多智能体协作的护理问诊教学小程序构建与评价研究

doi:10.3761/j.issn.1672-9234.2026.07.008

Abstract

Abstract:

Objective To develop an intelligent nursing inquiry teaching mini-program integrating knowledge-based question answering，simulated clinical inquiry，and feedback evaluation，and to evaluate its usability. Methods Based on a collaborative framework of artificial intelligence（AI） Partner and AI Tutor agents，inquiry agents representing teaching assistant，patient，and expert roles were constructed. The base models DeepSeek-R1-Distill-Qwen-7B，MMed-Llama-3-8B，and DeepSeek-V3 were selected，and specialized datasets covering inquiry knowledge，nurse-patient dialogue，and inquiry evaluation were constructed. The agents were trained using supervised fine-tuning，prompt engineering，or a combination of both，producing seven candidate versions for each agent type. Following preliminary evaluation，experts selected the optimal version of each role based on the QUEST assessment framework. Agent optimization and deployment were performed on the Coze platform，and the mini-program was launched on the WeChat platform. Usability was evaluated by twenty nursing students and five experts using an overall usability questionnaire and a heuristic evaluation，respectively. Results The DeepSeek-V3 model trained with prompt engineering was selected as the optimal version and was applied to develop the nursing inquiry teaching mini-program. Usability evaluation showed that the scores of 20 nursing students for system quality，information quality，interface quality，and overall quality were 1.41 ± 0.42，1.66 ± 0.57，1.75 ± 0.70，and 1.56 ± 0.46，respectively. In the heuristic evaluation conducted by five experts，the median scores for all items were ≤1.00. Conclusion The nursing inquiry teaching mini-program shows favorable usability and offers intelligent support for nursing inquiry education.

Key words: Artificial Intelligence, Large Language Models, Nursing Inquiry, Usability, Mini-Program

WANG Miaoli, HUANG Chongmei, XIAO Lin, CHEN Qirong, ZHANG Haojie, TAN Minghui, TAO Hongliang, LIU Wei, DING Jinfeng. Construction and evaluation of a multi-agent collaborative nursing inquiry teaching mini-program[J].Chinese Journal of Nursing Education, 2026, 23(7): 814-821.

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References 19

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Construction and evaluation of a multi-agent collaborative nursing inquiry teaching mini-program

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