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vertical= -align:top">Genesis Lisbeth Jami Toapanta= </td><td style=3D"width:10.5pt; padding:0pt 5.4pt; vertical-align:top"> </td>= <td style=3D"width:166.35pt; padding:0pt 5.4pt; vertical-align:top">https://orcid.org/0000-0002-7569-1374 </span= ></td><td style=3D"padding:0pt; vertical-align:top"></td></tr><tr><td s= tyle=3D"width:3.25pt; padding:0pt 5.4pt; vertical-align:top"><sp= an style=3D"font-family:'Times New Roman'"> </td><td colspa= n=3D"4" style=3D"width:370.7pt; padding:0pt 5.4pt; vertical-align:top">Universidad T=C3=A9cn= ica de Ambato (UTA), Ambato, Ecuador.<img src=3D"data:image/png;base64,iVBORw0KGgoAAAANSUh= EUgAAABQAAAAUCAYAAACNiR0NAAAABHNCSVQICAgIfAhkiAAAAAlwSFlzAAAOxAAADsQBlSsOGw= AAA2lJREFUOI21lEtoXVUUhr+197n3nNzbJN6omdTWRmwbikVq4iMxk0ZU2oGgA1FnQcQiUhUnF= qo4cGIRQUGd+KDY+Jp25ouiGCOxElqjhba0URPzsPQmuY9zzj1nLwcnuU1iQ0f+mzXZe///Wv/a= iy1cBV/83NNOPr/VWHunqO5OVNuNlQVjmZCGjCVhcPHR3q8XrsaVNUITu/KSlu7LFeSpNNZ+57R= 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=3D" width=3D"20" height=3D"20" alt=3D"" style=3D"margin-top:9.55pt; margin= -left:182.5pt; position:absolute" /><a href=3D"mailto:gjami8411@uta.= edu.ec" style=3D"text-decoration:none">gjami84= 11@uta.edu.ec</a> </td></tr><tr><td style=3D"width:3.25pt; padding:0pt= 5.4pt; vertical-align:top">2</span= ></td><td style=3D"width:171.95pt; padding:0pt 5.4pt; vertical-align:to= p">Yeisy Cristina Guarate Coronado</td><td= style=3D"width:10.5pt; padding:0pt 5.4pt; vertical-align:top"><= span style=3D"font-family:'Times New Roman'"> </td><td styl= e=3D"width:166.35pt; padding:0pt 5.4pt; vertical-align:top">https://orcid.org/0000-0003-1526-4693 </t= d><td style=3D"padding:0pt; vertical-align:top"></td></tr><tr><td style=3D"= width:3.25pt; padding:0pt 5.4pt; vertical-align:top"> </td><td colspan=3D"4" = style=3D"width:370.7pt; padding:0pt 5.4pt; vertical-align:top">= Universidad T=C3=A9cnica de A= mbato (UTA), Ambato, Ecuador.= <a href=3D"mailto:yc.guarate@uta.edu.ec" style=3D"text-decoration:none"><sp= an style=3D"font-family:'Times New Roman'; font-size:10pt; text-decoration:= underline; color:#0563c1">yc.guarate@uta.edu.ec</a> </td></tr><tr styl= e=3D"height:0pt"><td style=3D"width:14.05pt"></td><td style=3D"width:182.75= pt"></td><td style=3D"width:21.3pt"></td><td style=3D"width:177.15pt"></td>= <td style=3D"width:0.3pt"></td></tr></table> = 0; <table st= yle=3D"width:437.15pt; margin-bottom:0pt; padding:0pt; border-collapse:coll= apse"><tr><td colspan=3D"7" style=3D"width:151.1pt; padding:0pt 5.4pt; vert= ical-align:top"> = 0;</td><td colspan=3D"2" style=3D"width:264.45pt; border-top:0.7= 5pt solid #000000; border-bottom:0.75pt solid #000000; padding:0pt 5.4pt; v= ertical-align:top">Art=C3=ADculo de Investigaci=C3=B3n Cient=C3=ADfica y Tec= nol=C3=B3gicaEnviado: 12/04/2026 Revisado: 10/05/2026 Aceptado: 04/06/2026 <sp= an style=3D"font-family:'Times New Roman'">Publicado: 06/07/2026= DOI: <a href=3D"https://doi.org/10.33262/anatomiad= igital.v9i3.3712%20" style=3D"text-decoration:none">https://doi.or= g/10.33262/anatomiadigital.v9i3.3712 </spa= n></a> </s= pan><a href=3D"https://doi.org/10.33262/anatomiadigital.v8i4.3568" style=3D= "text-decoration:none"> = </a></td></tr><tr style=3D"height:3.5pt"><td colspan=3D"7" style=3D"wid= th:151.1pt; padding:0pt 5.4pt; vertical-align:top"> </td><td colspan=3D"2" style=3D= "width:264.45pt; border-top:0.75pt solid #000000; border-bottom:0.75pt soli= d #000000; padding:0pt 5.4pt; vertical-align:top"> </td></tr><tr><td style=3D"= width:52pt; border-top:0.75pt solid #000000; padding:0pt 5.4pt; vertical-al= ign:top"> </sp= an>C=C3=ADtese:= </td><td style=3D"width:10.35pt; border-top:0.75pt solid #00000= 0; padding:0pt 5.4pt; vertical-align:top"> </td><td colspan=3D"6" style=3D"wid= th:337.8pt; border-top:0.75pt solid #000000; padding:0pt 5.4pt; vertical-al= ign:top"> </sp= an>Jami Toapant= a, G. L., & Guarate Coronado, Y. C. (2026). Modelo de Patricia Benner y= la inteligencia artificial como herramienta para fortalecer habilidades en= internos de enfermer=C3=ADa. Anatom=C3=ADa Digital, 9(3), 6-27. <a = href=3D"https://doi.org/10.33262/anatomiadigital.v9i3.3712" style=3D"text-d= ecoration:none">https://doi.org/10.33262/anatomiadigital.v9i3.3712</a> </td>= <td style=3D"border-top:0.75pt solid #000000; padding:0pt; vertical-align:t= op"></td></tr><tr><td style=3D"width:52pt; padding:0pt 5.4pt; vertical-alig= n:top"><img src=3D"data:image/jpeg;base64,/9j/4AAQSk= ZJRgABAQEAYABgAAD/2wBDAAEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBA= QEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQH/2wBDAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEB= AQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQH/wAARCAAiAEEDASIAAhEBAxE= B/8QAHQAAAgMBAAMBAAAAAAAAAAAAAAcGCAkFAQIDBP/EAD0QAAEEAgECBAIFBg8AAAAAAAQCAw= UGAQcIAAkREhMhFDEVFiJxgQoaUWGR0zZBUlNXWHWTlZehsdHW8P/EABwBAAEEAwEAAAAAAAAAA= AAAAAgAAQMEAgUGB//EADYRAAIBAgQCBQoGAwAAAAAAAAECAwQRAAUSIQYxEzJBUXEHIjM0YXSB= kbGzNVOCobLRhMPw/9oADAMBAAIRAxEAPwDaOudw/ZPM/t483Jm1VqLoVw1PSIZAlgo8pKhNnvT= 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pan> </td><td= style=3D"width:10.35pt; border-bottom:0.75pt solid #000000; padding:0pt 5.= 4pt; vertical-align:top"> </td><td colspan=3D"6" style=3D"width:337.8pt; border= -bottom:0.75pt solid #000000; padding:0pt 5.4pt; vertical-align:top">Esta revista est=C3=A1 protegida bajo una licencia Creative Commons= Atribuci=C3=B3n-NoComercial-CompartirIgual 4.0 International. Copia de la = licencia: <a href=3D"https://creativecommons.org/licenses/by-nc-sa/4= .0/deed.es" style=3D"text-decoration:none">https://creativecommons.org/licenses/by-nc-sa/4.0/deed.es</sp= an></a> </td><td style=3D"padding:0pt; vertical-align:top"><= /td></tr><tr><td colspan=3D"4" style=3D"width:101.1pt; padding:0pt 5.4pt; v= ertical-align:top">Pa= labras claves: Inteligencia = artificial; enfermer=C3=ADa; educaci=C3=B3n en enfermer=C3=ADa; competencia= cl=C3=ADnica; pensamiento cr=C3=ADtico; tecnolog=C3=ADa educativa.<= /p></td><td colspan=3D"2" style=3D"width:0.7pt; padding:0pt 5.4pt; vertical= -align:top"> <= /span></td><td colspan=3D"2" style=3D"width:298.35pt; border-top:0.75pt= solid #000000; border-bottom:0.75pt solid #000000; padding:0pt 5.4pt; vert= ical-align:top">ResumenIntroducci=C3=B3n:<sp= an style=3D"font-family:'Times New Roman'"> la Inteligencia Artificial= (IA) se incorpor=C3= =B3 progresivamente en la formaci=C3=B3n de enfermer=C3=ADa como herramient= a de apoyo acad=C3=A9mico y cl=C3=ADnico, favoreciendo el aprendizaje aut= =C3=B3nomo, el acceso r=C3=A1pido a la informaci=C3=B3n y el fortalecimient= o del razonamiento cl=C3=ADnico. Sin embargo, su integraci=C3=B3n requiere = analizarse desde modelos te=C3=B3ricos de enfermer=C3=ADa que permitan comp= render el desarrollo progresivo de competencias profesionales. <span= style=3D"font-family:'Times New Roman'; font-weight:bold">Objetivo general= : analizar el nivel de= competencia de los estudiantes de enfermer=C3=ADa en el uso de la intelige= ncia artificial en sus actividades acad=C3=A9micas seg=C3=BAn el modelo de = Patricia Benner. Metodolog=C3=ADa: se realiz=C3=B3 una investigaci=C3=B3n cualitativa con enfoque fen= omenol=C3=B3gico hermen=C3=A9utico en estudiantes de internado rotativo de = la carrera de Enfermer=C3=ADa de la Universidad T=C3=A9cnica de Ambato. La = informaci=C3=B3n fue recolectada mediante 14 entrevistas semiestructuradas,= alcanz=C3=A1ndose la saturaci=C3=B3n de la informaci=C3=B3n. Posteriorment= e, se realiz=C3=B3 el an=C3=A1lisis tem=C3=A1tico siguiendo la propuesta de= Braun & Clarke. Resultados: los hallazgos evidenciaron distintos niveles de competencia en el us= o de IA, predominando los niveles, novato, principiante avanzado y competen= te. Los participantes utilizan principalmente herramientas como ChatGPT y G= emini para actividades acad=C3=A9micas, b=C3=BAsqueda de informaci=C3=B3n y= apoyo en procedimientos cl=C3=ADnicos. Asimismo, se evidenci=C3=B3 una pro= gresi=C3=B3n gradual en el uso de la IA desde actividades acad=C3=A9micas b= =C3=A1sicas hacia aplicaciones m=C3=A1s relacionadas con el cuidado cl=C3= =ADnico y el fortalecimiento del razonamiento profesional. Discusi=C3=B3n:</spa= n> la integraci=C3=B3n progre= siva de la IA se relaciona con el tr=C3=A1nsito entre los niveles de compet= encia descritos por Patricia Benner, predominando niveles principiante avan= zado y competente. Asimismo, los participantes consideran que el uso progre= sivo de estas herramientas contribuye al desarrollo de habilidades cognitiv= as, acad=C3=A9micas y cl=C3=ADnicas dentro de su formaci=C3=B3n profesional= . Co= nclusi=C3=B3n: la inte= ligencia artificial constituye una herramienta de apoyo que contribuye al f= ortalecimiento progresivo de competencias acad=C3=A9micas y cl=C3=ADnicas e= n estudiantes de enfermer=C3=ADa, favoreciendo el aprendizaje aut=C3=B3nomo= , acceso r=C3=A1pido a informaci=C3=B3n cient=C3=ADfica y el desarrollo del= razonamiento cl=C3=ADnico. =C3=81rea de estudio general: enfermer=C3=ADa. =C3=81rea de estudio espec=C3= =ADfica: Inteligencia = artificial en enfermer=C3=ADa. Tipo de art=C3=ADculo: original. </td><td style=3D"padding:0pt= ; vertical-align:top"></td></tr><tr style=3D"height:28.2pt"><td colspan=3D"= 3" style=3D"width:98.85pt; padding:0pt 5.4pt; vertical-align:top">Keywords:= Artificial intelligence; nu= rsing; nursing education; clinical competence; critical thinking; education= al technology.</td><td colspan=3D"2" style=3D"width:1pt; padding= :0pt 5.4pt; vertical-align:top"> </td><td colspan=3D"3" style=3D"width:300.3pt= ; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padd= ing:0pt 5.4pt; vertical-align:top">AbstractIntroduc= tion: Artificial Intel= ligence (AI) progressive been incorporated into nursing education as an aca= demic and clinical support tool, promoting autonomous learning, rapid acces= s to information, and the strengthening of clinical reasoning. However, its= integration must be analyzed through nursing theoretical models that allow= understanding the progressive development of professional competencies. </= span>Genera= l objective: To analyz= e the level of competence of nursing students in the use of artificial inte= lligence in their academic activities according to Patricia Benner=E2=80=99= s model. Methodology: A qu= alitative study with a hermeneutic phenomenological approach was conducted = among rotating internship nursing students from the Nursing program at the = Technical University of Ambato. Information was collected through 14 semi-s= tructured interviews until data saturation was reached. Subsequently, thema= tic analysis was carried out following Braun and Clarke=E2=80=99s proposal.= Res= ults: The findings rev= ealed different levels of competence in the use of AI, predominantly novice= , advanced beginner, and competent levels. Participants mainly used tools s= uch as ChatGPT and Gemini for academic activities, information searching, a= nd support in clinical procedures. Likewise, a gradual progression in the u= se of AI was identified, evolving from basic academic activities toward app= lications more closely related to clinical care and the strengthening of pr= ofessional reasoning. Discussion: The progressive integration of AI is related to the transition betw= een the competency levels described by Patricia Benner, predominantly at th= e advanced beginner and competent levels. Likewise, participants considered= that the progressive use of these tools contributes to the development of = cognitive, academic, and clinical skills during their professional training= . Co= nclusion: Artificial i= ntelligence constitutes a support tool that contributes to the progressive = strengthening of academic and clinical competencies in nursing students, pr= omoting autonomous learning, rapid access to scientific information, and th= e development of clinical reasoning. General area of study: nursing. Specific area of study:<spa= n style=3D"font-family:'Times New Roman'"> Artificial intelligence in nursi= ng. = Type of item: original= . <= /span></td><td style=3D"padding:0pt; vertical-align:top"></td></tr><tr = style=3D"height:0pt"><td style=3D"width:62.8pt"></td><td style=3D"width:21.= 15pt"></td><td style=3D"width:25.7pt"></td><td style=3D"width:2.25pt"></td>= <td style=3D"width:9.55pt"></td><td style=3D"width:1.95pt"></td><td style= =3D"width:38.5pt"></td><td style=3D"width:270.65pt"></td><td style=3D"width= :4.6pt"></td></tr></table>&#= xa0; = <ol style=3D"margin:0pt; padding-left:0pt"><li class=3D"ListParagraph" = style=3D"margin-left:17.3pt; text-align:justify; line-height:107%; padding-= left:4pt; font-family:'Times New Roman'; font-size:12pt; font-weight:bold; = color:#948a54">Introducci=C3=B3n</li><= /ol>La <span= style=3D"font-family:'Times New Roman'; text-decoration:underline">Intelig= encia Artificial (IA) = se define como el conjunto de sistemas computacionales capaces de procesar = informaci=C3=B3n, identificar patrones, generar respuestas y apoyar proceso= s complejos de toma de decisiones mediante algoritmos avanzados, con aplica= ciones espec=C3=ADficas en el =C3=A1mbito de la salud orientadas al diagn= =C3=B3stico, la educaci=C3=B3n, la simulaci=C3=B3n cl=C3=ADnica y el apoyo = asistencial (1)(2). En el contexto educativo la IA se incorpor=C3=B3 progre= sivamente como un recurso innovador que facilita el aprendizaje aut=C3=B3no= mo, la personalizaci=C3=B3n de contenidos y el fortalecimiento del razonami= ento cl=C3=ADnico en los estudiantes de ciencias de la salud. <p= style=3D"margin-bottom:0pt; text-align:justify; line-height:115%; font-siz= e:12pt">En el campo de enferm= er=C3=ADa se incorpor=C3=B3 la IA para el desarrollo de actividades tanto t= e=C3=B3ricas como acad=C3=A9micas. Los docentes y estudiantes incorporaron = el uso de diferentes herramientas de IA para impartir clases, reforzar cono= cimientos y mejorar la pr=C3=A1ctica cl=C3=ADnica. Sin embargo, no todos ti= enen un uso avanzado de las IA en el campo de enfermer=C3=ADa. En este sent= ido, Patricia Benner (3) referente te=C3=B3rico ampliamente validado en la = educaci=C3=B3n en enfermer=C3=ADa, describe el proceso de adquisici=C3=B3n = progresiva de competencias profesionales a trav=C3=A9s de cinco niveles: pr= incipiante, principiante avanzado, competente, eficiente y experto. = Sin embargo, la= Organizaci=C3=B3n Mundial de la Salud evidencia un d=C3=A9ficit significat= ivo de profesionales de enfermer=C3=ADa a nivel global, proyect=C3=A1ndose = la necesidad de aproximadamente 5,7 millones de enfermeros para el a=C3=B1o= 2030, lo cual plantea un desaf=C3=ADo urgente para los sistemas educativos= y de salud (3). Esta situaci=C3=B3n demanda procesos formativos m=C3=A1s e= ficientes, innovadores y alineados con el uso de tecnolog=C3=ADas emergente= s, como la inteligencia artificial, que permitan fortalecer las competencia= s cl=C3=ADnicas desde la etapa de formaci=C3=B3n. <spa= n style=3D"font-family:'Times New Roman'">De la misma manera, el sistema de= salud ecuatoriano enfrenta limitaciones relacionadas con la infraestructur= a hospitalaria destinada a la docencia, sobrecarga de los entornos cl=C3=AD= nicos y la capacitaci=C3=B3n del personal docente para la ense=C3=B1anza pr= =C3=A1ctica, lo que dificulta el acompa=C3=B1amiento continuo de los estudi= antes durante su proceso formativo (4). Estas condiciones impulsaron la exp= loraci=C3=B3n de alternativas tecnol=C3=B3gicas que complementen la ense=C3= =B1anza tradicional, entre ellas la simulaci=C3=B3n cl=C3=ADnica asistida p= or IA, las aplicaciones m=C3=B3viles para protocolos cl=C3=ADnicos, los Cha= tBots de razonamiento cl=C3=ADnico y los dispositivos de monitorizaci=C3=B3= n inteligente, los cuales demostraron mejorar la autoconfianza, el pensamie= nto cr=C3=ADtico y la adquisici=C3=B3n de habilidades t=C3=A9cnicas en estu= diantes de enfermer=C3=ADa (1)(5).Se evidencio que los estudiantes de la carrera de= enfermer=C3=ADa, en Ecuador, utilizan herramientas de inteligencia artific= ial principalmente con fines acad=C3=A9micos b=C3=A1sicos, orientados a la = elaboraci=C3=B3n de tareas y a la reproducci=C3=B3n de informaci=C3=B3n, si= n profundizar en el an=C3=A1lisis cr=C3=ADtico ni en la aplicaci=C3=B3n cl= =C3=ADnica del conocimiento generado (6)(7). Esta forma limitada de uso res= tringe el potencial de la IA como apoyo para la toma de decisiones, la reso= 1luci=C3=B3n de problemas cl=C3=ADnicos y el desarrollo de competencias cog= nitivas avanzadas, necesarias para el tr=C3=A1nsito progresivo descrito en = el modelo de Patricia Benner (3). Asimismo, el temor a cometer errores, la = escasa retroalimentaci=C3=B3n docente y la alta carga acad=C3=A9mica influy= en negativamente en el aprovechamiento de estas tecnolog=C3=ADas como herra= mientas formativas integrales (6)(7).En este contexto, la justificaci=C3=B3n de est= a investigaci=C3=B3n se fundamenta en la necesidad de analizar de manera si= stem=C3=A1tica el uso de la inteligencia artificial en la formaci=C3=B3n de= los internos de enfermer=C3=ADa, integr=C3=A1ndola con el modelo de Patric= ia Benner (3) como marco te=C3=B3rico de referencia. Este enfoque permite e= valuar el nivel de competencia alcanzado por los estudiantes en el uso de l= a IA y comprender c=C3=B3mo estas herramientas contribuyen al desarrollo pr= ogresivo de habilidades cl=C3=ADnicas, cognitivas y comunicativas. Diversas= investigaciones se=C3=B1alaron que la integraci=C3=B3n de tecnolog=C3=ADas= basadas en IA favorece entornos de aprendizaje m=C3=A1s personalizados, fo= rtalece la pr=C3=A1ctica basada en evidencia y supera limitaciones propias de la en= se=C3=B1anza tradicional, sin sustituir el juicio cl=C3=ADnico ni el cuidad= o humanizado (5).En concordancia con lo expuesto, la pregunta que gu=C3=ADa la inv= estigaci=C3=B3n es =C2=BFCu=C3=A1l es el nivel de competencia de los estudi= antes de enfermer=C3=ADa en el uso de la inteligencia artificial en sus act= ividades acad=C3=A9micas seg=C3=BAn el modelo de Patricia Benner? Plante=C3= =A1ndose como objetivo general analizar el nivel de competencia de los estu= diantes de enfermer=C3=ADa en el uso de la inteligencia artificial en sus a= ctividades acad=C3=A9micas seg=C3=BAn el modelo de Patricia Benner. Esta in= vestigaci=C3=B3n est=C3=A1 adscrita al grupo de investigaci=C3=B3n en tecno= log=C3=ADa, educaci=C3=B3n y salud para el cuidado de enfermer=C3=ADa (GITE= SCE), de la carrera de Enfermer=C3=ADa de la Universidad T=C3=A9cnica de Am= bato<ol start=3D"2" style=3D"margin:0pt; padding-left:0pt"><li c= lass=3D"ListParagraph" style=3D"margin-left:17.3pt; margin-bottom:10pt; lin= e-height:107%; padding-left:4pt; font-family:'Times New Roman'; font-size:1= 2pt; font-weight:bold; color:#948a54">Metodol= og=C3=ADa</li></ol>La investigaci=C3=B3n tiene un enfoque cualitativo con dise=C3=B1o f= enomenol=C3=B3gico hermen=C3=A9utico, ya que busca comprender e interpretar= las percepciones, experiencias y significados que los estudiantes de enfer= mer=C3=ADa atribuyen al uso de la Inteligencia Artificial (IA<s= pan style=3D"font-family:'Times New Roman'">) en su proceso formativo, con = base en el modelo de Patricia Benner (8). Este enfoque permiti=C3=B3 analiz= ar el tr=C3=A1nsito progresivo de competencias desde niveles iniciales hast= a niveles de mayor experiencia profesional, en relaci=C3=B3n con el uso de = herramientas de IA dentro de las actividades acad=C3=A9micas y cl=C3=ADnica= s de enfermer=C3=ADa. La investigaci=C3=B3n se desarroll=C3=B3 en la carrer= a de Enfermer=C3=ADa de la Universidad T=C3=A9cnica de Ambato, durante el p= eriodo acad=C3=A9mico 2025-2026. La poblaci=C3=B3n de estudio estuvo confor= mada por estudiantes de internado rotativo de la carrera de Enfermer=C3=ADa= , cohorte mayo 2025 =E2=80=93 abril 2026.La selecci=C3=B3n de los participantes s= e realiz=C3=B3 mediante muestreo no probabil=C3=ADstico por bola de nieve, = t=C3=A9cnica que permiti=C3=B3 identificar progresivamente estudiantes con = experiencia en el uso de inteligencia artificial dentro de su formaci=C3=B3= n acad=C3=A9mica y pr=C3=A1ctica cl=C3=ADnica. Como criterios de inclusi=C3= =B3n se consider=C3=B3: ser estudiante de internado rotativo de la carrera = de Enfermer=C3=ADa de la Universidad T=C3=A9cnica de Ambato, encontrarse ma= triculado en el periodo acad=C3=A9mico establecido y aceptar voluntariament= e participar en la investigaci=C3=B3n mediante la firma del consentimiento = informado. Se excluyeron aquellos estudiantes que no finalizaron la entrevi= sta o decidieron retirarse del estudio durante el proceso investigativo.