Why Nurses Intend to Override AI Alerts: How Alert Fatigue, Moral Distress, and Team Psychological Safety Shape Self-Reported Trust Calibration Toward Clinical Decision Support.

The resistant group had the strongest intention to override alerts and the weakest sense of psychological safety.

Alert fatigue was the factor most strongly associated with override intention, and this association was partly accounted for by moral distress.

The indirect association was weaker among nurses reporting higher team psychological safety.

An exploratory model using these factors distinguished nurses with high self-reported override intention with acceptable accuracy.