TELE-NURSING IN RIVER-BASED INTENSIVE CARE UNITS IN THE AMAZON REGION: POTENTIALS, CHALLENGES, AND CONTRIBUTIONS TO NURSING

Abstract

This article aimed to analyze the potentials, challenges, and contributions of telenursing in riverside intensive care units in the Amazon region. To this end, an integrative literature review methodology was employed, conducting searches in databases such as LILACS, BDENF, PubMed/MEDLINE, CINAHL, and SciELO, with a temporal scope between 2014 and 2025, resulting in 20 selected and analyzed studies. The main results indicate that telenursing acts as a fundamental complementary resource for clinical surveillance, decision support, interprofessional communication, and the improvement of critical patient safety in remote areas. However, significant challenges are evident, notably connectivity instability, the need for adequate technological infrastructure, professional training, and compliance with regulatory and data security requirements. It is concluded that, despite structural and logistical barriers in the Amazon, telenursing represents a viable and transformative strategy for equity and the qualification of fluvial intensive care, provided it is supported by public policies and structured technical support.