Perspectivas e desafios da atuação do enfermeiro na inserção do DIU na atenção primária: uma revisão integrativa da literatura.

Abstract

The copper intrauterine device is a long-acting, hormone-free contraceptive, and its insertion, removal and review can be performed by trained nurses. The study aims to understand, through the literature, the barriers and perspectives of IUD insertion by nurses, within the context of Primary Care. This is an integrative review, where the search was carried out through the Virtual Health Library, in the LILACS, BDENF, IBECS and MEDLINE databases, using 08 articles that met the inclusion criteria: research in Portuguese, English and Spanish, from the last 5 years (2019 to 2024). And the exclusion criteria: articles that did not meet the theme addressed and incomplete. Three thematic categories were used, namely: Nurses in the insertion of copper IUDs in PHC; Knowledge of users as a key to strengthening nurses' performance; Limitations faced by nurses in the insertion of IUDs. The lack of nurses trained to insert IUDs limits access to the contraceptive method and reduces women's choice. In addition, it is observed that lack of knowledge among women is a significant factor that contributes to resistance to its use, fueled by myths, taboos and the lack of clear and accessible information, even though it is an effective and safe option. It is concluded that training nurses in the insertion of the Copper Intrauterine Device in Primary Health Care is extremely relevant in increasing adherence to the method, as well as in disseminating knowledge, allowing women greater autonomy and independence in their choices. This study has a limitation due to the lack of a greater variety of articles on the subject.