How Ready Are Nurse Educators for AI? What the New AI-CSNE Scale Shows

Three competency domains, what the validation data means, and how to use them

By Jillian Lohman, DNP, MSN, RNReviewed by Editorial TeamUpdated October 7, 20268 min read
Are Nurse Educators Ready for AI? The AI-CSNE Explained

What you’ll learn in this article…

  • Mona Gamal Mohamed developed the AI-CSNE from 470 Egyptian nurse educators.
  • It measures foundational AI instruction, ethical human-centered use, and professional growth.
  • Two subscales exceed .80 reliability; professional growth alpha is .697.

Students are already using generative AI to study, draft care plans, and rehearse clinical reasoning, but faculty readiness has mostly been guesswork. The Artificial Intelligence Competency Scale for Nurse Educators (AI-CSNE), introduced in BMC Nursing and summarized by Bioengineer.org, replaces that guesswork with three measured domains: foundational AI knowledge and instructional application, ethical and human-centered AI use, and AI-supported professional growth.

The scale, built from 470 nurse educator responses, is grounded in UNESCO's AI Competency Framework for Teachers. Its reliability numbers are uneven, with the professional-growth subscale weakest. That gap matters for MSN nurse educator training and how to develop nurse educator skills.

What the AI-CSNE Is and How 470 Educators Shaped It

The Artificial Intelligence Competency Scale for Nurse Educators (AI-CSNE) was developed with 470 nurse educators. Mona Gamal Mohamed of Rak College of Nursing in the United Arab Emirates developed the scale with Zahra Abdirahman Mohamud and Marwa Samir Sorour, and the instrument appears in BMC Nursing.

Who shaped the scale

The researchers surveyed 470 nurse educators from multiple nursing faculties in Egypt between mid-October 2025 and February 2026. They randomly divided the responses into two independent groups of 235: the first supported exploratory factor analysis, which identified the scale's underlying structure, and the second was reserved for confirmatory factor analysis. Tanta University's Scientific Research Ethics Committee approved the study, and participation was voluntary, anonymous, and electronically consented.

What the validation does and doesn't confirm

The exploratory work produced three competency domains: Foundational AI Knowledge and Instructional Application, Ethical and Human-Centered AI Use, and AI-Supported Professional Growth. However, the published summary available to us does not state the number of scale items or the exact response and scoring format, so those details should be verified before any local score interpretation.

Generalizability caveat

Because the validation sample came from Egyptian nursing faculties, its psychometric properties may not transfer automatically to U.S. MSN faculty. A U.S. MSN Nurse Educator Track program should replicate the factor structure with its own faculty before using the scale for accreditation, hiring, or nursing curriculum development decisions. Programs should treat the AI-CSNE as a useful starting benchmark, not a direct read on their own faculty without local data. The Bioengineer summary of the scale's development is available.

The Three AI Competency Domains Nurse Educators Are Measured On

The three domains measured in the new readiness scale are foundational AI knowledge and instructional application, ethical and human-centered AI use, and AI-supported professional growth. These map closely to UNESCO's broader teaching framework, but the specific expectations behind each domain still vary by program, state, and employer. No single list is universal; compare your local nursing education curriculum and evaluation criteria against UNESCO's five competency aspects and three progression levels.

Locate the UNESCO Framework First

Start on UNESCO's official site and download the 2024 AI Competency Framework for Teachers PDF. Scan for these five aspects:

  • human-centred mindset
  • ethics of AI
  • AI foundations and applications
  • AI pedagogy
  • AI for professional development

Note the three progression levels: acquire, deepen, create. These levels help you see whether your current role expects foundational awareness or deeper creation of AI-supported teaching activities. This mapping lets you turn the scale's domain labels into a concrete self-assessment checklist tied to an internationally recognized standard.

Verify Against Nursing-Specific Sources

Cross-check that framework with role-specific sources. Visit BLS.gov for nurse educator occupational requirements and outlook. Review nursing school websites for AI-related course outcomes or competency maps. Check professional associations such as the NLN, AACN, and ANA for AI position statements or crosswalks. Use exact phrases like "UNESCO AI competency framework teachers 2024 acquire deepen create" in Google Scholar, association resource libraries, or state board of nursing requirements sites, and verify the publication date and version before citing any framework. This gives you a defensible baseline.

