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The aim of the study was to answer the research question What is known from the literature about academic grading practices and grade inflation in nursing education? Nursing students require authentic assessment that supports their professional formation. For teachers and students, integrity is fundamental to professional nursing excellence. Arskey and O'Malley's framework was used to integrate and reinterpret findings from qualitative, quantitative, and mixed-method studies. Twelve studies were reviewed. Contributing factors are describ