NURSING CARE IN INTENSIVE CARE

Abstract

Nursing care in intensive care is a highly specialized practice that requires technical, scientific, managerial, and human skills. This study is a narrative literature review with a qualitative approach. Its objective was to analyze the role of nurses in Intensive Care Units (ICUs), considering their challenges, responsibilities, and contributions to the quality of care for critically ill patients. The search was conducted in the SciELO, LILACS, and BDENF databases, with publications between 2015 and 2025, using descriptors such as "nursing," "intensive care unit," and "nursing care." Articles available in full, in Portuguese or Spanish, addressing the proposed topic were included, totaling 17 articles. The results demonstrated that intensive care nurses play a central role in direct care for critically ill patients, team management, implementation of care protocols, and monitoring technology use. Challenges such as work overload, lack of specialized training, occupational stress, and difficulties in humanizing care were also highlighted. Professional legislation, such as COFEN Resolutions No. 358/2009 and No. 564/2017, reinforces nurses' autonomy and responsibility in intensive care. It is concluded that nursing work in the ICU is essential for the safety, effectiveness, and humanization of care, requiring greater investment in training, professional development, and improved working conditions. This study contributes to broadening understanding of nursing's strategic role in critical care settings and fostering evidence-based practices.