Content area

Abstract

Aim

This study investigates the mediating role of artificial intelligence self-efficacy (AISE) in the association between AI literacy and learning engagemeg nursing students in higher education.

Background

The fourth technological revolution driven by AI has profound implications for healthcare education. Insufficient AI literacy and AISE among nursing students may hinder their learning engagement, yet empirical evidence on these relationships remains limited.

Design

A cross-sectional study.

Method

A convenience sampling method was used to select 2029 nursing students from 29 colleges in China from November to December 2024. A general information questionnaire, AI literacy scale, AISE scale and learning engagement scale were used to conduct the online questionnaire survey. Data were analyzed using descriptive analysis, Pearson correlation test and Bootstrap method.

Results

Results show that AI literacy was positively correlated with AISE and learning engagement ( r = 0.462–0.435, P<0.01) and AISE was positively correlated with learning engagement ( r = 0.537, P<0.01). The indirect effect of AI literacy on learning engagement through AISE was 0.130, accounting for 20.44 % of the total effect.

Conclusion

The AI literacy of nursing students is suboptimal; thus, enhancing foundational AI education is essential. AI literacy directly predicts learning engagement, with AISE serving as a partial mediator. Educators should integrate AI training into curricula, provide practical scenarios and foster interdisciplinary collaboration to improve AI competency and engagement.

Details

Location
Title
The mediation effect of AI self-efficacy between AI literacy and learning engagement in college nursing students: A cross-sectional study
Author
He, Taotao 1 ; Huang, Jing 2 ; Li, Yongheng 1 ; Wang, Lijuan 3 ; Liu, Jia 4 ; Zhang, Fan 5 ; Fu, Shaoli 6 ; Gong, Sha 7 

 Department of Nursing, The Fourth Hospital of Changsha, Changsha, Hunan 410006, China 
 Department of Scientific Research,Hunan Academy of Traditional Chinese Medicine, Changsha, Hunan 410006, China 
 Department of Faculty of Medical Device and Management,Xiangtan Medicine & Health Vocational College, Xiangtan, Hunan 411104, China 
 Department of chinese traditional medicine, Hunan Cancer Hospital, Changsha, Hunan 410006, China 
 Department of Nursing Education and Research, Sun Simiao Medical College,Tong chuan Vocational and Technical College, Tong chuan, Shanxi 727031, China 
 Department of Party and Government Office,Chongqing University of Chinese Medicine, Chongqing 402760, China 
 Department of Nursing college, Changde Vocational Technical College, Changde 415000, China 
Publication title
Volume
87
First page
104499
End page
104499
Number of pages
7
Publication year
2025
Publication date
Aug 2025
Publisher
Elsevier Limited
Place of publication
Kidlington
Country of publication
United Kingdom
ISSN
14715953
e-ISSN
18735223
Source type
Scholarly Journal
Language of publication
English
Document type
Journal Article
ProQuest document ID
3244815099
Document URL
https://www.proquest.com/scholarly-journals/mediation-effect-ai-self-efficacy-between/docview/3244815099/se-2?accountid=208611
Copyright
© 2025 Elsevier Ltd
Last updated
2025-12-10
Database
ProQuest One Academic