ArticleNursing reports (Pavia, Italy)2021
Nursing Education: Students' Narratives of Moral Distress in Clinical Practice.
Article in Nursing reports (Pavia, Italy), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed.
- Get in Line: A Hermeneutic Phenomenological Study Exploring Moral Distress in UK Pre-Registration Student Nurses.Western journal of nursing research · 2026Article
- Evaluation of "nursing ethics-professional teaching" integrated ward-round in practicing nursing students: a practical study.BMC medical ethics · 2026Article
- Interrelationships between moral sensitivity, empathy, and perceived professional preparedness among undergraduate nursing students: a path analysis.Frontiers in medicine · 2026Article
- Turkish adaptation and validation of the ethical decision-making competence scale.BMC nursing · 2025Article
- Student nurses experiences of moral distress: A concept analysis.Journal of advanced nursing · 2025Review
- Experiences of Nursing Students Regarding Challenges and Support for Resilience during Clinical Education: A Qualitative Study.Nursing reports (Pavia, Italy) · 2024Article
- Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical Centers.Advances in medical education and practice · 2024Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch indicates that newly graduated nurses are often unprepared for meeting challenging situations in clinical practice. This phenomenon is referred to as a "reality shock". This gap in preparedness may lead to moral distress. The aim of this article is to provide knowledge of moral distress in clinical nursing practice.
methodsBachelor and further education nursing students were invited to write a story about challenging situations from their own clinical practice, resulting in 36 stories. Analysis was based on hermeneutical reading inspired by a narrative method; therefore, six stories were selected to represent the findings.
resultsA finding across the stories is that the students knew the right thing to do but ended up doing nothing. Four themes were related to moral distress: (a) undermining of professional judgement, (b) disagreement concerning treatment and care, (c) undignified care by supervisors, and (d) colliding values and priorities of care.
conclusionNursing education should emphasize to a greater extent ethical competency and training for the challenging situations students will encounter in clinical practice.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.