Effects of generative artificial intelligence (GenAI) patient simulation on perceived clinical competency among global nursing undergraduates: a cross-over randomised controlled trial.

Group B showed consistent significant gains at both time points [T1: 27.59 (95% CI: 9.54, 45.64), p = 0.003; T2: 20.91 (95% CI: 2.86, 38.96), p = 0.024], while Group A showed significant improvement at T1 [18.27 (95% CI: 0.22, 36.32), p = 0.047] with marginal significance at T2.

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However, GenAI showed a trend toward a more pronounced impact in this cohort, possibly due to higher initial engagement, although further research is needed to confirm these findings.

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