Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynaecology, National University Health Systems, Singapore; Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Nurse Educ Today. 2024 Apr;135:106121. doi: 10.1016/j.nedt.2024.106121. Epub 2024 Feb 6.
To examine and consolidate literature regarding the advantages and disadvantages of utilizing ChatGPT in healthcare education and research.
DESIGN/METHODS: We searched seven electronic databases (PubMed/Medline, CINAHL, Embase, PsycINFO, Scopus, ProQuest Dissertations and Theses Global, and Web of Science) from November 2022 until September 2023. This scoping review adhered to Arksey and O'Malley's framework and followed reporting guidelines outlined in the PRISMA-ScR checklist. For analysis, we employed Thomas and Harden's thematic synthesis framework.
A total of 100 studies were included. An overarching theme, "Forging the Future: Bridging Theory and Integration of ChatGPT" emerged, accompanied by two main themes (1) Enhancing Healthcare Education, Research, and Writing with ChatGPT, (2) Controversies and Concerns about ChatGPT in Healthcare Education Research and Writing, and seven subthemes.
Our review underscores the importance of acknowledging legitimate concerns related to the potential misuse of ChatGPT such as 'ChatGPT hallucinations', its limited understanding of specialized healthcare knowledge, its impact on teaching methods and assessments, confidentiality and security risks, and the controversial practice of crediting it as a co-author on scientific papers, among other considerations. Furthermore, our review also recognizes the urgency of establishing timely guidelines and regulations, along with the active engagement of relevant stakeholders, to ensure the responsible and safe implementation of ChatGPT's capabilities. We advocate for the use of cross-verification techniques to enhance the precision and reliability of generated content, the adaptation of higher education curricula to incorporate ChatGPT's potential, educators' need to familiarize themselves with the technology to improve their literacy and teaching approaches, and the development of innovative methods to detect ChatGPT usage. Furthermore, data protection measures should be prioritized when employing ChatGPT, and transparent reporting becomes crucial when integrating ChatGPT into academic writing.
考察并整合利用 ChatGPT 在医疗保健教育和研究中的优缺点相关文献。
我们于 2022 年 11 月至 2023 年 9 月期间检索了 7 个电子数据库(PubMed/Medline、CINAHL、Embase、PsycINFO、Scopus、ProQuest Dissertations and Theses Global 和 Web of Science)。本 scoping 综述遵循 Arksey 和 O'Malley 的框架,并遵循 PRISMA-ScR 清单中概述的报告准则。对于分析,我们采用了 Thomas 和 Harden 的主题综合框架。
共纳入 100 项研究。出现了一个总体主题“塑造未来:弥合 ChatGPT 的理论与整合”,并伴随着两个主要主题(1)利用 ChatGPT 增强医疗保健教育、研究和写作,(2)ChatGPT 在医疗保健教育研究和写作中的争议和担忧,以及七个子主题。
我们的综述强调了承认与潜在滥用 ChatGPT 相关的合理问题的重要性,例如“ChatGPT 幻觉”、其对专业医疗保健知识的有限理解、其对教学方法和评估的影响、保密性和安全性风险,以及将其作为合著者在科学论文中署名的有争议的做法等问题。此外,我们的综述还认识到,急需制定及时的指南和法规,并让相关利益攸关方积极参与,以确保负责任、安全地实施 ChatGPT 的功能。我们提倡使用交叉验证技术来提高生成内容的精度和可靠性,使高等教育课程适应 ChatGPT 的潜力,教育工作者需要熟悉这项技术以提高他们的素养和教学方法,以及开发创新方法来检测 ChatGPT 的使用。此外,在使用 ChatGPT 时应优先考虑数据保护措施,在将 ChatGPT 纳入学术写作时,透明报告变得至关重要。