en عمومى General مروری Review <div style="text-align: justify;"><strong>Background</strong>: Sacrifice is a fundamental professional value in nursing, which became particularly prominent during the pandemic of COVID-19 pandemic. This study investigated the idea of self-sacrifice in nursing during this period, employing Rodgers&rsquo;s evolutionary model as the analytical framework.&nbsp;<br> <strong>Materials and Methods</strong>: The Rodgers&rsquo; concept analysis method was applied. Relevant literature was searched in CINAHL, MEDLINE, Web of Science, SCOPUS, PubMed, Magiran, IranMedex, and SID databases using keywords related to self-sacrifice in nursing. Seventeen related articles were selected for analysis.<br> <strong>Results</strong>: Self-sacrifice was a defining feature of nursing during COVID-19, involving prioritizing patient care over personal well-being despite severe risks. Internal factors influencing self-sacrifice included personal commitment, stress reduction, and professional excellence. External factors encompassed societal expectations, media influence, and the high-risk nursing environment during the pandemic. While self-sacrifice strengthened professional identity and personal growth, it also resulted in adverse effects, including work attendance despite illness (presenteeism), emotional and physical exhaustion (burnout), reduced patient safety, and a greater likelihood of leaving the profession. &nbsp;<br> <strong>Conclusion</strong>: Although self-sacrifice is an integral part of nursing, its adverse effects must be mitigated by promoting self-care and improving working conditions to ensure sustainable commitment among nurses.</div> Altruism, Nursing, COVID-19, Pandemics 33 46 http://hdq.uswr.ac.ir/browse.php?a_code=A-10-612-1&slc_lang=en&sid=1 Nahid Rajai n.rajai22@yahoo.com 0000-0001-6217-5138 No Department of Critical Care Nursing, School of Nursing, Aja University of Medical Sciences, Tehran, Iran. Akram Parandeh akram.parandeh@yahoo.com 0000-0002-3054-1938 No Nursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran. Maryam Azizi m.azizi_411@yahoo.com 0000-0001-7912-5313 No Department of Health in Disasters and Emergencies, School of Nursing, Aja University of Medical Sciences, Tehran, Iran. Hosein Mahmoudi h.mahmoudi@bmsu.ac.ir 0000-0003-4586-3486 Yes Nursing Care Research Center, School of Nursing, Clinical Science Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran. Kourosh Abbasian Mahdi14520@yahoo.com 0009-0008-6445-1771 No Department of Health Management, School of Medicine, Aja University of Medical Sciences, Tehran, Iran.