</s= pan>La recolecc= i=C3=B3n de la informaci=C3=B3n se realiz=C3=B3 mediante entrevistas semies= tructuradas elaboradas con base en los objetivos de investigaci=C3=B3n y en= los niveles de competencia descritos por Patricia Benner (9)(10). Las entr= evistas fueron grabadas, de acuerdo con el consentimiento informado del par= ticipante; posteriormente fueron transcritas palabra a palabra y revisadas = con cada participante del estudio. Se realizaron un total de 14 entrevistas= , momento en el cual se satur=C3=B3 la informaci=C3=B3n. Las categor=C3=ADa= s y subcategor=C3=ADas de an=C3=A1lisis fueron organizadas de acuerdo con l= os niveles de competencia del modelo de Patricia Benner (3), permitiendo es= tructurar los hallazgos seg=C3=BAn el desarrollo progresivo de competencias= relacionadas con el uso de la inteligencia artificial en el cuidado enferm= ero (11)(12).Una vez finalizada la recolecci=C3=B3n de los datos, se procedi=C3=B3 = al an=C3=A1lisis tem=C3=A1tico de las entrevistas de acuerdo con Braun &= ; Clarke (13) quienes se=C3=B1alan seis fases para el an=C3=A1lisis = de estudios cua= litativos: familiarizaci=C3=B3n con los datos, codificaci=C3=B3n inicial, b= =C3=BAsqueda de temas, revisi=C3=B3n de temas, definici=C3=B3n y denominaci= =C3=B3n de temas y elaboraci=C3=B3n del informe final. El an=C3=A1lisis se = realiz=C3=B3 manualmente mediante la identificaci=C3=B3n de unidades de sig= nificado y su posterior agrupaci=C3=B3n en categor=C3=ADas y subcategor=C3= =ADas relacionadas con los objetivos del estudio y el modelo de Patricia Be= nner (3).Para asegurar la credibilidad, transferibilidad, dependencia y confirmabil= idad se aplicaron estrategias como triangulaci=C3=B3n de la informaci=C3=B3= n con otros investigadores, validaci=C3=B3n de categor=C3=ADas con los part= icipantes y contraste permanente de los hallazgos con la literatura cient= =C3=ADfica relacionada con inteligencia artificial y formaci=C3=B3n en enfe= rmer=C3=ADa. La investigaci=C3=B3n cont=C3=B3 con la aprobaci=C3=B3n del Co= mit=C3=A9 de =C3=89tica de Investigaci=C3=B3n en Seres Humanos de la Univer= sidad T=C3=A9cnica de Ambato-Ecuador (CEISH-FCS-UTA), c=C3=B3digo 184-CEISH= -UTA-2025.<ol start=3D"3" style=3D"margin:0pt; padding-left:0pt"= ><li class=3D"ListParagraph" style=3D"margin-top:12pt; margin-left:17.45pt;= margin-bottom:10pt; line-height:107%; padding-left:3.85pt; font-family:'Ti= mes New Roman'; font-size:12pt; font-weight:bold; color:#948a54">Resultados </li></ol>En total se realizaron 14 entrevistas semiestr= ucturadas, alcanz=C3=A1ndose el punto de saturaci=C3=B3n de la informaci=C3= =B3n. Participaron 2 hombres (Azul, Celeste) y 12 mujeres (Dalia, Clavel, G= ardenia, Lirio, Tulip=C3=A1n, Orqu=C3=ADdea, Violeta, Margarita, Begonia, H= ortensia, Lila y Girasol). El an=C3=A1lisis de los datos se desarroll=C3=B3= siguiendo el enfoque de Virginia Braun y Victoria Clarke (13), quienes pla= ntean como primera fase la familiarizaci=C3=B3n con los datos mediante la l= ectura exhaustiva y la identificaci=C3=B3n de elementos relevantes en funci= =C3=B3n de los objetivos del estudio. Posteriormente, se realiz=C3=B3 la co= dificaci=C3=B3n inicial, la b=C3=BAsqueda, revisi=C3=B3n, definici=C3=B3n y= denominaci=C3=B3n de temas (13). <img src=3D"data:image/png;base64,iVBORw0KGg= oAAAANSUhEUgAAAacAAAElCAYAAABAly1LAAAABHNCSVQICAgIfAhkiAAAAAlwSFlzAAAOxAAAD= sQBlSsOGwAAIABJREFUeJy8vXm0Hcd52Pmr6u67vR0P+76DC0CQBDdRJCVRlmVbOy1biR3HjuyZ= bPaxPUnmOJ7Jcc4knkwyk8zEmXh8FE80ji3ZVkb2yNZCLbQoiRu4iDsBAiD2/QEPD2+5a3fV/NF= bdXf1vfcBTOqd9969XVVffVX11bfVV9UiCAJNJgkgfCSESB9r0OSK5spoTVLXluKyWuvMM/P7sP= Vs7ZeVMUpj9s0sKkS+bgxXA4K4mTzu5W0KyzN7vwXCKK4ZMBxRu4PLFevEuOZx08WyOpztDJ6Zz= yTt5+cgbQdLPfuY9aeDdN76pUG0JBApDYv0mRXnqGymjtFOWCGFY29WZ8tG7fajoRgfbVuDZjlL= X9Nn5eNlmwsTbhlemTzLmPRLw6xxS63cd53A6Yd32F44H+ka78+TlsNXin0fPNZFWJBfMnG5GF9= zjfdfX9n2zTaHGfN8OVu/y2gm36cw33wY/8vRVskY5ttxi8jGhS0d6bNgsw3lsCMeaNtEGczfLE= 46AXG97EDGiyeLe3+BkW83CyfL9AdP7PALuij0zDLxmMb5WcZPKWEMx7JTXLNjKBL4kCNkHeGR7= 5fJMHXavtZlFDN8ygqGYr9siyg/zoPWojaERZ5+07qZmUj+24SFDjW2PKZJblmKx68cT8sznaVv= 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0rd/GP0vKBeBPvlqkVACpvud8qT0Ym8JpIjP73TGfXsAU3XFgKRwGL+JjlFg8ooNxqH4MnOsyB6= jIkquCHOT7UB4tRQ/a7DFgnP6sExpsDO9aqtPJK2cmlNJl2xPdkYjm2fyKEXTQCWlGYs0cWQD7N= /KW0/fE568w3jqfOJSyplesNaEXFMSf534dTfcgqFHcNRgmVvWLb6w+VEPKnLXyLjmRMYgVOo2o= c2gn4JSgEdsfjbXpghYBY2gojXPpyWsthnx20xB622m1cqiTJd/ap0uD4o9VrK20COCmv8HTQXi= q9pStkYAAAAASUVORK5CYII=3D" width=3D"423" height=3D"293" alt=3D"" /><a id=3D"fig1">Figura 1. N= iveles de competencia en el uso de inteligencia artificial en estudiantes d= e enfermer=C3=ADa basado en el modelo de Patricia Benner (3).</a></p= >En la <a hr= ef=3D"#fig1" style=3D"text-decoration:none">Figura 1</a> se describen las categor=C3=ADas organizadas seg=C3=BAn el modelo te= =C3=B3rico de Patricia Benner (3) quien describe el desarrollo de competenc= ias en enfermer=C3=ADa en cinco niveles: novato, principiante avanzado, com= petente, eficiente y experto. En relaci=C3=B3n con el nivel novato, se iden= tificaron dos categor=C3=ADas: conocimiento inicial (Con-Inic) y directrice= s o reglas. En las categor=C3=ADas Con-Inic emergieron dos subcategor=C3=AD= as, usos de la IA y tipos de IA. Y en = la categor=C3=ADa directrices o reglas, emergi=C3=B3 la categor=C3=ADa vali= daci=C3=B3n de informaci=C3=B3n con IA.Respecto a los usos de la IA, los participan= tes indicaron que su aplicaci=C3=B3n se concentra principalmente en el =C3= =A1mbito acad=C3=A9mico, especialmente para la elaboraci=C3=B3n de tareas, = b=C3=BAsqueda de informaci=C3=B3n y resoluci=C3=B3n de dudas te=C3=B3ricas.= En este sentido, varios informantes coinciden en este uso predominante, co= mo lo expresan Clavel, Dalia y Lila: =E2=80=9Cla utilizo para trabajos acad= =C3=A9micos=E2=80=9D, =E2=80=9Cla uso para tareas y consultas=E2=80=9D y = =E2=80=9Cprincipalmente para el estudio=E2=80=9D. Sin embargo, tambi=C3=A9n= se identific=C3=B3 su uso en el =C3=A1mbito hospitalario, aunque de manera= complementaria. Participantes como Tulip=C3=A1n, Orqu=C3=ADdea y Begonia s= e=C3=B1alan =E2=80=9Ctambi=C3=A9n la uso en el hospital para aclarar dudas= =E2=80=9D, evidenciando un uso incipiente orientado al apoyo previo a la pr= =C3=A1ctica cl=C3=ADnica.Y con relaci=C3=B3n a los tipos de IA m=C3=A1s utilizados,= los informantes manifestaron reconocer principalmente al ChatGPT y Gemini,= seguidas por Perplexity. Este hallazgo refleja un <sp= an style=3D"font-family:'Times New Roman'">conocimiento b=C3=A1sico centrad= o en plataformas ampliamente difundidas, con menor reconocimiento de otras = herramientas como Dola y Claude. En este sentido, algunos participantes se= =C3=B1alaron: =E2=80=9Cyo conozco el ChatGPT, aunque me parece que hay otra= s que se pueden utilizar=E2=80=9D (Azul) y =E2=80=9Ca mi parecer el ChatGPT= es el m=C3=A1s conocido=E2=80=9D (Celeste), lo que evidencia una familiari= dad inicial, pero a=C3=BAn limitada en cuanto a diversidad y profundidad en= el uso de distintas tecnolog=C3=ADas. En contraste, un grupo menor de part= icipantes hace referencia a herramientas menos difundidas, lo que refleja u= n conocimiento m=C3=A1s limitado o exploratorio. Por ejemplo, Girasol y Orq= u=C3=ADdea mencionan =E2=80=9CDola=E2=80=9D y =E2=80=9CClaude=E2=80=9D, ind= icando que estas plataformas no forman parte del uso habitual de la mayor= =C3=ADa de los informantes.En la segunda categor=C3=ADa del nivel novato, directric= es o reglas que aplican los estudiantes, en la subcategor=C3=ADa validaci= =C3=B3n de la informaci=C3=B3n, los participantes resaltaron la importancia= de contrastar la informaci=C3=B3n obtenida mediante IA con fuentes cient= =C3=ADficas confiables. En este sentido, varios informantes coinciden en el= uso de art=C3=ADculos cient=C3=ADficos y evidencia acad=C3=A9mica, como lo= expresan Girasol, Gardenia y Begonia: =E2=80=9Creviso art=C3=ADculos cient= =C3=ADficos=E2=80=9D, =E2=80=9Cbusco informaci=C3=B3n en fuentes confiables= =E2=80=9D y =E2=80=9Cme baso en art=C3=ADculos para validar=E2=80=9D. Asimi= smo, otros participantes como Celeste, Lirio y Tulip=C3=A1n destacan estrat= egias relacionadas con el uso de palabras clave y criterios de b=C3=BAsqued= a, se=C3=B1alando que =E2=80=9Cuso palabras clave=E2=80=9D, =E2=80=9Cbusco = bien la informaci=C3=B3n=E2=80=9D y =E2=80=9Cutilizo comandos para obtener = mejores resultados=E2=80=9D. Esto evidencia que, aun en un nivel inicial, e= xiste una intenci=C3=B3n de validar la informaci=C3=B3n, aunque todav=C3=AD= a basada en reglas b=C3=A1sicas y no en un criterio completamente consolida= do.En el= segundo nivel de Patricia Benner, principiante avanzado, se identific=C3= =B3 una categor=C3=ADa llamada experiencia en el uso de la IA con tres subc= ategor=C3=ADas: Tiempo de uso de las IA, desarrollo de habilidades y retroa= limentaci=C3=B3n. En la subcategor=C3=ADa tiempo de uso, se identific=C3=B3= una diversidad significativa entre los participantes. Un grupo se=C3=B1ala= haber iniciado el uso de la IA en etapas tempranas de su formaci=C3=B3n ac= ad=C3=A9mica, como lo expresan Azul, Clavel y Girasol: =E2=80=9Cdesde inicios de la= carrera=E2=80=9D, =E2=80=9Cen tercer semestre=E2=80=9D y =E2=80=9Ctambi=C3= =A9n desde los primeros semestres=E2=80=9D. Por otro lado, participantes co= mo Celeste, Violeta y Hortensia refieren un uso m=C3=A1s prolongado, indica= ndo que =E2=80=9Chace 2 o 3 a=C3=B1os=E2=80=9D, =E2=80=9Cdesde hace 2 a=C3= =B1os=E2=80=9D y =E2=80=9Centre 2 a 3 a=C3=B1os=E2=80=9D. Asimismo, otros i= nformantes como Dalia, Lila y Lirio sit=C3=BAan su inicio en contextos m=C3= =A1s recientes o espec=C3=ADficos, mencionando =E2=80=9Chace un a=C3=B1o=E2= =80=9D, =E2=80=9Cun a=C3=B1o y medio=E2=80=9D y =E2=80=9Cdespu=C3=A9s de la= pandemia=E2=80=9D. Esta diversidad evidencia distintos niveles de exposici= =C3=B3n y familiaridad con estas herramientas. Respecto a la subcategor=C3= =ADa desarrollo de habilidades, los resultados muestran percepciones divers= as en cuanto al impacto de la IA en el fortalecimiento del cuidado del paci= ente. Por un lado, un grupo de participantes reconoce mejoras en sus habili= dades, como lo se=C3=B1alan Dalia, Celeste, Clavel, Gardenia, Tulip=C3=A1n,= Violeta, Margarita, Hortensia y Lila, quienes coinciden en afirmar que =E2= =80=9Cs=C3=AD ha mejorado=E2=80=9D o =E2=80=9Cme ha ayudado a mejorar=E2=80= =9D. En contraste, otros participantes como Azul, Girasol, Orqu=C3=ADdea y = Begonia consideran que la IA no genera una mejora directa, sino que = funciona como a= poyo, expresando que =E2=80=9Cno ha mejorado=E2=80=9D, =E2=80=9Cno da para = una mejora=E2=80=9D, =E2=80=9Cno mejora, solo facilita=E2=80=9D y =E2=80=9C= es una ayuda m=C3=A1s que una mejora=E2=80=9D. Finalmente, Lirio adopta una= postura intermedia al indicar que =E2=80=9Cdepende del uso=E2=80=9D, lo qu= e sugiere una valoraci=C3=B3n condicionada por la forma en que se emplea la= herramienta.En cuanto a la subcategor=C3=ADa retroalimentaci=C3=B3n, se evidencia = que el aprendizaje en el uso de la IA proviene principalmente de procesos d= e autoeducaci=C3=B3n. Participantes como Celeste, Lirio, Orqu=C3=ADdea, Vio= leta, Margarita, Begonia, Hortensia y Lila coinciden en se=C3=B1alar que = =E2=80=9Che aprendido por mi cuenta=E2=80=9D o =E2=80=9Cpor autoeducaci=C3= =B3n=E2=80=9D, lo que refleja un alto grado de iniciativa individual. Por o= tro lado, Azul, Clavel, Gardenia y Tulip=C3=A1n destacan la influencia de s= us pares, indicando que =E2=80=9Cpor compa=C3=B1eros=E2=80=9D o =E2=80=9Cco= n ayuda de compa=C3=B1eros=E2=80=9D. Asimismo, Girasol menciona una formaci= =C3=B3n m=C3=A1s estructurada al se=C3=B1alar que =E2=80=9Cpor una materia = de las TIC=E2=80=9D, mientras que Dalia refiere el uso de recursos digitale= s al indicar que =E2=80=9Cpor videos educativos=E2=80=9D. Esto evidencia qu= e, aunque predomina el aprendizaje aut=C3=B3nomo, tambi=C3=A9n existen dive= rsas fuentes de retroalimentaci=C3=B3n que contribuyen al uso de la IA.</sp= an>El tercer ni= vel, nivel competente seg=C3=BAn Patricia Benner, se identific=C3=B3 una ca= tegor=C3=ADa: Integraci=C3=B3n de la IA y dos subcategor=C3=ADas: procedimi= entos y cuidado cl=C3=ADnico y cognitivo. Por un lado, un grupo de participantes reconoce el uso de la IA como he= rramienta de apoyo en procedimientos espec=C3=ADficos. En este sentido, den= tro de la subcategor=C3=ADa de procedimientos, Azul, Girasol y Orqu=C3=ADde= a coinciden en su aplicaci=C3=B3n para =E2=80=9Cadministraci=C3=B3n de medi= camentos=E2=80=9D y =E2=80=9Cc=C3=A1lculo de dosis=E2=80=9D. De igual maner= a, Celeste y Gardenia se=C3=B1alan su uso para =E2=80=9Crevisar pasos de pr= ocedimientos=E2=80=9D y =E2=80=9Ccuidados de enfermer=C3=ADa en procedimien= tos que realizaron antes=E2=80=9D. Asimismo, Margarita, Begonia y Hortensia= ampl=C3=ADan su aplicaci=C3=B3n al mencionar =E2=80=9Ccuraci=C3=B3n de her= idas=E2=80=9D, =E2=80=9Cmanejo de efectos adversos y tipos de heridas=E2=80= =9D y =E2=80=9Curgencias obst=C3=A9tricas y procedimientos quir=C3=BArgicos= =E2=80=9D. Por otro lado, un grupo importante de participantes indica no utilizar l= a IA en procedimientos cl=C3=ADnicos. Dalia, Clavel, Lirio, Violeta y Lila = coinciden en se=C3=B1alar =E2=80=9Cninguno=E2=80=9D, lo que evidencia una r= esistencia o limitaci=C3=B3n en la incorporaci=C3=B3n de estas herramientas= durante la pr=C3=A1ctica directa.Respecto a la subcategor=C3=ADa cuidado cl=C3=ADn= ico y cognitivo, los resultados muestran que la mayor=C3=ADa de los partici= pantes considera que la IA debe utilizarse principalmente como un recurso p= revio o posterior al contacto con el paciente, m=C3=A1s que durante la aten= ci=C3=B3n directa. En este sentido, varios participantes coinciden en que s= u uso debe realizarse antes del contacto con el paciente. Por ejemplo, Azul= , Gardenia, Tulip=C3=A1n y Orqu=C3=ADdea se=C3=B1alan que =E2=80=9Cse debe = usar antes para tener conocimiento previo=E2=80=9D, =E2=80=9Cantes bas=C3= =A1ndose en evidencia cient=C3=ADfica=E2=80=9D, =E2=80=9Cantes para recorda= r informaci=C3=B3n=E2=80=9D y =E2=80=9Cantes para reforzar lo que ya se sab= e=E2=80=9D.De manera similar, Celeste, Clavel y Violeta indican que la IA puede uti= lizarse =E2=80=9Cantes o despu=C3=A9s=E2=80=9D del cuidado, pero no durante= la intervenci=C3=B3n directa. Por otro lado, participantes como Dalia, Beg= onia, Hortensia y Lila manifiestan una postura m=C3=A1s restrictiva, se=C3= =B1alando que =E2=80=9Cno se puede integrar en el cuidado directo=E2=80=9D,= =E2=80=9Csolo como investigaci=C3=B3n r=C3=A1pida antes o despu=C3=A9s=E2= =80=9D o =E2=80=9Cgenera desconfianza en la atenci=C3=B3n=E2=80=9D. En cont= raste, algunos participantes presentan una visi=C3=B3n m=C3=A1s flexible so= bre su integraci=C3=B3n. Girasol y Tulip=C3=A1n consideran que =E2=80=9Cse = puede usar como ayuda incluso durante alg=C3=BAn procedimiento que no se co= noce=E2=80=9D y que =E2=80=9Cpodr=C3=ADa integrarse en el trabajo cotidiano= =E2=80=9D, mientras que Lirio destaca que =E2=80=9Cpuede facilitar la carga= laboral y permitir m=C3=A1s contacto con el paciente=E2=80=9D. Estas difer= encias reflejan distintos niveles de aceptaci=C3=B3n y confianza en la IA d= entro del entorno cl=C3=ADnico.En el cuarto nivel se=C3=B1alado por Patricia Benner= , nivel eficiente, se emerge una categor=C3=ADa denominada comprensi=C3=B3n= integral