Evolving trends, challenges, and shifting responsibilities in paediatric nursing against the backdrop of advancing technologies

Abstract
The integration of advancing technologies into paediatric nursing has ushered in a new era of
revolution and renovation, restructuring the landscape of child-centered care. This abstract explores the
evolving trends, challenges, and shifting responsibilities in paediatric nursing, highlighting the impact
of digital technologies, artificial intelligence (AI), and other innovations on the profession. The
discussion is supported by recent research papers examining technology's role in enhancing care
delivery, improving health outcomes, and addressing the unique needs of the future generation.

1. ~ 89 ~
International Journal of Research in Paediatric Nursing 2025; 7(1): 89-91




E-ISSN: 2664-1305
P-ISSN: 2664-1291
www.paediatricnursing.net
IJRPN 2025; 7(1): 89-91
Received: 28-11-2024
Accepted: 03-01-2025

Sushma N
Professor, Department of Child
Health Nursing, Columbia
College of Nursing, Bangalore,
Karnataka, India

Immanuel Prabhucharan
HOD & Professor, Department
of Child Health Nursing,
Navodaya College of Nursing,
Navodaya Nagar, Raichur,
Karnataka, India

Usha HV
Professor, Department of Child
Health Nursing, Manasa
College of Nursing, Malur,
Kolara, Karnataka, India

Geethanjali N
Ph.D. Scholar, Department of
Community Health Nursing,
Malwanchal University,
Indore, Madhya Pradesh,
India

Kunhanam Lilly C
Professor, Department of Child
Health Nursing, Vidya Vikas
College of Nursing, Mysore,
Karnataka, India

S Madhusheela
Professor, Department of OBG
Nursing, Narayana
Hrudayalaya College of
Nursing, Bangalore,
Karnataka, India














Corresponding Author:
Sushma N
Professor, Department of Child
Health Nursing, Columbia
College of Nursing, Bangalore,
Karnataka, India

Evolving trends, challenges, and shifting
responsibilities in paediatric nursing against the
backdrop of advancing technologies

Sushma N, Immanuel Prabhucharan, Usha HV,

Geethanjali N,
Kunhanam Lilly C and S Madhusheela

DOI: https://www.doi.org/10.33545/26641291.2025.v7.i1b.206

Abstract
The integration of advancing technologies into paediatric nursing has ushered in a new era of
revolution and renovation, restructuring the landscape of child-centered care. This abstract explores the
evolving trends, challenges, and shifting responsibilities in paediatric nursing, highlighting the impact
of digital technologies, artificial intelligence (AI), and other innovations on the profession. The
discussion is supported by recent research papers examining technology's role in enhancing care
delivery, improving health outcomes, and addressing the unique needs of the future generation.

Keywords: Evolving, trends, artificial intelligence, challenges, technologies, paediatrics nursing

Introduction
The integration of Artificial Intelligence (AI) in paediatric nursing has yielded substantial
benefits as the empirical evidence AI-driven system significantly improves efficiency by
automating routine tasks, allowing nurses to dedicate more time to direct patient care,
highlighting that AI-based monitoring systems reduce the time spent on administrative tasks
by 30% enabling nurses to increase their focus on Physical examination is one of the most
effective methods by which doctors and nurses obtain patient information using simple and
standard skills. But AI has been integrated into some parts of the healthcare industry
including-AI-assisted auscultation, Cardiac Auscultation Record Card, Automated image-
based bilirubin and a patient triage system for the emergency room (e.g. KATE) as these are
some AI tools that aid clinical data engine providing real-time analytics to deliver nursing
services to patients’ interactions
[1, 3]
.

Evolving Trends in Paediatric Nursing
1. Digital Transformation and AI Integration: The initiation of AI and digital
technologies has revolutionised paediatric nursing, enabling more accurate diagnoses,
personalised care, and competent monitoring systems. AI-powered tools, such as
predictive analytics and innovative medical devices, have improved the management of
chronic conditions and reduced diagnostic shift times
[2, 4]
. Furthermore, AI has
facilitated family-centered care models, enhancing the involvement of parents and
caregivers in clinical decision-making
[3]
.
2. Internet of Things (IoT) and Smart Nursing Systems: These technologies have
emerged as a keystone of modern nursing practice, offering real-time health monitoring,
remote patient supervision, and disease management solutions. These systems have
significantly improved the quality and efficiency of care, particularly in resource-
constrained settings
[3, 7]
. However, challenges such as data privacy, user acceptance, and
economic feasibility remain critical barriers to widespread adoption
[3]
.
3. Telehealth and Remote Care: The rise of telehealth has transformed the delivery of
paediatric care, enabling remote consultations and continuous monitoring of patients.
This has been particularly advantageous for children with rare or chronic conditions,
reducing the need for hospital visits and improving access to specialist care
[4, 8]
.
Telehealth has also empowered nurses to deliver more patient-centered

2. International Journal of Research in Paediatric Nursing https://www.paediatricnursing.net
~ 90 ~
care, leveraging digital tools to improve communication
and engagement
[5]
.

