When Machines Decide: Exploring How Trust in AI Shapes the Relationship Between Clinical Decision Support Systems and Nurses' Decision Regret: A Cross-Sectional Study.

Journal: Nursing in critical care
Published Date: Sep 1, 2025

Abstract

BACKGROUND: Artificial intelligence (AI)-based Clinical Decision Support Systems (AI-CDSS) are increasingly implemented in intensive care settings to support nurses in complex, time-sensitive decisions, aiming to improve accuracy, efficiency and patient outcomes. However, their use raises concerns about emotional consequences, particularly decision regret, which may arise when clinical judgement or outcomes are unfavourable. Trust in AI may play a key role in shaping nurses' responses to AI-guided decisions.

Authors

  • Nadia Hassan Ali Awad
    Nursing Administration Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
  • Wafaa Aljohani
    Medical Surgical and Critical Care Nursing, Batterjee Medical College, Jeddah, Saudi Arabia.
  • Mai Mohammed Yaseen
    Department of Public Health Nursing, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia.
  • Wafaa Hassan Ali Awad
    Medical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
  • Randa Ahmed Said Ahmed Abou Elala
    Nursing Administration Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
  • Heba Mohammed Alanwer Ashour
    Nursing Administration Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.

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