Dificuldades Vivenciadas pelos Enfermeiros na Reanimação Cardiopulmonar em Contexto Pré-Hospitalar: Revisão Integrativa da Literatura

• DOI: > Mai

• Palavras-chave: Reanimação Cardiopulmonar (Cardiopulmonary Resuscitation, Reanimación Cardiopulmonar), Enfermagem (Nurs*, Enfermería), Assistência Pré-Hospitalar ( Prehospital Care, Atención Prehospitalaria)

• Keywords: .

• Abstract: Cardiorespiratory arrest (CRA) is a major clinical emergency associated with high morbidity and mortality, requiring immediate intervention through cardiopulmonary resuscitation (CPR). Understanding the difficulties experienced by nurses in prehospital settings is essential to improving the quality and safety of care. Objective: To describe and synthesize the scientific literature on the difficulties faced by nurses when performing CPR in prehospital environments. Methods: An integrative literature review was conducted using the CINAHL, MEDLINE, PubMed, and Google Scholar databases. Studies published between 2019 and 2024 in Portuguese, English, and Spanish were included. Results: The sample comprised six studies, none originating from Portugal. The main difficulties identified were related to incident location, scene safety conditions, patient characteristics, professionals’ emotional burden, leadership challenges, ethical issues, interprofessional collaboration, and limitations in human and technological resources. Conclusion: Although some environmental variables are uncontrollable, organizational strategies and continuous training programs may mitigate professional-related challenges. Further research is recommended, particularly in the national context, to support evidence-based interventions.