Welcome to the Current Issues and Archives section of the Journal of Global Nursing Ethics and Humanitarian Practice (JGNEHP) — your gateway to accessing impactful research, ethical discussions, and global nursing perspectives published by the journal.
We publish quarterly issues that include original research, case studies, reviews, and commentary, all centered on advancing nursing ethics, humanitarian care, and culturally-informed practices across global settings.
Featured Articles in the Latest Issue
- Volume 2 (Issue 1) JANUARY- JUNE 2026
Research Articles
Ethical Practice Frameworks for Nurses Working in Prolonged Humanitarian Displacement Settings
Vol.2(1); Pages:1-10. Published on February-2026
Abstract
The issues associated with humanitarian crisis such as long displacement pose new dilemma challenges to nurses which are beyond the scope of normal clinical practice. This paper has examined the process of making ethical decisions by frontline humanitarian nurses in refugee settlements and long term displacement camps. A total of 38 international humanitarian nurses were semi-interviewed in operation on refugees in Jordan, Greece, and Kenya. Thematic analysis was used in the study to identify some of the major ethical dilemmas, which included resource allocation, patient autonomy, cultural sensitivity, and professional duty in limited circumstances. Respondents often shared cases of institutional rules going against situational realities and having to use adaptive moral reasoning. It has been found that three major ethical approaches were predominant: collaborative deliberation by multidisciplinary teams, culturally sensitive patient advocacy, and situational prioritization of vulnerable groups. It was also noted by the nurses that ethical distress commonly came up when the organizational policies restricted the capacity of delivering fair care. Nevertheless, moral fatigue could be alleviated through organized ethical thinking and consultation with peers which contributed to professional resilience. The paper contends a synthesizing ethical decision-making framework that is specific to the humanitarian nursing setting characterized by: awareness of the situation, ethical discourse, and flexible clinical governance. Implementation of these frameworks can enhance ethical readiness of humanitarian nurses and enhance patient outcomes in resource constrained crisis environments.
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Moral Distress Among Emergency Response Nurses in Post-Disaster Medical Camps
Vol.2(1); Pages:11-20. Published on March-2026
Abstract
Nurse deployments after natural disasters often expose them to ethically dilemma situations where they are deployed to areas with minimal resources and that have many patients. This paper has discussed the cause and prevalence of moral distress among nurses in temporary disaster medical camps. The survey was performed on 124 nurses who were deployed to work in international disaster relief missions between 2023 and 2025 in a cross-sectional manner. The participants were asked to complete validated scales assessing the intensity of moral distress, perceived organizational support and field operation ethical climate. The findings revealed moderate and high rates of moral distress among 62 percent of the respondents; mostly in the triage decisions, limiting treatment options, and the inability to offer long-term care in the critically ill patients. Regression analysis has determined the lack of proper ethical orientation, insufficiency of staffing, and unclear leadership arrangements as playing significant predictive role in enhancing the values of moral distress. On the other hand, nurses who said they had access to systematized ethical briefings and peer support systems showed much less distress. The results emphasize the need to incorporate the element of ethical preparedness in training programs and operations in nursing in disasters. The ethical distress caused on humanitarian nursing staff over time by moral distress could be minimized by creating effective ethical communication lines and psychological support systems, and improve ethical integrity in disaster response efforts.
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Culturally Responsive Practice and Ethical Advocacy in Global Humanitarian Nursing
Vol.2(1); Pages:21-27. Published on April-2026
Abstract
Cultural diversity within humanitarian medical missions presents both opportunities and ethical challenges for nursing professionals delivering care across varied sociocultural contexts. This study evaluated the effectiveness of structured cultural competence training programs in supporting ethical patient advocacy among humanitarian nurses. A mixed-methods design combined pre- and post-training surveys with qualitative interviews among 72 nurses participating in international medical missions across Southeast Asia and Sub Saharan Africa. Quantitative findings demonstrated significant improvements in self-reported cultural competence and ethical confidence following training interventions. Nurses reported greater ability to navigate culturally sensitive issues including informed consent, gender norms in healthcare decision-making, and communication barriers with vulnerable populations. Qualitative analysis further revealed that culturally informed advocacy enabled nurses to negotiate ethically appropriate care plans while maintaining respect for local traditions. Participants emphasized that cultural competence training should be integrated into humanitarian nursing orientation programs to prevent ethical conflicts and improve patient trust. The study concludes that targeted educational interventions can strengthen ethical practice and foster culturally responsive care within humanitarian health initiatives.
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Managing Resource Scarcity in Mobile Humanitarian Clinics: An Ethical Perspective
Vol.2(1); Pages:28-36. Published on May-2026
Abstract
Often the work of mobile humanitarian clinics is limited to very stringent logistical conditions, nurses are forced to make and make ethically complicated decisions concerning the distribution of scarce medical resources. This was a proposed observational study of the subject of ethical allocation in five mobile humanitarian clinics in the conflict-affected areas of the Middle East. In six months, 1,240 encounters with patients were recorded and reviewed to determine trends in clinical prioritization and ethical decision-making among nursing personnel. The information showed that nurses always gave priority to cases according to clinical urgency and recovery potential as well as the vulnerable position especially in children and elder patients. Nonetheless, the conditions of chronic disease management presented ethical problems because of a low continuity of treatment on a mobile platform. The conducted interviews with the involved nurses demonstrated that clear triage procedures and the team discussion enhanced the perception of fairness in resource allocation decision-making. Another area that the study found to be in need of is the need to have ethical training modules that specifically focus on mobile healthcare delivery in humanitarian situations. Results indicate that systematic moral systems can be used to facilitate fair resource allocation and maintain professional responsibility and patient respect in limited field settings.
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Exploring Compassion Fatigue and Moral Strength in Long-Term Humanitarian Nursing Work
Vol.2(1); Pages:37-43. Published on May-2026
Abstract
Long-term humanitarian assignments present nursing professionals with chronic emotional and ethical stressors that can cause compassion fatigue and a loss of professional well-being. The longitudinal, cohort study was aimed at understanding the association between compassion fatigue and ethical resilience in nurses who attended long-term humanitarian health missions. The sample of the study was a group of 86 nurses working on various humanitarian missions in 2022-2025 and followed over one year. At three different periods at deployment, standardized psychological tests and ethical resilience scales were administered. Findings showed that compassion fatigue levels rose considerably at the mid-deployment period, especially among nurses whose work was in high-mortality clinical units. Nonetheless, patients who had attended formal ethical reflection and peer debriefing were found to have greater resilience scores and better coping skills. The discussion shows that ethical resilience, which refers to the capacity of sustaining moral uprightness during ethical predicament, is crucial in supporting humanitarian nursing practice. Compassion fatigue and nursing workforce participation in humanitarian work could be alleviated through institutional efforts in providing mental health support, ethical consultation materials, and reflective practice programs.
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