The challenges of teaching nursing ethics: Navigating complexities in education and practice. A discussion paper
Open Access
- 4 May 2026
- journal article
- Published by Springer Nature in International Journal of Ethics Education
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
Funding Information
- University of Patras
This publication has 47 references indexed in Scilit:
- Collaborative competence, values, and ethics in interprofessional education and collaborative practice: findings from a scoping reviewJournal of Interprofessional Care, 2025
- How nurses’ moral competence can be supported: Findings from international focus groups with professionalsInternational Nursing Review, 2024
- Nursing and the Ethical Dimension of Practice2024
- Leadership in Ethical Practice: Students Learning OutcomesJournal of Academic Ethics, 2023
- Ethical Challenges in Staffing: The Importance of Building Moral MuscleFrontiers of Health Services Management, 2022
- Creating the Components for Teaching ConceptsBehavior Analysis in Practice, 2021
- Bridging the Gap Between Ethical Theory and Practice in Medicine: A Constructivist Grounded Theory StudyScience and Engineering Ethics, 2020
- Ethics and Interprofessional Education:An Exploration Across Health Professions Education ProgramsJournal of Interprofessional Care, 2019
- An ethical leadership program for nursing unit managersNurse Education Today, 2018
- Key Concepts and Issues in Nursing Ethics2017