del cuidado con dos subcategor=C3=ADas: Pensamiento cr=C3=ADtico = y cuidado humanizado. En la subcategor=C3=ADa pensamiento cr=C3=ADtico, los= resultados muestran un consenso claro entre los participantes al se=C3=B1a= lar que la IA no puede reemplazar el juicio cl=C3=ADnico del profesional. E= n este sentido, Girasol, Dalia, Clavel, Gardenia, Lirio, Tulip=C3=A1n, Orqu= =C3=ADdea, Violeta, Begonia, Hortensia y Lila coinciden en afirmar que =E2= =80=9Cno se puede reemplazar el pensamiento cr=C3=ADtico=E2=80=9D, =E2=80= =9Ces propio del profesional=E2=80=9D o =E2=80=9Cdepende del criterio de ca= da uno=E2=80=9D. Estas expresiones reflejan la importancia atribuida al jui= cio cl=C3=ADnico como eje central en la toma de decisiones. Por otro lado, = algunos participantes reconocen que la IA puede funcionar como complemento = en este proceso. Azul y Margarita se=C3=B1alan que =E2=80=9Cpuede ayudar co= mo complemento para tomar decisiones=E2=80=9D y que =E2=80=9Cdepende de c= =C3=B3mo se use, es una ayuda=E2=80=9D, lo que evidencia una visi=C3=B3n m= =C3=A1s integradora, aunque sin restar protagonismo al pensamiento cr=C3=AD= tico del profesional. En cuanto a la subcategor=C3=ADa cuidado humanizado, los resu= ltados muestran una postura igualmente consistente entre los participantes,= quienes coinciden en que este no puede ser sustituido por la IA. En este s= entido, Azul, Gardenia, Lirio, Margarita y Begonia enfatizan que =E2=80=9Ce= l cuidado humanizado es =C3=BAnico=E2=80=9D, =E2=80=9Ces individualizado=E2= =80=9D, =E2=80=9Cno es general como lo da la IA=E2=80=9D, =E2=80=9Cno depende de u= na plataforma=E2=80=9D y =E2=80=9Cincluye respeto y apoyo emocional=E2=80= =9D. Estas afirmaciones destacan la dimensi=C3=B3n =C3=A9tica y relacional = del cuidado. De manera complementaria, Celeste, Clavel, Dalia y Girasol coi= nciden en que, si bien la IA no reemplaza el cuidado humanizado, su uso ade= cuado podr=C3=ADa contribuir indirectamente a su fortalecimiento, siempre q= ue exista criterio cl=C3=ADnico. En este sentido, se=C3=B1alan que =E2=80= =9Cse debe tener criterio propio para usar la IA=E2=80=9D, =E2=80=9Ces impo= rtante saber usarla=E2=80=9D y =E2=80=9Cprimero conocer al paciente antes d= e utilizarla=E2=80=9D. Asimismo, Tulip=C3=A1n, Orqu=C3=ADdea, Violeta, Hortensia y = Lila profundizan en el significado del cuidado humanizado, destacando que i= mplica =E2=80=9Ctratar al paciente como persona=E2=80=9D, =E2=80=9Cbrindar = confianza=E2=80=9D, =E2=80=9Catenci=C3=B3n individualizada=E2=80=9D, =E2=80= =9Cverlo como un ser humano integral=E2=80=9D y =E2=80=9Cestar presente tam= bi=C3=A9n en lo emocional=E2=80=9D. Estas expresiones refuerzan la idea de = que el cuidado humanizado trasciende lo t=C3=A9cnico y se fundamenta en la relaci= =C3=B3n directa enfermero-paciente.De la misma manera, en el =C3=BAltimo nivel se= =C3=B1alado por Benner, el nivel experto, surgieron dos categor=C3=ADas: Ni= vel de dominio (subcategor=C3=ADa autopercepci=C3=B3n) y tr=C3=A1nsito y pr= ogresi=C3=B3n (subcategor=C3=ADa percepci=C3=B3n del impacto). En la catego= r=C3=ADa nivel de dominio, subcategor=C3=ADa autopercepci=C3=B3n, un grupo = de estudiantes se identifica en niveles iniciales o intermedios, como lo ex= presan Girasol, Dalia, Clavel, Lirio, Violeta y Begonia, quienes coinciden = en se=C3= =B1alar que se encuentran en un =E2=80=9Cnivel 2 principiante avanzado=E2= =80=9D, argumentando que =E2=80=9Cconocen lo b=C3=A1sico=E2=80=9D, =E2=80= =9Cest=C3=A1n empezando, pero ya tienen algo de experiencia=E2=80=9D o =E2= =80=9Csaben usarla, pero no la aprovechan al 100%=E2=80=9D. Por otro lado, = participantes como Gardenia, Tulip=C3=A1n y Margarita se ubican en un nivel= intermedio superior, indicando que est=C3=A1n en un =E2=80=9Cnivel 3 compe= tente=E2=80=9D, ya que =E2=80=9Csaben utilizar la herramienta, pero a=C3=BA= n no la dominan completamente=E2=80=9D o =E2=80=9Ccombinan su uso con la ex= periencia adquirida en el internado=E2=80=9D. Asimismo, Azul, Celeste y Lila se per= ciben en un nivel m=C3=A1s avanzado, identific=C3=A1ndose como =E2=80=9Cniv= el 4 eficiente=E2=80=9D, al considerar que =E2=80=9Cpueden manejar la IA de= forma pr=C3=A1ctica=E2=80=9D y que =E2=80=9Cles ayuda a resolver diferente= s situaciones=E2=80=9D. En contraste, Orqu=C3=ADdea y Hortensia se posicion= an en un nivel inicial, se=C3=B1alando que se encuentran en =E2=80=9Cnivel = novato=E2=80=9D, debido a que =E2=80=9Cno utilizan la IA de forma frecuente= =E2=80=9D o =E2=80=9Csu uso es muy b=C3=A1sico=E2=80=9D. Estas diferencias = reflejan distintos grados de apropiaci=C3=B3n tecnol=C3=B3gica entre los pa= rticipantes.En cuanto a la categor=C3=ADa tr=C3=A1nsito y progresi=C3=B3n de la IA,= en la subcategor=C3=ADa percepci=C3=B3n de impacto, la mayor=C3=ADa de los= participantes coincide en que el uso adecuado de la IA puede favorecer el = avance entre los niveles de competencia. En este sentido, Azul, Girasol, Da= lia, Clavel, Gardenia, Lirio y Tulip=C3=A1n se=C3=B1alan que =E2=80=9Cfacil= ita el tr=C3=A1nsito entre niveles=E2=80=9D, =E2=80=9Cayuda en la investiga= ci=C3=B3n=E2=80=9D, =E2=80=9Cpermite acceder m=C3=A1s r=C3=A1pido a la info= rmaci=C3=B3n=E2=80=9D y que =E2=80=9Csi se aprende a usar correctamente, se= puede llegar a un nivel experto=E2=80=9D. De manera similar, Celeste y Lil= a consideran que la IA contribuye principalmente en el =C3=A1mbito te=C3=B3= rico, indicando que =E2=80=9Cayuda m=C3=A1s en lo te=C3=B3rico que en lo pr= =C3=A1ctico=E2=80=9D y que =E2=80=9Cpuede mejorar siempre que se complement= e con informaci=C3=B3n cient=C3=ADfica confiable=E2=80=9D.Por otro lado, algunos p= articipantes expresan posturas m=C3=A1s cr=C3=ADticas o limitantes frente a= este proceso. Violeta, Begonia y Hortensia coinciden en se=C3=B1alar que = =E2=80=9Cdepende del uso que se le d=C3=A9=E2=80=9D, =E2=80=9Cno es 100% co= nfiable=E2=80=9D y que =E2=80=9Cse deben poner l=C3=ADmites para no afectar= el pensamiento cr=C3=ADtico=E2=80=9D. Asimismo, Orqu=C3=ADdea introduce un= factor adicional al mencionar que =E2=80=9Cexiste un l=C3=ADmite en el acc= eso a la IA, ya que algunas funciones son pagadas=E2=80=9D, lo que puede in= fluir en su aprovechamiento. As=C3=AD tambi=C3=A9n, Margarita adopta una po= stura intermedia al indicar que =E2=80=9Cse puede mejorar, aunque nadie lle= ga a ser completamente experto=E2=80=9D, lo que refleja una visi=C3=B3n rea= lista del proceso de aprendizaje continuo.<ol start=3D"4" style= =3D"margin:0pt; padding-left:0pt"><li class=3D"ListParagraph" style=3D"marg= in-left:17.3pt; margin-bottom:10pt; line-height:107%; padding-left:4pt; fon= t-family:'Times New Roman'; font-size:12pt; font-weight:bold; color:#948a54= ">Discusi=C3=B3n </li></ol>En los niveles iniciales correspondientes al nivel novato, los= estudiantes reconocen principalmente herramientas de inteligencia artifici= al como ChatGPT y Gemini, mientras que plataformas como Claude, Dola y Perp= lexity fueron mencionadas con menor frecuencia. Este hallazgo demuestra que= el acercamiento inicial de los participantes hacia la IA se centra en herr= amientas ampliamente difundidas y de f=C3=A1cil acceso, utilizadas principa= lmente para resolver necesidades inmediatas de aprendizaje. Estudios recien= tes indican que los estudiantes de enfermer=C3=ADa tienden a emplear inicia= lmente plataformas generativas populares debido a su facilidad de uso y r= =C3=A1pida disponibilidad de informaci=C3=B3n (5)(6). Desde la perspectiva = de Patricia Benner, el nivel novato se caracteriza por la dependencia de re= glas, conocimientos b=C3=A1sicos y experiencias limitadas para desenvolvers= e dentro de los escenarios acad=C3=A9micos y cl=C3=ADnicos (14)(15). </span= >En este sentid= o, el reconocimiento predominante de herramientas conocidas evidencia un ni= vel inicial de apropiaci=C3=B3n tecnol=C3=B3gica, donde el estudiante a=C3= =BAn no explora de manera profunda aplicaciones m=C3=A1s especializadas ori= entadas al razonamiento cl=C3=ADnico avanzado. Asimismo, el limitado conoci= miento sobre otras plataformas refleja que el uso de IA todav=C3=ADa se enc= uentra en una fase exploratoria dentro del proceso formativo. Esto coincide= con estudios que se=C3=B1alan que los estudiantes de ciencias de la salud = suelen iniciar el uso de IA mediante herramientas conversacionales de acces= o general, antes de integrar tecnolog=C3=ADas m=C3=A1s complejas o especial= izadas en la pr=C3=A1ctica cl=C3=ADnica (11)(16). Por consiguiente, los hal= lazgos evidencian que los participantes se encuentran en un proceso inicial= de familiarizaci=C3=B3n tecnol=C3=B3gica, lo cual constituye una base para= avanzar hacia niveles superiores de competencia en el uso de IA.</p= >En relaci=C3=B3n c= on la subcategor=C3=ADa, usos de la IA, los participantes se=C3=B1alaron qu= e estas herramientas son empleadas principalmente para actividades acad=C3= =A9micas como elaboraci=C3=B3n de tareas, b=C3=BAsqueda de informaci=C3=B3n= y resoluci=C3=B3n de dudas te=C3=B3ricas. De manera complementaria, alguno= s estudiantes mencionaron su utilizaci=C3=B3n dentro del =C3=A1mbito hospit= alario para aclarar procedimientos o reforzar conocimientos previos antes d= e la atenci=C3=B3n cl=C3=ADnica. Estos resultados coinciden con investigaci= ones donde se reporta que la IA es utilizada por estudiantes de enfermer=C3= =ADa como apoyo educativo, recurso de consulta r=C3=A1pida y herramienta pa= ra fortalecer el aprendizaje aut=C3=B3nomo (6)(11)(16). En concordancia con Benner = (3) el estudiante novato necesita apoyarse en recursos externos y conocimie= ntos te=C3=B3ricos para afrontar situaciones nuevas, por lo que la IA funci= ona como una herramienta de orientaci=C3=B3n inicial dentro del proceso de = aprendizaje (14). Adem=C3=A1s, el predominio del uso acad=C3=A9mico demuest= ra que la IA a=C3=BAn es percibida principalmente como un recurso de apoyo = cognitivo m=C3=A1s que como una herramienta integrada completamente en el c= uidado cl=C3=ADnico. Esto evidencia que el estudiante prioriza el fortaleci= miento de conocimientos te=C3=B3ricos antes de aplicar estas tecnolog=C3=AD= as en contextos asistenciales complejos. Dentro de la categor=C3=ADa directrices = o reglas, con su subcategor=C3=ADa validaci=C3=B3n de informaci=C3=B3n los = participantes destacaron la importancia de validar la informaci=C3=B3n obte= nida mediante IA utilizando art=C3=ADculos cient=C3=ADficos, gu=C3=ADas cl= =C3=ADnicas y fuentes confiables, lo cual evidencia una preocupaci=C3=B3n i= nicial por la veracidad y seguridad de los contenidos empleados durante su = formaci=C3=B3n. Este hallazgo coincide con estudios que se=C3=B1alan que un= o de los principales desaf=C3=ADos del uso de IA en estudiantes de ciencias= de la salud corresponde a la necesidad de verificar cr=C3=ADticamente la i= nformaci=C3=B3n generada por estas herramientas, debido al riesgo de respue= stas incompletas, inexactas o descontextualizadas (12)(16). En este context= o, los estudiantes reconocen que la IA no debe considerarse una fuente abso= luta de conocimiento, sino un recurso complementario que requiere validaci= =C3=B3n cient=C3=ADfica antes de ser aplicado en escenarios acad=C3=A9micos= o cl=C3=ADnicos. Desde la teor=C3=ADa de Patricia Benner (3) el nivel novato se ca= racteriza por la actuaci=C3=B3n basada en reglas y lineamientos externos de= bido a la limitada experiencia pr=C3=A1ctica. La validaci=C3=B3n de informa= ci=C3=B3n mediante evidencia cient=C3=ADfica representa una estrategia que = permite al estudiante reducir la incertidumbre y fortalecer progresivamente= su seguridad durante el proceso formativo. Por consiguiente, aunque los pa= rticipantes a=C3=BAn no poseen un juicio cl=C3=ADnico completamente consoli= dado, comienzan a desarrollar habilidades relacionadas con el pensamiento c= r=C3=ADtico, la b=C3=BAsqueda de informaci=C3=B3n confiable y la pr=C3=A1ct= ica basada en evidencia (14).En el nivel principiante avanzado, con su categor=C3= =ADa experiencia de uso, en la subcategor=C3=ADa tiempo de uso de la IA, ev= idenciaron diferencias importantes entre los participantes, observ=C3=A1ndo= se estudiantes que comenzaron a utilizar estas herramientas desde los prime= ros semestres de la carrera y otros que las incorporaron recientemente, des= pu=C3=A9s de la pandemia. Este hallazgo refleja una incorporaci=C3=B3n prog= resiva de tecnolog=C3=ADas digitales dentro de la formaci=C3=B3n en enferme= r=C3=ADa, influenciada por el contexto educativo, el acceso a plataformas d= igitales y la necesidad de fortalecer modalidades de aprendizaje aut=C3=B3n= omo. Investigaciones recientes se=C3=B1alan que el uso de IA en estudiantes= universitarios se ha intensificado en los =C3=BAltimos a=C3=B1os, especial= mente por la disponibilidad de herramientas generativas aplicadas al aprend= izaje y a la resoluci=C3=B3n de problemas acad=C3=A9micos (5)(6)(16). </spa= n>Seg=C3=BAn Pa= tricia Benner, el principiante avanzado comienza a reconocer situaciones re= currentes a partir de experiencias previas, aunque todav=C3=ADa presenta li= mitaciones para interpretar integralmente escenarios complejos (14). En est= e sentido, el mayor tiempo de exposici=C3=B3n a herramientas de IA favorece= el desarrollo de mayor familiaridad tecnol=C3=B3gica y permite al estudian= te integrar progresivamente estos recursos dentro de sus actividades acad= =C3=A9micas y cl=C3=ADnicas. Por tanto, la experiencia acumulada influye di= rectamente en el fortalecimiento de competencias relacionadas con el uso de= IA, aunque esta progresi=C3=B3n no ocurre de manera uniforme en todos los = participantes.Respecto a la subcategor=C3=ADa, desarrollo de habilidades, la mayor= =C3=ADa de los participantes consider=C3=B3 que la IA contribuye favorablem= ente al fortalecimiento de conocimientos relacionados con el cuidado del pa= ciente, especialmente en la b=C3=BAsqueda de informaci=C3=B3n, comprensi=C3= =B3n de procedimientos y refuerzo del razonamiento cl=C3=ADnico. No obstant= e, algunos estudiantes manifestaron que estas herramientas funcionan =C3=BA= nicamente como apoyo complementario y no como sustituto de la experiencia c= l=C3=ADnica. Estos resultados coinciden con investigaciones recientes donde= se se=C3=B1ala que la IA favorece el aprendizaje personalizado, la organiz= aci=C3=B3n de informaci=C3=B3n y el fortalecimiento de habilidades cognitiv= as, aunque el desarrollo de competencias cl=C3=ADnicas contin=C3=BAa depend= iendo de la pr=C3=A1ctica y experiencia profesional (5)(11)(17). </p= >En concordancia co= n Benner, el principiante avanzado empieza a adquirir mayor confianza media= nte la repetici=C3=B3n de experiencias y el reconocimiento progresivo de si= tuaciones cl=C3=ADnicas (14). En este contexto, la IA facilita el acceso r= =C3=A1pido a informaci=C3=B3n relevante y contribuye al fortalecimiento de = habilidades acad=C3=A9micas y cognitivas, favoreciendo el tr=C3=A1nsito hac= ia niveles superiores de competencia. Sin embargo, los participantes recono= cen que el aprendizaje pr=C3=A1ctico, la supervisi=C3=B3n docente y el cont= acto directo con el paciente contin=C3=BAan siendo fundamentales dentro del= proceso formativo.De igual manera, en la subcategor=C3=ADa, retroalimentaci=C3=B3n= los participantes se=C3=B1alaron que el uso de IA proviene principalmente = de procesos de autoeducaci=C3=B3n, apoyo entre compa=C3=B1eros y recursos d= igitales, mientras que la formaci=C3=B3n institucional sobre estas herramie= ntas a=C3=BAn resulta limitada. Este hallazgo evidencia que gran parte del = aprendizaje relacionado con IA ocurre de manera aut=C3=B3noma y colaborativ= a, situaci=C3=B3n que coincide con estudios donde los estudiantes desarroll= an competencias digitales mediante experiencias autodirigidas, aprendizaje = entre pares y exploraci=C3=B3n de herramientas tecnol=C3=B3gicas (6)(11)(12= ). Desde= la perspectiva de Patricia Benner, el principiante avanzado requiere orien= taci=C3=B3n y experiencias continuas para fortalecer progresivamente sus co= mpetencias (14). En consecuencia, la retroalimentaci=C3=B3n constituye un e= lemento esencial para favorecer la apropiaci=C3=B3n tecnol=C3=B3gica y el d= esarrollo de habilidades relacionadas con el uso cr=C3=ADtico de la IA. Por= ello, los resultados evidencian la necesidad de incorporar estrategias for= mativas m=C3=A1s estructuradas dentro de los programas de enfermer=C3=ADa, = orientadas al fortalecimiento de competencias digitales, razonamiento cl=C3= =ADnico y uso responsable de estas herramientas.En el nivel competente, con su cate= gor=C3=ADa integraci=C3=B3n de la IA y su subcategor=C3=ADa procedimientos,= los participantes indicaron que la IA es utilizada como apoyo complementar= io especialmente en administraci=C3=B3n de medicamentos, c=C3=A1lculo de do= sis, revisi=C3=B3n de cuidados y preparaci=C3=B3n previa a determinados pro= cedimientos cl=C3=ADnicos. Este hallazgo evidencia una integraci=C3=B3n m= =C3=A1s contextualizada de la tecnolog=C3=ADa dentro del cuidado enfermero,= donde la IA deja de ser utilizada =C3=BAnicamente para actividades acad=C3= =A9micas y comienza a incorporarse en escenarios relacionados con la pr=C3= =A1ctica cl=C3=ADnica. Investigaciones recientes se=C3=B1alan que las herra= mientas basadas en IA pueden contribuir al fortalecimiento del razonamiento= cl=C3=ADnico, la toma de decisiones y la seguridad en procedimientos asist= enciales cuando son utilizadas como apoyo y no como sustituto del profesion= al (16)(17)(18)(19). Seg=C3=BAn Patricia Benner, el nivel competente se caracteriza= por la capacidad del estudiante para planificar, priorizar y organizar sus= acciones cl=C3=ADnicas de manera m=C3=A1s consciente y estructurada (14). = En este sentido, los participantes evidencian una mayor apropiaci=C3=B3n te= cnol=C3=B3gica al utilizar la IA como apoyo para procedimientos relacionado= s con el cuidado, integrando conocimientos te=C3=B3ricos y experiencia pr=C3=A1ctic= a. No obstante, contin=C3=BAan reconociendo la