Purwono Purwono
Peneliti Teknologi Teknik Indonesia

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A Scoping Review of Machine Learning Applications in Nursing Practice: Clinical Decision Support, Risk Prediction, and Workflow Optimization Anton Suhendro; Wahyu Caesarendra; Purwono Purwono
Viva Medika Vol 18 No 3 (2025)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v18i3.2222

Abstract

Machine learning (ML) is rapidly transforming nursing practice by enabling advancements in clinical decision support, risk prediction, and workflow optimization. This scoping review synthesizes evidence from empirical studies, reviews, and implementation reports published between 2018 and 2025, identified through Scopus and ScienceDirect. The findings indicate that supervised learning algorithms, deep learning, and natural language processing are widely utilized for risk assessment, early detection of patient deterioration, and enhancement of administrative efficiency. Natural language processing (NLP) also supports automation of nursing documentation and improved data quality. Despite favorable performance metrics, including AUROC values above 0.85 in many applications, most studies are limited by single-institution data, insufficient external validation, and heterogeneous reporting standards. Major barriers include ethical and legal concerns, data quality issues, algorithmic bias, infrastructural limitations, and limited nurse involvement in model development. Enhancing AI literacy and fostering nurse engagement in system design are highlighted as critical for successful clinical integration. Future research priorities include multicenter validation, development of explainable AI, adoption of standardized reporting guidelines, and interdisciplinary collaboration to address ethical, technical, and regulatory challenges. Overall, this scoping review demonstrates that machine learning offers substantial potential to improve patient outcomes and nursing operations, but responsible adoption requires rigorous validation, transparent governance, and active participation of nursing professionals throughout the technology lifecycle
Artificial Intelligence Applications in Community and Home Nursing Care: A Systematic Literature Review Berliana Rahmadhani; Purwono Purwono; Muhammad Ahmad Baballe; Isa Ali Ibrahim
Viva Medika Vol 19 No 1 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i1.2235

Abstract

Healthcare systems face increasing demand for community and home nursing care due to population aging, chronic disease prevalence, and hospital resource limitations. Artificial intelligence (AI) has emerged as a supportive technology with potential to enhance nursing practice in decentralized care environments. This systematic literature review synthesizes recent evidence on AI applications in community and home nursing care. The review followed PRISMA 2020 guidelines and analyzed fifteen peer-reviewed studies published between 2022 and 2025. The findings indicate that machine learning–based predictive analytics and decision-support systems are the most frequently implemented technologies. AI applications primarily support risk prediction, remote monitoring, chronic disease management, and workflow optimization. Reported outcomes include improved clinical vigilance, enhanced care coordination, and increased operational efficiency. However, implementation challenges remain, including infrastructure readiness, digital literacy gaps, ethical governance concerns, and data privacy risks. Overall, AI functions as an augmentative tool that strengthens professional nursing judgment rather than replacing it. Sustainable integration in community and home nursing care requires digital competence, regulatory alignment, and human-centered implementation strategies.
AI Agents for Nursing Task Augmentation: A Focused Literature Overview of Clinical, Operational, Educational, and Governance Implications Sony Kartika Wibisono; Purwono Purwono; Muhammad Ahmad Baballe; Imam Ahmad Ashari; Annastasya Nabila Elsa Wulandari
Viva Medika Vol 19 No 2 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i2.2250

Abstract

The rapid development of artificial intelligence has accelerated the emergence of AI agents, defined as autonomous or semi-autonomous systems that integrate perception, contextual reasoning, decision-making, interaction, and action within defined workflows. Although AI in nursing has been widely reviewed, existing syntheses often combine predictive models, generative tools, decision-support systems, and agent-based architectures, leaving the specific contributions and implementation maturity of AI agents insufficiently differentiated. This focused literature overview examined peer-reviewed publications published between 2021 and 2025 using targeted database searches and a structured narrative synthesis. The review classified the evidence according to agent architecture, automated nursing tasks, implementation maturity, and reported clinical and operational implications. Three overlapping architectural categories were identified: LLM-driven agents, cognitive agents, and multi-agent systems. Applications were concentrated in clinical documentation and handover, predictive monitoring, medication safety, triage, and clinical decision support. The evidence suggests potential improvements in timeliness, documentation consistency, risk detection, workflow integration, and the reduction of repetitive administrative work. The maturity of the evidence varied considerably. Monitoring and sensor-enabled safety systems showed closer links to rsmitheal-world practice, whereas LLM-driven documentation and multi-agent triage systems were more frequently supported by conceptual, prototype, or simulation-based evidence. The synthesis therefore supports supervised task augmentation rather than the replacement of professional nursing judgment. Major implementation requirements include system reliability, bias mitigation, transparent accountability, human oversight, workforce competency, organizational readiness, and clinical governance. Nursing education should prepare practitioners to evaluate AI-generated outputs, recognize uncertainty and inappropriate recommendations, and apply appropriate escalation procedures. Future research should prioritize real-world, multisite, and longitudinal evaluations that measure patient safety, workload redistribution, verification burden, and clinical outcomes. This review provides a focused conceptual distinction between conventional AI decision-support tools and agent-based systems while integrating their clinical, operational, educational, and governance implications.