CUIDADO É FUNDAMENTAL revista de pesquisa Escola de Enfermagem Alfredo Pinto – UNIRIO ISSN 2175-5361 DOI: 10.9789/2175-5361.rpcfo.v14.10962 BARRIERS AND CHALLENGES IN NURSING’S PERFORMANCE IN EMERGENCY AND EMERGENCY SERVICES Entraves e desafos na atuação do enfermeiro nos serviços de urgência e emergência Barreras y retos en el desempeño de enfermería en servicios de emergencia y emergencia William Caracas Moreira 1  Larissa Rodrigues Lira 2  Lara Rodrigues Lira 2  Maria Aparecida Mota de Abreu 3  Cristiano Walter Moraes Rola Júnior 4  Isabelle Cerqueira Sousa 5  ABSTRACT Objective: to identify the main obstacles and challenges faced by nurses working in urgent and emergency services. Method: this is a narrative review. Articles published in the last fve years, available in the main databases, in three languages, covering the theme in its title, abstract or subject, were used. Initially, 12,370 fles were found, which when passing through the criteria of exclusion and simplifed reading culminated in the approach of 28 articles. Results: among the main fndings, we highlight: the great demand for the service, exhaustive workload, low wages, stressful situations, adverse events, in addition to the failure in communication and interprofessional relationship. Conclusion: there is a prevalence of obstacles in the various urgency and emergency services, however, several solutions with potential applicability are pointed out, in an attempt to manage the obstacles and solve the identifed challenges. DESCRIPTORS: Nursing; Emergency medical services; Health services administration; Global health. 1 Universidade Federal da Paraíba, João Pessoa, PB, Brasil. 2 Universidade Federal do Piauí, Picos, PI, Brasil. 3 Unichristus, Fortaleza, CE, Brasil. 4 Universidade Federal do Ceará, Fortaleza, CE, Brasil. 5 Universidade de Fortaleza, Fortaleza, CE, Brasil. Received: 03/18/2021; Accepted: 08/10/2021; Published online: 03/10/2022 Corresponding Author: William Caracas Moreira, Email: Williamcaracaslins@gmail.com How cited: Lira LR, Lira LR, Abreu MAM, Rola Júnior CWM, Sousa IC. Barriers and challenges in nursing’s performance in emergency and emergency services. R Pesq Cuid Fundam [Internet]. 2022 [cited year mouth day];14:e10962. Available from: https://doi.org/10.9789/2175-5361.rpcfo.v14.10962 RESEARCH