Challenges in Paediatric Nursing
1. Ethical and Legal Implications of AI: Ethical
considerations surrounding paediatric AI care are
paramount as the protection of children, human rights
and dignity is the cornerstone or fundamental principle
for oversight of the AI system. While AI offers
enormous potential, its integration into paediatric
nursing raises ethical and legal concerns
[1]
. Issues such
as data privacy, algorithmic bias, and liability must be
addressed to ensure compliance with regulatory
frameworks
[2, 5]
. Nurses must direct the ethical
dilemmas associated with AI-driven decision-making,
ensuring that technological progressions align with the
principles of patient-centered care.
2. AI Literacy and Perception: The acceptance of AI in
paediatric nursing is influenced by nurses' attitudes and
literacy levels, while the senior nurses may experience
higher levels of AI anxiety due to insufficient training
related to AI
[7]
. Educational institutions and healthcare
organizations must arrange AI education to equip
nurses with the skills and confidence to use these
technologies
[8]
.
3. Technological Barriers and Infrastructure: The
successful implementation of digital technologies in
paediatric nursing depends on robust infrastructure and
addressing the digital gaps. Limited access to high-
speed internet, old-fashioned hardware and operability
are some of the challenges which need to be overcome
to ensure equitable access to innovative care
solutions
[4, 10, 11]
.

Table 1: Technologies, Applications, and Challenges in Paediatric Nursing

Technology Application in Paediatric Nursing Challenges
Artificial Intelligence Predictive analytics, personalized care, and diagnostics Ethical concerns, algorithmic bias, and nurse anxiety
[2, 7]

Internet of Things (IoT) Real-time monitoring, remote patient supervision Data privacy, user acceptance, and economic viability
[4]

Telehealth Remote consultations and continuous monitoring Limited infrastructure and digital divide
[5, 9]

Wearable Devices Health monitoring and disease management Interoperability and data security issues
[8]

Robotics and Cognitive
Tech
Assisting in complex procedures and patient interaction High costs and need for specialized training
[8]


Shifting Responsibilities in Paediatric Nursing
1. Technologically Empowered Practice: Paediatric
nurses has to enhance her skills technically by the usage
of advanced technologies, such as wearable devices,
robotics, and cognitive technologies
[7]
. Nurses are now
expected to possess both clinical and technical skills
and integrate data analytics and AI-driven insights into
their practice.
2. Patient-Centered Care and Family Involvement:
The shift towards family-centered care models has
redefined the responsibilities of paediatric nurses.
Nurses are progressively expected to engage families in
care decisions, leveraging digital tools to enable
communication and collaboration
[2, 5]
.
3. Continuous Learning and Professional
Development: The swift pace of technological
advancements requires a commitment to lifelong
learning. Paediatric nurses must stay updated on
evolving technologies and their applications in clinical
practice, ensuring they can provide high-quality,
evidence-based care
[6, 8]
.
4. Preparedness for Health Emergencies: Emergency
preparedness is crucial part of the evolving trend
especially after encountering the Covid-19 pandemic in
2019. The healthcare industry is starting to identify the
importance of AI-powered solutions to stay ahead of
the medical emergencies like the coronavirus disease
where every aspect of care delivery and management
requires innovation and optimization
[1]
.

The Way Forward: The future of paediatric nursing lies in
acceptance technological innovations while addressing the
associated challenges. By encouraging collaboration
between healthcare providers, technology developers, and
policymakers, the profession can overcome barriers to
adoption and ensure that digital solutions are equitable,
effective, and patient-centered. In addition, investing in
nurse education and training programs will be critical to
preparing the personnel for the digital age
[7, 10]
.

Conclusion
The integration of advancing technologies into paediatric
nursing has created both opportunities and challenges. As
the profession continues to evolve, it is essential to prioritize
ethical considerations, address technological barriers, and
empower nurses with the skills and knowledge needed to
deliver high-quality, innovative care.

Conflict of Interest
Not available

Financial Support
Not available

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How to Cite This Article
Sushma N, Prabhucharan I, Usha HV,

Geethanjali N, Lilly KC,
Madhusheela S. Evolving trends, challenges, and shifting
responsibilities in paediatric nursing against the backdrop of
advancing technologies. International Journal of Research in
Paediatric Nursing. 2025; 7(1): 89-91.


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