Abstracts
Abstract
Academic writing is considered an essential skill in post-secondary education in general and in nursing specifically (Mitchell et al., 2020). The importance of writing for future nurses is reflected in the Canadian Association of Schools of Nursing (CASN) National Nursing Education Framework’s standards. This national consensus-based framework outlines the expectations of undergraduate nursing programs and graduates according to the six domains of knowledge, research skills and critical inquiry, nursing practice, communication and collaboration, professionalism, and leadership (CASN, 2022). Academic writing is embedded in each of these domains, as it provides students with a venue to share factual knowledge, demonstrate critical thinking, and make important connections between theory and practice (Naber & Wyatt, 2014). A scoping review of research on the pedagogical approaches and teaching strategies used to teach academic writing in nursing education yielded 12 studies. Findings show a range of approaches with varying degrees of success. Further research is needed on how best to guide and assess students’ writing.
Keywords:
- academic writing,
- nursing education,
- pedagogical strategies,
- teaching strategies
Résumé
La rédaction universitaire est considérée comme une habileté essentielle aux études postsecondaires en général et plus particulièrement en sciences infirmières (Mitchell et al., 2020). L’importance de la rédaction pour les futures infirmières et futurs infirmiers se reflète dans les normes du Cadre national de l’ACESI sur la formation infirmière. Ce cadre national consensuel décrit les attentes pour les programmes de premier cycle en sciences infirmières et leurs diplômées et diplômés selon les six domaines suivants : connaissances, habiletés en recherche et en questionnement critique, pratique infirmière, communication et collaboration, professionnalisme et leadership (ACESI, 2022). La rédaction universitaire est intégrée à chacun de ces domaines, car elle offre aux étudiantes et étudiants un moyen de partager des connaissances factuelles, faire preuve d’esprit critique et établir des liens importants entre la théorie et la pratique (Naber et Wyatt, 2014). Une revue de la portée des recherches sur les approches pédagogiques et les stratégies utilisées pour enseigner la rédaction universitaire en formation en sciences infirmières a permis de recenser 12 études. Les résultats révèlent une diversité d’approches avec des degrés de réussite variables. Des recherches supplémentaires sont nécessaires pour déterminer la meilleure façon d’orienter et d’évaluer la rédaction des étudiantes et étudiants.
Article body
Academic writing is a specific style of writing used in educational and scholarly contexts. It is defined by its formal tone, clarity, precision, structured organization, and reliance on credible sources to support the ideas or information presented (Purdue Online Writing Lab, n.d.). It is used to describe existing literature on a specific topic, develop and structure arguments, convey complex ideas, and present research findings (Thonney, 2011). Academic writing comprises various forms, such as essays, research papers, reviews, theses, and dissertations, each of which demands a distinct style, tone, and structure. Typically adhering to a specific format (e.g., American Psychological Association style), academic writing plays an important role in fostering students’ critical thinking abilities and understanding of academic content (Mitchell et al., 2023; Sahoo & Mohammed, 2018). In nursing education, academic writing is considered an effective strategy to assess the cognitive abilities that students require for clinical practice, including knowledge, decision-making, problem-solving, and critical thinking, as well as their communication skills (Bradley et al., 2024; Hawks et al., 2016; Oermann et al., 2015; Tseng et al., 2025; Wolf & Wolf, 2023).
Tyndall and Scott (2017) claim academic writing is one competency that distinguishes baccalaureate-prepared nurses from other health care professionals, while Whitehead (2002) emphasizes the importance of academic writing in demonstrating scholarship within the discipline. Despite its importance, there are growing concerns in nursing education about students’ writing skills (Hutchinson & Pederson, 2023; Johnson & Rulo, 2019; Mitchell et al., 2021; Sasa, 2020). While faculty express concerns about sentence structure, development of arguments, progression of thought, and use of credible sources (Mattsson, 2016; Roberts & Goss, 2009; Singleterry et al., 2016), students identify a lack of support, uncertainty about expectations, and insufficient time to complete writing assignments or develop writing skills, and they question the value of writing in their future careers (Gopee & Deane, 2013; Jefferies et al., 2018). Johnson and Rulo (2019) identify a need to improve the academic writing skills of students in undergraduate programs as “an absolute priority in nursing education programs today” (p. 58).
