目的 系统评价ICU护士道德困境体验，为制订基于证据的道德困境干预措施提 供参考依据。 方法 计算机检索相关数据库中关于ICU护士道德困境体验的质性研究，检索时限为建库至2023年7月。 采用2016年澳大利亚乔安娜布里格斯研究所 （Joanna Briggs Institute，JBI）循证卫生保健中心质性研究质量评价工具对纳入的文献进行质量评价，采用 Meta整合方法对结果进行整合。 结果 共纳入16篇文献， 提炼54个研究结果， 归纳8个类别， 形成3个整合结果：ICU护士负性的生理、心理和认知行为体验；ICU护士道德困境的根源；ICU护士道德困境的应对方式。 结论 护理管理者应重视道德困境给ICU护士带来的 不适体验，采用多种干预方式积极应对道德困境，从而降低ICU护士道德困境水平，提高护理服务质量。

Objective To systematically evaluate ICU nurses’ experiences of moral dilemmas to inform the development of evidence-based interventions for moral dilemmas. Methods Computerized search of relevant databases for qualitative studies on ICU nurses’ experiences of ethical dilemmas was conducted with a time frame of construction to July 2023. The quality of the included literature was evaluated using the 2016 Australian Joanna Briggs Institute （JBI） Center for Evidence-Based Health Care qualitative research quality assessment tool，and the results were integrated using meta-integration methods. Results A total of 16 papers were included，54 findings were distilled，and 8 categories were grouped to form 3 integrated findings：negative physical，psychological，and cognitive behavioral experiences of ICU nurses；root causes of ethical dilemmas of ICU nurses；and ways of coping with ethical dilemmas of ICU nurses. Conclusion Nursing managers should pay attention to the physical and psychological discomfort experience brought by moral dilemmas to ICU nurses，and should use a variety of interventions to actively respond to moral dilemmas，so as to reduce the level of ICU nurses’ moral dilemmas and improve the quality of nursing services.