Nursing Ethical Considerations in the AI-Based Technologies
AI
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Abstract
Purpose: As artificial intelligence(AI) has currently used in many ways related to nurses, there is an ultimate need to consider the ethical values of AI in healthcare. Thus, the present study first investigates several types of AI-based technologies and robotics applied to nursing, such as supportive, cooperative, and collaborative robots. Moreover, several ethical guidelines and requirements for AI, ethical issues and concerns of AI, especially nursing ethical considerations, are explored based on the principles of biomedical ethics and the nursing code of ethics.Method: We searched for existing scientific literature using the keywords “AI or Robot or Nurses”, “AI or Robot and Ethics” in PubMed until March 2022. Next, we reviewed the articles related to ethical issues and considerations in AI-based technologies, especially in the field of healthcare. In addition, a web-based search about robotics in nursing was conducted to find out their specific roles.
Results: The direction of ethical discussion of AI has changed from Roboethics, which emphasizes robot’s behavior and the responsibility of robots, to ethics for humans, such as developers and users. There are many ways AI is helping to overcome health care challenges, such as diagnosis, precision medicine, and prediction models. For the safety of human-robot interaction, ethics of caring need to be discussed in close proximity for nurses, patients, or both. Therefore, AI needs to consider patient safety first, do no harm and aggravate the patient’s condition, sufficiently provide to treat diseases and improve patients’ health conditions, and the service needs to be distributed equally without prejudice and discrimination regardless of medical problems.
Conclusion: As AI has incredible potential to empower people and widely benefit current and future generations, AI ethics needs to be further discussed in a direction in harmony with the development of related industries. Nurses should understand AI applications and their implications for nursing research and practice to improve patient care and clinical outcome. In addition, careful ethical considerations and engagement with nurses in implementing and evaluating AI-based technologies in healthcare are critical to the best clinical decisions and developing reliable innovations.
Keywords: Artificial Intelligence(AI), Roboethics, Biomedical Ethics, Morality, Nursing Codes of Ethics
References
[1] Kourou K & Exarchos KP & Papaloukas C & Sakaloglou P & Exarchos T & Fotiadis DI. Applied Machine Learning in Cancer Research: A Systematic Review for Patient Diagnosis, Classification and Prognosis. Computational and Structural Biotechnology Journal, 19, 5546-5555 (2021).
[2] Lee A. The Effect of Artificial Intelligence Literacy Education on University Student’s Ethical Consciousness of Artificial Intelligence. Robotics & AI Ethics, 6(3), 52-61 (2021). [Read More]
[3] Li Y & Park G. AI Ethics and Privacy Right. Robotics & AI Ethics, 5(2), 27-33 (2020). [Read More]
[4] Park G & Kim H & Li Y. Virtue for Post Covid-19 and AI Technology. Robotics & AI Ethics, 5(2), 8-18 (2020). [Read More]
[5] Li Y & Cho H & Park G. The Advent of AI and Its Some Implications to Military Affairs. International Journal of Military Affairs, 5(1), 38-47 (2020). [Read More]
[6] Kim T & Park G & Seo E. IR4.0 and Ethical Tasks of AI. Robotics & AI Ethics, 4(2), 6-13 (2019). [Read More]
[7] Stokes F & Pamer A. Artificial Intelligence and Robotics in Nursing: Ethics of Caring as a Guide to Dividing Tasks Between AI and Humans. Nursing Philosophy, 4, 212306 (2020).
[8] Gerich H & Moen H & Block LJ & Chu CH & DeForest H & Hobensack M & Michalowski M & Mitchell J & Nibber R & Olalia MA & Pruinelli L & Ronquillo CE & Topaz M & Peltonen L-M. Artificial Intelligence-based Technologies in Nursing: A Scoping Literature Review of the Evidence. International Journal of Nursing Studies, 127, 104153 (2022).
[10] Langman S & Capicotto N & Maddahi Y & Zareinia K. Roboethics Principles and Policies in Europe and North America. SN Applied Sciences, 3, 857-857 (2021).
[13] Moon A & Rismani S & Van der Loos HFM. Ethics of Corporeal, Co-present Robots as Agents of Influence: A Review. Current Robotics Reports, 2, 223-229 (2021).
[15] Murphy R & Woods DD. Beyond Asimov: The Three Laws of Responsible Robotics. IEEE Intelligent Systems, 24(4), 14-20 (2009).
[16] Lee WH & Park JW & Kim WH & Lee HS & Chung MJ. Robot’s Motivational Emotion Model with Value Effectiveness for Social Human and Robot Interaction. Journal of Institute of Control, Robotics and Systems, 20(5), 503-512 (2014).
[17] Tzafestas SG. Roboethics: Fundamental Concepts and Future Prospects. Information, 9(6), 148-148 (2018).
[24] Agraz CN & Pfingsthorn M & Gliesche P & Eichelberg M & Hein A. A Survey of Robotic Systems for Nursing Care. Frontiers in Robotics and AI, 9(832248), 503-512 (2014).
[25] Zhang T & Zhu B & Lee L & Kaber D. Service Robot Anthropomorphism and Interface Design for Emotion in Human-robot Interaction. IEEE Xplore, n10221214, 674-679 (2008).
[35] Graf B & Reiser U & Hagele M & Mauz K & Klein P. Robotic Home Assistant Care-o-bot 3 -Product Vision and Innovation Platform-. IEEE Xplore, n11558311 (2009).
