INTERFACES DA ENFERMAGEM NO CUIDADO RURAL: REVISÃO INTEGRATIVA

revisão integrativa composta por seis etapas. Os dados foram coletados no período de maio a julho de 2017, nas bases SciELO, CUIDEN, PubMed, ScienceDirect, com o descritor “Rural nursing”. A análise utilizada foi qualitativa com a construção de subconjuntos e tópicos.

Resultados:

dos 30 artigos analisados 32% abordavam a formação profissional; 25% ações relacionadas a saúde coletiva; 12% assistência hospitalar; 10% a satisfação no trabalho; 7% dedicaram a telessaúde e 3% dos estudos trataram dos temas: recrutamento e permanência das Enfermeiras no Espaço rural, educação permanente e a atuação profissional em central de regulação de urgência e emergência.

Conclusão:

a atuação no território rural demanda à enfermeira enfrentar particularidades como isolamento, dificuldade de acesso, condições socioeconômicas diversas e perfis epidemiológicos específicos, que influenciam a prática profissional, o que a torna um desafio.

DESCRITORES:
Enfermagem rural; Saúde da população rural; Saúde pública; Enfermagem em saúde comunitária; Cuidado de enfermagem

Autores	País	Temática
Knight K, Kenny A.88. Knight K, Kenny A. Assessing clinical urgency via telephone in rural Australia. Nurs Health Sci [Internet]. 2015 [cited 2018 Jul 13];17(2):201-7. Available from: https://dx.doi.org/10.1111/nhs.12161 https://dx.doi.org/10.1111/nhs.12161...	Austrália	Central de Regulação
Bish M, Kenny A, Nay R.99. Bish M, Kenny A, Nay R. Using participatory action research to foster nurse leadership in Australian rural hospitals. Nurs Health Sci [Internet]. 2013 [cited 2018 Jul 15];15(3):286-91. Available from: https://dx.doi.org/10.1111/nhs.12030 https://dx.doi.org/10.1111/nhs.12030...	Austrália	Assistência hospitalar
Beckstrand RL, Rohwer J, Luthy KE, Macintosh JLB, Rasmussen RJ.1010. Beckstrand RL, Rohwer J, Luthy KE, Macintosh JLB, Rasmussen RJ. Rural emergency nurses’ end-of-life care obstacle experiences: stories from the last frontier. J Emerg Nurs [Internet]. 2017 [cited 2018 Jul 15];43(1):40-48. Available from: https://dx.doi.org/10.1016/j.jen.2015.08.017 https://dx.doi.org/10.1016/j.jen.2015.08...	EUA	Assistência hospitalar
Kenny A, Allenby A.1111. Kenny A, Allenby A. Implementing clinical supervision for Australian rural nurses. Nurse Educ Pract [Internet]. 2013;13(3):165-9. Available from: https://dx.doi.org/10.1016/j.nepr.2012.08.009 https://dx.doi.org/10.1016/j.nepr.2012.0...	Austrália	Assistência hospitalar
Beckstrand RL, Giles VC, Luthy KL, Callister PLC, Heaston S.1212. Beckstrand RL, Giles VC, Luthy KL, Callister PLC, Heaston S. The last frontier: rural emergency nurses’ perceptions of end-of-life care obstacles. J Emerg Nurs [Internet]. 2012 [cited 2018 Jul 15];38(5):e15-25. Available from: https://dx.doi.org/10.1016/j.jen.2012.01.003 https://dx.doi.org/10.1016/j.jen.2012.01...	EUA	Assistência hospitalar
Fairchild MR, Everly M, Bozarth L, Bauer R, Walters L, Sample M, et al.1313. Fairchild MR, Everly M, Bozarth L, Bauer R, Walters L, Sample M, et al. A qualitative study of continuing education needs of rural nursing unit staff: The nurse administrator’s perspective. Nurse Educ Today [Internet]. 2013 [cited 2018 Jul 14];33(4):364-9. Available from: https://dx.doi.org/10.1016/j.nedt.2012.05.023 https://dx.doi.org/10.1016/j.nedt.2012.0...	EUA	Educação permanente
Lea J, Cruickshank M.1414. Lea J, Cruickshank M. Supporting new graduate nurses making the transition to rural nursing practice: views from experienced rural nurses. J Clin Nurs [Internet]. 2015 [cited 2018 Jul 12];24(19-20):2826-34. Available from: https://dx.doi.org/10.1111/jocn.12890 https://dx.doi.org/10.1111/jocn.12890...	Austrália	Formação
Hauenstein EJ, Glick DF, Kane C, Kulbok P, Barbero E, Cox K.1515. Hauenstein EJ, Glick DF, Kane C, Kulbok P, Barbero E, Cox K. A model to develop nurse leaders for rural practice. J Prof Nurs [Internet]. 2014 [cited 2018 Jul 9];30(6):463-73. Available from: https://dx.doi.org/10.1016/j.profnurs.2014.04.001 https://dx.doi.org/10.1016/j.profnurs.20...	EUA	Formação
