People with disabilities in nursing education
generative artificial intelligence and transformative praxis
Keywords:
Education, Nursing, Education, Special, Artificial Intelligence, Equity, Persons with DisabilitiesAbstract
Objective: To critically analyze the contradictions, challenges, and possibilities of generative artificial intelligence as a catalyst for emancipatory and inclusive nursing education, focusing on the singularities of students with disabilities.
Method: A theoretical-reflective essay developed between August 2024 and May 2025, grounded in Paulo Freire’s critical pedagogy and in frameworks on cognitive justice and inclusive technologies. The text was developed based on the analysis of national and international normative documents on inclusion and governance of generative artificial intelligence.
Results: It was structured into two axes: ethical and epistemological contradictions of generative artificial intelligence as a mediator of inclusive educational practices; and elements for a transformative praxis based on critical technological mediation committed to equity.
Conclusion: Generative artificial intelligence, when critically mediated, can expand accessibility for students with disabilities in nursing education. However, its uncritical use tends to reinforce barriers and deepen inequalities.
References
1. Brasil. Lei Federal nº 13.146, de 06 de julho de 2015. Institui a Lei Brasileira de Inclusão da Pessoa com Deficiência. Diário Oficial da União [Internet]. 2015 (Estatuto da Pessoa com Deficiência). Brasília (DF): 2015 [cited 2025 Mar 1];(Seção 1). Available from: https://www.planalto.gov.br/ccivil_03/_ato2015-2018/2015/lei/l13146.htm
2. Paiva JCM, Gesser M. Access and permanence of people with disabilities in higher education: participation in the scientific academy as a form of political activism. Educ Polít Debate [Internet]. 2023 [cited 2025 Jan 13];12(3):1117-31. Available from: https://doi.org/10.14393/REPOD-v12n3a2023-68502
3. Miguel ACC, Rocha LCMB, Canto CARL, Teixeira JM, de Figueiredo LFG. Inclusão de pessoas com deficiência na educação superior: uma revisão de escopo. Rev Educ Espec [Internet]. 2024 [cited 2025 Jan 13];37(1):e11. Available from: https://doi.org/10.5902/1984686X85630
4. Mueller SD, Sutherland MA. College women with a disability and interpersonal violence: A call to action. J Am Assoc Nurse Pract [Internet]. 2023 [cited 2025 Mar 20];35(12):761-4. Available from: https://doi.org/10.1097/jxx.0000000000000969
5. Vieira DA, da Silva LF, Machado MED, Brandão ES, Chagas HMA. Communication strategies employed by health professionals with hearing impaired people: an integrative review. Cogitare Enferm [Internet]. 2023 [cited 2025 May 20];28:e91372. Available from: https://doi.org/10.1590/ce.v28i0.84359
6. Perry AG, Potter PA, Elkin MK. Procedimentos e intervenções de enfermagem. 5.ed. Rio de Janeiro: Elsevier Health Sciences, 2013. 816 p.
7. Padilla DJE, Guerrero VTG, Troncoso MP. Proyecciones del cuidado disciplinar de enfermería desde la filosofía de Jean Watson: una revisión sistemática. Enferm Cuid Human [Internet]. 2024 [cited 2025 Jun 5];13(2):e4058. Available from: https://doi.org/10.22235/ech.v13i2.4058
8. da Silva DC, Therrien J. Cultura do silêncio e educação libertadora: aportes freirianos. Educ [Internet]. 2022 [cited 2025 Jun 5];45(1):e38533. Available from: https://doi.org/10.15448/1981-2582.2022.1.38533
9. Uchôa MMR, Chacon JAV. Educação Inclusiva e Educação Especial na perspectiva inclusiva: repensando uma Educação Outra. Rev Educ Espec [Internet]. 2022 [cited 2025 Jun 5];35:e46. Available from: https://doi.org/10.5902/1984686X69277
