Background: CPR in Swedish hospitals saved 1444 people during 2017. For severely ill patients, where the outcome of CPR is not promising, a decision about DNACPR could be made. The doctor is responsible for deciding DNACPR, a decision that should be based on a well-grounded analysis where the nurses, the patient and the relatives' point of view is taken into consideration.

Aim: The purpose of this study was to describe how nurses experience their involvement in the process of CPR-decision.

Method: The utilized method was a literature study based on qualitative articles where Friberg (2017a) Five-step model was applied in the analysis. The study resulted in four main themes and eight subthemes.

Results: The four main themes were: Ethical dilemmas, Lack of communication and information, Involvement and Nurse-to-patient relationship. Ethical dilemmas described the importance of ethical knowledge in nursing. Lack of communication and information highlighted the need of information and discussion about the outcome of CPR to patients and relatives and the importance of documentation to ensure patient safety. Involvement described the importance of a unified decision of all parties involved. Nurse-to-patient relationship showed how a genuine interest could have a positive impact on patient-nurse trust and it gave nurses a complete picture of the patient's situation.

Conclusion: The nursing perspective was important in the decision-making process. To be able to reduce the suffering of a patient the nurse needed ethical competence, a good relationship to the patient and an understanding of the patient's overall health.