{"id":"https://openalex.org/W7225089565","doi":"https://doi.org/10.1038/s41598-026-77198-x","title":"The role of social media and generative-ai in self-directed learning among respiratory therapy interns: a qualitative study","display_name":"The role of social media and generative-ai in self-directed learning among respiratory therapy interns: a qualitative study","publication_year":2026,"publication_date":"2026-11-02","ids":{"openalex":"https://openalex.org/W7225089565","doi":"https://doi.org/10.1038/s41598-026-77198-x"},"language":"en","primary_location":{"id":"doi:10.1038/s41598-026-77198-x","doi":"https://doi.org/10.1038/s41598-026-77198-x","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-77198-x","pdf_url":"https://www.nature.com/articles/s41598-026-77198-x_reference.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41598-026-77198-x_reference.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160357049","display_name":"Fatemah Alnakhly","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I185163786","display_name":"King Abdulaziz University","ror":"https://ror.org/02ma4wv74","country_code":"SA","type":"education","lineage":["https://openalex.org/I185163786"]}],"countries":["SA"],"is_corresponding":true,"raw_author_name":"Fatemah Alnakhly","raw_affiliation_strings":["King Fahad Hospital, Almedina, Saudi Arabia","Medical Education Department, King Abdulaziz University, Jeddah, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"King Fahad Hospital, Almedina, Saudi Arabia","institution_ids":[]},{"raw_affiliation_string":"Medical Education Department, King Abdulaziz University, Jeddah, Saudi Arabia","institution_ids":["https://openalex.org/I185163786"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012260804","display_name":"Nora Alshareef","orcid":"https://orcid.org/0009-0009-8448-6557","observed_orcids":["https://orcid.org/0009-0009-8448-6557"]},"institutions":[{"id":"https://openalex.org/I185163786","display_name":"King Abdulaziz University","ror":"https://ror.org/02ma4wv74","country_code":"SA","type":"education","lineage":["https://openalex.org/I185163786"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Nora Alshareef","raw_affiliation_strings":["Medical Education Department, King Abdulaziz University, Jeddah, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Education Department, King Abdulaziz University, Jeddah, Saudi Arabia","institution_ids":["https://openalex.org/I185163786"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5088746274","display_name":"Bayan Redwan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I185163786","display_name":"King Abdulaziz University","ror":"https://ror.org/02ma4wv74","country_code":"SA","type":"education","lineage":["https://openalex.org/I185163786"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Bayan Redwan","raw_affiliation_strings":["Medical Education Department, King Abdulaziz University, Jeddah, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Education Department, King Abdulaziz University, Jeddah, Saudi Arabia","institution_ids":["https://openalex.org/I185163786"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5160357049"],"corresponding_institution_ids":["https://openalex.org/I185163786"],"apc_list":{"value":2690,"currency":"USD","value_usd":2690},"apc_paid":{"value":2690,"currency":"USD","value_usd":2690},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.86959915,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12027","display_name":"Social Media in Health Education","score":0.6000999808311462,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12027","display_name":"Social Media in Health Education","score":0.6000999808311462,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.21279999613761902,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.15970000624656677,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/self-directed-learning","display_name":"self-directed learning","score":0.8610000014305115},{"id":"https://openalex.org/keywords/social-media","display_name":"social media","score":0.7799999713897705},{"id":"https://openalex.org/keywords/generative-ai","display_name":"generative AI","score":0.9940000176429749},{"id":"https://openalex.org/keywords/clinical-education","display_name":"clinical teaching","score":0.8889999985694885},{"id":"https://openalex.org/keywords/learner-autonomy","display_name":"learner autonomy","score":0.8050000071525574},{"id":"https://openalex.org/keywords/ai-literacy","display_name":"AI literacy","score":0.7940000295639038},{"id":"https://openalex.org/keywords/peer-learning","display_name":"peer