[41] Winfield AFT & Jirotka M. Ethical Governance is Essential to Building Trust in Robotics and Artificial Intelligence Systems. Philosophical Transactions of the Royal Society a Mathematical Physical and Engineering Sciences, 376, 2133-2133 (2018).
[48] Robert N. How Artificial Intelligence is Changing Nursing. Nursing Management, 50(9), 30-39 (2019).
[49] Celi LA & Fine B & Stone DJ. An Awakening in Medicine: The Partnership of Humanity and Intelligent Machines. The Lancet Digital Health, 1(6), 255-257 (2019).
[50] Togni GD & Erikainen S & Chan S & Cunningham-Burley S. What Makes AI ‘Intelligent’ and ‘Caring’? Exploring Affect and Relationality Across Tree Sites of Intelligence and Care. Social Science & Medicine, 277, n113874 (2021).
[51] Eiben AE & Ellers J & Meyne G & Nyholm S. Robot Evolution: Ethical Concerns. Frontiers in Robotics and AI, 8, n744590 (2021).
[52] McLennan S & Fiske A & Tigard D & Mulle R & Haddadin S & Buyx A. Embedded Ethics: A Proposal for Integrating Ethics into the Development of Medical AI. BMC Medical Ethics, 23, n6 (2022).
[53] Eiben AE & Bredeche N & Hoogendoorn M & Stradner J. The Triangle of Life: Evolving Robots in Real-time and Real-space. Bioinspired Robotics, 2013, 1056-1063 (2013).
[55] Varkey B. Principles of Clinical Ethics and Their Application to Practice. Medical Principles and Practice, 30(1), 17-28 (2021).
[56] Maddahi Y & Klvandi M & Langman S & Capicotto N & Zareinia K. Roboethics in Covid-19: A Case Study in Dentistry. Frontiers in Robotics and AI, 8, 612740 (2021).
[57] Sarker S & Jamal L & Ahmed SF & Irtisam N. Robotics and Artificial Intelligence in Healthcare during Covid-19 Pandemic: A Systematic Review. Robotics and Autonomous Systems, 146, n103902 (2021).
[58] Mowbray M. Moral Status for Malware! The Difficulty of Defining Advanced Artificial Intelligence. Cabridge Quarterly of Healthcare Ethics, 30(3), 517-528 (2021).
[59] Pirni A & Balisteri M & Capasso M & Umbrello S & Merenda F. Robo Care Ethics between Autonomy and Vulnerabiity: Coupling Principles and Practices in Autonomous Systems for Care. Frontiers in Robotics and AI, 6, n654298 (2021).
[60] Ronquillo CE & Peltonen L-M & Pruinelli L & Chu CH & Bakken S & Beduschi A & Cato K & Hardiker N & Junger A & Michalowski M & Nyrup R & Rahimi S & Reed DN & Salakoski T & Salantera S & Walton N & Weber P & Wiegand T & Topaz M. Artificial Intelligence in Nursing: Priorities and Opportunities from an International Invitational Think-tank of the Nursing and Artificial Intelligence Leadership Collaborative. Journal of Advanced Nursing, 77(9), 3707-3717 (2021).
[14] Asimov I. Runaround. Street & Smith (1950).
[40] Haddadin S & Croft E. Physical Human-robot Interaction. Springer Handbook of Robotics (2016).
[42] Pasquale F. New Laws of Robotics: Defending Human Expertise in the Age of AI. Belknap (2020).
[43] Tzafestas SG. Roboethics: A Navigating Overview. Springer (2015).
[54] Bostrom N. Superintelligence: Paths, Dangers, Strategies. Oxford University (2014).
[9] https://www.oecd.org/ (2020).
[11] https://en.wikipedia.org/ (2020).
[12] Veruggio G. The Birth of Roboethics. IEEE International Conference on Roboethics and Automation. Workshop on Roboethics (2005).
[18] htttps://www.roboethics.org/ (2006).
[19] https://standards.ieee.org/ (2016).
[20] https://ai.google/responsibilities/ (2016).
[21] Human Assistant Robotics in Japan. Minerva Fellowship Programme Report (2016).
[22] Pearl: A mobile Robotic Assistant for the Elderly. AAAI Technical Report WS-02-02 (2002).
[23] https://www.iso.org/ (2022).
[26] https://buddytherobot.com/ (2020).
[27] https://www.interaktive-technogine.de/ (2017).
[28] https://www.roboticstoday.com/ (2009).
[29] https://www.lifescience-robotics.com/ (2020).
[30] https://assistive.kinovarobotics.com/ (2020).
[31] https://assistive.kinovarobotics.com/ (2020).
[32] https://www.fp-robotics.com/en/ (2020).
[33] https://new.panasonic.com/ (2019).
[34] https://wwwdiligentrobots.com/ (2020).
[36] https://www.mario-project.eu/ (2021).
[37] https://roboticslab.uc3m.es/ (2014).
[38] https://www.parobots.com/ (2014).
[39] https://robokind.com/ (2020).
[44] https://wonderfulengineering.com/ (2014).
[45] https://new.gallup.com/ (2020).
[46] https://nursingworld.org/ (2015).
[47] https://ec.europa.eu/ (2018).
? Source: k-health.com