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Article

Torn Between Identities: A Hermeneutic Phenomenological Study of Nurses’ Dual Allegiance During COVID-19 and Armed Conflict

by
Nurit Zusman
* and
Caryn Scheinberg Andrews
Henrietta Szold Hadassah School of Nursing, Faculty of Medicine, Hebrew University, Ein Kerem, Jerusalem 9112102, Israel
*
Author to whom correspondence should be addressed.
Nurs. Rep. 2026, 16(1), 12; https://doi.org/10.3390/nursrep16010012
Submission received: 28 October 2025 / Revised: 21 December 2025 / Accepted: 29 December 2025 / Published: 31 December 2025
(This article belongs to the Special Issue Nursing Leadership: Contemporary Challenges)

Abstract

Background/Objectives: While nurses showed a willingness to work during the pandemic and wartime, little is understood about how they managed the conflict between their roles as caregivers and personal or family obligations. They are deemed “essential workers,” risking their safety to fulfill their duties. Objectives: This study aims to explore the lived experience of nurses during COVID-19 and wartime, delving deeper into their emotional and moral experiences, providing insights for nurses and nursing management about how nurses negotiate dilemmas. Methods: A focused interpretive, hermeneutic, phenomenological approach was employed. From December 2022 to January 2023, ten hospital-based nurses from two hospitals were purposively sampled for in-depth, semi-structured interviews, which were transcribed and analyzed. The study was approved by the University Ethics Committee (31102022). Results: The essence of “ Moral Conflicts of Dual Identity and Dual Allegiance” revealed profound moral and emotional struggles among nurses. Four key themes emerged: (1) Moral Stressors and Identity Negotiation, (2) Competing Responsibilities and Ethical Double-binds, (3) Virtual and Practical Wisdom in Crises, (4) Responses of Stress and Erosion of Support Conclusions: Understanding nurses’ ethical dilemmas is essential for healthcare leadership. Leaders must make it a priority for workplace safety for their nurses. In wartime, it is not obvious that the workplace is unsafe; leaders must foster open dialog and support systems in response to these crises. This study highlights the significance of peer support, emphasizing the need for policies that address the complex moral challenges nurses face daily.
Keywords: moral distress; virtue ethics; armed conflict; identity; nurses; COVID-19 moral distress; virtue ethics; armed conflict; identity; nurses; COVID-19

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MDPI and ACS Style

Zusman, N.; Scheinberg Andrews, C. Torn Between Identities: A Hermeneutic Phenomenological Study of Nurses’ Dual Allegiance During COVID-19 and Armed Conflict. Nurs. Rep. 2026, 16, 12. https://doi.org/10.3390/nursrep16010012

AMA Style

Zusman N, Scheinberg Andrews C. Torn Between Identities: A Hermeneutic Phenomenological Study of Nurses’ Dual Allegiance During COVID-19 and Armed Conflict. Nursing Reports. 2026; 16(1):12. https://doi.org/10.3390/nursrep16010012

Chicago/Turabian Style

Zusman, Nurit, and Caryn Scheinberg Andrews. 2026. "Torn Between Identities: A Hermeneutic Phenomenological Study of Nurses’ Dual Allegiance During COVID-19 and Armed Conflict" Nursing Reports 16, no. 1: 12. https://doi.org/10.3390/nursrep16010012

APA Style

Zusman, N., & Scheinberg Andrews, C. (2026). Torn Between Identities: A Hermeneutic Phenomenological Study of Nurses’ Dual Allegiance During COVID-19 and Armed Conflict. Nursing Reports, 16(1), 12. https://doi.org/10.3390/nursrep16010012

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