Exploring Undergraduate Nursing Students’ Perception on AI Integration in the Classroom

A Descriptive Qualitative Study

Authors

  • Kiran Irfan Indus College of Nursing & Midwifery, Indus University of Health Sciences, Karachi, Pakistan https://orcid.org/0009-0004-3563-2398
  • Sayed Ubaidullah Department of Nursing, Indus University of Health Sciences, Karachi, Pakistan https://orcid.org/0009-0000-1322-3009
  • Ahsan Ali Bhatti Indus College of Nursing & Midwifery, Indus University of Health Sciences, Karachi, Pakistan https://orcid.org/0009-0009-5160-1133
  • Irfan Ali Soomro Indus College of Nursing & Midwifery, Indus University of Health Sciences, Karachi, Pakistan
  • Danish Ali Siddiqui Indus College of Nursing & Midwifery, Indus University of Health Sciences, Karachi, Pakistan
  • Asma Atif Indus College of Nursing & Midwifery, Indus University of Health Sciences, Karachi, Pakistan

DOI:

https://doi.org/10.48112/bms.v3i1.1211

Abstract

Abstract Views: 149

The sudden emergence of Artificial Intelligence (AI) in the healthcare industry has brought into being a paradigm shift needed but restless in the field of nursing education. These two approaches to learning and knowledge transfer are the most important because the curricular gap between the old and the new digital reality of the modern clinical practice and the ways to negotiate these technologies in nursing students is growing wider with each passing day. This qualitative research is a descriptive study that will examine the perceptions, attitudes, and lived experiences of undergraduate nursing students in terms of the application of AI tools, namely Generative AI (GenAI) and Virtual Reality (VR), in the classroom and clinical learning settings. Data were gathered using semi-structured philosophy of focus groups with undergraduate nursing students (N=22) to reflect on the student experience in order to capture its essence in terms of the descriptive phenomenological approach. The interpretations of the qualitative data were done using thematic analysis. The results indicate the complex dichotomy of the student perceptions. Although the students do see the possibility of AI improving the efficiency of learning, tailoring study schedules and offering secure and simulated clinical settings, there are major challenges when it comes to professional identity. Overwhelming themes included: AI as an Efficiency Tool vs. Critical Thinking Barrier, The Safety Net of Virtual Reality, and Ethical Anxiety and The Hidden Curriculum. The participants were deeply worried about the fact that the overuse of AI could destroy the fundamental humanistic nursing competencies and compassion and create such a phenomenon as de-skilling. The research concludes that students are usually prepared to accept AI technically, but they do not have the required ethical frameworks and institutional guidance that they could be sure. Therefore, AI introduction into nursing education should not be technical but pedagogical by focusing on both AI literacy and human-centered care. These observations can guide educators to plan their curricula based on the idea that AI could be used as a guide, not to replace the critical thinking of nursing.

Keywords:

Artificial Intelligence, Nursing Education, Student Perception, Qualitative Study, Academic Integrity, Virtual Reality.

Author Biographies

Kiran Irfan,

She is a Senior Lecturer at the Indus College of Nursing & Midwifery, Indus University of Health Sciences, Karachi, Pakistan. She completed her Masters Degree in Business Administration from Jinnah Sindh Medical University, Karachi, Pakistan.

Sayed Ubaidullah,

He is currently working at the Department of Nursing, Indus University of Health Sciences, Karachi, Pakistan. He completed his Bachelors Degree in Nursing from Indus University of Health Sciences, Karachi, Pakistan.

Ahsan Ali Bhatti,

He is a Research Scholar at the Indus College of Nursing & Midwifery, Indus University of Health Sciences, Karachi, Pakistan. He completed his Bachelors Degree in BSN from Dow University of Health Sciences, Karachi, Pakistan.

Irfan Ali Soomro,

He is a Senior Lecturer at the Indus College of Nursing & Midwifery, Indus University of Health Sciences, Karachi, Pakistan. He completed his M.Phil. Degree in English Literature from Hamdard University, Karachi, Pakistan.

Danish Ali Siddiqui,

He is an Assistant Professor at the Indus College of Nursing & Midwifery, Indus University of Health Sciences, Karachi, Pakistan. He completed his Masters Degree in MSN from Dow University of Health Science, Karachi, Pakistan.

Asma Atif,

She is a Senior Lecturer at the Indus College of Nursing & Midwifery, Indus University of Health Sciences, Karachi, Pakistan. She completed her Bachelors Degree in post-RN BSN from Lahore University of Management Sciences (LUMS), Lahore, Pakistan.