Tschetter L, Lubeck P, Fahrenwald N.1616. Tschetter L, Lubeck P, Fahrenwald N. Integrating QSEN and Technology to Address Rural Health Care: Initial Outcomes. Clin Simul Nurs [Internet]. 2013 [cited 2018 Jul 3];9(10):469-75. Available from: https://dx.doi.org/10.1016/j.ecns.2012.09.005 https://dx.doi.org/10.1016/j.ecns.2012.0...	EUA	Formação
Pront L, Kelton M, Munt R, Hutton A.1717. Pront L, Kelton M, Munt R, Hutton A. Living and learning in a rural environment: A nursing student perspective. Nurse Educ Today [Internet]. 2013 [cited 2018 Jul 4];33(3):281-5. Available from: https://dx.doi.org/10.1016/j.nedt.2012.05.026 https://dx.doi.org/10.1016/j.nedt.2012.0...	Austrália	Formação
Yonge OJ, Myrick F, Ferguson LM, Grundy Q.1818. Yonge OJ, Myrick F, Ferguson LM, Grundy Q. Nursing preceptorship experiences in rural settings: “I would work here for free”. Nurse Educ Pract [Internet]. 2013 [cited 2018 Jul 4];13(2):125-31. Available from: https://dx.doi.org/10.1016/j.nepr.2012.08.001 https://dx.doi.org/10.1016/j.nepr.2012.0...	Canadá EUA	Formação
Sanderson H, Lea J.1919. Sanderson H, Lea J. Implementation of the Clinical Facilitation model within an Australian rural setting: The role of the Clinical Facilitator. Nurse Educ Pract [Internet]. 2012 [cited 2018 Jul 4];12(6):333-339. Available from: https://dx.doi.org/10.1016/j.nepr.2012.04.001 https://dx.doi.org/10.1016/j.nepr.2012.0...	Austrália	Formação
Place J, MacLeod M, John N, Adamack M, Lindsey AE.2020. Place J, MacLeod M, John N, Adamack M, Lindsey AE. “Finding my own time”: Examining the spatially produced experiences of rural RNs in the rural nursing certificate program. Nurse Educ Today [Internet]. 2012 Jul [cited 2018 Jul 4];32(5):581-7. Available from: https://dx.doi.org/10.1016/j.nedt.2011.07.004 https://dx.doi.org/10.1016/j.nedt.2011.0...	Canadá	Formação
Sedgwick MG, Yonge O.2121. Sedgwick MG, Yonge O. Undergraduate nursing students’ preparedness to ‘‘go rural’’. Nurse Educ Today [Internet]. 2008 [cited 2018 Jul 17];28(5):620-6. Available from: https://dx.doi.org/10.1016/j.nedt.2007.09.014 https://dx.doi.org/10.1016/j.nedt.2007.0...	Canadá	Formação
Mills J, Francis K, Bonner A.2222. Mills J, Francis K, Bonner A. Getting to know a stranger-rural nurses’ experiences of mentoring: A grounded theory. Int J Nurs Stud [Internet]. 2008 [cited 2018 Jul 5];45(4):599-607. Available from: https://dx.doi.org/10.1016/j.ijnurstu.2006.12.003 https://dx.doi.org/10.1016/j.ijnurstu.20...	Austrália	Formação
Latham H, Giffard L, Pollard M.2323. Latham H, Giffard L, Pollard M. University and Health Service Partnership: A Model to Deliver Undergraduate Nurse Education in Rural Australia. Collegian [Internet]. 2007 [cited 2018 Jul 6];14(1):5-10. Available from: https://dx.doi.org/10.1016/S1322-7696(08)60541-7 https://dx.doi.org/10.1016/S1322-7696(08...	Austrália	Formação
Kulig JC, Kilpatrick K, Moffitt P, Zimmer L.2424. Kulig JC, Kilpatrick K, Moffitt P, Zimmer L. Recruitment and retention in rural nursing: it’s still an issue! Nurs Leadersh (Tor Ont) [Internet]. 2015 [cited 2018 Jul 6];28(2):40-50. Available from: https://dx.doi.org/10.12927/cjnl.2015.24353 https://dx.doi.org/10.12927/cjnl.2015.24...	Canadá	Recrutamento
Yates K, Kelly J, Lindsay D, Usher K.2525. Yates K, Kelly J, Lindsay D, Usher K. The experience of rural midwives in dual roles as nurse and midwife: ‘‘I’d prefer midwifery, but I chose to live here’’. Women Birth [Internet]. 2013[cited 2018 Jul 17];26(1):60-4. Available from: https://dx.doi.org/10.1016/j.wombi.2012.03.003 https://dx.doi.org/10.1016/j.wombi.2012....	Austrália	Satisfação
Terri Bolin T, Peck D, Moore C, Ward-Smith P.2626. Terri Bolin T, Peck D, Moore C, Ward-Smith P. Competency and educational requirements: perspective of the rural emergency nurse. J Emerg Nurs [Internet]. 2011 [cited 2018 Jul 9];37(1):96-9. Available from: https://dx.doi.org/10.1016/j.jen.2010.06.022 https://dx.doi.org/10.1016/j.jen.2010.06...	EUA	Satisfação
