Evidence map›Paper›PMID 41469989›Full record

SynthesisBMC medical ethics2025

A systematic review of educational interventions to enhance ethical sensitivity in nursing students in Asia and the Middle East.

Xiaopu Shi, Rui Wang, Ying Li, Lili Zeng

Abstract readSystematic Review
In one paragraph

Synthesis in BMC medical ethics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

4 authors.

Xiaopu ShiSchool of Life Science and Health, Huzhou College, Huzhou, Zhejiang, 313000, China. shixiaopu@zjhzu.edu.cn.
Rui WangSchool of Life Science and Health, Huzhou College, Huzhou, Zhejiang, 313000, China.
Ying LiDepartment of Health Management, Heze Medical College, Heze, China.
Lili ZengHuzhou Zhebei Mingzhou Hospital, Huzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs future providers of medical services, nursing students require strong ethical sensitivity to effectively manage clinical ethical dilemmas. However, studies have shown that they often exhibit lower ethical sensitivity than practicing nurses, which may hinder their ability to address ethical challenges competently.

objectiveThis systematic review aimed to comprehensively evaluate the effectiveness of educational interventions in enhancing the ethical sensitivity of nursing students. The findings will offer practical guidelines and a theoretical foundation for advancing nursing ethics education.

methodsThis review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We conducted comprehensive searches across nine databases (PubMed, Embase, Medical Literature Analysis and Retrieval System Online (MEDLINE), Web of Science, Cochrane Library, Cumulated Index in Nursing and Allied Health Literature (CINAHL), China National Knowledge Infrastructure (CNKI), VIP (Chinese Science and Technology Journal Database), and Wanfang Data) to identify relevant studies published through December 2024. Two researchers independently performed the screening, data extraction, and quality assessment, with any disagreements resolved through discussion to reach a consensus.

resultsTwenty-one studies were included. The results indicated that current educational interventions primarily focus on two dimensions: teaching methods and curricular content. Among teaching methods, situational participatory learning was found to be more effective than traditional didactic instruction in enhancing nursing students’ ethical sensitivity. The curricular content was organized into a three-dimensional framework encompassing fundamental theories, clinical practice, and interdisciplinary integration, establishing a comprehensive knowledge system ranging from ethical principles to emerging technological ethics.

conclusionsThis review confirmed that interactive teaching methods effectively enhance nursing students’ ethical sensitivity, although they require significant resources. Future nursing education should integrate cross-cultural competencies, spiritual care training, and emerging ethical issues while establishing comprehensive ethics curricula within clinical training. Such approaches will better prepare nurses for ethical challenges in practice.

Indexed as

Education, NursingEthics, NursingStudents, NursingAsiaCurriculumEthical DilemmasHumansMiddle EastEducational interventionEthical sensitivityNursing studentsSystematic review

Identifiers

PMID41469989
PMCPMC12754892

What OpenQuestion holds

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LicenceCC BY
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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.