learning","score":0.828000009059906},{"id":"https://openalex.org/keywords/misinformation","display_name":"misinformation","score":0.7369999885559082},{"id":"https://openalex.org/keywords/plagiarism","display_name":"plagiarism","score":0.5049999952316284},{"id":"https://openalex.org/keywords/responsible-use-of-ai","display_name":"responsible AI use","score":0.5509999990463257},{"id":"https://openalex.org/keywords/test-preparation","display_name":"exam preparation","score":0.6259999871253967}],"concepts":[{"id":"https://openalex.org/C518677369","wikidata":"https://www.wikidata.org/wiki/Q202833","display_name":"Social media","level":2,"score":0.7628999948501587},{"id":"https://openalex.org/C540751848","wikidata":"https://www.wikidata.org/wiki/Q6500754","display_name":"Internship","level":2,"score":0.7141000032424927},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6251000165939331},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5335999727249146},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4708999991416931},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.46720001101493835},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4007999897003174},{"id":"https://openalex.org/C65414064","wikidata":"https://www.wikidata.org/wiki/Q484105","display_name":"Autonomy","level":2,"score":0.3840999901294708},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.375900000333786},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3407999873161316},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.3325999975204468},{"id":"https://openalex.org/C16443162","wikidata":"https://www.wikidata.org/wiki/Q1068473","display_name":"Educational technology","level":2,"score":0.3091999888420105},{"id":"https://openalex.org/C17632256","wikidata":"https://www.wikidata.org/wiki/Q1076968","display_name":"Digital media","level":2,"score":0.30410000681877136},{"id":"https://openalex.org/C79416737","wikidata":"https://www.wikidata.org/wiki/Q2305519","display_name":"Social learning","level":2,"score":0.2996000051498413},{"id":"https://openalex.org/C77967617","wikidata":"https://www.wikidata.org/wiki/Q4677561","display_name":"Active learning (machine learning)","level":2,"score":0.2904999852180481},{"id":"https://openalex.org/C39890363","wikidata":"https://www.wikidata.org/wiki/Q36108","display_name":"Generative grammar","level":2,"score":0.29010000824928284},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.2872999906539917},{"id":"https://openalex.org/C16920402","wikidata":"https://www.wikidata.org/wiki/Q205398","display_name":"Social work","level":2,"score":0.2809999883174896},{"id":"https://openalex.org/C2984567223","wikidata":"https://www.wikidata.org/wiki/Q1068473","display_name":"E learning","level":3,"score":0.27900001406669617},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2711000144481659},{"id":"https://openalex.org/C2780468074","wikidata":"https://www.wikidata.org/wiki/Q16628824","display_name":"Digital learning","level":2,"score":0.26930001378059387},{"id":"https://openalex.org/C96427005","wikidata":"https://www.wikidata.org/wiki/Q98442705","display_name":"Learning sciences","level":3,"score":0.26759999990463257},{"id":"https://openalex.org/C158592959","wikidata":"https://www.wikidata.org/wiki/Q869010","display_name":"Blended learning","level":3,"score":0.2603999972343445},{"id":"https://openalex.org/C183003079","wikidata":"https://www.wikidata.org/wiki/Q1000371","display_name":"Personalization","level":2,"score":0.25760000944137573},{"id":"https://openalex.org/C167966045","wikidata":"https://www.wikidata.org/wiki/Q5532625","display_name":"Generative model","level":3,"score":0.25609999895095825}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1038/s41598-026-77198-x","doi":"https://doi.org/10.1038/s41598-026-77198-x","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-77198-x","pdf_url":"https://www.nature.com/articles/s41598-026-77198-x_reference.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1038/s41598-026-77198-x","doi":"https://doi.org/10.1038/s41598-026-77198-x","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-77198-x","pdf_url":"https://www.nature.com/articles/s41598-026-77198-x_reference.