Artificial intelligence (AI) in the domain of healthcare is increasing in prominence. Acceptance is an indispensable prerequisite for the widespread implementation of AI. The aim of this integrative review is to explore barriers and facilitators influencing healthcare professionals’ acceptance of AI in the hospital setting. Forty-two articles met the inclusion criteria for this review. Pertinent elements to the study such as the type of AI, factors influencing acceptance, and the participants’ profession were extracted from the included studies, and the studies were appraised for their quality. The data extraction and results were presented according to the Unified Theory of Acceptance and Use of Technology (UTAUT) model. The included studies revealed a variety of facilitating and hindering factors for AI acceptance in the hospital setting. Clinical decision support systems (CDSS) were the AI form included in most studies (n = 21). Heterogeneous results with regard to the perceptions of the effects of AI on error occurrence, alert sensitivity and timely resources were reported. In contrast, fear of a loss of (professional) autonomy and difficulties in integrating AI into clinical workflows were unanimously reported to be hindering factors. On the other hand, training for the use of AI facilitated acceptance. Heterogeneous results may be explained by differences in the application and functioning of the different AI systems as well as inter-professional and interdisciplinary disparities. To conclude, in order to facilitate acceptance of AI among healthcare professionals it is advisable to integrate end-users in the early stages of AI development as well as to offer needs-adjusted training for the use of AI in healthcare and providing adequate infrastructure.
Kommunikation mit simulationsbasiertem Training wird bislang in Deutschland selten angewendet. Eine Befragung von Intensivpflegekräften eines Kommunikationstrainings hat ergeben, dass der Einsatz von Simulation eine hohe Bedeutung für die Teilnehmenden hat. Sie signalisierten den Wunsch nach weiteren Trainingseinheiten, obwohl der Umgang mit Emotionen als durchaus schwierig bewertet wurde und die Teilnehmenden über wenig Vorerfahrung verfügten. Neben einer angenehmen Lernsituation, in der Konflikte erfolgreich gelöst werden konnten, bewerteten die Teilnehmenden die Simulationen außerdem als praxisnah und zeigen den Bedarf auf, praktische Simulation künftig verstärkt curricular einzubinden.
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