Inserção de dispositivo intrauterino por enfermeiras: revisão integrativa sobre segurança, efetividade e impacto na saúde pública

Abstract

OBJECTIVE: To analyze the scientific evidence on the insertion of intrauterine devices (IUDs) by nurses, and its implications for access, equity, reproductive planning, and improvement of health internships, seeking to synthesize how the nurse's role can impact public health. METHODS: This is an integrative literature review including articles published between 2020 and 2025, retrieved from PubMed, LILACS, SciELO, and BDENF databases. Controlled descriptors from the Health Sciences Descriptors (DeCS/MeSH) were used: “Enfermeiros/Nurses” and “Dispositivo Intrauterino/Intrauterine Devices,” combined with the Boolean operators (“enfermeiros” OR “nurses”) AND (“dispositivo intrauterino” OR “intrauterine devices”). The study followed six methodological stages: problem identification, formulation of the guiding question, definition of inclusion and exclusion criteria, selection of databases and search strategy, categorization and data extraction, critical evaluation of the selected studies, and synthesis and presentation of the results. RESULTADOS: A total of 76 studies were initially identified, of which 10 met all inclusion and exclusion criteria and were included in this review. FINAL CONSIDERATIONS: IUD insertion performed by nurses is a safe, effective, and essential practice to expand access to reproductive planning, reduce unplanned pregnancies, and strengthen public health actions in Brazil. Adequate training, institutional support, and policies that recognize and regulate this practice are fundamental to consolidate this strategy within the Unified Health System (SUS).