O cotidiano do enfermeiro no Atendimento de Urgência e Emergência.

Abstract

Nursing in Prehospital Care (PHC), consists of assistance provided outside the hospital environment, whether mobile or fixed, and provides assistance in a first level of care, after the emergence of a health problem in clients in acute, clinical conditions, traumatic or psychiatric in nature, which can result in sequelae or even death. We seek to investigate, together with the scientific literature, the experiences and challenges of nurses in Urgent and Emergency Care. This is an integrative literature review, whose articles are available for free and online, at the Virtual Health Library - VHL, through the descriptors, "Nursing", "Emergency nursing" and "Medical services" "emergency mode" using the Boolean AND connector. The inclusion criteria were full texts, available in Portuguese and published between 2010 and 2020, and the exclusion criteria were to be available in languages other than Portuguese, to be repeated and paid for. 13 articles were used for the development of this work. There was an association of articles in three categories: the characterization of the profile of the nursing professional in the urgency and emergency service; experiences of nurses working in urgent and emergency services and challenges of nurses in attending to emergencies. The studies present the profile of the nurse, mostly female, regarding the age of the PHC team, the professionals are young and relatively in the most productive age range of life, between 35 and 40 years. All articles studied point out that nurses who work in urgent and emergency services must be prepared and have high levels of knowledge, both theoretical and practical, must have technical knowledge and skills, as well as emotional control in caring for victims. The main difficulties extracted include occupational stress, requests for unnecessary occurrences and wage devaluation. There is still disorganization in the flow of care, lack of adequate physical structure, most professionals are still disqualified to perform urgent and emergency care, more importantly, there is a greater demand than the service capacity, which makes it even more difficult to reach care humanized. It was possible to observe that the nurse has great importance in the scope of urgency and emergency. For being a professional present both in the assistance area and in service management. The challenges are many, the main ones being mentioned: the overload of their functions, the high level of physical and emotional stress and the devaluation of professional practice are the most mentioned.