en پزشکی عمومى General medicine مروری Review Article <p style="text-align: justify;"><span style="font-size:12px;"><span style="line-height:150%"><span sans-serif=""><b><i><span style="line-height:150%"><span new="" roman="" times="">Background and Objective</span></span></i></b><b><span lang="EN"><span style="line-height:150%"><span new="" roman="" times="">:</span></span></span></b> <span style="line-height:150%"><span new="" roman="" times="">Since December 2019, the widespread outbreak of COVID-19 has led to a major public health issue worldwide. With the spread of the COVID-19 pandemic, a series of ethically challenging issues arose that put pressure on healthcare systems around the world. This narrative review aims to comprehensively review the literature focusing on ethical challenges and coping strategies about issues related to the healthcare system and social issues during the COVID-19 pandemic.<b><i></i></b></span></span></span></span><br> <span style="line-height:150%"><span sans-serif=""><b><i><span style="line-height:150%"><span new="" roman="" times="">Material and Methods:</span></span></i></b> <span style="line-height:150%"><span new="" roman="" times="">This narrative review was conducted via international databases including PubMed/MEDLINE, Web of Science, and Scopus using keywords extracted from medical subject headings such as &quot;COVID-19&quot;, &quot;2019-nCoV disease&quot;, &quot;2019 novel coronavirus infection&quot;, &quot;Ethics&quot;, &quot;Bioethical Issues&quot;, &quot;Morals&quot;, &quot;Coping Skills&quot;, &quot;Coping Skill&quot;, &quot;Coping Strategies&quot;, and &quot;Coping Strategy&quot; from December 2019 to January 2022.<b><i></i></b></span></span></span></span><br> <span style="line-height:150%"><span sans-serif=""><b><i><span style="line-height:150%"><span new="" roman="" times="">Results:</span></span></i></b><span style="line-height:150%"><span new="" roman="" times=""> In general, ethical issues during the COVID-19 pandemic can be divided into two categories: 1) issues related to the healthcare system and 2) social issues. Issues related to the healthcare system can be divided into two categories: 1) lack of resources, equipment and facilities, and manpower, and 2) problems in patient care such as triage and informed consent. Social issues can be divided into four categories: 1) community engagement, 2) crisis management capacity in remote rural communities, 3) discrimination and health equity, and 4) vaccination. Coping with ethical challenges in crises such as COVID-19 requires changing health empowerment policies and strategies based on evidence-based research. On the other hand, overcome on these challenges requires interdisciplinary collaboration and fast efficient decisions.<b><i></i></b></span></span></span></span><br> <span style="line-height:150%"><span sans-serif=""><b><i><span style="line-height:150%"><span new="" roman="" times="">Conclusion:</span></span></i></b> <span style="line-height:150%"><span new="" roman="" times="">Overall, the present study introduced ethical challenges and coping strategies during the COVID 19 pandemic. The experience gained from this pandemic can be considered by managers and policymakers of health care systems for coping with ethical challenges.</span></span></span></span></span><span style="font-size:11pt"><span style="line-height:150%"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:9.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></p> <p><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt"><span style="background:yellow"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></p> Ethics,Health Personnel,COVID-19, 84 95 http://goums.ac.ir/jorjanijournal/browse.php?a_code=A-10-842-3&slc_lang=en&sid=1 Sahar Miri contact1997@yahoo.com 10031947532846007677 000000018682952X No Department of Corrective Exercise and Sport Injury, Faculty of Sport Sciences, University of Guilan, Rasht, Iran Samad Karkhah sami.karkhah@yahoo.com 10031947532846007678 0000000191939176 Yes 1. Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.2. Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran. Pooyan Ghorbani Vajargah Poyan.ghorbani@gmail.com 10031947532846007679 0000000333652681 No Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran Amirabbas Mollaei Mollaiamirabbas@gmail.com 10031947532846007680 0000000208413091 No Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran Atefeh Falakdami atefeh.f7575@gmail.com 10031947532846007681 0000000151258632 No Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. Poorya Takasi pooryapin380@gmail.com 10031947532846007682 0000000337883049 No Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. Amir Emami Zeydi emamizeydi@yahoo.com 10031947532846007683 0000000189843298 No Department of Medical-Surgical Nursing, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran Mohammad Javad Ghazanfari javad.ghazanfari12@gmail.com 10031947532846007684 0000000335556044 No 1. Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.2. Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran.