Overview

Artificial intelligence is transforming healthcare - but the profession most responsible for patient safety, care coordination, and clinical judgment has been largely absent from the conversation. This book changes that. AI Competency Domains for Nurses: A Framework for Education, Practice, and Leadership presents the first structured competency framework designed specifically to prepare nurses for AI-enabled healthcare environments. Written by Dr. Susan Deane and Dr. Irina Koyfman, founders of Nurses for AI(TM) and leaders in nursing education and clinical innovation, this book provides the practical, competency-based roadmap that nursing professionals need. The framework is organized around eight interconnected competency domains: Foundational AI Literacy, Data Stewardship, Clinical Decision Support and Judgment Integration, Human-AI Interaction, Ethical and Legal Responsibility, Quality and Safety Oversight, AI Leadership and Advocacy, and Innovation and Transformation. Each domain is explored in depth with competency definitions, clinical workflow examples, educational strategies, leadership responsibilities, and evaluation methods. Every competency is mapped to four major professional standards - the AACN Essentials (2021), NLN Core Competencies for Nurse Educators (2012), ANA Standards (2015/2021), and the Joint Commission's RUAIH(TM) framework (2025) - demonstrating that AI readiness is a natural extension of existing professional expectations, not an additional burden. Practical tools include the AI Safety Pause, a clinical reflection framework for evaluating AI-generated recommendations; a Master Alignment Table mapping all eight domains to professional standards; a 90-day implementation plan with governance structures, readiness assessments, and role-based competency maps; and a 10-step implementation checklist designed for organizational planning. This book is written for nursing deans, directors of nursing, CNOs, faculty, clinical leaders, and healthcare executives who recognize that AI is no longer optional. Whether you are redesigning curriculum, building workforce readiness, or leading organizational AI adoption, this book provides the clear language, actionable strategies, and professional grounding you need. The goal is not to turn nurses into data scientists. The goal is to ensure that every nurse - from the bedside to the boardroom - has the competencies required to protect patients, uphold professional standards, and lead the integration of AI in ways that strengthen, rather than replace, human care. Nurses have always been the sentinels of patient safety. In the age of artificial intelligence, that role becomes even more critical.

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