References

Abou Hashish, E. A., Alsayed, S. A., & Abdel Razek, N. M. F. (2025). Embracing AI in academia: A mixed methods study of nursing students’ and educators’ perspectives on using ChatGPT. PLOS ONE, 20(7), e0327981. https://doi.org/10.1371/journal.pone.0327981

Ahmad, M. N., Abdallah, S. A., Abbasi, S. A., & Abdallah, A. M. (2023). Student perspectives on the integration of artificial intelligence into healthcare services. DIGITAL HEALTH. https://doi.org/10.1177/20552076231174095

Alenazi, L., & Al-Anazi, S. H. (2025). Understanding artificial intelligence through the eyes of future nurses: Insights from nursing students. Saudi Medical Journal, 46(3), 238–243. https://doi.org/10.15537/smj.2025.46.3.20241069

Almansour, M., & Almoayad, F. (2024). Exploring challenges and perceptions in the learning environment: An online qualitative study of medical students. BMC Medical Education, 24, 147. https://doi.org/10.1186/s12909-024-05116-8

Balay-odao, E. M., Omirzakova, D., Bolla, S. R., et al. (2025). Health professions students’ perceptions of artificial intelligence and its integration to health professions education and healthcare: A thematic analysis. AI & Society, 40, 1863–1873. https://doi.org/10.1007/s00146-024-01957-5

Bodur, G., Cakir, H., Turan, S., et al. (2025). Artificial intelligence in nursing practice: A qualitative study of nurses’ perspectives on opportunities, challenges, and ethical implications. BMC Nursing, 24, 1263. https://doi.org/10.1186/s12912-025-03775-6

Buchanan, C., Howitt, M., Wilson, R., Booth, R., Risling, T., & Bamford, M. (2021). Predicted influences of artificial intelligence on nursing education: A scoping review. JMIR Nursing, 4(1), e23933. https://doi.org/10.2196/23933

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Cucci, F., Marasciulo, D., Romani, M., Soldano, G., Cascio, D., De Nunzio, G., Caldararo, C., Rubbi, I., Vitale, E., Lupo, R., & Conte, L. (2025). The contribution of artificial intelligence in nursing education: A scoping review of the literature. Nursing Reports, 15(8), 283. https://doi.org/10.3390/nursrep15080283

Emotional intelligence competencies in the undergraduate nursing curriculum: A descriptive qualitative study. https://doi.org/10.1016/j.nedt.2022.105594

Fontenot, J., Hebert, M., Lin, H. C., & Kulshreshth, A. K. (2024). Examining the perceptions among undergraduate nursing students using virtual reality in a community course: A mixed-methods explanatory study. Journal of Community Health Nursing, 41(3), 145–155. https://doi.org/10.1080/07370016.2023.2280617

Gonzalez-Garcia, A., Bermejo-Martinez, D., Lopez-Alonso, A. I., Trevisson-Redondo, B., Martín-Vázquez, C., & Perez-Gonzalez, S. (2025). Impact of ChatGPT usage on nursing students education: A cross-sectional study. Heliyon, 11(1). https://doi.org/10.1016/j.heliyon.2024.e41559

Irfan, M., Murray, L. I. A. M., & Ali, S. (2023). Insights into student perceptions: Investigating artificial intelligence (AI) tool usability in Irish higher education at the University of Limerick. http://dx.doi.org/10.31703/gdpmr.2023(VI-II).05

Kong, W., Ning, Y., Ma, T., Song, F., Mao, Y., Yang, C., et al. (2024). Experience of undergraduate nursing students participating in artificial intelligence+ project task driven learning at different stages: A qualitative study. BMC Nursing, 23(1), 314. https://doi.org/10.1186/s12912-024-01982-1

Kowitlawakul, Y., Tan, J. J. M., Suebnukarn, S., Nguyen, H. D., Poo, D. C. C., Chai, J., Kamala, D. M., Wang, W. (2024). Development of an artificial intelligence teaching assistant system for undergraduate nursing students: A field testing study. Computers, Informatics, Nursing, 42(5), 334-342. https://doi.org/10.1097/CIN.0000000000001103

Labrague, L. J., & Al Sabei, S. (2024). Integration of AI-powered chatbots in nursing education: A scoping review of their utilization, outcomes, and challenges. Teaching and Learning in Nursing. https://doi.org/10.1016/j.teln.2024.11.010

Labrague, L. J., Aguilar-Rosales, R., Yboa, B. C., Sabio, J. B., de los Santos, J. A. (2023). Student nurses' attitudes, perceived utilization, and intention to adopt artificial intelligence (AI) technology in nursing practice: A cross-sectional study. Nurse Education in Practice, 73, 103815. https://doi.org/10.1016/j.nepr.2023.103815

Alharbi, M., Kuhn, L., & Morphet, J. (2020). Undergraduate nursing students' adoption of the professional identity of nursing through social media use: A qualitative descriptive study. Nurse Education Today. https://doi.org/10.1016/j.nedt.2020.104488

