Desafios da enfermagem frente ao traumatismo cranioencefalico: revisão integrativa

Abstract

Traumatic brain injury (TBI) is a condition of high clinical complexity, responsible for elevated morbidity and mortality rates, and it requires highly specialized nursing care. However, nurses often face challenges arising from workload overload in intensive care units and emergency departments, the need for continuous monitoring, and limitations in structural and educational resources. This study aimed to analyze the main challenges faced by nursing in the care of patients with TBI, focusing on care practices, risks, and professional training. It is an integrative literature review conducted in the PubMed database, including articles published between 2019 and 2025, in Portuguese, English, and Spanish, within the hospital context. A total of 16 articles that met the inclusion criteria were selected. The results showed that the main obstacles are related to the complexity of clinical management, the risk of severe complications, workload overload, and the insufficiency of professional training directed toward the care of patients with neurological conditions. It is concluded that nursing performance in the care of patients with TBI requires advanced technical skills, agile decision-making, and institutional support, in order to ensure safe and effective care.