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Access to Practical Nursing (APN) & Practical Nursing LibGuide - Kelowna - Fall 2024 - Instructor Ginger Everett

Library Course Guided Used for Practical Nursing Library Instruction Session September 13, 2024. Instructor Ginger Everett.

Generative Pre-trained Transformer (GPT)

"May you live in interesting times."

Reportedly, an ancient Chinese curse.

It turns out it is neither Chinese nor Ancient.

 

Its origin has been traced to 1939 to an American politician named Frederic R. Coudert, who received it in a letter from a British colleague named Sir Austen Chamberlain, who had written the following to him: 

. . . by return mail he wrote to me and concluded as follows: “Many years ago, I learned from one of our diplomats in China that one of the principal Chinese curses heaped upon an enemy is ‘May you live in an interesting age.'”

In 1966, it morphed once  again when Robert F. Kennedy Sr., in his “Day of Affirmation Address” in Capetown, South Africa, changed the "interesting age" to “interesting times.”

Nonetheless, it appropriately describes the 'technologically disruptive' period in which we live, study, and work. The Age of GenAI.

The concept of 'Artificial Intelligence' (AI) is not new. The idea was originally proposed by mathematician and pioneer computer scientist Alan Turing in the 1040s. One of Turing's biggest contributions to the field was the creation of the "Turing Test," originally named the 'imitation game' developed in the 1950s. It was designed to test a computer's ability to "exhibit intelligent behaviour equivalent to, or indistinguishable from, that of a human."  The test was first passed by a computer system in 2014. 

Artificial intelligence is not a single technology; it is a diverse but interrelated group of technologies. Many of these have applications in the healthcare field.

 

GenAI 

Gartner Hype Cycle 

 

 

 

The real skill you will need to use GenAI is knowing how to Prompt (explain) to the system what you want it to do.

This will take:

  • Time

    • To learn to write prompts that provide the information you need

    • You may have to run multiple iterations of your query.

    • Then, you will have to develop a research plan to identify and properly cite the information provided by the GenAI response. 

    • You will need an above-average knowledge of medical and healthcare words and terminology to get proper value from using GenAI,

  • Money

    • The free versions of most GenAI applications are 'loss leaders'  and are designed to interest you. For example, ChatGPT3 is free but limits you to the number of Prompts you can submit daily.

    • ChatGPT4 is a fee based service

    • The cost of using a GenAI applications total rest with the user

  • Using PICO(T) will help with writing better GenAI Prompts

GenAI hallucination is a phenomenon in which the large language model (LLM)—often a generative model—is inaccurate or made up.

Once you pass your REx-PN and become a member of the British Columbia College of Nurses and Midwives (BCCNM), you will have to understand where AI fits in your scope of practice.

The College of Physicians and Surgeons of British Columbia (CPSBC) released its Interim Guidance—Ethical Principles for Artificial Intelligence in Medicine in April 2024.

The American Nurses Association (ANA) released a position statement on "The Ethical Use of Artificial Intelligence in Nursing Practice" in 2022. This report identified some critical considerations when working with AI. 

GenAI uses LLMs that are designed to predict the next best possible word based on their training data set; there is always the possibility of bias in the results produced by GenAI tools due to the inherent bias in the data used to build it. You should constantly closely scrutinize any results from GenAI for potential bias in the text it provides you.

REMEMBER GENAI HAS BEEN PRIMARILY TRAINED ON DATA FROM THE WEB

Bias to be aware of:

  • Under-representation of specific people or groups 

  • Discrimination

  • Misinformation and Disinformation

  • Denialism 

  • Plagiarization

  • Research Fraud

As a general rule of thumb, never upload any personal information to a Gen AI tool.

In B.C., Collection, use, disclosure and retention of personal information is subject to and must comply with the provisions of the BC Freedom of Information and Protection of Privacy Act (FIPPA). 

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