10. Freire P. Pedagogia do oprimido. 17th ed. Rio de Janeiro: Paz e Terra, 1987. 107 p.
11. Alqahtani T, Badreldin HA, Alrashed M, Alshaya AI, Alghamdi SS, Bin Saleh K, et al. The emergent role of artificial intelligence, natural learning processing, and large language models in higher education and research. Res Social Adm Pharm [Internet]. 2023 [cited 2025 Jun 10];19(8):1236-42. Available from: https://doi.org/10.1016/j.sapharm.2023.05.016
12. de Castro NJC, Braga Júnior EJ. Nursing and climate change: generative artificial intelligence as a tool for critical training on climate justice. Esc Anna Nery [Internet]. 2025 [cited 2025 Jun 10];29:e20240117. Available from: https://doi.org/10.1590/2177-9465-EAN-2024-0117pt
13. Montejo L, Fenton A, Davis G. Artificial intelligence (AI) applications in healthcare and considerations for nursing education. Nurse Educ Pract [Internet]. 2024 [cited 2025 Jun 10];80:104158. Available from: https://doi.org/10.1016/j.nepr.2024.104158
14. Lifshits I, Rosenberg D. Artificial intelligence in nursing education: a scoping review. Nurse Educ Pract [Internet]. 2024 [cited 2025 Jun 10];80:104148. Available from: https://doi.org/10.1016/j.nepr.2024.104148
15. Yıldız E. Artificial intelligence in mental health nursing: balancing clinical efficiency and the human touch-a quest for a new synthesis. J Psychiatr Ment Health Nurs [Internet]. 2025 [cited 2025 Jun 10];32(4):946-52. Available from: https://doi.org/10.1111/jpm.13173
16. Carroll SM, Shaw B. Dismantling ableism: promoting a culture of diversity, equity, inclusion, and accessibility for nurses with disabilities. J Psychosoc Nurs Ment Health Serv [Internet]. 2024 [cited 2025 Jun 10];62(5):2-3. Available from: https://pubmed.ncbi.nlm.nih.gov/38709093/
17. Göktepe N, Sarıköse S. Perspectives and experiences of nurse managers on the impact of artificial intelligence on nursing work environments and managerial processes: a qualitative study. Int Nurs Rev [Internet]. 2025 [cited 2025 Jun 10];72(2):e70043. Available from: https://doi.org/10.1111/inr.70043
18. Tseng LP, Huang LP, Chen WR. Exploring artificial intelligence literacy and the use of ChatGPT and copilot in instruction on nursing academic report writing. Nurse Educ Today [Internet]. 2025 [cited 2025 Jun 15];147:106570. Available from: https://doi.org/10.1016/j.nedt.2025.106570
19. Qaladi O, Alshammari M, Almalki AA. Artificial intelligence (AI) in nursing administration: challenges and opportunities. PLoS One [Internet]. 2025 [cited 2025 Jun 15];20(4):e0319588. Available from: https://doi.org/10.1371/journal.pone.0319588
20. Currie G, Hewis J, Hawk E, Rohren E. Gender and Ethnicity Bias of Text-to-Image Generative Artificial Intelligence in Medical Imaging, Part 2: Analysis of DALL-E 3. J Nucl Med Technol [Internet]. 2025 [cited 2025 June 15];53(2):162-8. Available from: https://doi.org/10.2967/jnmt.124.268359
21. Amorim RO, Fumes NLF. Ativismo e agência da pessoa com deficiência na Educação Superior. Rev Educ Espec [Internet]. 2024 [cited 2025 Jun 15];e42/1-27. Available from: https://www.researchgate.net/publication/387966945_Ativismo_e_agencia_da_pessoa_com_deficiencia_na_Educacao_Superior
22. McGlinchey E, Corrigan S, Sheerin F, Yap ML. Embracing authenticity and challenging norms: Including people with an intellectual disability as lecturers in third level intellectual disability nursing programmes. Nurse Educ Today [Internet]. 2024 [cited 2025 Jun 15];138:106206. Available from: https://doi.org/10.1016/j.nedt.2024.106206
23. Thomson AE, Murray JW. Mental health nurses who experience disabilities: adapting to workplace barriers. Issues Ment Health Nurs [Internet]. 2023 [cited 2025 Jun 15];44(12):1179-87. Available from: https://doi.org/10.1080/01612840.2023.2266849
24. Guimarães LR. Inteligência artificial e enviesamento algorítmico: novas formas de discriminação contra pessoas com deficiência. Civilistica.com [Internet]. 2024 [cited 2025 Jun 15];13(2):1–25. Available from: https://civilistica.emnuvens.com.br/redc/article/view/973
25. Castiblance, RP, Pizzi A. Relación entre determinados usos de la inteligencia artificial y los riesgos psicosociales en entornos laborales europeos. Arch Prev Riesgos Labor [Internet]. 2024 [cited 2025 Jun 15];27(3):233-49. Available from: https://doi.org/10.12961/aprl.2024.27.03.02
26. Vitorino LM, Yoshinari Júnior GH. A Artificial intelligence as an ally in Brazilian nursing: challenges, opportunities and professional responsibility. Rev Bras Enferm [Internet]. 2023 [cited 2025 Jun 20];76(3):e760301. Available from: https://doi.org/10.1590/0034-7167.2023760301
27. Måløy E, Aasen-Stensvold MT, Vatne S, Julnes SG. Intellectual disability nurses' challenges in medication management in primary health care: a qualitative study. J Intellect Disabil. [Internet]. 2024 [cited 2025 Jun 20];28(3):854-71. Available from: https://doi.org/10.1177/17446295231189368
28. Teixeira AKS, de Couto HRF. Education, corporeality and the visually impaired person: a necessary dialogue. Rev Iberoam Estud Educ [Internet]. 2022 [cited 2025 Jun 20];17(4):2987-3008. Available from: https://doi.org/10.21723/riaee.v17i4.17371
29. Khanam M, Akther S, Mizan I, Islam F, Chowdhury S, Ahsan NM, et al. The potential of artificial intelligence in revealing the future of health. Cureus [Internet]. 2024 [cited 2025 June 20];16(3):e71625. Available from: https://doi.org/10.7759/cureus.71625
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