According to Mitchell et al. (2018), nurse educators approach writing from either a generalist or a disciplinary perspective. From a generalist perspective, writing is taught as an overall skill and is commonly taught outside of nursing, often through an English department. From a disciplinary perspective, writing is taught predominantly by nursing faculty. While future nurses are required to write for interdisciplinary audiences, discipline-specific writing is believed to help students learn the writing conventions and styles of their own discipline (Hawks et al., 2016). Discipline-specific writing requires students to learn how to access nursing knowledge (Hawks et al., 2016) and helps socialize them to the practice of nursing, apply theory to practice, and develop their identity as nurses (Andre & Graves, 2013; Borglin, 2012; Mitchell, 2018).
The literature includes descriptions of both pedagogical approaches and teaching strategies to address students’ writing abilities in nursing education. Pedagogical approaches are the theoretical or philosophical stances used to inform how writing is taught or assessed. For example, constructivist approaches are student-centric and use student reflections to address academic writing. Social constructivist approaches use collaborative teacher–student interactions, while liberationist approaches involve students and teachers working together to identify the instructional approaches (Munna & Kalam, 2021). Other pedagogical approaches draw on theoretical tenets such as self-efficacy that target students’ beliefs about their own abilities to write in specific contexts (Mitchell et al., 2017). Teaching strategies, on the other hand, are the intentional instructions or curricular activities used to teach and/or assess students’ writing. In a systematic review of teaching strategies used to teach writing, Oermann et al. (2015) identified 80 published papers describing a specific strategy employed to improve the writing skills of practising nurses or nursing students. Although the authors noted that many papers focused on writing in nursing, they did not differentiate between academic and professional writing. Nonetheless, this review identified a range of strategies used to teach writing, including assignments, workshops, courses designated for writing, faculty feedback, and independent learning activities. Although the quantity and range of the work in this area is encouraging, the results are primarily descriptive and non-research based. The review also included approaches used with all levels of nursing students (i.e., undergraduate and graduate) and practising nurses, yet the discipline-specific academic instructional needs of pre-licensure students likely differ from those of graduate students or practising nurses. Our current scoping review addresses this gap and focuses on the research pertaining to the effectiveness and/or outcomes of approaches or strategies used to teach discipline-specific academic writing to pre-licensure nursing students.
Methods
This scoping review was originally conducted with a broader research question pertaining to teaching academic writing to pre-licensure students enrolled in health professional programs, which included nursing students. We used the Joanna Briggs Institute methodology for scoping reviews for this broader question (Peters et al., 2020), and the process included identifying a research question and sub-questions; conducting a comprehensive search of the academic and grey literature; screening and selecting studies; and collating, summarizing, and reporting on the findings. While the broader review examined pre-licensure health students, the focus has since been narrowed to teaching academic writing in nursing education. The main research question that guided this review was the following: What pedagogical approaches and teaching strategies to teach academic writing to pre-licensure nursing students have been examined? Three sub-questions were also identified:
What are the characteristics of the pedagogical approaches and teaching strategies (e.g. single versus multi-faceted approaches, individual versus group approaches)?
How is academic writing assessed?
How is the success of pedagogical approaches and teaching strategies determined?
Searches were developed by a librarian with input from the review team and conducted in MEDLINE (Ovid), Embase (Elsevier), CINAHL with Full Text (EBSCOhost), Nursing & Allied Health (ProQuest), and ERIC (EBSCOhost). The searches reflect the broader population of pre-licensure students in health programs, and the strategies are available in a data repository (Goudreau, 2024). We also conducted a search for unpublished research reports in Open Access Theses & Dissertations, OAIster (WorldCat), and Google Scholar. Only reports published from 2010 to 2023 were included as this period aligned with the Global Commission on the Education of Health Professionals call for changes in pedagogy with a greater focus on communication, such as academic writing (Frenk et al., 2010). The searches were conducted on December 23, 2023. Articles were included based on the population (pre-licensure nursing students), concept (approach or strategy to teach academic writing), and context (academic institution) and published in English or French. We identified a total of 172 research reports. Two researchers screened the titles and abstracts and excluded 149 reports. Two additional researchers then reviewed the full-text reports of the remaining 23 papers, with 12 deemed eligible for final inclusion. The reasons for the exclusion of full-text papers were incorrect population (n = 8) and incorrect focus (n = 3). The extracted data are presented in Table 1 and include key characteristics of the studies, strategies, and approaches identified for the development of nursing students’ academic writing, and the main outcomes of the studies.
