Background: Every patient and each situation is unique. Therefore the nurse has to act in a flexible intervention and still keep an ethical perspective. Aim: The aim of this studie was to illuminate nurses’ different aspects of decision making in emergency situations. Method: The result is based on nine scientific articles. Their quality has been examined and analysed according to a qualitative research model. The articles has been analysed by inductive and deductive methods.

Results: The findings present nurses’ experiences of decison making based on their own decision and ethical dilemmas. Valuation and conviction, experience and intuition were essentailly for the nurses decision making.There were sometimes a conflict between nurses’ and patients, relatives and doctors opinion. Conclussions: A perspective from many different angles would create a wider base of ethical decision making.