Generative Artificial Intelligence (Gen AI) has brought about a significant transformation in
various societal domains, including higher education. It offers a plethora of advantages aimed at
enhancing learning outcomes in higher education. This research aimed to examine the factors
affecting student performance in nursing when Gen AI is employed in undergraduate nursing
programs at Palestinian higher education institutions. A survey was developed based on prior
studies, and data were gathered from 517 undergraduate nursing students across various
Palestinian higher education institutions. The data were analyzed using Smart PLS. The results
indicated that trust in AI positively influences the perceived usefulness of Gen AI and enhances
student performance in nursing education. However, the study also noted that AI competencies
have a negative impact on student performance. This study's contribution lies in highlighting the
critical role of trust in Gen AI in enhancing perceived usefulness and learning outcomes in
nursing education. One limitation of this study is its reliance on self-reported instruments,
suggesting that future research should consider adopting a mixed-methods and experimental
research approach.
Keywords: Generative AI, nursing education, trust in AI, AI competencies