{
  "abstract": "Aim\n\nTo explore how community nurses describe clinical decision-making across simulated cases and to examine how themes and quotations from human thematic analysis compare with those from generative artificial intelligence-assisted analysis.Design\n\nQualitative descriptive study using simulated clinical cases and semi-structured debriefing interviews.Methods\n\nBetween May and July 2024, 68 academic nurses with at least 1 year of community nursing experience were recruited in Israel. Each nurse responded to four simulated cases and a debriefing interview. Three researchers analysed transcripts thematically. Separately, Claude Projects (Claude 3.5 Sonnet) analysed the same de-identified Hebrew corpus without access to the human themes. The researchers then compared corresponding themes and illustrative quotations.Results\n\nSix themes described nurses' decision-making: perceived control over treatment management; challenges in responding to scenarios; consultation with professional colleagues; use of non-human support resources; training and experience and promotion of patient health and well-being. Both analyses identified corresponding themes and sometimes selected identical or related quotations. The comparison was not a test of agreement, reliability or validity.Conclusion\n\nCommunity nurses described decision-making as a context-dependent process shaped by experience, perceived control, consultation, protocols and a holistic orientation to health promotion. Generative artificial intelligence may assist in organizing qualitative material but requires transparent procedures and human oversight. The study does not establish that AI can reproduce or substitute for human qualitative interpretation.Implications for the profession and/or patient care\n\nGenerative AI tools must remain subordinate to professional nursing judgement in community practice; AI-assisted qualitative analysis requires transparent, human-verified procedures.Impact\n\nThe findings characterize nurses' accounts of decision-making in simulated community cases. The study did not evaluate clinical effectiveness, implementation or outcomes.Reporting method\n\nThe study is reported in accordance with the Consolidated Criteria for Reporting Qualitative Research.Patient or public contribution\n\nNo patient or public contribution. Community nurses participated as research participants.",
  "abstract_shown": true,
  "affiliations": [
    "Faculty of School of Life and Health Sciences, Nursing Department, The Jerusalem College of Technology-Lev Academic Center, Jerusalem, Israel.",
    "The Department of Vascular Surgery, The Chaim Sheba Medical Center, Ramat Gan, Tel Aviv, Israel.",
    "Faculty of Medical & Health Sciences, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.",
    "Department of Nursing, School of Health Professions, Gray Faculty of Medical & Health Sciences, Tel Aviv University.",
    "The Gertner Institute for Epidemiology and Health Policy Research, The Chaim Sheba Medical Center, Ramat Gan, Tel Aviv, Israel."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Chedva Levin",
      "orcid": "0000-0002-3336-4279"
    },
    {
      "affs": [
        2
      ],
      "name": "Dor Zafar"
    },
    {
      "affs": [
        3,
        4
      ],
      "name": "Mor Saban",
      "orcid": "0000-0001-6869-0907"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7k2tzxm0erpkz.bib",
  "cited_by": 0,
  "doi": "10.1002/nop2.71007",
  "fulltext_url": "https://europepmc.org/articles/PMC13724304",
  "id": "7k2tzxm0erpkz",
  "issns": [
    "2054-1058"
  ],
  "landing_url": "https://europepmc.org/article/MED/42967829",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Empirical Research Qualitative"
    ],
    [
      "openalex",
      "2714|Clinical Reasoning and Diagnostic Skills"
    ]
  ],
  "openalex": "W7225058251",
  "pdf_url": "https://europepmc.org/articles/PMC13724304?pdf=render",
  "pmcid": "PMC13724304",
  "pmid": "42967829",
  "published": "2026-11-01",
  "publisher": "Wiley",
  "ris": "https://research.draconitic.com/paper/7k2tzxm0erpkz.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T15:20:53Z",
      "native_id": "MED:42967829",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42967829"
    },
    {
      "first_seen": "2026-11-04T12:22:54Z",
      "native_id": "PMC13724304",
      "source": "pmc",
      "url": "https://doi.org/10.1002/nop2.71007"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2714|Clinical Reasoning and Diagnostic Skills",
      "subfield": "general"
    }
  ],
  "title": "Clinical Decision-Making Among Community Nurses: A Comparative Human and Generative AI-Assisted Qualitative Analysis.",
  "title_text": "Clinical Decision-Making Among Community Nurses: A Comparative Human and Generative AI-Assisted Qualitative Analysis.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:20:50Z",
  "url": "https://research.draconitic.com/paper/7k2tzxm0erpkz",
  "venue": "Nursing open",
  "versions": []
}