necesidad de complementar la= informaci=C3=B3n obtenida mediante IA con criterios cl=C3=ADnicos y conoci= mientos cient=C3=ADficos confiables.En relaci=C3=B3n con la subcategor=C3=ADa el cu= idado cl=C3=ADnico y cognitivo, la mayor=C3=ADa de los participantes manife= st=C3=B3 que la IA debe utilizarse principalmente antes o despu=C3=A9s del = contacto con el paciente, como herramienta de apoyo para reforzar conocimie= ntos o resolver dudas cl=C3=ADnicas. Este resultado demuestra que los estud= iantes reconocen l=C3=ADmites importantes respecto al uso de tecnolog=C3=AD= as dentro de la atenci=C3=B3n directa, priorizando el juicio cl=C3=ADnico, = la seguridad del paciente y la responsabilidad profesional. Diversos autore= s se=C3=B1alan que la IA puede optimizar procesos de atenci=C3=B3n y facili= tar el acceso r=C3=A1pido a informaci=C3=B3n cient=C3=ADfica; sin embargo, = las decisiones relacionadas con el cuidado contin=C3=BAan dependiendo del r= azonamiento humano y de la experiencia profesional (18)(19). Asimismo, algunos part= icipantes manifestaron preocupaci=C3=B3n respecto a la dependencia tecnol= =C3=B3gica y a la posibilidad de afectar el pensamiento cr=C3=ADtico si la = IA se utiliza de manera excesiva. Este hallazgo resulta relevante porque ev= idencia una postura cr=C3=ADtica frente a la incorporaci=C3=B3n tecnol=C3= =B3gica, donde los estudiantes reconocen tanto sus beneficios como sus limi= taciones. En consecuencia, la integraci=C3=B3n de la IA dentro del cuidado = cl=C3=ADnico debe realizarse de manera equilibrada, favoreciendo el razonam= iento cl=C3=ADnico sin sustituir la autonom=C3=ADa profesional ni la capaci= dad de an=C3=A1lisis del estudiante, aspecto que tambi=C3=A9n es se=C3=B1al= ado por organismos internacionales al advertir que la IA en salud debe empl= earse bajo criterios de seguridad, transparencia, supervisi=C3=B3n humana y= responsabilidad =C3=A9tica (16)(20).En el nivel eficiente, con su categor=C3=ADa c= omprensi=C3=B3n integral del cuidado con su subcategor=C3=ADa pensamiento c= r=C3=ADtico, los participantes coincidieron en que la IA puede complementar= el pensamiento cr=C3=ADtico, aunque no reemplazarlo, debido a que la toma = de decisiones cl=C3=ADnicas depende de la experiencia, el an=C3=A1lisis con= textual y el juicio profesional. Este hallazgo coincide con investigaciones= relacionadas con =C3=A9tica e inteligencia artificial en salud, donde se e= stablece que estas tecnolog=C3=ADas carecen de razonamiento moral y de capa= cidad para comprender integralmente las necesidades humanas (16)(20). En co= nsecuencia, los estudiantes reconocen que el pensamiento cr=C3=ADtico const= ituye una competencia esencial dentro de la pr=C3=A1ctica enfermera y que l= a IA debe utilizarse =C3=BAnicamente como apoyo durante el proceso de apren= dizaje y cuidado. Desde la teor=C3=ADa de Patricia Benner, el nivel eficiente se ca= racteriza por una comprensi=C3=B3n m=C3=A1s global e intuitiva de las situa= ciones cl=C3=ADnicas, permitiendo actuar con mayor seguridad y criterio pro= fesional (14). En este contexto, los participantes demuestran una visi=C3= =B3n m=C3=A1s reflexiva respecto al uso de la IA, reconociendo que su efect= ividad depende del an=C3=A1lisis cr=C3=ADtico y de la capacidad del estudia= nte para interpretar correctamente la informaci=C3=B3n obtenida. Por tanto,= el pensamiento cr=C3=ADtico se consolida como una competencia esencial par= a garantizar un uso seguro de la IA dentro del cuidado de enfermer=C3=ADa.<= /span>En relaci= =C3=B3n con la subcategor=C3=ADa, cuidado humanizado, los participantes se= =C3=B1alaron que la IA no puede sustituir elementos esenciales del cuidado = enfermero como la empat=C3=ADa, la comunicaci=C3=B3n, el acompa=C3=B1amient= o emocional y la atenci=C3=B3n individualizada. Este resultado evidencia qu= e los estudiantes comprenden el cuidado como un proceso integral fundamenta= do en la interacci=C3=B3n humana y no =C3=BAnicamente en procedimientos t= =C3=A9cnicos. Desde la formaci=C3=B3n enfermera, el desarrollo de competenc= ias no se limita a la ejecuci=C3=B3n de actividades cl=C3=ADnicas, sino que= tambi=C3=A9n implica la construcci=C3=B3n de una relaci=C3=B3n terap=C3=A9= utica, =C3=A9tica y sensible con el paciente, aspecto que se relaciona con = la comprensi=C3=B3n integral del cuidado propuesta en la formaci=C3=B3n bas= ada en Benner (4)(10)(14). Asimismo, los participantes consideran que el uso inadec= uado de la IA podr=C3=ADa afectar la individualizaci=C3=B3n del cuidado si = se prioriza la tecnolog=C3=ADa sobre la interacci=C3=B3n humana. Este punto= coincide con los enfoques =C3=A9ticos sobre IA en salud, los cuales advier= ten que la incorporaci=C3=B3n tecnol=C3=B3gica debe preservar la dignidad, la auton= om=C3=ADa y la centralidad de la persona atendida (16)(20). En consecuencia= , la IA puede fortalecer el cuidado cuando se utiliza como apoyo para acced= er a informaci=C3=B3n y organizar el razonamiento cl=C3=ADnico, pero no deb= e desplazar la presencia, comunicaci=C3=B3n y sensibilidad que caracterizan= la pr=C3=A1ctica enfermera.As=C3=AD tambi=C3=A9n, en el nivel experto, con su cate= gor=C3=ADa nivel de dominio en la subcategor=C3=ADa autopercepci=C3=B3n, lo= s participantes se=C3=B1alaron que se encuentran en distintos niveles de do= minio respecto al uso de IA, predominando aquellos que se consideran en niv= eles intermedios como principiante avanzado y competente. Este hallazgo evi= dencia diferencias importantes en la apropiaci=C3=B3n tecnol=C3=B3gica de l= os estudiantes, relacionadas con la experiencia, frecuencia de uso y capaci= taci=C3=B3n recibida. Investigaciones recientes se=C3=B1alan que el desarro= llo de competencias digitales en enfermer=C3=ADa depende de la exposici=C3= =B3n progresiva a tecnolog=C3=ADas, la alfabetizaci=C3=B3n en IA y la integ= raci=C3=B3n de herramientas innovadoras dentro de la formaci=C3=B3n acad=C3= =A9mica (5)(21)(22). Desde el modelo de Patricia Benner, el tr=C3=A1nsito entre niv= eles ocurre progresivamente mediante la acumulaci=C3=B3n de experiencia y e= l fortalecimiento del juicio cl=C3=ADnico (14). En este sentido, la autoper= cepci=C3=B3n de los participantes refleja que el dominio de la IA a=C3=BAn = se encuentra en proceso de consolidaci=C3=B3n y que muchos estudiantes reco= nocen limitaciones relacionadas con el uso avanzado de estas herramientas d= entro de escenarios cl=C3=ADnicos reales. Por ello, el nivel experto no se = alcanza =C3=BAnicamente por utilizar IA con frecuencia, sino por integrar l= a tecnolog=C3=ADa con experiencia cl=C3=ADnica, pensamiento cr=C3=ADtico y = toma de decisiones fundamentada.Asimismo, dentro de la categor=C3=ADa tr=C3=A1nsito= y progresi=C3=B3n de la IA, los participantes consideraron que el uso adec= uado puede favorecer el tr=C3=A1nsito hacia niveles superiores de competenc= ia al facilitar el acceso r=C3=A1pido a informaci=C3=B3n cient=C3=ADfica y = fortalecer el aprendizaje aut=C3=B3nomo. Reconocieron tambi=C3=A9n que la e= xperiencia acumulada y el uso frecuente de estas herramientas permito mejor= ar progresivamente su capacidad para resolver dudas acad=C3=A9micas y cl=C3= =ADnicas. Este hallazgo coincide con estudios recientes donde se plantea qu= e la integraci=C3=B3n de IA dentro de la formaci=C3=B3n en salud favorece e= l desarrollo progresivo de competencias relacionadas con el razonamiento cl= =C3=ADnico, la toma de decisiones y la preparaci=C3=B3n para escenarios asi= stenciales complejos (11)(17)(19). No obstante, los participantes identificaron li= mitaciones relacionadas con la confiabilidad de la informaci=C3=B3n, el acc= eso restringido a ciertas plataformas y la dependencia tecnol=C3=B3gica. En= consecuencia, consideran que el tr=C3=A1nsito hacia niveles superiores des= critos por Patricia Benner no depende exclusivamente del uso de IA, sino ta= mbi=C3=A9n de la experiencia cl=C3=ADnica, el pensamiento cr=C3=ADtico y la= integraci=C3=B3n adecuada entre conocimiento cient=C3=ADfico y pr=C3=A1cti= ca profesional (14). <ol start=3D"5" style=3D"margin:0pt; paddin= g-left:0pt"><li class=3D"ListParagraph" style=3D"margin-left:17.3pt; margin= -bottom:10pt; line-height:107%; padding-left:4pt; font-family:'Times New Ro= man'; font-size:12pt; font-weight:bold; color:#948a54">Conclusiones</li></ol><ul style=3D"margin:0pt; padding-lef= t:0pt"><li class=3D"ListParagraph" style=3D"margin-left:32.33pt; margin-bot= tom:0pt; text-align:justify; line-height:115%; padding-left:3.67pt; font-fa= mily:serif; font-size:12pt">L= os resultados del estudio permitieron analizar el nivel de competencia de l= os estudiantes de enfermer=C3=ADa en el uso de la inteligencia artificial s= eg=C3=BAn el modelo de Patricia Benner, evidenci=C3=A1ndose una progresi=C3= =B3n gradual desde niveles iniciales hasta niveles intermedios de competenc= ia. Los participantes reconocen que estas herramientas deben utilizarse com= o apoyo complementario y no como sustituto del juicio cl=C3=ADnico ni de la= toma de decisiones profesionales durante la atenci=C3=B3n directa al pacie= nte.</li><li class=3D"ListParagraph" style=3D"margin-left:32.33pt; m= argin-bottom:0pt; text-align:justify; line-height:115%; padding-left:3.67pt= ; font-family:serif; font-size:12pt">En relaci=C3=B3n con la experiencia previa en el uso de la intelige= ncia artificial, los participantes reconocieron que estas herramientas form= an parte de sus actividades acad=C3=A9micas desde distintos momentos de la = carrera, especialmente despu=C3=A9s de la pandemia y del incremento del uso= de tecnolog=C3=ADas digitales en educaci=C3=B3n superior.</li><li c= lass=3D"ListParagraph" style=3D"margin-left:32.33pt; margin-bottom:0pt; tex= t-align:justify; line-height:115%; padding-left:3.67pt; font-family:serif; = font-size:12pt">Asimismo, se= =C3=B1alaron que la IA debe utilizarse como apoyo complementario y no como = sustituto del juicio cl=C3=ADnico ni de la toma de decisiones profesionales= durante la atenci=C3=B3n directa al paciente, debido a la importancia del = pensamiento cr=C3=ADtico y de la experiencia pr=C3=A1ctica dentro del cuida= do enfermero. Respecto a los tipos de inteligencia artificial y sus usos pr= incipales, los estudiantes identificaron principalmente herramientas como C= hatGPT y Gemini, utilizadas para b=C3=BAsqueda de informaci=C3=B3n, elabora= ci=C3=B3n de tareas, resoluci=C3=B3n de dudas te=C3=B3ricas y fortalecimien= to del aprendizaje aut=C3=B3nomo. A medida que avanzan hacia niveles superi= ores de competencia, la IA comienza a integrarse de manera m=C3=A1s context= ualizada en actividades relacionadas con procedimientos cl=C3=ADnicos, tale= s como c=C3=A1lculo de dosis, administraci=C3=B3n de medicamentos, revisi= =C3=B3n de protocolos y preparaci=C3=B3n previa para determinados cuidados = de enfermer=C3=ADa. Esto evidencia que las herramientas basadas en IA puede= n contribuir al fortalecimiento de habilidades acad=C3=A9micas, cognitivas = y cl=C3=ADnicas durante el proceso formativo.</li><li class=3D"ListP= aragraph" style=3D"margin-left:32.33pt; margin-bottom:0pt; text-align:justi= fy; line-height:115%; padding-left:3.67pt; font-family:serif; font-size:12p= t">En cuanto a las diferentes= situaciones en las que utilizan la IA, los resultados evidenciaron dos con= textos principales: el =C3=A1mbito acad=C3=A9mico y el =C3=A1mbito hospital= ario. En el entorno universitario, los estudiantes emplean la IA principalm= ente para reforzar contenidos, desarrollar tareas y resolver dudas conceptu= ales. Por otra parte, dentro del entorno cl=C3=ADnico y hospitalario, su us= o se orienta a la revisi=C3=B3n de procedimientos, aclaraci=C3=B3n de dudas= y preparaci=C3=B3n previa antes de la atenci=C3=B3n directa al paciente. S= in embargo, la mayor=C3=ADa de los participantes considera que la IA no deb= e sustituir el contacto humano ni la interacci=C3=B3n enfermero-paciente de= ntro del cuidado.</li><li class=3D"ListParagraph" style=3D"margin-le= ft:32.33pt; margin-bottom:0pt; text-align:justify; line-height:115%; paddin= g-left:3.67pt; font-family:serif; font-size:12pt">Al comparar los avances en el uso de la inteligencia a= rtificial desde el inicio de la carrera hasta la actualidad, se evidenci=C3= =B3 una evoluci=C3=B3n progresiva en la forma en que los estudiantes integr= an estas herramientas dentro de sus actividades acad=C3=A9micas y pr=C3=A1c= ticas. Inicialmente, la IA era utilizada de manera b=C3=A1sica y orientada = =C3=BAnicamente a tareas educativas; no obstante, conforme aumenta la exper= iencia acad=C3=A9mica y cl=C3=ADnica, los estudiantes desarrollan mayor cap= acidad para utilizarla de manera m=C3=A1s cr=C3=ADtica, </li><li cla= ss=3D"ListParagraph" style=3D"margin-left:32.33pt; margin-bottom:10pt; text= -align:justify; line-height:115%; padding-left:3.67pt; font-family:serif; f= ont-size:12pt">contextualizad= a y relacionada con el cuidado enfermero. En consecuencia, la IA puede favo= recer el tr=C3=A1nsito progresivo entre los niveles descritos por Patricia = Benner, siempre que su utilizaci=C3=B3n se encuentre acompa=C3=B1ada de for= maci=C3=B3n acad=C3=A9mica, pensamiento cr=C3=ADtico, validaci=C3=B3n cient= =C3=ADfica y experiencia cl=C3=ADnica.</li></ul><ol start=3D"6" styl= e=3D"margin:0pt; padding-left:0pt"><li style=3D"margin-left:17.3pt; margin-= bottom:10pt; text-align:justify; line-height:115%; padding-left:4pt; font-f= amily:'Times New Roman'; font-size:12pt; font-weight:bold; color:#948a54"><= span style=3D"color:#767171">Conflicto de intereses</li></ol>Los autores declaran que = no existe conflicto de intereses en relaci=C3=B3n con el art=C3=ADculo pres= entado.<ol start=3D"7" style=3D"margin:0pt; padding-left:0pt"><l= i class=3D"ListParagraph" style=3D"margin-left:17.3pt; margin-bottom:10pt; = line-height:normal; padding-left:4pt; font-family:'Times New Roman'; font-s= ize:12pt; font-weight:bold; color:#948a54">De= rechos de autor (copyrigth)</li></ol>Los autores son los titulares de los derechos de autor (patrimoniales y/o de explotaci=C3=B3n) = de los contenidos de la revista (copyright).<ol start=3D"8" style=3D"margin:0pt; padding-= left:0pt"><li style=3D"margin-left:17.3pt; margin-bottom:10pt; text-align:j= ustify; line-height:115%; padding-left:4pt; font-family:'Times New Roman'; = font-size:12pt; font-weight:bold; color:#948a54">Declaraci=C3=B3n de contribuci=C3=B3n de los autores</li></ol><p= style=3D"margin-bottom:0pt; text-align:justify; line-height:107%; font-siz= e:12pt">Los autores declaran = haber participado de manera equitativa y sustancial en la realizaci=C3=B3n = de esta investigaci=C3=B3n, bajo las responsabilidades seg=C3=BAn la </span= ><a href=3D"https://credit.niso.org/" style=3D"text-decoration:none">Taxonom=C3=ADa = CRediT</a> para descri= bir las contribuciones individuales de cada autor al trabajo. <p= style=3D"margin-bottom:0pt; text-align:justify; line-height:107%; font-siz= e:12pt">Genesis Lisbeth Jami = Toapanta & Yeisy Cristina Guarate Coronado realizaron la conceptualizac= i=C3=B3n de la investigaci=C3=B3n, organizaci=C3=B3n y ejecuci=C3=B3n del e= nsayo, recopilaci=C3=B3n y curaci=C3=B3n de los datos, revisi=C3=B3n del an= =C3=A1lisis estad=C3=ADstico, interpretaci=C3=B3n de los resultados, elabor= aci=C3=B3n del borrador original, preparaci=C3=B3n de tablas y figuras, rev= isi=C3=B3n cr=C3=ADtica del contenido y aprobaci=C3=B3n de la versi=C3=B3n = final del manuscrito.Divulgaci=C3=B3n de la delegaci=C3=B3n a la= IA generativaLos autores declaran el uso de la IA generativa en el proceso de inve= stigaci=C3=B3n y redacci=C3=B3n. Seg=C3=BAn la taxonom=C3=ADa GAIDeT (2025)= , las siguientes tareas fueron delegadas a las herramientas GAI bajo superv= isi=C3=B3n humana total:- Generaci=C3=B3n de ideas- Formulaci=C3=B3n de preguntas e hip=C3= =B3tesis de investigaci=C3=B3n- B=C3=BAsqueda y sistematizaci=C3=B3n de la literatu= raDecla= raci=C3=B3n presentada por: Genesis Lisbeth Jami Toapanta<ol sta= rt=3D"9" style=3D"margin:0pt; padding-left:0pt"><li style=3D"margin-left:17= .3pt; margin-bottom:10pt; text-align:justify; line-height:115%; padding-lef= t:4pt; font-family:'Times New Roman'; font-size:12pt; font-weight:bold; col= or:#948a54">Costos de financiamiento<s= pan style=3D"color:#000000"> </li></ol>La presente investigaci=C3=B3n fue financiada e= n su totalidad con fondos propios de los autores.<spa= n style=3D"font-family:'Times New Roman'"> <ol start=3D"10"= style=3D"margin:0pt; padding-left:0pt"><li style=3D"margin-left:21.3pt; ma= rgin-bottom:10pt; text-align:justify; line-height:107%; font-family:'Times = New Roman'; font-size:12pt; font-weight:bold; color:#948a54">Referencias Bibliogr=C3=A1ficas</li></ol><ol style= =3D"margin:0pt; padding-left:0pt"><li style=3D"margin-left:17.3pt; margin-b= ottom:0pt; line-height:115%; padding-left:18.15pt; font-family:'Times New R= oman'; font-size:12pt">Huun K. 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Nursing Now [Inte= rnet]. 2020 [cited 2026Mar.05]. <a href=3D"https://iris.who.int/bits= tream/handle/10665/331677/9789240003279-eng.pdf?utm_source=3Dchatgpt.com" s= tyle=3D"text-decoration:none">https://iris.who.int/bitstream/handle/10665/331677/978924000327= 9-eng.pdf?utm_source=3Dchatgpt.com</a></li></ol> </s= pan> </spa= n> <= span style=3D"font-family:'Times New Roman'"> </p= >&#= xa0; <= /span>El art=C3=ADculo que se publica es de exclusiva responsabilidad de = los autores y no necesariamente reflejan el pensamiento de la Revista Anatom=C3= =ADa Digital. <= /p><img src=3D"d= ata:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAN8AAAA5CAYAAAC25P6zAAAABHNCSV= QICAgIfAhkiAAAAAlwSFlzAAAOxAAADsQBlSsOGwAAIABJREFUeJztXXl8VcW9/82c7S7Jvdk3k= pBI2AWUolAVFbUW7dPWorEubRGXPLFQQ1WktXq0PsSVimvEKtW+vmeor1Vb26oQCyKKkX1PCNm3= m3tz9+Us83t/3NysN8lNSEja8v18zgdyzrkzv5kzv5nf/LYhMI6AiGS0yiYAAITgaJU/EGRZprq= mv+1xe24mBIDn+N1mS9w1siw3jnbda9asmaKElDJAzEpJSf15SA09K8uyMtr1dsf69eunN9Y3fq= 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border-collapse:collapse"><tr><td style=3D"width:3.25pt; pa= dding:0pt 5.4pt; vertical-align:top">1</td><td style=3D"width:171.95pt; padding:0pt 5.4pt; vertical= -align:top">Genesis Lisbeth Jami Toapanta= </td><td style=3D"width:10.5pt; padding:0pt 5.4pt; vertical-align:top"> </td>= <td style=3D"width:166.35pt; padding:0pt 5.4pt; vertical-align:top">https://orcid.org/0000-0002-7569-1374 </span= ></td><td style=3D"padding:0pt; vertical-align:top"></td></tr><tr><td s= tyle=3D"width:3.25pt; padding:0pt 5.4pt; vertical-align:top"><sp= an style=3D"font-family:'Times New Roman'"> </td><td colspa= n=3D"4" style=3D"width:370.7pt; padding:0pt 5.4pt; vertical-align:top">Universidad T=C3=A9cn= ica de Ambato (UTA), Ambato, Ecuador.