A2 Refereed review article in a scientific journal

The challenges of teaching nursing ethics: Navigating complexities in education and practice. A discussion paper;




AuthorsPapastavrou, Evridiki; Igoumenidis, Michael; Chiappinotto, Stefania; Suhonen, Riitta; Gastmans, Chris; McCabe, Catherine; Kourkouni, Vasiliki; Palese, Alvisa

PublisherSpringer Nature

Publication year2026

Journal: International Journal of Ethics Education

ISSN2363-9997

eISSN2364-0006

DOIhttps://doi.org/10.1007/s40889-026-00243-w

Publication's open availability at the time of reportingOpen Access

Publication channel's open availability Partially Open Access publication channel

Web address https://link.springer.com/article/10.1007/s40889-026-00243-w

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/523982641

Self-archived copy's licenceCC BY

Self-archived copy's versionPublisher`s PDF


Abstract

Ethics education constitutes a fundamental component of nursing development, shaping practitioners capable of sound moral judgment, responsible action, and ethically grounded clinical decision-making. Despite long-standing written ethical codes within the nursing profession, substantial gaps persist between theoretical instruction and real-world practice, leading to fragmented moral competence among nursing students and nurses. This discussion paper synthesizes evidence from the “Promoting a Morally Competent Nurse” project, insights derived from an international blended intensive program to examine the multifaceted challenges that hinder effective nursing ethics education, and expert contributions. Identified challenges include complexity of ethics theories; inconsistencies in the nursing curricula; the misalignment between formal and hidden curriculum; lack of resources and time dedicated to ethics education; inconsistencies in the training methods; and issues related to ethical leadership. The paper argues that cultivating moral competence requires more than the transmission of theoretical knowledge -it demands experiential learning, role modelling, and ethically supportive environments. A roadmap is proposed outlining complementary roles for academic nurses and nurse managers in strengthening ethics education across educational and clinical settings. Enhancing ethical leadership, harmonizing curricula, and investing in educator preparation are critical steps toward building an ethically resilient nursing workforce The paper concludes that ethical competence is not a static achievement but a lifelong developmental process that must be nurtured through intentional, coordinated, and context-sensitive strategies.



Keywords:
ethical leadershipExperiential learningTeaching challenges

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Funding information in the publication
Open access funding provided by HEAL-Link Greece. This work was Co-funded by the Erasmus + programme of the European Union. The European Commission’s support for the production of this publication does not constitute an endorsement of the contents, which reflect the views only of the authors, and the Commission cannot be held responsible for any use which may be made of the information contained therein.


Last updated on 15/06/2026 01:51:55 PM