Background During pandemics, there are considerable ethical dilemmas It is imperative that nurses are involved in ethical decision making bringing nursing theory, practice and perspectives to better advocate for patients . In order to prepare nurses to be partners in ethical dilemma decision making during pandemics, it is vital to understand the extent that nurses are involved in such decision making during the COVID 19 pandemic. Aim The purpose of this concept analysis is to identify nurse involvement in ethical decision-making during pandemics. Method Concept analysis methodology based on Literature searches used bibliographic databases PubMed- 20 papers; Google scholar- 8120 papers- EMBASE 25 papers; Science Direct 246 papers, and hand searches. Results Nurse involvement in ethical decision-making during pandemics focused on nurses' physical and emotional stress, communication challenges, saturation and collapse of limited resources, allocation of scarce resources. Additional dilemmas included, changing nature of nurses’ relationships with patients and families, questionable ethical equipoise preforming COVID research, triage patient decisions receiving scarce resources, partner participation during labour and delivery, end of life decisions. Conclusion In order to protect and sustain nurses’ well-being and competency, nurses should establish a framework for nurses' involvement in ethical policy development in emergencies, pandemics, education and preparedness and decision making to be able to deal with public health emergencies. Keywords Pandemics, Decision making, Ethical Issues,

Title

Journal of Research in Nursing 28 (2),

Publisher

SAGE

Publisher Country

United States of America

Indexing

Thomson Reuters

Impact Factor

3.1

Publication Type

Both (Printed and Online)

Volume

28

Year

2023

Pages

92-101