TIME IS BRAIN: MULTIPROFESSIONAL CARE IN THE MANAGEMENT OF STROKE WITHIN THE THERAPEUTIC WINDOW

Abstract

Objective: To synthesize the best scientific evidence on multiprofessional team performance in the care of patients with acute ischemic stroke (AIS) within the therapeutic window, emphasizing strategies that reduce door-to-needle and door-to-puncture times and improve clinical outcomes. Method: Integrative review conducted according to Whittemore and Knafl and reported following PRISMA 2020, with searches in PubMed/MEDLINE, LILACS, SciELO and the Virtual Health Library, covering publications from 2020 to 2026. Controlled descriptors (DeCS/MeSH) combined with Boolean operators were used. Methodological quality and level of evidence were assessed according to Melnyk and Fineout-Overholt. Results: 24 studies were included. Evidence converges on the consistent effect of coordinated action by nurses, physicians, nursing technicians, pharmacists, radiologists, physiotherapists, speech-language pathologists, nutritionists and psychologists on process and outcome indicators. Nurse-led interventions reduced door-to-needle time by 16 to 20 minutes on average and increased thrombolysis rates; prehospital notification and the Stroke Code shortened door-to-CT and door-to-needle times; early dysphagia screening reduced aspiration pneumonia and mortality. Final considerations: Structured multiprofessional care, supported by protocols, effective communication, simulation and continuing education, is a modifiable determinant of AIS outcomes within the therapeutic window, with direct implications for nursing practice, hospital management and public policies of the emergency care network.