Sally Schauman, sygeplejerske, Cand.cur, klinisk underviser, Hjertecentret, Rigshospitalet København
Resumé
Formål
At afdække, hvordan WHO konstruerer diskurser om etisk styring af kunstig intelligens, og hvordan disse diskurser påvirker sygeplejerskens rolle i klinisk praksis.
Baggrund
WHO har udgivet rapporten ”Ethics and Governance of Artificial Intelligence for Health”, som svar på den accelererende teknologiske udvikling. Med rapporten søger WHO at fremme sundhed og lighed for alle globalt, ved at sikre, etisk og ansvarlig brug af kunstig intelligens for sundhed.
Metode
Norman Faircloughs tredimensionelle kritiske diskursanalyse, anvendes til at afdække WHO’s sproglige konstruktion af diskurser om menneskerettighed og ansvar, etik og teknologi og sundhed og ulighed. Metoden er kvalitativ, og fokuserer på at afsløre underliggende magtstrukturer formuleret i WHO’s rapport.
Resultater
Analysen afslører, at WHO’s rapport konstruerer diskurser, der balancerer mellem optimisme og kritisk refleksion. Ord som ”empower” og ”enormous potential” fremmer optimisme, mens ”accountability” og ”responsibility” understreger behovet for ansvarlighed. Modalverber som ”must” og ”should” samt metaforer som ”ethic washing” og ”black box algorithm” stiller klare forventninger til sundhedsprofessionelles etiske bevidsthed i brugen af kunstig intelligens.
Konklusion
WHO’s diskurser, understøtter institutionens autoritet og magt i at fastsætte normer og retningslinjer for etisk styring af kunstig intelligens for sundhed, hvilket har betydelige implikationer for sygeplejepraksis.
English abstract
The nurse’s role in an AI‑driven future: WHO’s discourses on ethics and governance of artificial intelligence for health
Aim
To explore how WHO constructs discourses on the ethical governance of artificial intelligence and how these discourses influence the nurse’s role in clinical practice.
Background
WHO has published the report “Ethics and Governance of Artificial Intelligence for Health” in response to accelerating technological development. With this report, WHO seeks to promote health and equity for all globally by ensuring the ethical and responsible use of artificial intelligence for health.
Method
Norman Fairclough’s three‑dimensional critical discourse analysis is used to uncover WHO’s linguistic construction of discourses on human rights and accountability, ethics and technology, and health and inequality. The method is qualitative and focuses on revealing underlying power structures articulated in WHO’s report.
Results
The analysis shows that WHO’s report constructs discourses that balance optimism with critical reflection. Terms such as “empower” and “enormous potential” promote optimism, while “accountability” and “responsibility” emphasise the need for responsibility. Modal verbs such as “must” and “should”, together with metaphors like “ethic washing” and “black box algorithm”, articulate clear expectations regarding health professionals’ ethical awareness in the use of artificial intelligence.
Conclusion
WHO’s discourses reinforce the organisation’s authority and power to set norms and guidelines for the ethical governance of artificial intelligence for health, with significant implications for nursing practice.
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