Evidence map›Paper›PMID 41185105›Full record

ArticleJournal of advanced nursing2026

Educational Strategies for Managing Moral Distress in Student Nurses: A Scoping Review.

Rebecca Timmins, Chris Kite

Abstract readScoping Review
In one paragraph

Article in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Rebecca TimminsSchool of Nursing, Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK.ORCID https://orcid.org/0000-0003-4471-0920
Chris KiteSchool of Health and Wellbeing, Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK.ORCID https://orcid.org/0000-0003-1342-274X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo explore what content, teaching and learning activities are advocated by nurse educators to mitigate moral distress and related concepts in student nurses.

designScoping review. REVIEW

methodsThe review was conducted according to Joanna Briggs Institute guidelines. The search strategy adopted their three-step method for systematic reviews. The eligibility criteria reflected the Population, Concept, Context format. DATA SOURCES: CINAHL Ultimate, MEDLINE Full Text, APA PsycINFO, Education Research Complete, Web of Science, ProQuest, Base, and Open Grey were systematically searched in September 2024 for papers in English language regardless of publication age.

resultsFollowing searches, 3809 records were screened against eligibility criteria, resulting in 42 eligible papers being included; 29 research studies and 13 non-empirical papers. We identified 236 content suggestions, mapped to 70 subject codes. Also, 217 teaching and learning activities are suggested and mapped to 41 coded activities. Data is charted in tables and figures and results are discussed per related concept of moral distress.

conclusionsEducational content, and teaching and learning activities are heterogenous across the concepts influencing moral distress. There is overlap of content across different concepts. Moral sensitivity received the most publications. Development of research and educational strategies addressing other interrelated concepts would be advantageous for evidence-based curriculum development. Recommendations are made to develop evidence-based content and teaching and learning activities. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Recommendations are made to develop an evidence-based multi-conceptual curriculum to mitigate moral distress in pre-registration student nurses. IMPACT: Recommendations are made adding to existing research agendas on the topic. REPORTING

methodPRISMA-ScR. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

MoralsStress, PsychologicalStudents, NursingAdultEducation, Nursing, BaccalaureateEthical DilemmasFemaleHumansMaleMiddle Agedconstraintsmoral couragemoral decision makingmoral distressmoral resiliencemoral sensitivitynurse educationstudent nurses

Identifiers

PMID41185105
PMCPMC13176732

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.