Poster can be found in location 56.

Aim: The aim was to explore first-line mangers and registered nurses’ experiences of ethical challenges during the Covid-19 pandemic in residential care facilities, with focus on person-centred care. Background: The Covid-19 pandemic challenged the health- and social care in Sweden as in the rest of the world. Older persons were highlighted as a vulnerable group, being at high risk of seriously illness and death. The care of older persons should embrace person-centredness, a care founded on ethical values. Previous studies have shown that ethical challenges in the care older persons emerged due to all the pandemic measures. However, knowledge of ethical challenges with focus on person-centred care in residential care facilities from the leaders’ perspectives still needs to be highlighted. Methods: An exploratory design with individual interviews with 12 registered nurses and 14 first-line managers were conducted between February 2022 to Mars 2023. All participants worked in residential care facilities in the southern or northern part of Sweden. The data were analyzed with conventional content analysis. Findings: The overall findings showed that the leaders had to disregard the individual needs of the person in order to protect the group and the society. Providing person-centred care was difficult as all older persons had to be treated and cared for in the same way. Conclusion: This study highlights that instead of promoting person-centredness, the leaders had to focus on the entire residential care facility instead of the individual persons’ needs and preferences during the pandemic. The findings also highlight several pandemic measures that clashed with the leaders’ own beliefs of providing good care for older persons.