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Record W4413445428 · doi:10.2196/77948

Large Language Models in Nursing Education: Concept Analysis

2025· review· en· W4413445428 on OpenAlexaffvenue
Julia Harrington, Richard Booth, Kimberley T. Jackson

Bibliographic record

VenueJMIR Nursing · 2025
Typereview
Languageen
FieldMedicine
TopicSimulation-Based Education in Healthcare
Canadian institutionsWestern University
Fundersnot available
KeywordsNursingPsychologySociologyMedicine

Abstract

fetched live from OpenAlex

Background: Large language models (LLMs) are increasingly used in nursing education, yet their conceptual foundations remain abstract and underexplored. This concept analysis addresses the need for clarity by examining the relevance, meaning, contextual applications, and defining attributes of LLMs in nursing education, using Rodgers' evolutionary method. Objective: This paper aims to explore the evolutionary concept of LLMs in nursing education by providing a concept analysis through a comprehensive review of the existing published literature. Methods: Rodgers' evolutionary concept analysis method was used. PubMed, CINAHL, PsycINFO, Scopus, and Google Scholar were used to search for relevant publications. A total of 41 papers were included based on inclusion criteria that focused on studies published in English within the last 5 years to ensure relevance to the current use of LLMs exclusively in nursing education. Studies were excluded if they focused on clinical nursing applications, were not available in English, lacked full-text accessibility, or examined other artificial intelligence (AI) technologies unrelated to LLMs (eg, robotics). Results: As a result of this analysis, a proposed definition of LLMs in nursing education has been developed, describing them as accessible, personalized, innovative, and interactive tools that create revolutionary learning experiences, often leading to enhanced cognitive and skill development and improvement in learning and teaching quality. Conclusions: This concept analysis highlights LLMs' transformative potential to enhance access to resources, support individualized learning, and augment nursing education. While promising, careful attention must be given to their limitations and ethical implications, ensuring their integration aligns with the values and goals of nursing education, particularly in specialized areas such as graduate nursing programs.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.969
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0020.004
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.051
GPT teacher head0.511
Teacher spread0.461 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designOther design
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations7
Published2025
Admission routes2
Has abstractyes

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