Hoodless M, Bourke L.2727. Hoodless M, Bourke L. Expanding the scope of practice for enrolled nurses working in an Australian rural health service: Implications for job satisfaction. Nurse Educ Today [Internet]. 2009 [cited 2018 Jul 9];29(4):432-8. Available from: https://dx.doi.org/10.1016/j.jen.2010.06.022 https://dx.doi.org/10.1016/j.jen.2010.06...	Austrália	Satisfação
Knight K, Kenny A, Endacott R.2828. Knight K, Kenny A, Endacott R. From expert generalists to ambiguity masters: using ambiguity tolerance theory to redefine the practice of rural nurses. J Clin Nurs [Internet]. 2016 [cited 2018 Jul 7];25(11-12):1757-65. Available from: https://dx.doi.org/10.1111/jocn.13196 https://dx.doi.org/10.1111/jocn.13196...	Austrália	Saúde coletiva
MacKinnon K, Moffitt P.2929. MacKinnon K, Moffitt P. Informed Advocacy Rural, Remote, and Northern Nursing Praxis. ANS Adv Nurs Sci [Internet]. 2014 [cited 2018 Jul 7];37(2):161-73. Available from: https://dx.doi.org/10.1097/ans.0000000000000025 https://dx.doi.org/10.1097/ans.000000000...	Canadá	Saúde coletiva
Moules NJ, MacLeod MLP, Thirsk LM, Hanlon N.3030. Moules NJ, MacLeod MLP, Thirsk LM, Hanlon N. “And Then You’ll See Her in the Grocery Store”: The Working Relationships of Public Health Nurses and High-Priority Families in Northern Canadian Communities. J Pediatr Nurs [Internet]. 2010 [cited 2018 Jul 11];25(5):327-34. Available from: https://dx.doi.org/10.1016/j.pedn.2008.12.003 https://dx.doi.org/10.1016/j.pedn.2008.1...	Canadá	Saúde coletiva
Fraile MB, Peña ET, González JG, Pozo JG, Vasco IG, Rodríguez BP.3131. Fraile MB, Peña ET, González JG, Pozo JG, Vasco IG, Rodríguez BP. Las cencerradas: una visión antropológica desde la enfermería rural. Temperamentvm [Internet]. 2006 [cited 2018 Jul 10];3. Available from: http://www.index-f.com/temperamentum/tn3/t0130r.php http://www.index-f.com/temperamentum/tn3...	Espanha	Saúde coletiva
Marilaf MC, Alarcón AM, Illesca MP.3232. Marilaf MC, Alarcón AM, Illesca MP. Rol del enfermero/a rural en la región de la Araucanía Chile: percepción de usuarios y enfermeros. Cien Enfermería [Internet]. 2011 [cited 2018 Jul 10];17(2):111-8. Available from: https://dx.doi.org/10.4067/S0717-95532011000200012 https://dx.doi.org/10.4067/S0717-9553201...	Chile	Saúde coletiva
Jiménez-García Á, Granados-Bolívar ME, Fernández-Moreno C.3333. Jiménez-García Á, Granados-Bolívar ME, Fernández-Moreno C. Vivencias de una enfermera en su primera experiencia como profesional de los cuidados en entorno rural. Arch Memoria[Internet]. 2015 [cited 2018 Jul 17];12(2). Available from: http://www.index-f.com/memoria/12/12206r.php http://www.index-f.com/memoria/12/12206r...	Espanha	Saúde coletiva
Sivamalai S.3434. Sivamalai S. Desired attributes of new graduate nurses as identified by the rural community. Rural Remote Health [Internet]. 2008 [cited 2018 Jul 30];8:938. Available from: https://www.rrh.org.au/journal/article/938. https://www.rrh.org.au/journal/article/9...	Austrália	Saúde coletiva
Rolland RA.3535. Roland RA. Emergency Room Nurses Transitioning from Curative to End-of-Life Care: The Rural Influence. Online J Rural Nurs Health Care [Internet]. 2016 [cited 2018 Jul 3];16(2):58-85. Available from: https://dx.doi.org/10.14574/ojrnhc.v16i2.396 https://dx.doi.org/10.14574/ojrnhc.v16i2...	EUA	Saúde coletiva
Pimmer C, Brysiewicz P, Linxen S, Walters F, Chipps J, Gröhbiel U.3636. Pimmer C, Brysiewicz P, Linxen S, Walters F, Chipps J, Gröhbiel U. Informal mobile learning in nurse education and practice in remote areas: A case study from rural South Africa. Nurse Educ Today [Internet]. 2014 [cited 2018 Jul 17];34(11):1398-404. Available from: https://dx.doi.org/10.1016/j.nedt.2014.03.013 https://dx.doi.org/10.1016/j.nedt.2014.0...	África do Sul e Suíça	telessaúde
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[1] AUTOR CORRESPONDENTE
Ângela Roberta Alves Lima angelarobertalima@hotmail.com