Translational bioethics in nursing: a conceptual review of definitions, applications and ethical implications

Abstract

Background: Bioethics is fundamental in healthcare, guiding ethical decision-making and patient care. Translational bioethics (TB) aims to bridge the gap between ethical theories and real-world practice, including nursing. However, the concept of TB has not been clearly examined yet. Therefore, this concept analysis was done to provide clarity and practical meaning to the concept of translational bioethics within the context of nursing. Methods: Walker and Avant’s concept analysis framework was employed to examine TB and apply it to nursing practice. A systematic search of electronic databases, including PubMed, Google Scholar, and PubMed Central, was conducted. Papers were screened and twenty-five eligible full-text records included in analysis. Results: The analysis identified four key defining attributes of TB, including bridging the theory-practice gap, ethical evaluation and decision making, interdisciplinary collaboration, social responsibility and societal impact. Antecedents included ethical dilemmas, identifying theory-practice gaps, and commitment to real-world impact. The consequences of TB encompassed improved patient care, reduction of ethical conflicts, positive social impact, and informed policy and decision making. Conclusions: This study provided a clear conceptual model of TB, offering insights into its antecedents, attributes, and consequences. Translational bioethics can be defined as an approach that bridges ethical theory and practice through research, interdisciplinary collaboration, and a focus on contextual ethical evaluation and decision making, aiming for socially responsible and impactful outcomes.