<img src=3D"data:image/png;base64,iVBORw0KGgoAAAANSUh= EUgAAABQAAAAUCAYAAACNiR0NAAAABHNCSVQICAgIfAhkiAAAAAlwSFlzAAAOxAAADsQBlSsOGw= AAA2lJREFUOI21lEtoXVUUhr+197n3nNzbJN6omdTWRmwbikVq4iMxk0ZU2oGgA1FnQcQiUhUnF= 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H5ZW327igzP3trY2ONCyyQ6FtbRLUw2yZ8p+FwARifyCvRDV048rcfXdoT3j5fXp1+BVxdx2um+= HGnuX9egX4dY01U0iVK2R80nMaELy42O7R39fz/1f8C/hZ5YvjpSKGwAAAABJRU5ErkJggg=3D= =3D" width=3D"20" height=3D"20" alt=3D"" style=3D"margin-top:9.55pt; margin= -left:182.5pt; position:absolute" /><a href=3D"mailto:gjami8411@uta.= edu.ec" style=3D"text-decoration:none">gjami84= 11@uta.edu.ec</a> </td></tr><tr><td style=3D"width:3.25pt; padding:0pt= 5.4pt; vertical-align:top">2</span= ></td><td style=3D"width:171.95pt; padding:0pt 5.4pt; vertical-align:to= p">Yeisy Cristina Guarate Coronado</td><td= style=3D"width:10.5pt; padding:0pt 5.4pt; vertical-align:top"><= span style=3D"font-family:'Times New Roman'"> </td><td styl= e=3D"width:166.35pt; padding:0pt 5.4pt; vertical-align:top">https://orcid.org/0000-0003-1526-4693 </t= d><td style=3D"padding:0pt; vertical-align:top"></td></tr><tr><td style=3D"= width:3.25pt; padding:0pt 5.4pt; vertical-align:top"> </td><td colspan=3D"4" = style=3D"width:370.7pt; padding:0pt 5.4pt; vertical-align:top">= Universidad T=C3=A9cnica de A= mbato (UTA), Ambato, Ecuador.= <a href=3D"mailto:yc.guarate@uta.edu.ec" style=3D"text-decoration:none"><sp= an style=3D"font-family:'Times New Roman'; font-size:10pt; text-decoration:= underline; color:#0563c1">yc.guarate@uta.edu.ec</a> </td></tr><tr styl= e=3D"height:0pt"><td style=3D"width:14.05pt"></td><td style=3D"width:182.75= pt"></td><td style=3D"width:21.3pt"></td><td style=3D"width:177.15pt"></td>= <td style=3D"width:0.3pt"></td></tr></table> = 0; <table st= yle=3D"width:437.15pt; margin-bottom:0pt; padding:0pt; border-collapse:coll= apse"><tr><td colspan=3D"7" style=3D"width:151.1pt; padding:0pt 5.4pt; vert= ical-align:top"> = 0;</td><td colspan=3D"2" style=3D"width:264.45pt; border-top:0.7= 5pt solid #000000; border-bottom:0.75pt solid #000000; padding:0pt 5.4pt; v= ertical-align:top">Art=C3=ADculo de Investigaci=C3=B3n Cient=C3=ADfica y Tec= nol=C3=B3gicaEnviado: 12/04/2026 Revisado: 10/05/2026 Aceptado: 04/06/2026 <sp= an style=3D"font-family:'Times New Roman'">Publicado: 06/07/2026= DOI: <a href=3D"https://doi.org/10.33262/anatomiad= igital.v9i3.3712%20" style=3D"text-decoration:none">https://doi.or= g/10.33262/anatomiadigital.v9i3.3712 </spa= n></a> </s= pan><a href=3D"https://doi.org/10.33262/anatomiadigital.v8i4.3568" style=3D= "text-decoration:none"> = </a></td></tr><tr style=3D"height:3.5pt"><td colspan=3D"7" style=3D"wid= th:151.1pt; padding:0pt 5.4pt; vertical-align:top"> </td><td colspan=3D"2" style=3D= "width:264.45pt; border-top:0.75pt solid #000000; border-bottom:0.75pt soli= d #000000; padding:0pt 5.4pt; vertical-align:top"> </td></tr><tr><td style=3D"= width:52pt; border-top:0.75pt solid #000000; padding:0pt 5.4pt; vertical-al= ign:top"> </sp= an>C=C3=ADtese:= </td><td style=3D"width:10.35pt; border-top:0.75pt solid #00000= 0; padding:0pt 5.4pt; vertical-align:top"> </td><td colspan=3D"6" style=3D"wid= th:337.8pt; border-top:0.75pt solid #000000; padding:0pt 5.4pt; vertical-al= ign:top"> </sp= an>Jami Toapant= a, G. L., & Guarate Coronado, Y. C. (2026). Modelo de Patricia Benner y= la inteligencia artificial como herramienta para fortalecer habilidades en= internos de enfermer=C3=ADa. Anatom=C3=ADa Digital, 9(3), 6-27. <a = href=3D"https://doi.org/10.33262/anatomiadigital.v9i3.3712" style=3D"text-d= ecoration:none">https://doi.org/10.33262/anatomiadigital.v9i3.3712</a> </td>= <td style=3D"border-top:0.75pt solid #000000; padding:0pt; vertical-align:t= op"></td></tr><tr><td style=3D"width:52pt; padding:0pt 5.4pt; vertical-alig= n:top"><img src=3D"data:image/jpeg;base64,/9j/4AAQSk= ZJRgABAQEAYABgAAD/2wBDAAEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBA= QEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQH/2wBDAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEB= AQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQEBAQH/wAARCAAiAEEDASIAAhEBAxE= B/8QAHQAAAgMBAAMBAAAAAAAAAAAAAAcGCAkFAQIDBP/EAD0QAAEEAgECBAIFBg8AAAAAAAQCAw= UGAQcIAAkREhMhFDEVFiJxgQoaUWGR0zZBUlNXWHWTlZehsdHW8P/EABwBAAEEAwEAAAAAAAAAA= AAAAAgAAQMEAgUGB//EADYRAAIBAgQCBQoGAwAAAAAAAAECAwQRAAUSIQYxEzJBUXEHIjM0YXSB= kbGzNVOCobLRhMPw/9oADAMBAAIRAxEAPwDaOudw/ZPM/t483Jm1VqLoVw1PSIZAlgo8pKhNnvT= 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pan> </td><td= style=3D"width:10.35pt; border-bottom:0.75pt solid #000000; padding:0pt 5.= 4pt; vertical-align:top"> </td><td colspan=3D"6" style=3D"width:337.8pt; border= -bottom:0.75pt solid #000000; padding:0pt 5.4pt; vertical-align:top">Esta revista est=C3=A1 protegida bajo una licencia Creative Commons= Atribuci=C3=B3n-NoComercial-CompartirIgual 4.0 International. Copia de la = licencia: <a href=3D"https://creativecommons.org/licenses/by-nc-sa/4= .0/deed.es" style=3D"text-decoration:none">https://creativecommons.org/licenses/by-nc-sa/4.0/deed.es</sp= an></a> </td><td style=3D"padding:0pt; vertical-align:top"><= /td></tr><tr><td colspan=3D"4" style=3D"width:101.1pt; padding:0pt 5.4pt; v= ertical-align:top">Pa= labras claves: Inteligencia = artificial; enfermer=C3=ADa; educaci=C3=B3n en enfermer=C3=ADa; competencia= cl=C3=ADnica; pensamiento cr=C3=ADtico; tecnolog=C3=ADa educativa.<= /p></td><td colspan=3D"2" style=3D"width:0.7pt; padding:0pt 5.4pt; vertical= -align:top"> <= /span></td><td colspan=3D"2" style=3D"width:298.35pt; border-top:0.75pt= solid #000000; border-bottom:0.75pt solid #000000; padding:0pt 5.4pt; vert= ical-align:top">ResumenIntroducci=C3=B3n:<sp= an style=3D"font-family:'Times New Roman'"> la Inteligencia Artificial= (IA) se incorpor=C3= =B3 progresivamente en la formaci=C3=B3n de enfermer=C3=ADa como herramient= a de apoyo acad=C3=A9mico y cl=C3=ADnico, favoreciendo el aprendizaje aut= =C3=B3nomo, el acceso r=C3=A1pido a la informaci=C3=B3n y el fortalecimient= o del razonamiento cl=C3=ADnico. Sin embargo, su integraci=C3=B3n requiere = analizarse desde modelos te=C3=B3ricos de enfermer=C3=ADa que permitan comp= render el desarrollo progresivo de competencias profesionales. <span= style=3D"font-family:'Times New Roman'; font-weight:bold">Objetivo general= : analizar el nivel de= competencia de los estudiantes de enfermer=C3=ADa en el uso de la intelige= ncia artificial en sus actividades acad=C3=A9micas seg=C3=BAn el modelo de = Patricia Benner. Metodolog=C3=ADa: se realiz=C3=B3 una investigaci=C3=B3n cualitativa con enfoque fen= omenol=C3=B3gico hermen=C3=A9utico en estudiantes de internado rotativo de = la carrera de Enfermer=C3=ADa de la Universidad T=C3=A9cnica de Ambato. La = informaci=C3=B3n fue recolectada mediante 14 entrevistas semiestructuradas,= alcanz=C3=A1ndose la saturaci=C3=B3n de la informaci=C3=B3n. Posteriorment= e, se realiz=C3=B3 el an=C3=A1lisis tem=C3=A1tico siguiendo la propuesta de= Braun & Clarke. Resultados: los hallazgos evidenciaron distintos niveles de competencia en el us= o de IA, predominando los niveles, novato, principiante avanzado y competen= te. Los participantes utilizan principalmente herramientas como ChatGPT y G= emini para actividades acad=C3=A9micas, b=C3=BAsqueda de informaci=C3=B3n y= apoyo en procedimientos cl=C3=ADnicos. Asimismo, se evidenci=C3=B3 una pro= gresi=C3=B3n gradual en el uso de la IA desde actividades acad=C3=A9micas b= =C3=A1sicas hacia aplicaciones m=C3=A1s relacionadas con el cuidado cl=C3= =ADnico y el fortalecimiento del razonamiento profesional. Discusi=C3=B3n:</spa= n> la integraci=C3=B3n progre= siva de la IA se relaciona con el tr=C3=A1nsito entre los niveles de compet= encia descritos por Patricia Benner, predominando niveles principiante avan= zado y competente. Asimismo, los participantes consideran que el uso progre= sivo de estas herramientas contribuye al desarrollo de habilidades cognitiv= as, acad=C3=A9micas y cl=C3=ADnicas dentro de su formaci=C3=B3n profesional= . Co= nclusi=C3=B3n: la inte= ligencia artificial constituye una herramienta de apoyo que contribuye al f= ortalecimiento progresivo de competencias acad=C3=A9micas y cl=C3=ADnicas e= n estudiantes de enfermer=C3=ADa, favoreciendo el aprendizaje aut=C3=B3nomo= , acceso r=C3=A1pido a informaci=C3=B3n cient=C3=ADfica y el desarrollo del= razonamiento cl=C3=ADnico. =C3=81rea de estudio general: enfermer=C3=ADa. =C3=81rea de estudio espec=C3= =ADfica: Inteligencia = artificial en enfermer=C3=ADa. Tipo de art=C3=ADculo: original. </td><td style=3D"padding:0pt= ; vertical-align:top"></td></tr><tr style=3D"height:28.2pt"><td colspan=3D"= 3" style=3D"width:98.85pt; padding:0pt 5.4pt; vertical-align:top">Keywords:= Artificial intelligence; nu= rsing; nursing education; clinical competence; critical thinking; education= al technology.</td><td colspan=3D"2" style=3D"width:1pt; padding= :0pt 5.4pt; vertical-align:top"> </td><td colspan=3D"3" style=3D"width:300.3pt= ; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padd= ing:0pt 5.4pt; vertical-align:top">AbstractIntroduc= tion: Artificial Intel= ligence (AI) progressive been incorporated into nursing education as an aca= demic and clinical support tool, promoting autonomous learning, rapid acces= s to information, and the strengthening of clinical reasoning. However, its= integration must be analyzed through nursing theoretical models that allow= understanding the progressive development of professional competencies. </= span>Genera= l objective: To analyz= e the level of competence of nursing students in the use of artificial inte= lligence in their academic activities according to Patricia Benner=E2=80=99= s model. Methodology: A qu= alitative study with a hermeneutic phenomenological approach was conducted = among rotating internship nursing students from the Nursing program at the = Technical University of Ambato. Information was collected through 14 semi-s= tructured interviews until data saturation was reached. Subsequently, thema= tic analysis was carried out following Braun and Clarke=E2=80=99s proposal.= Res= ults: The findings rev= ealed different levels of competence in the use of AI, predominantly novice= , advanced beginner, and competent levels. Participants mainly used tools s= uch as ChatGPT and Gemini for academic activities, information searching, a= nd support in clinical procedures. Likewise, a gradual progression in the u= se of AI was identified, evolving from basic academic activities toward app= lications more closely related to clinical care and the strengthening of pr= ofessional reasoning. Discussion: The progressive integration of AI is related to the transition betw= een the competency levels described by Patricia Benner, predominantly at th= e advanced beginner and competent levels. Likewise, participants considered= that the progressive use of these tools contributes to the development of = cognitive, academic, and clinical skills during their professional training= . Co= nclusion: Artificial i= ntelligence constitutes a support tool that contributes to the progressive = strengthening of academic and clinical competencies in nursing students, pr= omoting autonomous learning, rapid access to scientific information, and th= e development of clinical reasoning. General area of study: nursing. Specific area of study:<spa= n style=3D"font-family:'Times New Roman'"> Artificial intelligence in nursi= ng. = Type of item: original= . <= /span></td><td style=3D"padding:0pt; vertical-align:top"></td></tr><tr = style=3D"height:0pt"><td style=3D"width:62.8pt"></td><td style=3D"width:21.= 15pt"></td><td style=3D"width:25.7pt"></td><td style=3D"width:2.25pt"></td>= <td style=3D"width:9.55pt"></td><td style=3D"width:1.95pt"></td><td style= =3D"width:38.5pt"></td><td style=3D"width:270.65pt"></td><td style=3D"width= :4.6pt"></td></tr></table>&#= xa0; = <ol style=3D"margin:0pt; padding-left:0pt"><li class=3D"ListParagraph" = style=3D"margin-left:17.3pt; text-align:justify; line-height:107%; padding-= left:4pt; font-family:'Times New Roman'; font-size:12pt; font-weight:bold; = color:#948a54">Introducci=C3=B3n</li><= /ol>La <span= style=3D"font-family:'Times New Roman'; text-decoration:underline">Intelig= encia Artificial (IA) = se define como el conjunto de sistemas computacionales capaces de procesar = informaci=C3=B3n, identificar patrones, generar respuestas y apoyar proceso= s complejos de toma de decisiones mediante algoritmos avanzados, con aplica= ciones espec=C3=ADficas en el =C3=A1mbito de la salud orientadas al diagn= =C3=B3stico, la educaci=C3=B3n, la simulaci=C3=B3n cl=C3=ADnica y el apoyo = asistencial (1)(2). En el contexto educativo la IA se incorpor=C3=B3 progre= sivamente como un recurso innovador que facilita el aprendizaje aut=C3=B3no= mo, la personalizaci=C3=B3n de contenidos y el fortalecimiento del razonami= ento cl=C3=ADnico en los estudiantes de ciencias de la salud. <p= style=3D"margin-bottom:0pt; text-align:justify; line-height:115%; font-siz= e:12pt">En el campo de enferm= er=C3=ADa se incorpor=C3=B3 la IA para el desarrollo de actividades tanto t= e=C3=B3ricas como acad=C3=A9micas. Los docentes y estudiantes incorporaron = el uso de diferentes herramientas de IA para impartir clases, reforzar cono= cimientos y mejorar la pr=C3=A1ctica cl=C3=ADnica. Sin embargo, no todos ti= enen un uso avanzado de las IA en el campo de enfermer=C3=ADa. En este sent= ido, Patricia Benner (3) referente te=C3=B3rico ampliamente validado en la = educaci=C3=B3n en enfermer=C3=ADa, describe el proceso de adquisici=C3=B3n = progresiva de competencias profesionales a trav=C3=A9s de cinco niveles: pr= incipiante, principiante avanzado, competente, eficiente y experto. = Sin embargo, la= Organizaci=C3=B3n Mundial de la Salud evidencia un d=C3=A9ficit significat= ivo de profesionales de enfermer=C3=ADa a nivel global, proyect=C3=A1ndose = la necesidad de aproximadamente 5,7 millones de enfermeros para el a=C3=B1o= 2030, lo cual plantea un desaf=C3=ADo urgente para los sistemas educativos= y de salud (3). Esta situaci=C3=B3n demanda procesos formativos m=C3=A1s e= ficientes, innovadores y alineados con el uso de tecnolog=C3=ADas emergente= s, como la inteligencia artificial, que permitan fortalecer las competencia= s cl=C3=ADnicas desde la etapa de formaci=C3=B3n. <spa= n style=3D"font-family:'Times New Roman'">De la misma manera, el sistema de= salud ecuatoriano enfrenta limitaciones relacionadas con la infraestructur= a hospitalaria destinada a la docencia, sobrecarga de los entornos cl=C3=AD= nicos y la capacitaci=C3=B3n del personal docente para la ense=C3=B1anza pr= =C3=A1ctica, lo que dificulta el acompa=C3=B1amiento continuo de los estudi= antes durante su proceso formativo (4). Estas condiciones impulsaron la exp= loraci=C3=B3n de alternativas tecnol=C3=B3gicas que complementen la ense=C3= =B1anza tradicional, entre ellas la simulaci=C3=B3n cl=C3=ADnica asistida p= or IA, las aplicaciones m=C3=B3viles para protocolos cl=C3=ADnicos, los Cha= tBots de razonamiento cl=C3=ADnico y los dispositivos de monitorizaci=C3=B3= n inteligente, los cuales demostraron mejorar la autoconfianza, el pensamie= nto cr=C3=ADtico y la adquisici=C3=B3n de habilidades t=C3=A9cnicas en estu= diantes de enfermer=C3=ADa (1)(5).Se evidencio que los estudiantes de la carrera de= enfermer=C3=ADa, en Ecuador, utilizan herramientas de inteligencia artific= ial principalmente con fines acad=C3=A9micos b=C3=A1sicos, orientados a la = elaboraci=C3=B3n de tareas y a la reproducci=C3=B3n de informaci=C3=B3n, si= n profundizar en el an=C3=A1lisis cr=C3=ADtico ni en la aplicaci=C3=B3n cl= =C3=ADnica del conocimiento generado (6)(7). Esta forma limitada de uso res= tringe el potencial de la IA como apoyo para la toma de decisiones, la reso= 1luci=C3=B3n de problemas cl=C3=ADnicos y el desarrollo de competencias cog= nitivas avanzadas, necesarias para el tr=C3=A1nsito progresivo descrito en = el modelo de Patricia Benner (3). Asimismo, el temor a cometer errores, la = escasa retroalimentaci=C3=B3n docente y la alta carga acad=C3=A9mica influy= en negativamente en el aprovechamiento de estas tecnolog=C3=ADas como herra= mientas formativas integrales (6)(7).En este contexto, la justificaci=C3=B3n de est= a investigaci=C3=B3n se fundamenta en la necesidad de analizar de manera si= stem=C3=A1tica el uso de la inteligencia artificial en la formaci=C3=B3n de= los internos de enfermer=C3=ADa, integr=C3=A1ndola con el modelo de Patric= ia Benner (3) como marco te=C3=B3rico de referencia. Este enfoque permite e= valuar el nivel de competencia alcanzado por los estudiantes en el uso de l= a IA y comprender c=C3=B3mo estas herramientas contribuyen al desarrollo pr= ogresivo de habilidades cl=C3=ADnicas, cognitivas y comunicativas. Diversas= investigaciones se=C3=B1alaron que la integraci=C3=B3n de tecnolog=C3=ADas= basadas en IA favorece entornos de aprendizaje m=C3=A1s personalizados, fo= rtalece la pr=C3=A1ctica basada en evidencia y supera limitaciones propias de la en= se=C3=B1anza tradicional, sin sustituir el juicio cl=C3=ADnico ni el cuidad= o humanizado (5).En concordancia con lo expuesto, la pregunta que gu=C3=ADa la inv= estigaci=C3=B3n es =C2=BFCu=C3=A1l es el nivel de competencia de los estudi= antes de enfermer=C3=ADa en el uso de la inteligencia artificial en sus act= ividades acad=C3=A9micas seg=C3=BAn el modelo de Patricia Benner? Plante=C3= =A1ndose como objetivo general analizar el nivel de competencia de los estu= diantes de enfermer=C3=ADa en el uso de la inteligencia artificial en sus a= ctividades acad=C3=A9micas seg=C3=BAn el modelo de Patricia Benner. Esta in= vestigaci=C3=B3n est=C3=A1 adscrita al grupo de investigaci=C3=B3n en tecno= log=C3=ADa, educaci=C3=B3n y salud para el cuidado de enfermer=C3=ADa (GITE= SCE), de la carrera de Enfermer=C3=ADa de la Universidad T=C3=A9cnica de Am= bato<ol start=3D"2" style=3D"margin:0pt; padding-left:0pt"><li c= lass=3D"ListParagraph" style=3D"margin-left:17.3pt; margin-bottom:10pt; lin= e-height:107%; padding-left:4pt; font-family:'Times New Roman'; font-size:1= 2pt; font-weight:bold; color:#948a54">Metodol= og=C3=ADa</li></ol>La investigaci=C3=B3n tiene un enfoque cualitativo con dise=C3=B1o f= enomenol=C3=B3gico hermen=C3=A9utico, ya que busca comprender e interpretar= las percepciones, experiencias y significados que los estudiantes de enfer= mer=C3=ADa atribuyen al uso de la Inteligencia Artificial (IA<s= pan style=3D"font-family:'Times New Roman'">) en su proceso formativo, con = base en el modelo de Patricia Benner (8). Este enfoque permiti=C3=B3 analiz= ar el tr=C3=A1nsito progresivo de competencias desde niveles iniciales hast= a niveles de mayor experiencia profesional, en relaci=C3=B3n con el uso de = herramientas de IA dentro de las actividades acad=C3=A9micas y cl=C3=ADnica= s de enfermer=C3=ADa. La investigaci=C3=B3n se desarroll=C3=B3 en la carrer= a de Enfermer=C3=ADa de la Universidad T=C3=A9cnica de Ambato, durante el p= eriodo acad=C3=A9mico 2025-2026. La poblaci=C3=B3n de estudio estuvo confor= mada por estudiantes de internado rotativo de la carrera de Enfermer=C3=ADa= , cohorte mayo 2025 =E2=80=93 abril 2026.La selecci=C3=B3n de los participantes s= e realiz=C3=B3 mediante muestreo no probabil=C3=ADstico por bola de nieve, = t=C3=A9cnica que permiti=C3=B3 identificar progresivamente estudiantes con = experiencia en el uso de inteligencia artificial dentro de su formaci=C3=B3= n acad=C3=A9mica y pr=C3=A1ctica cl=C3=ADnica. Como criterios de inclusi=C3= =B3n se consider=C3=B3: ser estudiante de internado rotativo de la carrera = de Enfermer=C3=ADa de la Universidad T=C3=A9cnica de Ambato, encontrarse ma= triculado en el periodo acad=C3=A9mico establecido y aceptar voluntariament= e participar en la investigaci=C3=B3n mediante la firma del consentimiento = informado. Se excluyeron aquellos estudiantes que no finalizaron la entrevi= sta o decidieron retirarse del estudio durante el proceso investigativo.