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Peer-reviewedCC BY-NC-NDBMC medical education

AI literacy and AI anxiety in emergency and first aid students: a cross-sectional study.

  1. 1Vocational School of Health Services, Department of Medical Services and Techniques, First and Emergency Aid Program, Necmettin Erbakan University, Konya, Türkiye. [email protected].
  2. 2Institute of Health Sciences, CBRN (Chemical, Biological, Radiological and Nuclear) Doctoral Program, Selçuk University, Konya, Türkiye.
  3. 3Faculty of Medicine, Alanya Alaaddin Keykubat University, Antalya, Türkiye.

Abstract

Objective

This study was conducted to determine Artificial Intelligence (AI) literacy and AI anxiety levels in students attending the First Aid and Emergency Program, to analyze the relationship between these variables, and to identify significant predictors of AI literacy and AI anxiety.Method

This descriptive and cross-sectional study was conducted with 430 students enrolled in the Emergency and First Aid Program in Konya province. Data were collected using the Personal Information Form, Artificial Intelligence Literacy Scale (AILS), and Artificial Intelligence Anxiety Scale (AIAS). Descriptive statistics, independent samples t-test, Pearson correlation analysis, and multiple linear regression analysis were performed to analyze the data.Results

The mean scores the participating students obtained from the overall AILS and AIAS were 3.96 ± 0.60 and 3.00 ± 0.76, respectively. There was a significant, weak, and negative correlation between the AILS and AIAS scores (r = - .24, p < .001). There was a negative correlation between the scores obtained from the overall AILS and the scores obtained from the learning anxiety (r = - .38, p < .001) and AI configuration anxiety (r = - .18, p = .004) dimensions of the AIAS. However, there was no significant correlation between the scores obtained from the AILS, and the scores obtained from the job replacement anxiety and sociotechnical blindness dimensions of the AIAS. The results of the multiple linear regression analysis demonstrated that of the participating students, those who did not follow AI-related news obtained lower scores from the AILS (β = - 0.19, p < .001). Variables such as being a Female (β = 0.22, p < .001), not following AI news (β = 0.11, p = .028), and not supporting the inclusion of AI courses in the curriculum (β = 0.10, p = .042) were associated with higher levels of AI anxiety.Conclusion

The weak negative correlation between AI literacy and AI anxiety suggests that higher levels of AI literacy may be associated with lower levels of AI anxiety. This finding suggests that strengthening content to support artificial intelligence literacy in the Emergency and First Aid Program curriculum could be considered. Specifically, it is considered that integrating educational content aimed at reducing learning anxiety in students and increasing their awareness of the functioning, limitations, and conscious use of AI systems into the curriculum might play a supportive role in managing students' anxiety levels. Therefore, further longitudinal and quasi-experimental studies should be conducted to understand the nature of this relationship and the potential effects of AI training better.

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BibTeX
@article{karabulut2026literacy,
  title = {{AI literacy and AI anxiety in emergency and first aid students: a cross-sectional study.}},
  author = {Mustafa Karabulut and Derya Karabulut and Saliha Özpinar},
  journal = {BMC medical education},
  year = {2026},
  month = aug,
  doi = {10.1186/s12909-026-10095-z},
  url = {https://europepmc.org/article/MED/43009939},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - AI literacy and AI anxiety in emergency and first aid students: a cross-sectional study.
AU  - Mustafa Karabulut
AU  - Derya Karabulut
AU  - Saliha Özpinar
PY  - 2026
DA  - 2026/08/14
JO  - BMC medical education
DO  - 10.1186/s12909-026-10095-z
UR  - https://europepmc.org/article/MED/43009939
AB  - Objective  This study was conducted to determine Artificial Intelligence (AI) literacy and AI anxiety levels in students attending the First Aid and Emergency Program, to analyze the relationship between these variables, and to identify significant predictors of AI literacy and AI anxiety.Method  This descriptive and cross-sectional study was conducted with 430 students enrolled in the Emergency and First Aid Program in Konya province. Data were collected using the Personal Information Form, Artificial Intelligence Literacy Scale (AILS), and Artificial Intelligence Anxiety Scale (AIAS). Descriptive statistics, independent samples t-test, Pearson correlation analysis, and multiple linear regression analysis were performed to analyze the data.Results  The mean scores the participating students obtained from the overall AILS and AIAS were 3.96 ± 0.60 and 3.00 ± 0.76, respectively. There was a significant, weak, and negative correlation between the AILS and AIAS scores (r = - .24, p < .001). There was a negative correlation between the scores obtained from the overall AILS and the scores obtained from the learning anxiety (r = - .38, p < .001) and AI configuration anxiety (r = - .18, p = .004) dimensions of the AIAS. However, there was no significant correlation between the scores obtained from the AILS, and the scores obtained from the job replacement anxiety and sociotechnical blindness dimensions of the AIAS. The results of the multiple linear regression analysis demonstrated that of the participating students, those who did not follow AI-related news obtained lower scores from the AILS (β = - 0.19, p < .001). Variables such as being a Female (β = 0.22, p < .001), not following AI news (β = 0.11, p = .028), and not supporting the inclusion of AI courses in the curriculum (β = 0.10, p = .042) were associated with higher levels of AI anxiety.Conclusion  The weak negative correlation between AI literacy and AI anxiety suggests that higher levels of AI literacy may be associated with lower levels of AI anxiety. This finding suggests that strengthening content to support artificial intelligence literacy in the Emergency and First Aid Program curriculum could be considered. Specifically, it is considered that integrating educational content aimed at reducing learning anxiety in students and increasing their awareness of the functioning, limitations, and conscious use of AI systems into the curriculum might play a supportive role in managing students' anxiety levels. Therefore, further longitudinal and quasi-experimental studies should be conducted to understand the nature of this relationship and the potential effects of AI training better.
SN  - 1472-6920
ER  -