Readiness is more than knowing how to use a chatbot. It is applying AI with ethical, human-centered judgment and using it to grow as an educator.
AI-CSNE competency framework

Reading the Reliability Numbers (And the Weakest Subscale)

A single score can feel like a verdict; the reliability numbers are better read as a diagnostic map. Factor loadings in the exploratory half of the sample ranged from 0.661 to 0.822, meaning the items within each domain hang together well, and the three factors together explain 56.10 percent of the total variance.1 That structure gives nurse educators a stable foundation for self-assessment, but the domain scores are not all equally precise.

What the domain scores show

  • Foundational AI Knowledge and Instructional Application: Cronbach's alpha of 0.842, solidly above the conventional 0.70 benchmark.1
  • Ethical and Human-Centered AI Use: Cronbach's alpha of 0.810, also strong.1
  • AI-Supported Professional Growth: Cronbach's alpha of 0.697, just under the usual 0.70 line.1

Why the 0.697 matters

A subscale below 0.70 does not mean the domain is invalid. It means programs should interpret AI-Supported Professional Growth more cautiously and expect the scale's authors to refine those items in future revisions. The confirmatory subsample produced comparable reliability, and model fit indices were strong: comparative fit index 0.989, Tucker-Lewis index 0.986, RMSEA 0.023, and SRMR 0.046.1

No validated score bands or ready or not ready cutoffs exist yet. Use the scale as a relative gap analysis for nursing program sustainability, not a pass or fail judgment. Treat the 0.697 domain as the area where faculty AI training and professional development for nurse educators overlap.

Using the Scale for Self-Assessment and Program Gap Analysis

Self-assessment with the AI-CSNE is less about achieving a single score and more about locating where you are solid, where you are guessing, and where your program has no clear plan.

Faculty self-check

Map your current teaching strategies in nursing education, assessment, and faculty development work to the three domains: Foundational AI Knowledge and Instructional Application, Ethical and Human-Centered AI Use, and AI-Supported Professional Growth. For each domain, write down concrete evidence, such as an assignment you redesigned, a policy you can cite, or a workshop you completed. Flag any area where you are relying on intuition rather than documented skill. That flag is your first development target, not a failure.

Program-level gap analysis

Program directors can run the same audit at the curriculum level. Inventory current AI workshops, syllabus language, assignments, and privacy or academic integrity policies, then sort each item into the three domains. Domains with no inventory entries are gaps. Prioritize those gaps by risk: ethical, privacy, and patient safety questions come first, followed by areas where faculty confidence is lowest. Track the results term by term as tools and policies change.

Because the scale has no published benchmark score bands and is not a validated hiring or evaluation tool, use it as a structured conversation starter for mentoring and planning, not a pass/fail test.

How the AI-CSNE Compares With AIRS, NAIRS and Other AI Readiness Tools

Several published tools measure AI readiness, but they are built for different groups. The AI-CSNE is the educator-specific option, while NAIRS targets nursing students and AIRS targets nurses in clinical practice. The table below summarizes each instrument, its constructs, validation context, and best use; cells marked not stated reflect gaps in the available source material.

InstrumentIntended PopulationWhat It MeasuresValidation ContextBest Use
AI-CSNE (Artificial Intelligence Competency Scale for Nurse Educators)Nurse educatorsFoundational AI Knowledge and Instructional Application; Ethical and Human-Centered AI Use; AI-Supported Professional GrowthCross-sectional survey of 470 nurse educators from multiple nursing faculties in Egypt, conducted between mid-October 2025 and February 2026; the sample was randomly split into two independent subsamples of 235 for exploratory factor analysis and confirmatory analysisAssessing nursing faculty members' perceived competency and preparedness to understand, apply, teach, and ethically govern AI in nursing education
NAIRS (Nursing AI Readiness Scale)Nursing studentsKnowledge/Awareness; Willingness to Use AI; Self-efficacy; Ethical AwarenessInitial instrument-development and psychometric-validation study among nursing students; a 40-item draft was reviewed by 10 faculty experts, five items were removed, and the final scale contained 20 itemsAssessing nursing students' readiness for artificial intelligence
AIRS (AI Readiness Scale)NursesCognition; Ability; Vision; EthicsDeveloped by Karaca et al. (2021); validation-sample size is not stated in the available sourceAssessing nurses' readiness to adopt and use AI technologies in clinical practice
Artificial Intelligence Literacy Scale for nursesNursesFour factors (names not specified in available source)Development and psychometric evaluation study; the available source reports 32 items and four factors with eigenvalues greater than one, but does not state the validation-sample sizeAssessing artificial-intelligence literacy among nurses
Generative AI can draft a simulation scenario or grading rubric, but the nurse educator still owns the final clinical judgment, the ethical oversight, and the human connection with every student.

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