1.A Bibliometric Analysis of Chatbot or ChatGPT in Nursing Fields from 2022 to 2024
Ab Razak NI ; Muhammad Yusoff MF ; Nasharuddin NA ; Soh KL ; O.K. Rahmat O.K. Rahmat RW
The International Medical Journal Malaysia 2026;25(No. 2):20-30
Nursing education has undergone a significant transformation as a result of artificial
intelligence (AI). Chatbots, specifically ChatGPT, have emerged as vital AI
technologies within the nursing domain as it is a computer program designed to
simulate human conversation through text or voice interactions. This study aims to
conduct a bibliometric analysis to gain insights into the publication trends, citation
impact, and thematic evolution in nursing education and practice concerning ChatGPT
and chatbots. A comprehensive bibliometric analysis was performed using
VOSViewer, concentrating on citation networks for data analysis and visualisation. A
review of LENS.org identified 344 relevant research publications regarding chatbots
and ChatGPT within the nursing discipline, all of which were utilised in the study. The
study examined various aspects, including types of publications, prominent authors,
leading journals, participating nations, institutions, and the impact of ChatGPT on
nursing practice. The primary objectives included categorising the papers, identifying
the most influential authors, delineating the prominent areas and institutions in the
field, and examining the impact of ChatGPT on nursing education and practice. The
findings indicate that ChatGPT positively impacts nursing education by enhancing
learning experiences, improving communication, and aiding clinical decision-making.
The findings indicate that journal articles accounted for 76% of publications, with the
U.S. leading in research output. The findings indicate that ChatGPT positively impacts
nursing education by enhancing learning experiences, improving communication, and
aiding clinical decision-making. Future research should focus on establishing
frameworks for integrating ChatGPT into nursing education, addressing ethical
implications, and assessing the long-term impacts on patient care.
2.A Short Cut to Definitive Airway in Open Tracheal Injury: A Case Report
Saifful NI ; Afliza AB ; Tan TL
Medicine and Health 2017;12(2):348-351
Open tracheal injury is rare but can lead to disastrous consequences such as massive bleeding, airway obstruction or failure and aspiration of blood. We present a case of open tracheal injury of a man who tried to attempt suicide using a knife. In this case, the initial management was securing the airway by attempting orotracheal intubation. However, it was unsuccessful when the tube came out from the laceration wound. Intubation was then re-attempted through the distal cut-end of the trachea in the face of airway failure. A quick initial assessment and anticipation of a failed airway should always be the top priority in any emergency physician managing these cases. Direct intubation through the laceration wound might be the only option when all else fail and your patient is crashing.


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