Artificial Intelligence-Related Literacy and Fears Among Critical Care Nurses in Oman: A National Study

Abstract

Background: Artificial intelligence (AI) is increasingly embedded in critical care nursing through monitoring, decision support, and documentation systems, yet nurses’ readiness to use it remains uncertain, particularly in the Middle East region. Critical care nurses are central to AI implementation at the bedside, and their AI-related literacy and fears can influence safe and ethical integration into clinical practice. Aim: To assess AI-related literacy and fears among critical care nurses in Oman and the associated factors. Methods: A nationwide cross-sectional survey was conducted among critical care nurses (N = 477) working in tertiary hospitals in Oman. The Multidimensional Artificial Intelligence Literacy Scale and the Fear towards AI Scale were used to measure AI literacy and fears, respectively. Results: The participants had low overall AI literacy (146.62 ± 84.03), and low AI self-efficacy and AI self-competency. The lowest level of literacy was related to creating AI (2.43 ± 2.63). On the other hand, participants reported moderate overall fear towards AI and moderate levels of fear related to job issues and humanity and ethics. Age, marital status, levels of education, receipt of prior computer or information technology, AI-related training, and work experience, were significant predictors of AI literacy. The predictors of AI self-efficacy and AI competence are presented. Conclusions: Nurses working in critical care settings in Oman reported low levels of AI literacy, but moderate fears related to AI, and this provides an opportunity to build AI competencies and capacity. There is need for deliberate and structured continuing education programs to build capacity for AI utilization, competence, and self-efficacy among critical care nurses. Structured, hands-on AI training that integrates ethical reflection for older nurses with more experience but limited professional education is needed and essential to support safe and equitable AI utilization by critical care nurses in Oman.