Prepared Or Unprepared? Evaluating Healthcare Workforce Readiness for Clinical Adoption of Artificial Intelligence in Nigeria
Authors: Abbas M. Rabiu, Abdulrazaq A. Zubair, Um-mulkhairi Ibrahim, Tolulope Olusuyi, Shaheeda Farouq, Safwan M. Dafi, Adaobi C. Emegoakor, Yewande Gbadamosi, +1 more
Artificial intelligence (AI) is increasingly integrated into healthcare systems worldwide, yet its successful clinical adoption depends critically on workforce readiness, particularly in low- and middle-income countries (LMICs) where infrastructural and training gaps persist. This cross-sectional study evaluated awareness, attitudes, preparedness, and barriers to AI adoption among 761 healthcare professionals across multiple disciplines and practice settings in Nigeria. Data were collected between December 2025 and March 2026 using a structured, validated questionnaire. Overall awareness of AI in healthcare was high (92.6%); however, objective knowledge and self-reported preparedness remained limited, with 40.9% reporting low or very low knowledge and only 63.0% feeling adequately prepared. Willingness to adopt AI was high: 92.5% expressed interest in training, and 78.7% supported inclusion of AI education in undergraduate curricula. Key barriers included lack of training (84.7%), poor infrastructure (71.1%), high cost of AI tools (61.0%), fear of job displacement (60.6%), ethical concerns (52.9%), and data privacy concerns (52.7%). Significant differences in preparedness were observed across geopolitical zones (chi-square (5) = 24.28, p < 0.001), and awareness differed across professional groups (chi-square (6) = 68.38, p < 0.001). Attitudes toward AI differed significantly across professional groups (F = 3.32, p = 0.003), with professionals who felt prepared demonstrating more positive attitudes (mean = 3.74) compared to those who did not (mean = 3.46). These findings reveal a critical disconnect between high awareness and actual readiness, underscoring the need for targeted training, infrastructure investment, and clear implementation frameworks to bridge the gap between AI technological potential and clinical reality in resource-constrained settings.
The study examines the adoption of artificial intelligence (AI) tools in education by analyzing the roles of institutional support, teacher confidence, and teacher concerns. It aims to determine whether teacher concerns moderate the relationship between institutional support and two outcomes: teacher confidence and attitudes toward AI adoption. The sample included 260 teachers from the Philippines. Composite scores were calculated for institutional support, confidence, concerns, and attitudes. Moderated multiple regression analysis showed that institutional support significantly predicted both teacher confidence and attitudes toward AI. However, teacher concerns did not significantly moderate these relationships. A follow-up mediation analysis tested whether confidence explains the effect of institutional support on attitudes. Results showed full mediation. The indirect effect was significant based on the Sobel test, and the direct effect became non-significant when confidence was included in the model. This shows that institutional support improves teacher attitudes by increasing their confidence. The study recommends that institutions provide structured and ongoing support to strengthen teacher confidence. Professional development, mentoring, and AI integration in teacher education programs can increase readiness and support effective AI adoption.
Vanessa B. Sibug, Maria Anna D. Cruz, Vicky P. Vital +6
Artificial Intelligence (AI) has the potential to be transformative for development, but Africa is currently facing a fragmented and challenging "AI divide". This paper provides an empirical analysis of the current state of the AI landscape and how it compares with Africa's technological preparedness for the future. In our analysis, we approach the "AI Divide" from three angles: infrastructure, accessibility, and human capacity. First, we look at the physical constraints that prevent Africa from integrating digitally. We then evaluate the human-centred factors that limit the development of AI technology on the continent. Finally, we examine the human capacity to develop AI systems on the continent and provide three focused case studies. Our investigation shows that the physical infrastructure needed to build an AI economy on the continent is lagging, with only 38% internet penetration, poor broadband coverage and less than 1% of all data centres globally. Other constraints include high data costs relative to income, gender-based digital divides, and the need to build more representative NLP models that can understand Africa's native languages. However, there are positive trends towards the emergence of local initiatives and grassroots movements, such as startups and universities, contributing to AI development on the continent. Based on these findings, we provide concrete recommendations to policymakers to help develop a more comprehensive and equitable AI ecosystem on the African continent.
AI applications are increasingly being introduced into digital health. While technical performance has advanced rapidly, successful deployment mainly depends on consumer attitudes, especially to patient-facing applications. However, most existing research examines consumer attitudes towards healthcare AI at an abstract level rather than in response to concrete artefacts. We report a mixed-methods survey study in Australia (N=275) examining consumer readiness, acceptance, trust, and risk perceptions of healthcare AI, combined with a scenario-based evaluation of an AI-generated versus clinician-written consultation summary. Participants expressed moderate optimism and strong perceived usefulness and ease of use, but also substantial concerns about accuracy, safety, and data use. In the scenario task, the AI-generated summary was strongly preferred for quality, empathy, and overall usefulness, yet identification of the AI summary was near chance. Findings show that consumers judge AI through concrete communication quality and visible human governance, underscoring the need for clinically supervised deployment frameworks beyond technical performance alone.