This systematic review aims to clarify and define the concept of moral sensitivity among nursing students. The study employed Rodgers' evolutionary concept analysis method to examine the attributes, antecedents, and consequences of moral sensitivity in nursing students. The review searched ten databases (PubMed, Scopus, Science Direct, Emerald, Springer, Proquest, ERIC, SID, Irandoc, Magiran) for articles published between 1990 and 2020. After applying inclusion and exclusion criteria, 38 articles were included in the analysis. The results indicate that moral sensitivity in nursing students improves through specialized ethical knowledge and presence in educational and professional settings. The attributes of moral sensitivity include honest and benevolent communication, compassionate professional practice, intuitive perception of moral challenges, awareness of responsibilities and ethical consequences of decisions, and critical thinking about ethical-legal challenges. The antecedents of moral sensitivity are specialized ethical knowledge and presence in educational-professional environments. The consequences of moral sensitivity include improved quality of nursing care and effective management of ethical challenges. The study concludes that the findings can help develop nursing education theories and programs, design appropriate tools to evaluate moral sensitivity, and enhance the quality of care and management of ethical challenges in society and health systems. However, the research has limitations, including the exclusion of non-English texts and the inability to access all international databases. Future research should include more qualitative studies and explore the concept of moral sensitivity in different professional contexts.This systematic review aims to clarify and define the concept of moral sensitivity among nursing students. The study employed Rodgers' evolutionary concept analysis method to examine the attributes, antecedents, and consequences of moral sensitivity in nursing students. The review searched ten databases (PubMed, Scopus, Science Direct, Emerald, Springer, Proquest, ERIC, SID, Irandoc, Magiran) for articles published between 1990 and 2020. After applying inclusion and exclusion criteria, 38 articles were included in the analysis. The results indicate that moral sensitivity in nursing students improves through specialized ethical knowledge and presence in educational and professional settings. The attributes of moral sensitivity include honest and benevolent communication, compassionate professional practice, intuitive perception of moral challenges, awareness of responsibilities and ethical consequences of decisions, and critical thinking about ethical-legal challenges. The antecedents of moral sensitivity are specialized ethical knowledge and presence in educational-professional environments. The consequences of moral sensitivity include improved quality of nursing care and effective management of ethical challenges. The study concludes that the findings can help develop nursing education theories and programs, design appropriate tools to evaluate moral sensitivity, and enhance the quality of care and management of ethical challenges in society and health systems. However, the research has limitations, including the exclusion of non-English texts and the inability to access all international databases. Future research should include more qualitative studies and explore the concept of moral sensitivity in different professional contexts.