Ethical dilemmas in medical artificial intelligence-based nursing practices and pathways for returning to humanistic approaches

The field of medical artificial intelligence has been widely applied in various nursing practices. This paper analyzes the ethical challenges associated with its use in nursing education, clinical decision-making, workflow management, and emotional support. It also explores key issues such as the materialization of the nurse-patient relationship, the lack of emotional engagement, and the erosion of autonomy in nursing practices. The paper suggests that the nursing profession should shift from passive adaptation to active leadership in the development of medical artificial intelligence. By establishing a comprehensive ethical governance framework centered on “humanistic care,” nurses can participate more deeply in the design, development, implementation, and evaluation of medical artificial intelligence technologies. Additionally, efforts should be made to strengthen nurses’ ethical leadership skills, reform educational assessment systems, and promote transparency in algorithms. These measures will help balance various considerations…