Magalhães Araujo, S., & Cruz-Correia, R. (2024). Incorporating ChatGPT in medical informatics education: Mixed methods study on student perceptions and experiential integration proposals. JMIR Medical Education, 10, e51151. https://doi.org/10.2196/51151

Zgambo, M., Costello, M., Buhlmann, M., Maldon, J., Anyango, E., Adama, E. (2025). Artificial intelligence and academic integrity in nursing education: A mixed methods study on usage, perceptions, and institutional implications. Nurse Education Today, 153, 106796. https://doi.org/10.1016/j.nedt.2025.106796

Movahhedi, T., Hajiyavand, A. M., & Dearn, K. D. (2023). Exploring undergraduates’ perceptions of and engagement in an AI-enhanced online course. Frontiers in Education, 8, 1252543. https://doi.org/10.3389/feduc.2023.1252543

Nezhad, M. S., Abdi, A., & Ahmadi, M. (2025). Exploring the experiences and perceptions of nursing students in utilizing artificial intelligence: A descriptive phenomenological study. BMC Nursing, 24, 740. https://doi.org/10.1186/s12912-025-03392-3

Nursing students' perceptions on motivation strategies to enhance academic achievement through blended learning: A qualitative study. https://doi.org/10.1016/j.heliyon.2022.e09818

Perceptions and experiences of Generation Z nursing students during their practicum in an intensive care unit: A qualitative study. https://doi.org/10.1016/j.heliyon.2024.e26205

Ramadan, O. M. E., Alruwaili, M. M., Alruwaili, A. N., et al. (2024). Facilitators and barriers to AI adoption in nursing practice: A qualitative study of registered nurses' perspectives. BMC Nursing, 23, 891. https://doi.org/10.1186/s12912-024-02571-y

Rony, M. K. K., Ahmad, S., Das, D. C., Tanha, S. M., Deb, T. R., Akter, M. R., & Akter, F. (2025). Nursing students' perspectives on integrating artificial intelligence into clinical practice and training: A qualitative descriptive study. Health Science Reports, 8(4). https://doi.org/10.1002/hsr2.70728

Saab, M. M., Hegarty, J., Murphy, D., & Landers, M. (2021). Incorporating virtual reality in nurse education: A qualitative study of nursing students' perspectives. Nurse Education Today, 105, 105045. https://doi.org/10.1016/j.nedt.2021.105045

Saab, M. M., Hegarty, J., Murphy, D., & Landers, M. (2021). Incorporating virtual reality in nurse education: A qualitative study of nursing students' perspectives. Nurse Education Today, 105, 105045. https://doi.org/10.1016/j.nedt.2021.105045

Saab, M. M., Hegarty, J., Murphy, D., & Landers, M. (2021). Incorporating virtual reality in nurse education: A qualitative study of nursing students' perspectives. Nurse Education Today, 105, 105045. https://doi.org/10.1016/j.nedt.2021.105045

Saab, M. M., Landers, M., Murphy, D., O’Mahony, B., Cooke, E., O’Driscoll, M., & Hegarty, J. (2022). Nursing students’ views of using virtual reality in healthcare: A qualitative study. Journal of Clinical Nursing, 31(9-10), 1228-1242. https://doi.org/10.1111/jocn.15978

Undergraduate nursing students' perceptions of active learning strategies: A focus group study. https://doi.org/10.1016/j.nedt.2023.105986

Vera, F. (2024). Students' perceptions of the integration of artificial intelligence in nursing education: A study at a private Chilean university. Transform, 5(4), 58–73. https://www.revistatransformar.cl/index.php/transformar/article/view/148

Yalcinkaya, T., Ergin, E., & Yucel, S. C. (2024). Exploring nursing students' attitudes and readiness for artificial intelligence: A cross-sectional study. Teaching and Learning in Nursing, 19(4), e722-e728. https://doi.org/10.1016/j.teln.2024.07.008

Yuan, Y., Fu, J., Leng, L., Wen, Z., Wei, X., Han, D., Hu, X., Liang, Y., Luo, Q., Zhang, X., & Hu, R. (2025). The strengths, weaknesses, opportunities, and threats of generative artificial intelligence: A qualitative study of undergraduate nursing students. Frontiers in Public Health, 13, 1672140. https://doi.org/10.3389/fpubh.2025.1672140

Published

2026-03-31

How to Cite

Irfan, K., Ubaidullah, S., Bhatti, A. A., Soomro, I. A., Siddiqui, D. A., & Atif, A. (2026). Exploring Undergraduate Nursing Students’ Perception on AI Integration in the Classroom: A Descriptive Qualitative Study. Bulletin of Multidisciplinary Studies, 3(1). https://doi.org/10.48112/bms.v3i1.1211

Similar Articles

1 2 3 4 5 6 7 8 > >> 

You may also start an advanced similarity search for this article.