</s= pan>La recolecc= i=C3=B3n de la informaci=C3=B3n se realiz=C3=B3 mediante entrevistas semies= tructuradas elaboradas con base en los objetivos de investigaci=C3=B3n y en= los niveles de competencia descritos por Patricia Benner (9)(10). Las entr= evistas fueron grabadas, de acuerdo con el consentimiento informado del par= ticipante; posteriormente fueron transcritas palabra a palabra y revisadas = con cada participante del estudio. Se realizaron un total de 14 entrevistas= , momento en el cual se satur=C3=B3 la informaci=C3=B3n. Las categor=C3=ADa= s y subcategor=C3=ADas de an=C3=A1lisis fueron organizadas de acuerdo con l= os niveles de competencia del modelo de Patricia Benner (3), permitiendo es= tructurar los hallazgos seg=C3=BAn el desarrollo progresivo de competencias= relacionadas con el uso de la inteligencia artificial en el cuidado enferm= ero (11)(12).Una vez finalizada la recolecci=C3=B3n de los datos, se procedi=C3=B3 = al an=C3=A1lisis tem=C3=A1tico de las entrevistas de acuerdo con Braun &= ; Clarke (13) quienes se=C3=B1alan seis fases para el an=C3=A1lisis = de estudios cua= litativos: familiarizaci=C3=B3n con los datos, codificaci=C3=B3n inicial, b= =C3=BAsqueda de temas, revisi=C3=B3n de temas, definici=C3=B3n y denominaci= =C3=B3n de temas y elaboraci=C3=B3n del informe final. El an=C3=A1lisis se = realiz=C3=B3 manualmente mediante la identificaci=C3=B3n de unidades de sig= nificado y su posterior agrupaci=C3=B3n en categor=C3=ADas y subcategor=C3= =ADas relacionadas con los objetivos del estudio y el modelo de Patricia Be= nner (3).Para asegurar la credibilidad, transferibilidad, dependencia y confirmabil= idad se aplicaron estrategias como triangulaci=C3=B3n de la informaci=C3=B3= n con otros investigadores, validaci=C3=B3n de categor=C3=ADas con los part= icipantes y contraste permanente de los hallazgos con la literatura cient= =C3=ADfica relacionada con inteligencia artificial y formaci=C3=B3n en enfe= rmer=C3=ADa. La investigaci=C3=B3n cont=C3=B3 con la aprobaci=C3=B3n del Co= mit=C3=A9 de =C3=89tica de Investigaci=C3=B3n en Seres Humanos de la Univer= sidad T=C3=A9cnica de Ambato-Ecuador (CEISH-FCS-UTA), c=C3=B3digo 184-CEISH= -UTA-2025.<ol start=3D"3" style=3D"margin:0pt; padding-left:0pt"= ><li class=3D"ListParagraph" style=3D"margin-top:12pt; margin-left:17.45pt;= margin-bottom:10pt; line-height:107%; padding-left:3.85pt; font-family:'Ti= mes New Roman'; font-size:12pt; font-weight:bold; color:#948a54">Resultados </li></ol>En total se realizaron 14 entrevistas semiestr= ucturadas, alcanz=C3=A1ndose el punto de saturaci=C3=B3n de la informaci=C3= =B3n. Participaron 2 hombres (Azul, Celeste) y 12 mujeres (Dalia, Clavel, G= ardenia, Lirio, Tulip=C3=A1n, Orqu=C3=ADdea, Violeta, Margarita, Begonia, H= ortensia, Lila y Girasol). El an=C3=A1lisis de los datos se desarroll=C3=B3= siguiendo el enfoque de Virginia Braun y Victoria Clarke (13), quienes pla= ntean como primera fase la familiarizaci=C3=B3n con los datos mediante la l= ectura exhaustiva y la identificaci=C3=B3n de elementos relevantes en funci= =C3=B3n de los objetivos del estudio. Posteriormente, se realiz=C3=B3 la co= dificaci=C3=B3n inicial, la b=C3=BAsqueda, revisi=C3=B3n, definici=C3=B3n y= denominaci=C3=B3n de temas (13). <img src=3D"data:image/png;base64,iVBORw0KGg= oAAAANSUhEUgAAAacAAAElCAYAAABAly1LAAAABHNCSVQICAgIfAhkiAAAAAlwSFlzAAAOxAAAD= sQBlSsOGwAAIABJREFUeJy8vXm0Hcd52Pmr6u67vR0P+76DC0CQBDdRJCVRlmVbOy1biR3HjuyZ= bPaxPUnmOJ7Jcc4knkwyk8zEmXh8FE80ji3ZVkb2yNZCLbQoiRu4iDsBAiD2/QEPD2+5a3fV/NF= bdXf1vfcBTOqd9969XVVffVX11bfVV9UiCAJNJgkgfCSESB9r0OSK5spoTVLXluKyWuvMM/P7sP= Vs7ZeVMUpj9s0sKkS+bgxXA4K4mTzu5W0KyzN7vwXCKK4ZMBxRu4PLFevEuOZx08WyOpztDJ6Zz= yTt5+cgbQdLPfuY9aeDdN76pUG0JBApDYv0mRXnqGymjtFOWCGFY29WZ8tG7fajoRgfbVuDZjlL= X9Nn5eNlmwsTbhlemTzLmPRLw6xxS63cd53A6Yd32F44H+ka78+TlsNXin0fPNZFWJBfMnG5GF9= zjfdfX9n2zTaHGfN8OVu/y2gm36cw33wY/8vRVskY5ttxi8jGhS0d6bNgsw3lsCMeaNtEGczfLE= 46AXG97EDGiyeLe3+BkW83CyfL9AdP7PALuij0zDLxmMb5WcZPKWEMx7JTXLNjKBL4kCNkHeGR7= 5fJMHXavtZlFDN8ygqGYr9siyg/zoPWojaERZ5+07qZmUj+24SFDjW2PKZJblmKx68cT8sznaVv= 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0rd/GP0vKBeBPvlqkVACpvud8qT0Ym8JpIjP73TGfXsAU3XFgKRwGL+JjlFg8ooNxqH4MnOsyB6= jIkquCHOT7UB4tRQ/a7DFgnP6sExpsDO9aqtPJK2cmlNJl2xPdkYjm2fyKEXTQCWlGYs0cWQD7N= /KW0/fE568w3jqfOJSyplesNaEXFMSf534dTfcgqFHcNRgmVvWLb6w+VEPKnLXyLjmRMYgVOo2o= c2gn4JSgEdsfjbXpghYBY2gojXPpyWsthnx20xB622m1cqiTJd/ap0uD4o9VrK20COCmv8HTQXi= q9pStkYAAAAASUVORK5CYII=3D" width=3D"423" height=3D"293" alt=3D"" /><a id=3D"fig1">Figura 1. N= iveles de competencia en el uso de inteligencia artificial en estudiantes d= e enfermer=C3=ADa basado en el modelo de Patricia Benner (3).</a></p= >En la <a hr= ef=3D"#fig1" style=3D"text-decoration:none">Figura 1</a> se describen las categor=C3=ADas organizadas seg=C3=BAn el modelo te= =C3=B3rico de Patricia Benner (3) quien describe el desarrollo de competenc= ias en enfermer=C3=ADa en cinco niveles: novato, principiante avanzado, com= petente, eficiente y experto. En relaci=C3=B3n con el nivel novato, se iden= tificaron dos categor=C3=ADas: conocimiento inicial (Con-Inic) y directrice= s o reglas. En las categor=C3=ADas Con-Inic emergieron dos subcategor=C3=AD= as, usos de la IA y tipos de IA. Y en = la categor=C3=ADa directrices o reglas, emergi=C3=B3 la categor=C3=ADa vali= daci=C3=B3n de informaci=C3=B3n con IA.Respecto a los usos de la IA, los participan= tes indicaron que su aplicaci=C3=B3n se concentra principalmente en el =C3= =A1mbito acad=C3=A9mico, especialmente para la elaboraci=C3=B3n de tareas, = b=C3=BAsqueda de informaci=C3=B3n y resoluci=C3=B3n de dudas te=C3=B3ricas.= En este sentido, varios informantes coinciden en este uso predominante, co= mo lo expresan Clavel, Dalia y Lila: =E2=80=9Cla utilizo para trabajos acad= =C3=A9micos=E2=80=9D, =E2=80=9Cla uso para tareas y consultas=E2=80=9D y = =E2=80=9Cprincipalmente para el estudio=E2=80=9D. Sin embargo, tambi=C3=A9n= se identific=C3=B3 su uso en el =C3=A1mbito hospitalario, aunque de manera= complementaria. Participantes como Tulip=C3=A1n, Orqu=C3=ADdea y Begonia s= e=C3=B1alan =E2=80=9Ctambi=C3=A9n la uso en el hospital para aclarar dudas= =E2=80=9D, evidenciando un uso incipiente orientado al apoyo previo a la pr= =C3=A1ctica cl=C3=ADnica.Y con relaci=C3=B3n a los tipos de IA m=C3=A1s utilizados,= los informantes manifestaron reconocer principalmente al ChatGPT y Gemini,= seguidas por Perplexity. Este hallazgo refleja un <sp= an style=3D"font-family:'Times New Roman'">conocimiento b=C3=A1sico centrad= o en plataformas ampliamente difundidas, con menor reconocimiento de otras = herramientas como Dola y Claude. En este sentido, algunos participantes se= =C3=B1alaron: =E2=80=9Cyo conozco el ChatGPT, aunque me parece que hay otra= s que se pueden utilizar=E2=80=9D (Azul) y =E2=80=9Ca mi parecer el ChatGPT= es el m=C3=A1s conocido=E2=80=9D (Celeste), lo que evidencia una familiari= dad inicial, pero a=C3=BAn limitada en cuanto a diversidad y profundidad en= el uso de distintas tecnolog=C3=ADas. En contraste, un grupo menor de part= icipantes hace referencia a herramientas menos difundidas, lo que refleja u= n conocimiento m=C3=A1s limitado o exploratorio. Por ejemplo, Girasol y Orq= u=C3=ADdea mencionan =E2=80=9CDola=E2=80=9D y =E2=80=9CClaude=E2=80=9D, ind= icando que estas plataformas no forman parte del uso habitual de la mayor= =C3=ADa de los informantes.En la segunda categor=C3=ADa del nivel novato, directric= es o reglas que aplican los estudiantes, en la subcategor=C3=ADa validaci= =C3=B3n de la informaci=C3=B3n, los participantes resaltaron la importancia= de contrastar la informaci=C3=B3n obtenida mediante IA con fuentes cient= =C3=ADficas confiables. En este sentido, varios informantes coinciden en el= uso de art=C3=ADculos cient=C3=ADficos y evidencia acad=C3=A9mica, como lo= expresan Girasol, Gardenia y Begonia: =E2=80=9Creviso art=C3=ADculos cient= =C3=ADficos=E2=80=9D, =E2=80=9Cbusco informaci=C3=B3n en fuentes confiables= =E2=80=9D y =E2=80=9Cme baso en art=C3=ADculos para validar=E2=80=9D. Asimi= smo, otros participantes como Celeste, Lirio y Tulip=C3=A1n destacan estrat= egias relacionadas con el uso de palabras clave y criterios de b=C3=BAsqued= a, se=C3=B1alando que =E2=80=9Cuso palabras clave=E2=80=9D, =E2=80=9Cbusco = bien la informaci=C3=B3n=E2=80=9D y =E2=80=9Cutilizo comandos para obtener = mejores resultados=E2=80=9D. Esto evidencia que, aun en un nivel inicial, e= xiste una intenci=C3=B3n de validar la informaci=C3=B3n, aunque todav=C3=AD= a basada en reglas b=C3=A1sicas y no en un criterio completamente consolida= do.En el= segundo nivel de Patricia Benner, principiante avanzado, se identific=C3= =B3 una categor=C3=ADa llamada experiencia en el uso de la IA con tres subc= ategor=C3=ADas: Tiempo de uso de las IA, desarrollo de habilidades y retroa= limentaci=C3=B3n. En la subcategor=C3=ADa tiempo de uso, se identific=C3=B3= una diversidad significativa entre los participantes. Un grupo se=C3=B1ala= haber iniciado el uso de la IA en etapas tempranas de su formaci=C3=B3n ac= ad=C3=A9mica, como lo expresan Azul, Clavel y Girasol: =E2=80=9Cdesde inicios de la= carrera=E2=80=9D, =E2=80=9Cen tercer semestre=E2=80=9D y =E2=80=9Ctambi=C3= =A9n desde los primeros semestres=E2=80=9D. Por otro lado, participantes co= mo Celeste, Violeta y Hortensia refieren un uso m=C3=A1s prolongado, indica= ndo que =E2=80=9Chace 2 o 3 a=C3=B1os=E2=80=9D, =E2=80=9Cdesde hace 2 a=C3= =B1os=E2=80=9D y =E2=80=9Centre 2 a 3 a=C3=B1os=E2=80=9D. Asimismo, otros i= nformantes como Dalia, Lila y Lirio sit=C3=BAan su inicio en contextos m=C3= =A1s recientes o espec=C3=ADficos, mencionando =E2=80=9Chace un a=C3=B1o=E2= =80=9D, =E2=80=9Cun a=C3=B1o y medio=E2=80=9D y =E2=80=9Cdespu=C3=A9s de la= pandemia=E2=80=9D. Esta diversidad evidencia distintos niveles de exposici= =C3=B3n y familiaridad con estas herramientas. Respecto a la subcategor=C3= =ADa desarrollo de habilidades, los resultados muestran percepciones divers= as en cuanto al impacto de la IA en el fortalecimiento del cuidado del paci= ente. Por un lado, un grupo de participantes reconoce mejoras en sus habili= dades, como lo se=C3=B1alan Dalia, Celeste, Clavel, Gardenia, Tulip=C3=A1n,= Violeta, Margarita, Hortensia y Lila, quienes coinciden en afirmar que =E2= =80=9Cs=C3=AD ha mejorado=E2=80=9D o =E2=80=9Cme ha ayudado a mejorar=E2=80= =9D. En contraste, otros participantes como Azul, Girasol, Orqu=C3=ADdea y = Begonia consideran que la IA no genera una mejora directa, sino que = funciona como a= poyo, expresando que =E2=80=9Cno ha mejorado=E2=80=9D, =E2=80=9Cno da para = una mejora=E2=80=9D, =E2=80=9Cno mejora, solo facilita=E2=80=9D y =E2=80=9C= es una ayuda m=C3=A1s que una mejora=E2=80=9D. Finalmente, Lirio adopta una= postura intermedia al indicar que =E2=80=9Cdepende del uso=E2=80=9D, lo qu= e sugiere una valoraci=C3=B3n condicionada por la forma en que se emplea la= herramienta.En cuanto a la subcategor=C3=ADa retroalimentaci=C3=B3n, se evidencia = que el aprendizaje en el uso de la IA proviene principalmente de procesos d= e autoeducaci=C3=B3n. Participantes como Celeste, Lirio, Orqu=C3=ADdea, Vio= leta, Margarita, Begonia, Hortensia y Lila coinciden en se=C3=B1alar que = =E2=80=9Che aprendido por mi cuenta=E2=80=9D o =E2=80=9Cpor autoeducaci=C3= =B3n=E2=80=9D, lo que refleja un alto grado de iniciativa individual. Por o= tro lado, Azul, Clavel, Gardenia y Tulip=C3=A1n destacan la influencia de s= us pares, indicando que =E2=80=9Cpor compa=C3=B1eros=E2=80=9D o =E2=80=9Cco= n ayuda de compa=C3=B1eros=E2=80=9D. Asimismo, Girasol menciona una formaci= =C3=B3n m=C3=A1s estructurada al se=C3=B1alar que =E2=80=9Cpor una materia = de las TIC=E2=80=9D, mientras que Dalia refiere el uso de recursos digitale= s al indicar que =E2=80=9Cpor videos educativos=E2=80=9D. Esto evidencia qu= e, aunque predomina el aprendizaje aut=C3=B3nomo, tambi=C3=A9n existen dive= rsas fuentes de retroalimentaci=C3=B3n que contribuyen al uso de la IA.</sp= an>El tercer ni= vel, nivel competente seg=C3=BAn Patricia Benner, se identific=C3=B3 una ca= tegor=C3=ADa: Integraci=C3=B3n de la IA y dos subcategor=C3=ADas: procedimi= entos y cuidado cl=C3=ADnico y cognitivo. Por un lado, un grupo de participantes reconoce el uso de la IA como he= rramienta de apoyo en procedimientos espec=C3=ADficos. En este sentido, den= tro de la subcategor=C3=ADa de procedimientos, Azul, Girasol y Orqu=C3=ADde= a coinciden en su aplicaci=C3=B3n para =E2=80=9Cadministraci=C3=B3n de medi= camentos=E2=80=9D y =E2=80=9Cc=C3=A1lculo de dosis=E2=80=9D. De igual maner= a, Celeste y Gardenia se=C3=B1alan su uso para =E2=80=9Crevisar pasos de pr= ocedimientos=E2=80=9D y =E2=80=9Ccuidados de enfermer=C3=ADa en procedimien= tos que realizaron antes=E2=80=9D. Asimismo, Margarita, Begonia y Hortensia= ampl=C3=ADan su aplicaci=C3=B3n al mencionar =E2=80=9Ccuraci=C3=B3n de her= idas=E2=80=9D, =E2=80=9Cmanejo de efectos adversos y tipos de heridas=E2=80= =9D y =E2=80=9Curgencias obst=C3=A9tricas y procedimientos quir=C3=BArgicos= =E2=80=9D. Por otro lado, un grupo importante de participantes indica no utilizar l= a IA en procedimientos cl=C3=ADnicos. Dalia, Clavel, Lirio, Violeta y Lila = coinciden en se=C3=B1alar =E2=80=9Cninguno=E2=80=9D, lo que evidencia una r= esistencia o limitaci=C3=B3n en la incorporaci=C3=B3n de estas herramientas= durante la pr=C3=A1ctica directa.Respecto a la subcategor=C3=ADa cuidado cl=C3=ADn= ico y cognitivo, los resultados muestran que la mayor=C3=ADa de los partici= pantes considera que la IA debe utilizarse principalmente como un recurso p= revio o posterior al contacto con el paciente, m=C3=A1s que durante la aten= ci=C3=B3n directa. En este sentido, varios participantes coinciden en que s= u uso debe realizarse antes del contacto con el paciente. Por ejemplo, Azul= , Gardenia, Tulip=C3=A1n y Orqu=C3=ADdea se=C3=B1alan que =E2=80=9Cse debe = usar antes para tener conocimiento previo=E2=80=9D, =E2=80=9Cantes bas=C3= =A1ndose en evidencia cient=C3=ADfica=E2=80=9D, =E2=80=9Cantes para recorda= r informaci=C3=B3n=E2=80=9D y =E2=80=9Cantes para reforzar lo que ya se sab= e=E2=80=9D.De manera similar, Celeste, Clavel y Violeta indican que la IA puede uti= lizarse =E2=80=9Cantes o despu=C3=A9s=E2=80=9D del cuidado, pero no durante= la intervenci=C3=B3n directa. Por otro lado, participantes como Dalia, Beg= onia, Hortensia y Lila manifiestan una postura m=C3=A1s restrictiva, se=C3= =B1alando que =E2=80=9Cno se puede integrar en el cuidado directo=E2=80=9D,= =E2=80=9Csolo como investigaci=C3=B3n r=C3=A1pida antes o despu=C3=A9s=E2= =80=9D o =E2=80=9Cgenera desconfianza en la atenci=C3=B3n=E2=80=9D. En cont= raste, algunos participantes presentan una visi=C3=B3n m=C3=A1s flexible so= bre su integraci=C3=B3n. Girasol y Tulip=C3=A1n consideran que =E2=80=9Cse = puede usar como ayuda incluso durante alg=C3=BAn procedimiento que no se co= noce=E2=80=9D y que =E2=80=9Cpodr=C3=ADa integrarse en el trabajo cotidiano= =E2=80=9D, mientras que Lirio destaca que =E2=80=9Cpuede facilitar la carga= laboral y permitir m=C3=A1s contacto con el paciente=E2=80=9D. Estas difer= encias reflejan distintos niveles de aceptaci=C3=B3n y confianza en la IA d= entro del entorno cl=C3=ADnico.En el cuarto nivel se=C3=B1alado por Patricia Benner= , nivel eficiente, se