Florence Nightingale once said, "apprehension, uncertainty, waiting, expectation, fear of surprise, do the patient more harm than any effort." Nurses face ethical dilemmas daily as they care for patients and their families and as they work in a multidisciplinary environment. Many ethical dilemmas faced by a nurse are often difficult to resolve, which often leads nurses to refuse care due to conflicting values ​​of self, values ​​of patients, values ​​of the employer, and expectations of its employees. It is essential that nurses recognize this dilemma and resolve it without delay to prevent patient care and well-being from being compromised. But this is not always an easy solution as in the case study of the PT nurse and her ethical dilemma during the H1N1 pandemic in Ontario (CNA, August 2008). Ontarians had one thing on their minds in April 2009....influenza A viral subtype H1N1 or swine flu. On June 11, 2009, the World Health Organization (WHO) declared a global pandemic, with over 8,000 confirmed cases in Ontario alone and 95 confirmed deaths by November 26, 2009 (Wikipedia, 2011). A pandemic is a surprising event that sometimes forces nurses to go beyond their duty to provide care to sick patients. With their duty to provide care, many nurses were faced with ethical dilemmas, as in the case of the PT nurse who was ambivalent between her need to work for financial means, her responsibility to the patient and the employer work and his uncertainties about whether he will become infected and pass the disease on to his children. The PT nurse cared for many patients infected with the H1N1 virus, but most memorable was a four-year-old girl named CR. CR was brought to the emergency room by her parents in July 2009. CR...... middle of document...... November 11, 2011, from http://www.cna-aiic.ca/CNA /documents /pdf/publications/Code_of_Ethics_2008_e.pdfCollege of Nurses of Ontario. (2009). Practical standard: ethics. Retrieved November 11, 2011, from http://www.cno.org/Global/docs/prac/41034_Ethics.pdf?epslingual=enThinkexist.com. (1999-2011). Florence Nightingale Quotes. Retrieved November 11, 2011, from http://thinkexist.com/quotes/florence_nightingale/Ontario Ministry of Health and Long-Term Care. (2010, June 2). The H1N1 Pandemic: How Ontario Fared: A Report from Ontario's Chief Medical Officer of Health. Retrieved November 11, 2011, from http://www.health.gov.on.ca/en/public/publications/ministry_reports/cmoh_h1n1/cmoh_h1n1_20100602.aspxWikipedia The Free Encyclopedia. (2011, November 8). Influenza A virus subtype H1N1. Retrieved November 11, 2011, from http://en.wikipedia.org/wiki/H1N1