Results
A total of 12 research reports were included in this review (see Table 1). Studies were published between 2009 and 2023 and were conducted in six countries, with the most common country of origin being the United States (n = 6). One study was conducted in Canada. Of the 12 studies, seven were quantitative, three were qualitative, and two were mixed methods. Of the seven quantitative studies, four involved a pre-test/post-test design, two were quasi-experimental, and one was descriptive. Of the four qualitative papers, three were exploratory descriptive, and one was action research. Eleven of the included studies had obtained approval from an ethics review board at their respective authors’ educational institutions.
The number of approaches or strategies used to teach academic writing to nursing students varied across studies (see Table 1). Six of the studies used singular approaches or strategies, while the other six used multiple writing approaches or strategies. Six of the strategies involved students working alone, while the other six involved students working with other students and/or faculty.
Table 1
Characteristics of the Included Studies
Types of Pedagogical Approaches and Teaching Strategies
Pedagogical Approaches
Six of the included studies addressed a pedagogical approach, and six addressed a teaching strategy only. Of the studies that addressed a pedagogy, six (100%) incorporated one teaching activity (Beccaria et al., 2019; Brown & Cicchino, 2022; Friberg & Lyckhage, 2013; O’Flaherty & Costabile, 2020; Parilo et al., 2019). One study (16.7%) incorporated more than one activity (Garvey et al., 2023). These studies applied the pedagogical approaches of constructivism, social constructivism, or liberationism. Of the four studies that used a constructivist approach to teach writing, one used simulation (O’Flaherty & Costabile, 2020) to develop critical thinking skills in academic writing; one examined self-efficacy following the use of an online platform to provide feedback to students who were writing an academic essay (Beccaria et al., 2019); and one examined the feasibility of peer-review support and/or feedback on students’ academic writing (Brown & Cicchino, 2022). Of the two studies based on social constructivism, one examined the effect of a “multi-layered approach” (p. 1) that used tutorials, immediate feedback, and co-development of supports to assist with students’ academic writing (Garvey et al., 2023). The second explored student–faculty writing partnerships for the development of manuscripts for publication (Parilo et al., 2019). Only one study used a liberationism pedagogical approach to examine a writing activity and used a collaborative program approach to develop and implement models that addressed student challenges with academic writing (Friberg & Lyckhage, 2013).
Teaching Strategies
All studies included a teaching strategy to address academic writing. Seven categories of teaching activities were used to examine academic writing (see Table 1). The categories of activities included essays (n = 8); workshops, courses, or sessions (n = 5); standardized rubrics/feedback from faculty (n = 5); online platforms (n = 3); scaffolded writing assignments (n = 2); peer-to-peer feedback (n = 3); and simulation (n = 1). Of the eight studies that examined essays, three identified a focus of the writing activity, including person-centred care (Friberg & Lyckhage, 2013), community health promotion (McMillan & Raines, 2011), and a case study (O’Flaherty & Costabile, 2020). One study indicated that the writing activity was part of a required mental health course (Ghazal et al., 2018). Three studies described writing activities in terms of helping students to use APA format (Brown & Cicchino, 2022; Ghazal et al., 2018; Roberts & Goss, 2009) and to apply the structured format of describe, evaluate, suggest (Brown & Cicchino, 2022). No information was provided about the focus of the academic writing activity for the remaining two studies (Beccaria et al., 2019; Parilo et al., 2019).
Five studies examined a designated writing workshop, course, module, or session. Three of these studies reported on activities directed towards faculty. Friberg and Lyckhage (2013) reported on monthly workshops offered to faculty over 1 year to improve their ability to teach academic writing. Garvey et al. (2023) reported on a multi-faceted curriculum-wide activity that included modifying course content and classroom writing assessments. Roberts and Goss (2009) described a semester-long course offered by an English department to faculty who were interested in learning more about teaching students to write; this course addressed how to develop writing assignments and give feedback. Mandleco et al. (2012) compared students’ academic writing and confidence before and after completing a required 14-week course with advanced writing content that included “short impromptu writing activities” (p. 3), free writing, mini essays, and journalling. Two studies focused on sessions designed to improve students’ academic writing. Hutchinson and Pederson (2023) examined the impact of a 1-hour writing workshop on students’ experience, confidence, and knowledge of APA format. Roberts and Goss (2009) reported on the outcomes associated with an online tutorial that contained PowerPoint slides on common writing errors exhibited by students.