emerge una categor=C3=ADa denominada comprensi=C3=B3n= integral del cuidado con dos subcategor=C3=ADas: Pensamiento cr=C3=ADtico = y cuidado humanizado. En la subcategor=C3=ADa pensamiento cr=C3=ADtico, los= resultados muestran un consenso claro entre los participantes al se=C3=B1a= lar que la IA no puede reemplazar el juicio cl=C3=ADnico del profesional. E= n este sentido, Girasol, Dalia, Clavel, Gardenia, Lirio, Tulip=C3=A1n, Orqu= =C3=ADdea, Violeta, Begonia, Hortensia y Lila coinciden en afirmar que =E2= =80=9Cno se puede reemplazar el pensamiento cr=C3=ADtico=E2=80=9D, =E2=80= =9Ces propio del profesional=E2=80=9D o =E2=80=9Cdepende del criterio de ca= da uno=E2=80=9D. Estas expresiones reflejan la importancia atribuida al jui= cio cl=C3=ADnico como eje central en la toma de decisiones. Por otro lado, = algunos participantes reconocen que la IA puede funcionar como complemento = en este proceso. Azul y Margarita se=C3=B1alan que =E2=80=9Cpuede ayudar co= mo complemento para tomar decisiones=E2=80=9D y que =E2=80=9Cdepende de c= =C3=B3mo se use, es una ayuda=E2=80=9D, lo que evidencia una visi=C3=B3n m= =C3=A1s integradora, aunque sin restar protagonismo al pensamiento cr=C3=AD= tico del profesional. En cuanto a la subcategor=C3=ADa cuidado humanizado, los resu= ltados muestran una postura igualmente consistente entre los participantes,= quienes coinciden en que este no puede ser sustituido por la IA. En este s= entido, Azul, Gardenia, Lirio, Margarita y Begonia enfatizan que =E2=80=9Ce= l cuidado humanizado es =C3=BAnico=E2=80=9D, =E2=80=9Ces individualizado=E2= =80=9D, =E2=80=9Cno es general como lo da la IA=E2=80=9D, =E2=80=9Cno depende de u= na plataforma=E2=80=9D y =E2=80=9Cincluye respeto y apoyo emocional=E2=80= =9D. Estas afirmaciones destacan la dimensi=C3=B3n =C3=A9tica y relacional = del cuidado. De manera complementaria, Celeste, Clavel, Dalia y Girasol coi= nciden en que, si bien la IA no reemplaza el cuidado humanizado, su uso ade= cuado podr=C3=ADa contribuir indirectamente a su fortalecimiento, siempre q= ue exista criterio cl=C3=ADnico. En este sentido, se=C3=B1alan que =E2=80= =9Cse debe tener criterio propio para usar la IA=E2=80=9D, =E2=80=9Ces impo= rtante saber usarla=E2=80=9D y =E2=80=9Cprimero conocer al paciente antes d= e utilizarla=E2=80=9D. Asimismo, Tulip=C3=A1n, Orqu=C3=ADdea, Violeta, Hortensia y = Lila profundizan en el significado del cuidado humanizado, destacando que i= mplica =E2=80=9Ctratar al paciente como persona=E2=80=9D, =E2=80=9Cbrindar = confianza=E2=80=9D, =E2=80=9Catenci=C3=B3n individualizada=E2=80=9D, =E2=80= =9Cverlo como un ser humano integral=E2=80=9D y =E2=80=9Cestar presente tam= bi=C3=A9n en lo emocional=E2=80=9D. Estas expresiones refuerzan la idea de = que el cuidado humanizado trasciende lo t=C3=A9cnico y se fundamenta en la relaci= =C3=B3n directa enfermero-paciente.De la misma manera, en el =C3=BAltimo nivel se= =C3=B1alado por Benner, el nivel experto, surgieron dos categor=C3=ADas: Ni= vel de dominio (subcategor=C3=ADa autopercepci=C3=B3n) y tr=C3=A1nsito y pr= ogresi=C3=B3n (subcategor=C3=ADa percepci=C3=B3n del impacto). En la catego= r=C3=ADa nivel de dominio, subcategor=C3=ADa autopercepci=C3=B3n, un grupo = de estudiantes se identifica en niveles iniciales o intermedios, como lo ex= presan Girasol, Dalia, Clavel, Lirio, Violeta y Begonia, quienes coinciden = en se=C3= =B1alar que se encuentran en un =E2=80=9Cnivel 2 principiante avanzado=E2= =80=9D, argumentando que =E2=80=9Cconocen lo b=C3=A1sico=E2=80=9D, =E2=80= =9Cest=C3=A1n empezando, pero ya tienen algo de experiencia=E2=80=9D o =E2= =80=9Csaben usarla, pero no la aprovechan al 100%=E2=80=9D. Por otro lado, = participantes como Gardenia, Tulip=C3=A1n y Margarita se ubican en un nivel= intermedio superior, indicando que est=C3=A1n en un =E2=80=9Cnivel 3 compe= tente=E2=80=9D, ya que =E2=80=9Csaben utilizar la herramienta, pero a=C3=BA= n no la dominan completamente=E2=80=9D o =E2=80=9Ccombinan su uso con la ex= periencia adquirida en el internado=E2=80=9D. Asimismo, Azul, Celeste y Lila se per= ciben en un nivel m=C3=A1s avanzado, identific=C3=A1ndose como =E2=80=9Cniv= el 4 eficiente=E2=80=9D, al considerar que =E2=80=9Cpueden manejar la IA de= forma pr=C3=A1ctica=E2=80=9D y que =E2=80=9Cles ayuda a resolver diferente= s situaciones=E2=80=9D. En contraste, Orqu=C3=ADdea y Hortensia se posicion= an en un nivel inicial, se=C3=B1alando que se encuentran en =E2=80=9Cnivel = novato=E2=80=9D, debido a que =E2=80=9Cno utilizan la IA de forma frecuente= =E2=80=9D o =E2=80=9Csu uso es muy b=C3=A1sico=E2=80=9D. Estas diferencias = reflejan distintos grados de apropiaci=C3=B3n tecnol=C3=B3gica entre los pa= rticipantes.En cuanto a la categor=C3=ADa tr=C3=A1nsito y progresi=C3=B3n de la IA,= en la subcategor=C3=ADa percepci=C3=B3n de impacto, la mayor=C3=ADa de los= participantes coincide en que el uso adecuado de la IA puede favorecer el = avance entre los niveles de competencia. En este sentido, Azul, Girasol, Da= lia, Clavel, Gardenia, Lirio y Tulip=C3=A1n se=C3=B1alan que =E2=80=9Cfacil= ita el tr=C3=A1nsito entre niveles=E2=80=9D, =E2=80=9Cayuda en la investiga= ci=C3=B3n=E2=80=9D, =E2=80=9Cpermite acceder m=C3=A1s r=C3=A1pido a la info= rmaci=C3=B3n=E2=80=9D y que =E2=80=9Csi se aprende a usar correctamente, se= puede llegar a un nivel experto=E2=80=9D. De manera similar, Celeste y Lil= a consideran que la IA contribuye principalmente en el =C3=A1mbito te=C3=B3= rico, indicando que =E2=80=9Cayuda m=C3=A1s en lo te=C3=B3rico que en lo pr= =C3=A1ctico=E2=80=9D y que =E2=80=9Cpuede mejorar siempre que se complement= e con informaci=C3=B3n cient=C3=ADfica confiable=E2=80=9D.Por otro lado, algunos p= articipantes expresan posturas m=C3=A1s cr=C3=ADticas o limitantes frente a= este proceso. Violeta, Begonia y Hortensia coinciden en se=C3=B1alar que = =E2=80=9Cdepende del uso que se le d=C3=A9=E2=80=9D, =E2=80=9Cno es 100% co= nfiable=E2=80=9D y que =E2=80=9Cse deben poner l=C3=ADmites para no afectar= el pensamiento cr=C3=ADtico=E2=80=9D. Asimismo, Orqu=C3=ADdea introduce un= factor adicional al mencionar que =E2=80=9Cexiste un l=C3=ADmite en el acc= eso a la IA, ya que algunas funciones son pagadas=E2=80=9D, lo que puede in= fluir en su aprovechamiento. As=C3=AD tambi=C3=A9n, Margarita adopta una po= stura intermedia al indicar que =E2=80=9Cse puede mejorar, aunque nadie lle= ga a ser completamente experto=E2=80=9D, lo que refleja una visi=C3=B3n rea= lista del proceso de aprendizaje continuo.<ol start=3D"4" style= =3D"margin:0pt; padding-left:0pt"><li class=3D"ListParagraph" style=3D"marg= in-left:17.3pt; margin-bottom:10pt; line-height:107%; padding-left:4pt; fon= t-family:'Times New Roman'; font-size:12pt; font-weight:bold; color:#948a54= ">Discusi=C3=B3n </li></ol>En los niveles iniciales correspondientes al nivel novato, los= estudiantes reconocen principalmente herramientas de inteligencia artifici= al como ChatGPT y Gemini, mientras que plataformas como Claude, Dola y Perp= lexity fueron mencionadas con menor frecuencia. Este hallazgo demuestra que= el acercamiento inicial de los participantes hacia la IA se centra en herr= amientas ampliamente difundidas y de f=C3=A1cil acceso, utilizadas principa= lmente para resolver necesidades inmediatas de aprendizaje. Estudios recien= tes indican que los estudiantes de enfermer=C3=ADa tienden a emplear inicia= lmente plataformas generativas populares debido a su facilidad de uso y r= =C3=A1pida disponibilidad de informaci=C3=B3n (5)(6). Desde la perspectiva = de Patricia Benner, el nivel novato se caracteriza por la dependencia de re= glas, conocimientos b=C3=A1sicos y experiencias limitadas para desenvolvers= e dentro de los escenarios acad=C3=A9micos y cl=C3=ADnicos (14)(15). </span= >En este sentid= o, el reconocimiento predominante de herramientas conocidas evidencia un ni= vel inicial de apropiaci=C3=B3n tecnol=C3=B3gica, donde el estudiante a=C3= =BAn no explora de manera profunda aplicaciones m=C3=A1s especializadas ori= entadas al razonamiento cl=C3=ADnico avanzado. Asimismo, el limitado conoci= miento sobre otras plataformas refleja que el uso de IA todav=C3=ADa se enc= uentra en una fase exploratoria dentro del proceso formativo. Esto coincide= con estudios que se=C3=B1alan que los estudiantes de ciencias de la salud = suelen iniciar el uso de IA mediante herramientas conversacionales de acces= o general, antes de integrar tecnolog=C3=ADas m=C3=A1s complejas o especial= izadas en la pr=C3=A1ctica cl=C3=ADnica (11)(16). Por consiguiente, los hal= lazgos evidencian que los participantes se encuentran en un proceso inicial= de familiarizaci=C3=B3n tecnol=C3=B3gica, lo cual constituye una base para= avanzar hacia niveles superiores de competencia en el uso de IA.</p= >En relaci=C3=B3n c= on la subcategor=C3=ADa, usos de la IA, los participantes se=C3=B1alaron qu= e estas herramientas son empleadas principalmente para actividades acad=C3= =A9micas como elaboraci=C3=B3n de tareas, b=C3=BAsqueda de informaci=C3=B3n= y resoluci=C3=B3n de dudas te=C3=B3ricas. De manera complementaria, alguno= s estudiantes mencionaron su utilizaci=C3=B3n dentro del =C3=A1mbito hospit= alario para aclarar procedimientos o reforzar conocimientos previos antes d= e la atenci=C3=B3n cl=C3=ADnica. Estos resultados coinciden con investigaci= ones donde se reporta que la IA es utilizada por estudiantes de enfermer=C3= =ADa como apoyo educativo, recurso de consulta r=C3=A1pida y herramienta pa= ra fortalecer el aprendizaje aut=C3=B3nomo (6)(11)(16). En concordancia con Benner = (3) el estudiante novato necesita apoyarse en recursos externos y conocimie= ntos te=C3=B3ricos para afrontar situaciones nuevas, por lo que la IA funci= ona como una herramienta de orientaci=C3=B3n inicial dentro del proceso de = aprendizaje (14). Adem=C3=A1s, el predominio del uso acad=C3=A9mico demuest= ra que la IA a=C3=BAn es percibida principalmente como un recurso de apoyo = cognitivo m=C3=A1s que como una herramienta integrada completamente en el c= uidado cl=C3=ADnico. Esto evidencia que el estudiante prioriza el fortaleci= miento de conocimientos te=C3=B3ricos antes de aplicar estas tecnolog=C3=AD= as en contextos asistenciales complejos. Dentro de la categor=C3=ADa directrices = o reglas, con su subcategor=C3=ADa validaci=C3=B3n de informaci=C3=B3n los = participantes destacaron la importancia de validar la informaci=C3=B3n obte= nida mediante IA utilizando art=C3=ADculos cient=C3=ADficos, gu=C3=ADas cl= =C3=ADnicas y fuentes confiables, lo cual evidencia una preocupaci=C3=B3n i= nicial por la veracidad y seguridad de los contenidos empleados durante su = formaci=C3=B3n. Este hallazgo coincide con estudios que se=C3=B1alan que un= o de los principales desaf=C3=ADos del uso de IA en estudiantes de ciencias= de la salud corresponde a la necesidad de verificar cr=C3=ADticamente la i= nformaci=C3=B3n generada por estas herramientas, debido al riesgo de respue= stas incompletas, inexactas o descontextualizadas (12)(16). En este context= o, los estudiantes reconocen que la IA no debe considerarse una fuente abso= luta de conocimiento, sino un recurso complementario que requiere validaci= =C3=B3n cient=C3=ADfica antes de ser aplicado en escenarios acad=C3=A9micos= o cl=C3=ADnicos. Desde la teor=C3=ADa de Patricia Benner (3) el nivel novato se ca= racteriza por la actuaci=C3=B3n basada en reglas y lineamientos externos de= bido a la limitada experiencia pr=C3=A1ctica. La validaci=C3=B3n de informa= ci=C3=B3n mediante evidencia cient=C3=ADfica representa una estrategia que = permite al estudiante reducir la incertidumbre y fortalecer progresivamente= su seguridad durante el proceso formativo. Por consiguiente, aunque los pa= rticipantes a=C3=BAn no poseen un juicio cl=C3=ADnico completamente consoli= dado, comienzan a desarrollar habilidades relacionadas con el pensamiento c= r=C3=ADtico, la b=C3=BAsqueda de informaci=C3=B3n confiable y la pr=C3=A1ct= ica basada en evidencia (14).En el nivel principiante avanzado, con su categor=C3= =ADa experiencia de uso, en la subcategor=C3=ADa tiempo de uso de la IA, ev= idenciaron diferencias importantes entre los participantes, observ=C3=A1ndo= se estudiantes que comenzaron a utilizar estas herramientas desde los prime= ros semestres de la carrera y otros que las incorporaron recientemente, des= pu=C3=A9s de la pandemia. Este hallazgo refleja una incorporaci=C3=B3n prog= resiva de tecnolog=C3=ADas digitales dentro de la formaci=C3=B3n en enferme= r=C3=ADa, influenciada por el contexto educativo, el acceso a plataformas d= igitales y la necesidad de fortalecer modalidades de aprendizaje aut=C3=B3n= omo. Investigaciones recientes se=C3=B1alan que el uso de IA en estudiantes= universitarios se ha intensificado en los =C3=BAltimos a=C3=B1os, especial= mente por la disponibilidad de herramientas generativas aplicadas al aprend= izaje y a la resoluci=C3=B3n de problemas acad=C3=A9micos (5)(6)(16). </spa= n>Seg=C3=BAn Pa= tricia Benner, el principiante avanzado comienza a reconocer situaciones re= currentes a partir de experiencias previas, aunque todav=C3=ADa presenta li= mitaciones para interpretar integralmente escenarios complejos (14). En est= e sentido, el mayor tiempo de exposici=C3=B3n a herramientas de IA favorece= el desarrollo de mayor familiaridad tecnol=C3=B3gica y permite al estudian= te integrar progresivamente estos recursos dentro de sus actividades acad= =C3=A9micas y cl=C3=ADnicas. Por tanto, la experiencia acumulada influye di= rectamente en el fortalecimiento de competencias relacionadas con el uso de= IA, aunque esta progresi=C3=B3n no ocurre de manera uniforme en todos los = participantes.Respecto a la subcategor=C3=ADa, desarrollo de habilidades, la mayor= =C3=ADa de los participantes consider=C3=B3 que la IA contribuye favorablem= ente al fortalecimiento de conocimientos relacionados con el cuidado del pa= ciente, especialmente en la b=C3=BAsqueda de informaci=C3=B3n, comprensi=C3= =B3n de procedimientos y refuerzo del razonamiento cl=C3=ADnico. No obstant= e, algunos estudiantes manifestaron que estas herramientas funcionan =C3=BA= nicamente como apoyo complementario y no como sustituto de la experiencia c= l=C3=ADnica. Estos resultados coinciden con investigaciones recientes donde= se se=C3=B1ala que la IA favorece el aprendizaje personalizado, la organiz= aci=C3=B3n de informaci=C3=B3n y el fortalecimiento de habilidades cognitiv= as, aunque el desarrollo de competencias cl=C3=ADnicas contin=C3=BAa depend= iendo de la pr=C3=A1ctica y experiencia profesional (5)(11)(17). </p= >En concordancia co= n Benner, el principiante avanzado empieza a adquirir mayor confianza media= nte la repetici=C3=B3n de experiencias y el reconocimiento progresivo de si= tuaciones cl=C3=ADnicas (14). En este contexto, la IA facilita el acceso r= =C3=A1pido a informaci=C3=B3n relevante y contribuye al fortalecimiento de = habilidades acad=C3=A9micas y cognitivas, favoreciendo el tr=C3=A1nsito hac= ia niveles superiores de competencia. Sin embargo, los participantes recono= cen que el aprendizaje pr=C3=A1ctico, la supervisi=C3=B3n docente y el cont= acto directo con el paciente contin=C3=BAan siendo fundamentales dentro del= proceso formativo.De igual manera, en la subcategor=C3=ADa, retroalimentaci=C3=B3n= los participantes se=C3=B1alaron que el uso de IA proviene principalmente = de procesos de autoeducaci=C3=B3n, apoyo entre compa=C3=B1eros y recursos d= igitales, mientras que la formaci=C3=B3n institucional sobre estas herramie= ntas a=C3=BAn resulta limitada. Este hallazgo evidencia que gran parte del = aprendizaje relacionado con IA ocurre de manera aut=C3=B3noma y colaborativ= a, situaci=C3=B3n que coincide con estudios donde los estudiantes desarroll= an competencias digitales mediante experiencias autodirigidas, aprendizaje = entre pares y exploraci=C3=B3n de herramientas tecnol=C3=B3gicas (6)(11)(12= ). Desde= la perspectiva de Patricia Benner, el principiante avanzado requiere orien= taci=C3=B3n y experiencias continuas para fortalecer progresivamente sus co= mpetencias (14). En consecuencia, la retroalimentaci=C3=B3n constituye un e= lemento esencial para favorecer la apropiaci=C3=B3n tecnol=C3=B3gica y el d= esarrollo de habilidades relacionadas con el uso cr=C3=ADtico de la IA. Por= ello, los resultados evidencian la necesidad de incorporar estrategias for= mativas m=C3=A1s estructuradas dentro de los programas de enfermer=C3=ADa, = orientadas al fortalecimiento de competencias digitales, razonamiento cl=C3= =ADnico y uso responsable de estas herramientas.En el nivel competente, con su cate= gor=C3=ADa integraci=C3=B3n de la IA y su subcategor=C3=ADa procedimientos,= los participantes indicaron que la IA es utilizada como apoyo complementar= io especialmente en administraci=C3=B3n de medicamentos, c=C3=A1lculo de do= sis, revisi=C3=B3n de cuidados y preparaci=C3=B3n previa a determinados pro= cedimientos cl=C3=ADnicos. Este hallazgo evidencia una integraci=C3=B3n m= =C3=A1s contextualizada de la tecnolog=C3=ADa dentro del cuidado enfermero,= donde la IA deja de ser utilizada =C3=BAnicamente para actividades acad=C3= =A9micas y comienza a incorporarse en escenarios relacionados con la pr=C3= =A1ctica cl=C3=ADnica. Investigaciones recientes se=C3=B1alan que las herra= mientas basadas en IA pueden contribuir al fortalecimiento del razonamiento= cl=C3=ADnico, la toma de decisiones y la seguridad en procedimientos asist= enciales cuando son utilizadas como apoyo y no como sustituto del profesion= al (16)(17)(18)(19). Seg=C3=BAn Patricia Benner, el nivel competente se caracteriza= por la capacidad del estudiante para planificar, priorizar y organizar sus= acciones cl=C3=ADnicas de manera m=C3=A1s consciente y estructurada (14). = En este sentido, los participantes evidencian una mayor apropiaci=C3=B3n te= cnol=C3=B3gica al utilizar la IA como apoyo para procedimientos relacionado= s con el cuidado, integrando conocimientos te=C3=B3ricos y experiencia