Abstract
Objective: To describe the obstacles in urgent and emergency services that prevent the implementation of the systematization of nursing care. Methods: This is a descriptive study of the integrative review type, which was guided by the question of what obstacles exist in urgent and emergency services that prevent the implementation of the systematization of nursing care? The advanced search method by title, abstract and subject was used, considering the publications of the last ten years. Results: With the use of descriptors and the application of eligibility criteria, 182 publications were found, after reading the titles, abstract and full text, 03 articles were selected. Several causes were evidenced that interfere in the consolidation of the actions of systematization of nursing care, such as: the resistance and convenience of professionals, absence of specific instruments for this sector, lack of team time, lack of knowledge about the operationalization of the method of systematization and inadequate sizing of professionals, resulting in a deficit of records in patients' medical records and hindering the continuity of care. Final considerations: The implementation of the systematization of nursing care contributes to the care offered in urgent and emergency services, however there are still difficulties for this implementation in these services.