Five studies reported on the use of standardized rubrics and/or individualized faculty feedback or supervision as a teaching strategy to academic writing. Garvey et al. (2023) reported on the use of individualized consultation provided to students by faculty and the university’s writing centre. Beccaria et al. (2019) described “prompt feedback” (p. 7) provided by faculty, and Roberts and Goss (2009) identified the use of faculty feedback but did not elaborate. One study described the use of rubrics as a teaching tool to help students improve their writing (Garvey et al., 2023) but provided no details on the contents of the rubric or its use as a teaching tool. Ghazal et al. (2018) described their study’s rubric as directing faculty to provide feedback on the following elements of a student’s paper: a) the introduction, including a description of the topic, its significance, and relation to the topic of the assignment; b) the main body, with integration of relevant literature, legal and ethical framework, and course content; and c) the conclusion and overall quality of the paper, including APA formatting.
Three studies looked at online platforms as interactive teaching tools for academic writing. Beccaria et al. (2019) examined how an online writing support system affected students’ perceived writing self-efficacy. Harrison and LeBlanc (2016) examined students’ experiences with an online platform that consisted of six modules related to academic writing: a) sorting information; b) retrieving and organizing credible information; c) writing for specific audiences; d) preparing academic papers and using APA format; e) writing clearly and precisely; and f) revising academic papers. The platform also included interactive activities requiring students to identify proper and improper writing techniques. Roberts and Goss (2009) explored the effectiveness of an online writing tutorial to teach students the mechanics of writing. Two studies identified scaffolding as a teaching activity for academic writing; one of these studies, by Garvey et al. (2023), provided no detail on this learning activity. Similarly, McMillan and Raines (2011) discussed plans to implement a scaffolding approach for academic writing but also did not report its use within their research.
Two studies examined the use of peer-to-peer feedback as a teaching activity. Brown and Cicchino (2022) reported on students’ perceptions of using a “peer review activity worksheet” (p. 304) to provide feedback to a peer on a written assignment while also seeking to determine whether students found the feedback helpful for improving their own writing. McMillan and Raines (2011) offered two 1-hour peer-review sessions to the class, then required students to use the essay’s grading rubric to guide their evaluation of their peer’s written work. Parilo et al. (2019) examined student–faculty collaborations aimed at writing papers for publications. O’Flaherty and Costabile (2020) explored the impact of a virtual simulation on students’ ability to demonstrate critical thinking in a piece of academic writing.
Assessment of Academic Writing
The assessment of academic writing was reported using four primary methods: grading rubrics, pre- and post-tests or surveys, student feedback, and grades on writing assignments. Two studies used more than one method of assessment, such as both a grading rubric and pre- and post-tests, or both student feedback and pre- and post-tests. Five studies did not report how student writing was assessed (see Table 1).
Of the studies that used a grading rubric, three assessed writing within sections of an essay using a rubric, including the introduction, body, or conclusion (Garvey et al., 2023; McMillan & Raines, 2011; Roberts & Goss, 2009). Other aspects of writing that were assessed using grading rubrics were the description of the issue or problem (Ghazal et al., 2018; McMillan & Raines, 2011; Roberts & Goss, 2009), exploration of the professional role related to a specific topic (Ghazal et al., 2018; McMillan & Raines, 2011), analysis of an issues or issues and demonstration of critical thinking (Ghazal et al., 2018; Roberts & Goss, 2009), use of APA format (McMillan & Raines, 2011), and the mechanics of writing (i.e., sentence structure, organization, cohesiveness, content development) (Roberts & Goss, 2009).
