Abstract
ABSTRACT Objective: to know the issues in evidence in rural nursing. Method: a six-stage integrative review. Data was collected from May to July 2017, in the SciELO, CUIDEN, PubMed, and ScienceDirect databases, with “Rural nursing” as descriptor. The analysis used was qualitative with the construction of subsets and topics. Results: of the 30 articles analyzed, 32% addressed professional training; 25% collective health-related practices; 12% hospital care; 10% job satisfaction; 7% were dedicated to telehealth and 3% of the studies addressed the following topics: nurses' recruitment and permanence in rural areas, continuing education, and professional practice in urgency and emergency regulation centers. Conclusion: working in rural areas demands that nurses face particularities such as isolation, difficulty of access, diverse socioeconomic conditions and specific epidemiological profiles, which influence the professional practice, making it a challenge.
Highlights
Ensuring that people living in rural and remote areas have access to a sufficient number of qualified health workers at the right place and at the right time is one of today’s most complex challenges
It was identified that 80% were published after 2010, the year in which the World Health Organization (WHO) recommended expanding the supply and ensuring the permanence of health professionals in rural and remote areas
32% addressed professional training; 25% practices related to Public Health; 12% hospital care; 10% job satisfaction; 7% Telehealth and 3% addressed the following topics: nurses’ recruitment and permanence in rural areas; continuing education and professional practice in emergency and urgent regulation centers (Chart 1)
Summary
Ensuring that people living in rural and remote areas have access to a sufficient number of qualified health workers at the right place and at the right time is one of today’s most complex challenges. Appreciation of the land and contact with animals and plants stand out as part of a complex of values that comprehend living, production, social relations, and care. In this territory, work involves all family members and, in it, emotions, agreements, ethical conflicts, identity, diseases, resilience, and death are expressed.[2,3] Health assumes a broad perspective, interconnecting with the production of life process in an interface with the environment.[4]
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