doi.org/10.1016/j.profnurs.2026.09.001
- Brydges G. Artificial intelligence in nursing practice: decisional support, clinical integration, and future directions. Online Journal of Issues in Nursing. 2025;30(2). doi:10.3912/OJIN.Vol30No02Man04
- Ngulube P, Ncube MM. Predicting academic success and identifying at‑risk students: a systematic review of data analytics and machine learning approaches in higher education institutions. Educational Administration: Theory and Practice. 2025;31(1):117‑134. doi:10.53555/kuey.v31i1.8447
- Wei Q, Pan S, Liu X, Hong M, Nong C, Zhang W. The integration of AI in nursing: addressing current applications, challenges and future directions. Frontiers in Medicine. 2025;12:1545420. doi:10.3389/fmed.2025.1545420
- Natali C, Marconi L, Dias Duran L, Cabitza F. AI-induced deskilling in medicine: a mixed-method review and research agenda for healthcare and beyond. Artificial Intelligence Review. 2025;58(11):356. doi:10.1007/s10462-025-11352-1
About the author: Ryan Garrett is a freelance writer specializing in healthcare and clinical research. With 15 years of experience as a writer and developmental editor, he helps organizations share their evidence and expertise through content.