Success of Pedagogical Approaches and Teaching Strategies
Ten distinct approaches were used to determine the success of pedagogical and teaching strategies. One approach to evaluating the success was to compare the grades of students who engaged in the approach or strategy with those who did not (Beccaria et al., 2019; Ghazal et al., 2018; Roberts & Goss, 2009). Another approach was to solicit student feedback qualitatively through interviews, open-ended surveys, and focus groups (Brown & Cicchino, 2022; Friberg & Lyckhage, 2013; O’Flaherty & Costabile, 2020) or quantitatively through measures such as surveys (Garvey et al., 2023; McMillan & Raines, 2011; O’Flaherty & Costabile, 2020). Short pre- and post-tests were also used to evaluate students’ knowledge of a subject related to writing before and after the approach or strategy (Hutchinson & Pederson, 2023; Mandleco et al., 2012; O’Flaherty & Costabile, 2020; Roberts & Goss, 2009). Student self-reflection on whether they perceived their writing had improved was used in two studies (Mandleco et al., 2012; Parilo et al., 2019). Only one study elicited faculty feedback on the quality of the approach or strategy (Harrison & LeBlanc, 2016). Additional methods included measuring student confidence using computers before and after the approaches or strategies (Beccaria et al., 2019) and the frequency of student visits to faculty offices for follow-up support or clarification (Ghazal et al., 2018). Regardless of the mode of evaluation, all studies reported some improvement in writing and/or student understanding after the pedagogical approach or teaching strategy was employed.
Discussion
This review mapped the published research on approaches and strategies to teaching academic writing in nursing education. Interpretation of the review findings indicate five areas of discussion: a) use of evidence-informed teaching strategies in nursing education; b) research on the scholarship of teaching; c) writing in nursing education; d) assessment of student writing; and e) the need for continued development of instructional approaches to support students’ writing.
Evidence-Informed Teaching Strategies
Despite the comprehensive search strategy, only 12 studies were located that met the inclusion criteria for the review. This result was surprising given that the systematic review conducted nearly a decade ago located 80 published reports that included insights, suggestions, and writing strategies used by nursing faculty. This discrepancy indicates that while efforts are being directed towards developing student writing, little research is being published in the area. Either research on educational approaches is being conducted but not published, or instructional efforts are being used without supporting evidence. This finding is consistent with those of Mitchell (2018) and Mitchell et al. (2017), which claim that in writing instruction, faculty often conform to disciplinary norms and subscribe to established approaches or approaches they are most familiar with.
Stevens and Cassidy (1999) defined evidence-based teaching as “the conscientious, explicit, and judicious use of current best evidence in making decisions about the education of professional nurses” (p. 3) and proposed three strategies for advancing evidence-based teaching: increase the number and type of educational studies, disseminate research widely, and develop a nursing education agenda. In a national online survey of 295 American nurse educators, the majority reported using evidence to support their teaching but considered written course evaluations, conference materials, class feedback, and student comments to constitute evidence (Patterson & McAleer Klein, 2012). More recently, Kalb et al. (2015) reported that faculty do not always consider available evidence when identifying and enacting changes in instructional strategies. Given that the concept of evidence-based practice is pervasive in nursing education (Canadian Association of Schools of Nursing, 2022; Giddens et al., 2022), further work is needed to understand the evidence that faculty use and create to inform what and how they teach.
Research on the Scholarship of Teaching
Educators face unique challenges when they use student participants to examine their instructional approaches (Schnurr & Taylor, 2019). Research on the scholarship of teaching and learning (SoTL) conducted in the learning environment places students in vulnerable positions as research participants, requiring careful consideration and protection of their rights. Ethical issues for nurse educators to consider and address when designing SoTL research include undue influence (perceived coercion or pressure to participate), dual roles (learner versus participant), and confidentiality (identity attached to research data for student evaluation) (Schnurr & Taylor, 2019). The relationship between the educator and student must be recognized as having a power imbalance. Students may feel that declining to participate in faculty research could negatively affect their academic standing; alternatively, they may feel that agreeing to participate could benefit them (Innocente et al., 2022). This undue influence, whether real or perceived, may create an environment in which students are captive participants, affecting their ability to freely participate in research according to their own values, wishes, and preferences (Innocente et al., 2022; Schnurr & Taylor, 2019). When engaging in SoTL, researchers must also navigate the “dual role” of educator and researcher, in which the challenge lies in balancing research and teaching objectives that may conflict, such as when class time is used for research (Schnurr & Taylor, 2019). In a review of existing Canadian university research ethics guidelines, the authors found that six universities identified classroom research as an intrusion and felt that investigators who conduct research in the classroom should justify the pedagogical or educational value for students (Schnurr & Taylor, 2019). The ethical challenges of conducting research on students may partly explain the limited research on strategies for teaching students how to write.
