Publication
Leveraging AI-Powered Cultural Intelligence to Enhance Pediatric Critical Care Nurses' Competencies in End-of-Life Care
Hemdan Abdelhamed Morsi T, Abdelgawad Said D, Mohamed Adam Tozer S, Mohamed Ibrahim Nassar H · Egyptian Journal of Health Care · 2026
Background: In the modern Pediatric Intensive Care Units (PICUs), nurses manage high-stakes decisions under immense pressure. While AI has traditionally focused on clinical tasks like sepsis prediction. Critically ill children often come from diverse backgrounds with unique end-of-life rituals. Nurses often lack the "Cultural Intelligence" (CQ) to navigate these complexities, leading to moral distress. Aim:This research aimed to evaluate the effect AI-Powered cultural intelligence on pediatric critical care nurses' competencies in end-of-life care. Design: A Quasi-experimental, pre-test/post-test design with two groups (Intervention and Control) was employed. Setting: Pediatric Intensive Care Units (PICUs) at Sohag University hospitals. Sample: A convenient sampling of 100 Pediatric Critical Care Nurses were included and divided into Intervention Group (n=50): Nurses who used the AI-powered Cultural Intelligence (CQ) platform. Control Group (n=50): Nurses who will follow the standard hospital protocols for end-of-life care. Tools: Tool 1, Demographic and Professional Data Questionnaire. 2. Cultural Intelligence Scale (CQS). 3. Pediatric End-of-Life Care Competency Scale (PEOLC-CS). 4. AI Acceptance & Literacy Scale (AI-ALS). Results: In the pre-test phase indicated that there was no significant difference between the intervention and control groups ( P>0.05). Both groups scored low (Means of 42.5 and 43.1 out of 150), placing them between the "Not Competent" and "Slightly Competent" levels. Following the 12-week AI-powered intervention, a highly statistically significant improvement (P<0.001) was observed in the intervention group. Also, 96% of the intervention group reached the highest proficiency levels (46% Competent and 50% Very Competent). it was illustrated that the intervention group achieved a high overall mean score (4.39±0.44) on the AI-ALS. Conclusion: AI-Powered cultural intelligence has a positive effect on enhancing pediatric critical care nurses' competencies in end-of-life care. Recommendations: Nursing education curricula must be updated to include mandatory AI Literacy and Cultural Humility training, shifting focus from static "competence" to dynamic humility.
Synced from the TRENDS in Pediatric Palliative Care Zotero library, curated by The Siden Research Team. ICPCN does not host or verify the full text.