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.975600004196167,"id":"https://metadata.un.org/sdg/4","display_name":"Quality education"},{"score":0.8560000061988831,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225089565.pdf","grobid_xml":"https://content.openalex.org/works/W7225089565.grobid-xml"},"referenced_works_count":25,"referenced_works":["https://openalex.org/W2562778769","https://openalex.org/W2771402750","https://openalex.org/W2922503069","https://openalex.org/W3014951900","https://openalex.org/W3164441387","https://openalex.org/W3200678807","https://openalex.org/W3213375109","https://openalex.org/W4281798970","https://openalex.org/W4289746139","https://openalex.org/W4377108321","https://openalex.org/W4386693657","https://openalex.org/W4389060000","https://openalex.org/W4392458808","https://openalex.org/W4401246798","https://openalex.org/W4402195285","https://openalex.org/W4404757869","https://openalex.org/W4406410598","https://openalex.org/W4406454291","https://openalex.org/W4407772451","https://openalex.org/W4410027745","https://openalex.org/W4411403091","https://openalex.org/W4411599576","https://openalex.org/W4416839880","https://openalex.org/W4417422633","https://openalex.org/W7125389193"],"related_works":["https://openalex.org/W7168169252","https://openalex.org/W7163182344","https://openalex.org/W7208773576","https://openalex.org/W7168106855","https://openalex.org/W7171652630","https://openalex.org/W6908056915","https://openalex.org/W4211114234","https://openalex.org/W7164316354","https://openalex.org/W7167963315","https://openalex.org/W4416609795"],"abstract_inverted_index":{"Social":[0],"media":[1,41,67,151,228],"and":[2,13,42,68,108,117,143,162,167,186,210,218,229,238,250,258,270],"generative":[3,69],"artificial":[4,70],"intelligence":[5,71],"(GenAI)":[6,72],"are":[7,25],"increasingly":[8],"integrated":[9,226],"into":[10,231],"healthcare":[11,29],"education":[12,261],"have":[14,225],"the":[15,193,276],"potential":[16],"to":[17,44,58,73,101,106,266,274],"enhance":[18,252],"self-directed":[19,75,233,271],"learning":[20,76,132,141,161,165,177,184,234,248,272],"(SDL).":[21,77],"Although":[22],"these":[23],"technologies":[24,200,242,281],"widely":[26],"used":[27,256],"by":[28,154,179,201],"students,":[30],"little":[31],"is":[32],"known":[33],"about":[34],"how":[35],"respiratory":[36,60,89],"therapy":[37,61,90,223],"interns":[38,91,104,224],"use":[39,197],"social":[40,66,150,227],"GenAI":[43,172,230],"support":[45,74],"their":[46,93,232],"SDL":[47,128,153],"during":[48],"clinical":[49,239],"training.":[50],"This":[51],"qualitative":[52],"study":[53],"adopted":[54],"an":[55,130],"interpretivist":[56],"approach":[57],"explore":[59],"interns\u2019":[62],"experiences":[63],"of":[64,195,198,279],"using":[65,115,146,207],"A":[78],"total":[79],"population":[80],"sampling":[81],"strategy":[82],"was":[83],"employed,":[84],"whereby":[85],"all":[86],"25":[87],"eligible":[88],"undertaking":[92],"internship":[94],"at":[95],"one":[96],"Saudi":[97],"hospital":[98],"were":[99,113,123],"invited":[100],"participate.":[102],"Nineteen":[103],"consented":[105],"participate":[107],"completed":[109],"semi-structured":[110],"interviews.":[111],"Data":[112],"analyzed":[114],"Braun":[116],"Clarke\u2019s":[118],"thematic":[119],"analysis.":[120],"Four":[121],"themes":[122],"identified.":[124],"First,":[125],"participants":[126,191],"conceptualized":[127],"as":[129,174],"independent":[131],"process":[133],"in":[134,235],"which":[135],"they":[136],"assumed":[137],"responsibility":[138],"for":[139],"identifying":[140,164],"needs":[142],"seeking":[144],"knowledge":[145],"digital":[147,199],"resources.":[148],"Second,":[149],"supported":[152],"providing":[155],"accessible":[156],"educational":[157,277],"content,":[158],"facilitating":[159],"peer":[160],"collaboration,":[163],"needs,":[166],"supporting":[168],"examination":[169],"preparation.":[170],"Third,":[171],"functioned":[173],"a":[175],"personalized":[176],"assistant":[178],"simplifying":[180],"complex":[181],"concepts,":[182],"summarizing":[183],"materials":[185],"generating":[187],"practice":[188],"questions.":[189],"Finally,":[190],"stressed":[192],"importance":[194],"responsible":[196],"critically":[202,257],"evaluating":[203],"information,":[204],"verifying":[205],"content":[206],"trusted":[208],"sources":[209],"recognizing":[211],"challenges":[212],"including":[213],"misinformation,":[214],"distraction,":[215],"plagiarism":[216],"concerns":[217],"overreliance":[219],"on":[220],"GenAI.":[221],"Respiratory":[222],"both":[236],"academic":[237],"contexts.":[240],"These":[241],"complement":[243],"rather":[244],"than":[245],"replace":[246],"traditional":[247],"resources":[249],"may":[251],"learner":[253],"autonomy":[254],"when":[255],"responsibly.":[259],"Healthcare":[260],"programs":[262],"should":[263],"enable":[264],"students":[265],"develop":[267],"AI":[268],"literacy":[269],"skills":[273],"optimize":[275],"benefits":[278],"emerging":[280],"while":[282],"promoting":[283],"effective":[284],"use.":[285]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-11-03T00:00:00"}
