Facilitators and Barriers of Large Language Model Adoption Among Nursing Students: A Qualitative Descriptive Study

作者：Yingzhuo Ma, Tong Liu, Jianwei Qi, Yiling Gan, Qiongyao Cheng, Mingzhao Xiao, Jun Wang · 发表于：Journal of Advanced Nursing · 年份：2025 · DOI：10.1111/jan.16655 · 被引用次数：23 · 研究领域：Health Sciences Research and Education、Nursing education and management、Health Policy Implementation Science

AIM: To explore nursing students' perceptions and experiences of using large language models and identify the facilitators and barriers by applying the Theory of Planned Behaviour. DESIGN: A qualitative descriptive design. METHOD: Between January and June 2024, we conducted individual semi-structured online interviews with 24 nursing students from 13 medical universities across China. Participants were recruited using purposive and snowball sampling methods. Interviews were conducted in Mandarin. Data were analysed through directed content analysis. RESULTS: Analysis revealed 10 themes according to 3 constructs of the Theory of Planned Behaviour: (a) attitude: perceived value and expectations were facilitators, while perceived caution posed barriers; (b) subjective norm: media effects and role model effectiveness were described as facilitators, whereas organisational pressure exerted by medical universities, research institutions and hospitals acted as a barrier to usage; (c) perceived behavioural control: the design of models and free access were strong incentives for students to use, while geographic access restrictions and digital literacy deficiencies were key factors hindering adoption. CONCLUSION: This study explored nursing students' attitudes, subjective norms and perceived behavioural control regarding the use of large language models. The findings provided valuable insights into the factors that hindered or facilitated nursing students' adoption. IMPLICATIONS FOR TH...