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Nursing education in conflict: How intersectionality impacts access to educational opportunities?
Laura Hinsche1, Martina Hasseler1, Tim Tischendorf2
1Faculty of Healthcare, Ostfalia University of Applied Sciences, Wolfsburg, Germany.
Frontiers in Medicine
|May 27, 2026
Summary
Intersectional barriers in nursing education limit opportunities for marginalized groups. Addressing structural inequities through inclusive curricula is vital for ethical practice and improved patient care.
Area of Science:
- Healthcare Education
- Nursing Workforce Development
- Social Determinants of Health
Background:
- Nursing education must adapt to a diverse workforce facing complex healthcare environments.
- Intersectional factors like gender, socioeconomic status, and hierarchy significantly impact educational access.
- Systematic analyses of these barriers in nursing education are currently limited.
Purpose of the Study:
- To systematically analyze intersectional barriers affecting access to nursing education and qualification.
- To identify how these barriers disproportionately affect marginalized groups within the nursing profession.
- To inform strategies for creating more inclusive and equitable nursing education systems.
Main Methods:
- A PRISMA-based scoping review methodology was employed.
- Searches were conducted across multiple databases including PubMed, Ebsco CINAHL, PeDocs, CareLit, Livivo, and Google Scholar.
- Eight articles were selected for in-depth conceptual analysis after screening seventy studies.
Main Results:
- Intersectional barriers significantly impede educational and qualification opportunities in nursing.
- Marginalized groups experience disproportionate negative effects due to these barriers.
- Hierarchical structures, Eurocentric curricula, and unsuitable digital strategies worsen disparities and discrimination.
Conclusions:
- Current deficit-oriented approaches fail to address systemic structural barriers in nursing education.
- Integrating intersectional perspectives early in nursing education is crucial for ethical awareness and challenging power imbalances.
- Comprehensive curricular reforms addressing racism, gender, and socioeconomic inequities are essential for inclusivity, retention, and enhanced patient care.
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