Writing in Nursing Education
While this review focused exclusively on academic writing, students must also learn how to write professionally and/or for clinical practice. The purpose of academic writing is to construct an effective, formal argument clearly and concisely, while the purpose of clinical or professional writing is to convey information and ideas quickly in a workplace. Arguably, today’s newly graduated nurses need to be able to write both professionally and academically (Jamieson et al., 2017; McRae et al., 2023). Although equally important, academic writing and professional writing serve different purposes, are aimed at different audiences, and likely require different instructional approaches. None of the studies in this review considered whether approaches or strategies to improve academic writing also improve professional writing and vice versa. Unlike academic writing, for which students are often provided time and support, professional writing usually takes place in busy work environments under time constraints (Jamieson et al., 2017; McRae et al., 2023). Pengelly et al. (2023) describe professional writing as being “hidden in plain sight and rarely mentioned or addressed” (p. 6). However, given the important role of writing in sharing information and delivering patient care (Pengelly et al., 2023), concerted efforts should be directed towards teaching nursing students clinical and/or professional writing. Furthermore, nursing curricula are often heavily laden with essential content, leaving little flexibility to add additional materials. Future studies should examine how best to approach academic and professional writing concurrently.
Assessment of Student Writing
Assessment of student learning and performance is integral to both students’ and teachers’ understanding of learning, including areas for student development and curriculum improvements. As noted by Aull (2020), assessments with individualized feedback are most impactful in improving student writing—which supports a student-centred approach to teaching writing skills. Findings of this review suggest that grading is the primary means of assessing writing in nursing education. While the assignment of grades can be an effective way for categorizing students’ performance and distinguishing among performances that are below average, average, or above average, they tend to reflect performance on a single task (i.e., a written piece of work) or on multiple tasks at one point in time (i.e., post-course) (Schwab et al., 2018). Anderson (2018) argues that the use of grades to measure improvements is problematic because they do not easily measure progress, particularly for high-achieving students who have little, if any, room to improve. Further, while some of the studies in this review reported measures to uphold the validity and reliability of assigned grades, some did not (Ghazal et al., 2018). The feasibility of using student grades to determine the success in writing should be considered within the wider discussion of how best to evaluate student performance.
The majority of the approaches or strategies that researchers used to strengthen academic writing focused on the mechanics of writing well within academia. These mechanics included formatting and referencing (e.g., APA) (Harrison & LeBlanc, 2016), as well as organizing a paper and attention to grammar (Mandleco et al., 2012; Roberts & Goss, 2009). Given that grades were frequently used to evaluate competency, many of the specific academic writing assignments likely also required students to demonstrate mastery of a particular topic or subject area. Showing mastery of a writing style and a topic/subject area improves students’ knowledge but does not fully prepare them to become academic writers. Additionally, “good students” know what kind of style and content their professors want them to produce, meaning that students may develop the ability to write for a particular course or professor without developing the skills to write for “real-world” academia (Mumford & Atay, 2021).
In “real-world” academia, researchers write and publish their work for many reasons, such as to contribute to academic conversations, to present new evidence, or to develop new arguments (Mumford & Atay, 2021). These aspects of academic writing have little to do with the approaches and strategies used to teach or assess academic writing in the classroom. Students rarely have an opportunity to write for such an audience, and as such, they do not benefit from the resulting diversity of perspectives. In the studies included in this review, students had few opportunities to write for an audience beyond a single (faculty) assessor. The students’ writing was mostly evaluated by one person with feedback possibility limited by personal factors, such as biases, fatigue, or turnaround time.
Need for Continued Development of Instructional Approaches
Findings from this review showed a range of pedagogical approaches and teaching strategies used in nursing education to teach academic writing. One element not addressed in this review is artificial intelligence (AI), including ChatGPT. The rapid growth in AI is creating transformational change throughout society, including education (Kılınç, 2024). Recent reviews of AI in nursing education specifically highlight several current and future opportunities of its use (Glauberman et al., 2023; Gunawan et al., 2024; Lifshits & Rosenberg, 2024; Ma et al., 2025). In Gunawan et al.’s (2024) review on ChatGPT in nursing education, nearly 40% of the 46 included papers highlighted its potential to enhance students’ academic writing. The review identified ChatGPT as a tool that can assist students in generating content, proofreading and editing written work, identifying grammatical errors, and paraphrasing and summarizing materials. It emphasized that ChatGPT supports these activities rather than performing them entirely (Gunawan et al., 2024). Despite its potential benefits, nurse educators continue to express concerns about the possibility of students using AI tools for cheating and the risk of inaccurate information (Abujaber et al., 2023; Bouriami et al., 2025; Farrokhnia et al., 2024; Sun & Hoelscher, 2023). De Gagne (2023) also cautions about the need to protect students’ privacy and security given AI’s ability to access personal information from its users. AI tools can also challenge traditional methods of assessment, as instructors may struggle t to gauge a student’s individual writing capabilities when such tools are involved (Escalante et al., 2023).
