Aim To develop a consensus paper on the central points of an international invitational think‐tank on nursing and artificial intelligence (AI). Methods We established the Nursing and Artificial Intelligence Leadership (NAIL) Collaborative, comprising interdisciplinary experts in AI development, biomedical ethics, AI in primary care, AI legal aspects, philosophy of AI in health, nursing practice, implementation science, leaders in health informatics practice and international health informatics groups, a representative of patients and the public, and the Chair of the ITU/WHO Focus Group on Artificial Intelligence for Health. The NAIL Collaborative convened at a 3‐day invitational think tank in autumn 2019. Activities included a pre‐event survey, expert presentations and working sessions to identify priority areas for action, opportunities and recommendations to address these. In this paper, we summarize the key discussion points and notes from the aforementioned activities. Implications for nursing Nursing's limited current engagement with discourses on AI and health posts a risk that the profession is not part of the conversations that have potentially significant impacts on nursing practice. Conclusion There are numerous gaps and a timely need for the nursing profession to be among the leaders and drivers of conversations around AI in health systems. Impact We outline crucial gaps where focused effort is required for nursing to take a leadership role in shaping AI use in health systems. Three priorities were identified that need to be addressed in the near future: (a) Nurses must understand the relationship between the data they collect and AI technologies they use; (b) Nurses need to be meaningfully involved in all stages of AI: from development to implementation; and (c) There is a substantial untapped and an unexplored potential for nursing to contribute to the development of AI technologies for global health and humanitarian efforts.

The whole healthcare system is evolving fast due to environmental pressure related to pandemics, climate change, personnel shortages, and financial limitations, to name but a few. Nurses are central actors in the sustainability of healthcare systems. Rapid technological development can support innovative means for holistic and applied critical thinking to improve healthcare delivery based on the uniqueness of nursing. Nurses need to develop adaptive and scientific skills regarding technologies and develop and apply these for better use of “smart” systems in care delivery. The paradigm shift in nursing roles will impact all levels of care, from primary to specialized care, all age groups, from newborn to elderly care, as well as all domains, such as preventive, reparative, rehabilitation, and palliative care. The impact of technologies on human behavior addresses human- factors interaction, computer interaction, and other effects of technologies on wellbeing, including but not limited to robots and artificial intelligence -based assisting nursing deliveries. Nursing competencies need to be developed at all levels of education to prepare a mindset and culture of the healthcare workforce in a digital health system. Gamification and simulation as educational tools help prepare educators to educate healthcare clinicians and researchers who become key mediators between technologies and practice.

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