Literácia/Conhecimento do enfermeiro sobre as boas práticas de administração de nutrição parenteral: revisão integrativa da literatura

Abstract

Parenteral nutrition is a vital therapy, requiring rigorous adherence to good administration practices to prevent catheter-associated bloodstream infection (CLABSI), with the nurse playing a central role in this process. This study aims to analyze the available evidence in the literature regarding nurses' knowledge and practice in relation to Good Parenteral Nutrition Administration Practices (GPANP). This is an integrative literature review conducted in six methodological steps. A systematic search was performed that included 21 primary articles published between 2015 and 2025, classified according to the Oxford Centre for Evidence-Based Medicine, 2011. The results were grouped into four domains: I) Nursing knowledge is deficient in critical topics, but highly responsive to training and simulation; II) Standardization of practice and use of bundles are effective in reducing CLABSI in hospital settings; III) Home parenteral nutrition requires the nurse as an educator and risk manager, adapting guidelines to the home environment; IV) Organizational factors (high turnover and lack of support) are critical barriers to safety. It is concluded that the sustainability of BPANP requires the integration of the nurse's technical knowledge, rigorous standardization of practices, and continuous organizational support, ensuring quality of care and patient safety.