pr=C3=A1ctic= a. No obstante, contin=C3=BAan reconociendo la necesidad de complementar la= informaci=C3=B3n obtenida mediante IA con criterios cl=C3=ADnicos y conoci= mientos cient=C3=ADficos confiables.En relaci=C3=B3n con la subcategor=C3=ADa el cu= idado cl=C3=ADnico y cognitivo, la mayor=C3=ADa de los participantes manife= st=C3=B3 que la IA debe utilizarse principalmente antes o despu=C3=A9s del = contacto con el paciente, como herramienta de apoyo para reforzar conocimie= ntos o resolver dudas cl=C3=ADnicas. Este resultado demuestra que los estud= iantes reconocen l=C3=ADmites importantes respecto al uso de tecnolog=C3=AD= as dentro de la atenci=C3=B3n directa, priorizando el juicio cl=C3=ADnico, = la seguridad del paciente y la responsabilidad profesional. Diversos autore= s se=C3=B1alan que la IA puede optimizar procesos de atenci=C3=B3n y facili= tar el acceso r=C3=A1pido a informaci=C3=B3n cient=C3=ADfica; sin embargo, = las decisiones relacionadas con el cuidado contin=C3=BAan dependiendo del r= azonamiento humano y de la experiencia profesional (18)(19). Asimismo, algunos part= icipantes manifestaron preocupaci=C3=B3n respecto a la dependencia tecnol= =C3=B3gica y a la posibilidad de afectar el pensamiento cr=C3=ADtico si la = IA se utiliza de manera excesiva. Este hallazgo resulta relevante porque ev= idencia una postura cr=C3=ADtica frente a la incorporaci=C3=B3n tecnol=C3= =B3gica, donde los estudiantes reconocen tanto sus beneficios como sus limi= taciones. En consecuencia, la integraci=C3=B3n de la IA dentro del cuidado = cl=C3=ADnico debe realizarse de manera equilibrada, favoreciendo el razonam= iento cl=C3=ADnico sin sustituir la autonom=C3=ADa profesional ni la capaci= dad de an=C3=A1lisis del estudiante, aspecto que tambi=C3=A9n es se=C3=B1al= ado por organismos internacionales al advertir que la IA en salud debe empl= earse bajo criterios de seguridad, transparencia, supervisi=C3=B3n humana y= responsabilidad =C3=A9tica (16)(20).En el nivel eficiente, con su categor=C3=ADa c= omprensi=C3=B3n integral del cuidado con su subcategor=C3=ADa pensamiento c= r=C3=ADtico, los participantes coincidieron en que la IA puede complementar= el pensamiento cr=C3=ADtico, aunque no reemplazarlo, debido a que la toma = de decisiones cl=C3=ADnicas depende de la experiencia, el an=C3=A1lisis con= textual y el juicio profesional. Este hallazgo coincide con investigaciones= relacionadas con =C3=A9tica e inteligencia artificial en salud, donde se e= stablece que estas tecnolog=C3=ADas carecen de razonamiento moral y de capa= cidad para comprender integralmente las necesidades humanas (16)(20). En co= nsecuencia, los estudiantes reconocen que el pensamiento cr=C3=ADtico const= ituye una competencia esencial dentro de la pr=C3=A1ctica enfermera y que l= a IA debe utilizarse =C3=BAnicamente como apoyo durante el proceso de apren= dizaje y cuidado. Desde la teor=C3=ADa de Patricia Benner, el nivel eficiente se ca= racteriza por una comprensi=C3=B3n m=C3=A1s global e intuitiva de las situa= ciones cl=C3=ADnicas, permitiendo actuar con mayor seguridad y criterio pro= fesional (14). En este contexto, los participantes demuestran una visi=C3= =B3n m=C3=A1s reflexiva respecto al uso de la IA, reconociendo que su efect= ividad depende del an=C3=A1lisis cr=C3=ADtico y de la capacidad del estudia= nte para interpretar correctamente la informaci=C3=B3n obtenida. Por tanto,= el pensamiento cr=C3=ADtico se consolida como una competencia esencial par= a garantizar un uso seguro de la IA dentro del cuidado de enfermer=C3=ADa.<= /span>En relaci= =C3=B3n con la subcategor=C3=ADa, cuidado humanizado, los participantes se= =C3=B1alaron que la IA no puede sustituir elementos esenciales del cuidado = enfermero como la empat=C3=ADa, la comunicaci=C3=B3n, el acompa=C3=B1amient= o emocional y la atenci=C3=B3n individualizada. Este resultado evidencia qu= e los estudiantes comprenden el cuidado como un proceso integral fundamenta= do en la interacci=C3=B3n humana y no =C3=BAnicamente en procedimientos t= =C3=A9cnicos. Desde la formaci=C3=B3n enfermera, el desarrollo de competenc= ias no se limita a la ejecuci=C3=B3n de actividades cl=C3=ADnicas, sino que= tambi=C3=A9n implica la construcci=C3=B3n de una relaci=C3=B3n terap=C3=A9= utica, =C3=A9tica y sensible con el paciente, aspecto que se relaciona con = la comprensi=C3=B3n integral del cuidado propuesta en la formaci=C3=B3n bas= ada en Benner (4)(10)(14). Asimismo, los participantes consideran que el uso inadec= uado de la IA podr=C3=ADa afectar la individualizaci=C3=B3n del cuidado si = se prioriza la tecnolog=C3=ADa sobre la interacci=C3=B3n humana. Este punto= coincide con los enfoques =C3=A9ticos sobre IA en salud, los cuales advier= ten que la incorporaci=C3=B3n tecnol=C3=B3gica debe preservar la dignidad, la auton= om=C3=ADa y la centralidad de la persona atendida (16)(20). En consecuencia= , la IA puede fortalecer el cuidado cuando se utiliza como apoyo para acced= er a informaci=C3=B3n y organizar el razonamiento cl=C3=ADnico, pero no deb= e desplazar la presencia, comunicaci=C3=B3n y sensibilidad que caracterizan= la pr=C3=A1ctica enfermera.As=C3=AD tambi=C3=A9n, en el nivel experto, con su cate= gor=C3=ADa nivel de dominio en la subcategor=C3=ADa autopercepci=C3=B3n, lo= s participantes se=C3=B1alaron que se encuentran en distintos niveles de do= minio respecto al uso de IA, predominando aquellos que se consideran en niv= eles intermedios como principiante avanzado y competente. Este hallazgo evi= dencia diferencias importantes en la apropiaci=C3=B3n tecnol=C3=B3gica de l= os estudiantes, relacionadas con la experiencia, frecuencia de uso y capaci= taci=C3=B3n recibida. Investigaciones recientes se=C3=B1alan que el desarro= llo de competencias digitales en enfermer=C3=ADa depende de la exposici=C3= =B3n progresiva a tecnolog=C3=ADas, la alfabetizaci=C3=B3n en IA y la integ= raci=C3=B3n de herramientas innovadoras dentro de la formaci=C3=B3n acad=C3= =A9mica (5)(21)(22). Desde el modelo de Patricia Benner, el tr=C3=A1nsito entre niv= eles ocurre progresivamente mediante la acumulaci=C3=B3n de experiencia y e= l fortalecimiento del juicio cl=C3=ADnico (14). En este sentido, la autoper= cepci=C3=B3n de los participantes refleja que el dominio de la IA a=C3=BAn = se encuentra en proceso de consolidaci=C3=B3n y que muchos estudiantes reco= nocen limitaciones relacionadas con el uso avanzado de estas herramientas d= entro de escenarios cl=C3=ADnicos reales. Por ello, el nivel experto no se = alcanza =C3=BAnicamente por utilizar IA con frecuencia, sino por integrar l= a tecnolog=C3=ADa con experiencia cl=C3=ADnica, pensamiento cr=C3=ADtico y = toma de decisiones fundamentada.Asimismo, dentro de la categor=C3=ADa tr=C3=A1nsito= y progresi=C3=B3n de la IA, los participantes consideraron que el uso adec= uado puede favorecer el tr=C3=A1nsito hacia niveles superiores de competenc= ia al facilitar el acceso r=C3=A1pido a informaci=C3=B3n cient=C3=ADfica y = fortalecer el aprendizaje aut=C3=B3nomo. Reconocieron tambi=C3=A9n que la e= xperiencia acumulada y el uso frecuente de estas herramientas permito mejor= ar progresivamente su capacidad para resolver dudas acad=C3=A9micas y cl=C3= =ADnicas. Este hallazgo coincide con estudios recientes donde se plantea qu= e la integraci=C3=B3n de IA dentro de la formaci=C3=B3n en salud favorece e= l desarrollo progresivo de competencias relacionadas con el razonamiento cl= =C3=ADnico, la toma de decisiones y la preparaci=C3=B3n para escenarios asi= stenciales complejos (11)(17)(19). No obstante, los participantes identificaron li= mitaciones relacionadas con la confiabilidad de la informaci=C3=B3n, el acc= eso restringido a ciertas plataformas y la dependencia tecnol=C3=B3gica. En= consecuencia, consideran que el tr=C3=A1nsito hacia niveles superiores des= critos por Patricia Benner no depende exclusivamente del uso de IA, sino ta= mbi=C3=A9n de la experiencia cl=C3=ADnica, el pensamiento cr=C3=ADtico y la= integraci=C3=B3n adecuada entre conocimiento cient=C3=ADfico y pr=C3=A1cti= ca profesional (14). <ol start=3D"5" style=3D"margin:0pt; paddin= g-left:0pt"><li class=3D"ListParagraph" style=3D"margin-left:17.3pt; margin= -bottom:10pt; line-height:107%; padding-left:4pt; font-family:'Times New Ro= man'; font-size:12pt; font-weight:bold; color:#948a54">Conclusiones</li></ol><ul style=3D"margin:0pt; padding-lef= t:0pt"><li class=3D"ListParagraph" style=3D"margin-left:32.33pt; margin-bot= tom:0pt; text-align:justify; line-height:115%; padding-left:3.67pt; font-fa= mily:serif; font-size:12pt">L= os resultados del estudio permitieron analizar el nivel de competencia de l= os estudiantes de enfermer=C3=ADa en el uso de la inteligencia artificial s= eg=C3=BAn el modelo de Patricia Benner, evidenci=C3=A1ndose una progresi=C3= =B3n gradual desde niveles iniciales hasta niveles intermedios de competenc= ia. Los participantes reconocen que estas herramientas deben utilizarse com= o apoyo complementario y no como sustituto del juicio cl=C3=ADnico ni de la= toma de decisiones profesionales durante la atenci=C3=B3n directa al pacie= nte.</li><li class=3D"ListParagraph" style=3D"margin-left:32.33pt; m= argin-bottom:0pt; text-align:justify; line-height:115%; padding-left:3.67pt= ; font-family:serif; font-size:12pt">En relaci=C3=B3n con la experiencia previa en el uso de la intelige= ncia artificial, los participantes reconocieron que estas herramientas form= an parte de sus actividades acad=C3=A9micas desde distintos momentos de la = carrera, especialmente despu=C3=A9s de la pandemia y del incremento del uso= de tecnolog=C3=ADas digitales en educaci=C3=B3n superior.</li><li c= lass=3D"ListParagraph" style=3D"margin-left:32.33pt; margin-bottom:0pt; tex= t-align:justify; line-height:115%; padding-left:3.67pt; font-family:serif; = font-size:12pt">Asimismo, se= =C3=B1alaron que la IA debe utilizarse como apoyo complementario y no como = sustituto del juicio cl=C3=ADnico ni de la toma de decisiones profesionales= durante la atenci=C3=B3n directa al paciente, debido a la importancia del = pensamiento cr=C3=ADtico y de la experiencia pr=C3=A1ctica dentro del cuida= do enfermero. Respecto a los tipos de inteligencia artificial y sus usos pr= incipales, los estudiantes identificaron principalmente herramientas como C= hatGPT y Gemini, utilizadas para b=C3=BAsqueda de informaci=C3=B3n, elabora= ci=C3=B3n de tareas, resoluci=C3=B3n de dudas te=C3=B3ricas y fortalecimien= to del aprendizaje aut=C3=B3nomo. A medida que avanzan hacia niveles superi= ores de competencia, la IA comienza a integrarse de manera m=C3=A1s context= ualizada en actividades relacionadas con procedimientos cl=C3=ADnicos, tale= s como c=C3=A1lculo de dosis, administraci=C3=B3n de medicamentos, revisi= =C3=B3n de protocolos y preparaci=C3=B3n previa para determinados cuidados = de enfermer=C3=ADa. Esto evidencia que las herramientas basadas en IA puede= n contribuir al fortalecimiento de habilidades acad=C3=A9micas, cognitivas = y cl=C3=ADnicas durante el proceso formativo.</li><li class=3D"ListP= aragraph" style=3D"margin-left:32.33pt; margin-bottom:0pt; text-align:justi= fy; line-height:115%; padding-left:3.67pt; font-family:serif; font-size:12p= t">En cuanto a las diferentes= situaciones en las que utilizan la IA, los resultados evidenciaron dos con= textos principales: el =C3=A1mbito acad=C3=A9mico y el =C3=A1mbito hospital= ario. En el entorno universitario, los estudiantes emplean la IA principalm= ente para reforzar contenidos, desarrollar tareas y resolver dudas conceptu= ales. Por otra parte, dentro del entorno cl=C3=ADnico y hospitalario, su us= o se orienta a la revisi=C3=B3n de procedimientos, aclaraci=C3=B3n de dudas= y preparaci=C3=B3n previa antes de la atenci=C3=B3n directa al paciente. S= in embargo, la mayor=C3=ADa de los participantes considera que la IA no deb= e sustituir el contacto humano ni la interacci=C3=B3n enfermero-paciente de= ntro del cuidado.</li><li class=3D"ListParagraph" style=3D"margin-le= ft:32.33pt; margin-bottom:0pt; text-align:justify; line-height:115%; paddin= g-left:3.67pt; font-family:serif; font-size:12pt">Al comparar los avances en el uso de la inteligencia a= rtificial desde el inicio de la carrera hasta la actualidad, se evidenci=C3= =B3 una evoluci=C3=B3n progresiva en la forma en que los estudiantes integr= an estas herramientas dentro de sus actividades acad=C3=A9micas y pr=C3=A1c= ticas. Inicialmente, la IA era utilizada de manera b=C3=A1sica y orientada = =C3=BAnicamente a tareas educativas; no obstante, conforme aumenta la exper= iencia acad=C3=A9mica y cl=C3=ADnica, los estudiantes desarrollan mayor cap= acidad para utilizarla de manera m=C3=A1s cr=C3=ADtica, </li><li cla= ss=3D"ListParagraph" style=3D"margin-left:32.33pt; margin-bottom:10pt; text= -align:justify; line-height:115%; padding-left:3.67pt; font-family:serif; f= ont-size:12pt">contextualizad= a y relacionada con el cuidado enfermero. En consecuencia, la IA puede favo= recer el tr=C3=A1nsito progresivo entre los niveles descritos por Patricia = Benner, siempre que su utilizaci=C3=B3n se encuentre acompa=C3=B1ada de for= maci=C3=B3n acad=C3=A9mica, pensamiento cr=C3=ADtico, validaci=C3=B3n cient= =C3=ADfica y experiencia cl=C3=ADnica.</li></ul><ol start=3D"6" styl= e=3D"margin:0pt; padding-left:0pt"><li style=3D"margin-left:17.3pt; margin-= bottom:10pt; text-align:justify; line-height:115%; padding-left:4pt; font-f= amily:'Times New Roman'; font-size:12pt; font-weight:bold; color:#948a54"><= span style=3D"color:#767171">Conflicto de intereses</li></ol>Los autores declaran que = no existe conflicto de intereses en relaci=C3=B3n con el art=C3=ADculo pres= entado.<ol start=3D"7" style=3D"margin:0pt; padding-left:0pt"><l= i class=3D"ListParagraph" style=3D"margin-left:17.3pt; margin-bottom:10pt; = line-height:normal; padding-left:4pt; font-family:'Times New Roman'; font-s= ize:12pt; font-weight:bold; color:#948a54">De= rechos de autor (copyrigth)</li></ol>Los autores son los titulares de los derechos de autor (patrimoniales y/o de explotaci=C3=B3n) = de los contenidos de la revista (copyright).<ol start=3D"8" style=3D"margin:0pt; padding-= left:0pt"><li style=3D"margin-left:17.3pt; margin-bottom:10pt; text-align:j= ustify; line-height:115%; padding-left:4pt; font-family:'Times New Roman'; = font-size:12pt; font-weight:bold; color:#948a54">Declaraci=C3=B3n de contribuci=C3=B3n de los autores</li></ol><p= style=3D"margin-bottom:0pt; text-align:justify; line-height:107%; font-siz= e:12pt">Los autores declaran = haber participado de manera equitativa y sustancial en la realizaci=C3=B3n = de esta investigaci=C3=B3n, bajo las responsabilidades seg=C3=BAn la </span= ><a href=3D"https://credit.niso.org/" style=3D"text-decoration:none">Taxonom=C3=ADa = CRediT</a> para descri= bir las contribuciones individuales de cada autor al trabajo. <p= style=3D"margin-bottom:0pt; text-align:justify; line-height:107%; font-siz= e:12pt">Genesis Lisbeth Jami = Toapanta & Yeisy Cristina Guarate Coronado realizaron la conceptualizac= i=C3=B3n de la investigaci=C3=B3n, organizaci=C3=B3n y ejecuci=C3=B3n del e= nsayo, recopilaci=C3=B3n y curaci=C3=B3n de los datos, revisi=C3=B3n del an= =C3=A1lisis estad=C3=ADstico, interpretaci=C3=B3n de los resultados, elabor= aci=C3=B3n del borrador original, preparaci=C3=B3n de tablas y figuras, rev= isi=C3=B3n cr=C3=ADtica del contenido y aprobaci=C3=B3n de la versi=C3=B3n = final del manuscrito.Divulgaci=C3=B3n de la delegaci=C3=B3n a la= IA generativaLos autores declaran el uso de la IA generativa en el proceso de inve= stigaci=C3=B3n y redacci=C3=B3n. Seg=C3=BAn la taxonom=C3=ADa GAIDeT (2025)= , las siguientes tareas fueron delegadas a las herramientas GAI bajo superv= isi=C3=B3n humana total:- Generaci=C3=B3n de ideas- Formulaci=C3=B3n de preguntas e hip=C3= =B3tesis de investigaci=C3=B3n- B=C3=BAsqueda y sistematizaci=C3=B3n de la literatu= raDecla= raci=C3=B3n presentada por: Genesis Lisbeth Jami Toapanta<ol sta= rt=3D"9" style=3D"margin:0pt; padding-left:0pt"><li style=3D"margin-left:17= .3pt; margin-bottom:10pt; text-align:justify; line-height:115%; padding-lef= t:4pt; font-family:'Times New Roman'; font-size:12pt; font-weight:bold; col= or:#948a54">Costos de financiamiento<s= pan style=3D"color:#000000"> </li></ol>La presente investigaci=C3=B3n fue financiada e= n su totalidad con fondos propios de los autores.<spa= n style=3D"font-family:'Times New Roman'"> <ol start=3D"10"= style=3D"margin:0pt; padding-left:0pt"><li style=3D"margin-left:21.3pt; ma= rgin-bottom:10pt; text-align:justify; line-height:107%; font-family:'Times = New Roman'; font-size:12pt; font-weight:bold; color:#948a54">Referencias Bibliogr=C3=A1ficas</li></ol><ol style= =3D"margin:0pt; padding-left:0pt"><li style=3D"margin-left:17.3pt; margin-b= ottom:0pt; line-height:115%; padding-left:18.15pt; font-family:'Times New R= oman'; font-size:12pt">Huun K. 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Nursing Now [Inte= rnet]. 2020 [cited 2026Mar.05]. <a href=3D"https://iris.who.int/bits= tream/handle/10665/331677/9789240003279-eng.pdf?utm_source=3Dchatgpt.com" s= tyle=3D"text-decoration:none">https://iris.who.int/bitstream/handle/10665/331677/978924000327= 9-eng.pdf?utm_source=3Dchatgpt.com</a></li></ol> </s= pan> </spa= n> <= span style=3D"font-family:'Times New Roman'"> </p= >&#= xa0; <= /span>El art=C3=ADculo que se publica es de exclusiva responsabilidad de = los autores y no necesariamente reflejan el pensamiento de la Revista Anatom=C3= =ADa Digital. <= /p><img src=3D"d= ata:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAN8AAAA5CAYAAAC25P6zAAAABHNCSV= QICAgIfAhkiAAAAAlwSFlzAAAOxAAADsQBlSsOGwAAIABJREFUeJztXXl8VcW9/82c7S7Jvdk3k= pBI2AWUolAVFbUW7dPWorEubRGXPLFQQ1WktXq0PsSVimvEKtW+vmeor1Vb26oQCyKKkX1PCNm3= m3tz9+Us83t/3NysN8lNSEja8v18zgdyzrkzv5kzv5nf/LYhMI6AiGS0yiYAAITgaJU/EGRZprq= mv+1xe24mBIDn+N1mS9w1siw3jnbda9asmaKElDJAzEpJSf15SA09K8uyMtr1dsf69eunN9Y3fq= 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