The mediation effect of AI self-efficacy between AI literacy and learning engagement in college nursing students: A cross-sectional study

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Publicat a:Nurse Education in Practice vol. 87 (Aug 2025), p. 104499-104505
Autor principal: He, Taotao
Altres autors: Huang, Jing, Li, Yongheng, Wang, Lijuan, Liu, Jia, Zhang, Fan, Fu, Shaoli, Gong, Sha
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Elsevier Limited
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Accés en línia:Citation/Abstract
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022 |a 1471-5953 
022 |a 1873-5223 
024 7 |a 10.1016/j.nepr.2025.104499  |2 doi 
035 |a 3244815099 
045 2 |b d20250801  |b d20250831 
084 |a 170342  |2 nlm 
100 1 |a He, Taotao  |u Department of Nursing, The Fourth Hospital of Changsha, Changsha, Hunan 410006, China 
245 1 |a The mediation effect of AI self-efficacy between AI literacy and learning engagement in college nursing students: A cross-sectional study 
260 |b Elsevier Limited  |c Aug 2025 
513 |a Journal Article 
520 3 |a 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. 
651 4 |a China 
653 |a Problem solving 
653 |a Literacy 
653 |a Students 
653 |a Careers 
653 |a Higher education 
653 |a Questionnaires 
653 |a Likert scale 
653 |a Medical education 
653 |a Artificial intelligence 
653 |a Learning 
653 |a College students 
653 |a Health care 
653 |a Decision making 
653 |a Self-efficacy 
653 |a Critical thinking 
653 |a Curricula 
653 |a Independent study 
653 |a Digital literacy 
653 |a Career development planning 
653 |a Nursing education 
653 |a Discriminant analysis 
653 |a Cross-sectional studies 
653 |a Nursing 
653 |a Ethics 
653 |a Colleges & universities 
653 |a Clinical nursing 
653 |a Bootstrap method 
653 |a Interdisciplinary aspects 
653 |a Scientific technological revolution 
653 |a Nurses 
653 |a Teachers 
653 |a Health services 
653 |a Mediation 
653 |a Sampling 
653 |a Artificial intelligence literacy 
653 |a Learning Activities 
653 |a Literature Reviews 
653 |a Factor Analysis 
653 |a Learning Motivation 
653 |a Likert Scales 
653 |a Academic Achievement 
653 |a Employment Potential 
653 |a Student Motivation 
653 |a Learner Engagement 
653 |a Educational Strategies 
653 |a Informed Consent 
653 |a Intelligent Tutoring Systems 
653 |a Influence of Technology 
653 |a Educational Technology 
653 |a Educational Change 
653 |a Career Development 
653 |a Correlation 
653 |a Data Analysis 
653 |a Educational Background 
700 1 |a Huang, Jing  |u Department of Scientific Research,Hunan Academy of Traditional Chinese Medicine, Changsha, Hunan 410006, China 
700 1 |a Li, Yongheng  |u Department of Nursing, The Fourth Hospital of Changsha, Changsha, Hunan 410006, China 
700 1 |a Wang, Lijuan  |u Department of Faculty of Medical Device and Management,Xiangtan Medicine & Health Vocational College, Xiangtan, Hunan 411104, China 
700 1 |a Liu, Jia  |u Department of chinese traditional medicine, Hunan Cancer Hospital, Changsha, Hunan 410006, China 
700 1 |a Zhang, Fan  |u Department of Nursing Education and Research, Sun Simiao Medical College,Tong chuan Vocational and Technical College, Tong chuan, Shanxi 727031, China 
700 1 |a Fu, Shaoli  |u Department of Party and Government Office,Chongqing University of Chinese Medicine, Chongqing 402760, China 
700 1 |a Gong, Sha  |u Department of Nursing college, Changde Vocational Technical College, Changde 415000, China 
773 0 |t Nurse Education in Practice  |g vol. 87 (Aug 2025), p. 104499-104505 
786 0 |d ProQuest  |t Sociology Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3244815099/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3244815099/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3244815099/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch