Nursing Artificial Intelligence Competency Framework
The ABNAI Framework for Artificial Intelligence in Nursing provides a high level model for the responsible integration of artificial intelligence within nursing practice, healthcare systems, and clinical decision making. The framework was developed to serve as the conceptual foundation for national certification standards for nurses working in artificial intelligence, healthcare technology, and clinical leadership.
The framework highlights the relationship between clinical expertise, technological infrastructure, governance, and patient centered care. Developed through interdisciplinary collaboration, it emphasizes the essential role of nurses and healthcare leaders in shaping the development, oversight, and ethical implementation of artificial intelligence in healthcare environments.
As artificial intelligence becomes embedded within healthcare delivery systems, nursing leadership must play a central role in guiding how these technologies are designed, implemented, evaluated, and governed. This framework establishes a structured model intended to support professional competency development, educational pathways, and the advancement of national standards for artificial intelligence integration within nursing practice.
This visual model illustrates the interconnected elements required to support safe and effective artificial intelligence integration within healthcare systems. The framework recognizes that AI does not operate as an isolated technology but rather within a broader clinical ecosystem that includes nursing leadership, ethical governance, healthcare infrastructure, and interdisciplinary collaboration.
The framework highlights how clinical expertise, data systems, ethical oversight, and operational governance must work together to ensure that artificial intelligence supports safe patient care, strengthens clinical decision making, and advances healthcare delivery.
The ABNAI framework is intended to guide education, competency development, and governance discussions as artificial intelligence becomes increasingly embedded in healthcare systems. It provides a conceptual foundation for how nursing leadership can participate in shaping responsible AI development and implementation.
Attribution
Framework developed by the American Board of Nursing Artificial Intelligence ABNAI with contributions from interdisciplinary nursing leaders and advisors in artificial intelligence, health technology, clinical practice, and healthcare governance.
Version 1
Foundational Framework American Board of Nursing Artificial Intelligence ABNAI 2026