AI is fundamentally reshaping the way education is delivered, creating new opportunities for personalized learning, efficiency, and accessibility (Glauberman et al., 2023; Gunawan et al., 2024). AI tools offer significant potential for enhancing students’ writing skills, such as providing real-time feedback, assisting with grammar and structure, and offering personalized learning experiences. Ultimately, the success of using AI tools as a teaching strategy for academic writing depends on whether and how nurse educators adopt them. Nurse educators must consider various factors, including the tool’s ability to complement traditional teaching philosophies, its alignment with learning objectives, and its capacity to foster critical thinking and independent learning. Further research is needed to understand how AI can be used most effectively to enhance teaching and learning while ensuring that students’ well-being and academic integrity are upheld.
As the nature of academic writing continues to evolve with technological advances and the rise of blogs, social media, and other digital media, nursing students must be prepared to engage in these new forms of writing. Traditionally, nursing education has focused on scholarly papers and clinical documentation, but the growing influence of digital platforms in health care and education demands that students develop skills beyond conventional academic writing (Erden et al., 2024). Blogs, podcasts, and online forums provide unique opportunities for nurses to share knowledge, discuss emerging practices, and engage with both peers and the public. Preparing nursing students to write effectively for these platforms is crucial, as doing so will allow them to communicate research findings, advocate for patient care, and contribute to health care discussions in accessible and impactful ways. By incorporating these non-traditional writing formats into nursing curricula, educators can equip future nurses with the tools they need to navigate a rapidly changing landscape and improve their professional communication in diverse contexts.
Limitations of the Review
There are several limitations to this scoping review. Due to its scoping nature, this review does not purport to prescribe possible solutions to best address how academic writing should be taught in nursing education, including whether or how AI should be integrated into nursing curricula. Further, despite using a systematic approach to conduct a comprehensive and broad search strategy, some relevant research reports may have been missed, particularly given the imposed language restrictions of English and French on the search. Although important, non-traditional forms of academic expression that are often overlooked in academia, particularly those related to Indigenous cultures (Wotherspoon & Milne, 2024), were not captured in this review. These forms, such as storytelling, oral traditions, and other culturally significant forms of expression, are important and warrant further exploration. Lastly, as individual studies were not assessed for their methodological quality, the findings of this review may have been limited. Although assessment of methodological quality is not a requirement of scoping reviews, not assessing for risk of bias is acknowledged as a possible limitation to scoping review methods.
Recommendations for Research
By mapping the literature on pedagogical approaches and teaching strategies used to teach academic writing to nursing students, this review identified some recommendations for future research. There is a need to understand how educators choose their teaching strategies and the role that evidence-based methods play in nursing education. Future research is needed to investigate the psychometric properties and to validate the variety of measures and rubrics used to guide and assess student writing. Furthermore, future experimental or longitudinal study designs that discriminate for impact of individual components of multi-faceted writing strategies will help in the effort to establish evidence-informed strategies for teaching writing in nursing education.
Conclusion
This scoping review provides a comprehensive overview of the available research on pedagogical and teaching strategies used to teach academic writing to students enrolled in nursing education. The pedagogical approaches and teaching strategies that researchers employed focused mainly on the mechanics of writing well and not necessarily on the content of the writing. This review highlights a need for evidence-informed pedagogical approaches and teaching strategies for teaching academic writing. Furthermore, it points to a need for considering and possibly integrating emerging learning tools, such as AI, into teaching practices. By adopting these innovative technologies, nursing educators can enhance the learning experience, providing students with personalized feedback and fostering critical thinking. However, educators must remain vigilant in assessing the impact of these tools, ensuring that they complement traditional methods and contribute to students’ overall academic development.
Appendices
Bibliography
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List of tables
Table 1
Characteristics of the Included Studies







