Abstract
Objective: To identify the difficulties in the implementation of Nursing Care Systematization in the Adult Intensive Care Unit of the city of Porto Velho - RO. Methods: This is a qualitative, bibliographic, descriptive, exploratory and field study. The research sample consisted of 21 nursing professionals (5 nurses and 16 nursing technicians), who worked in the Adult Intensive Care Unit of the Hospital and Emergency Room João Paulo II, using a questionnaire with closed questions for professional characterization and six (06) directed questions focused on the central theme. The research was approved by the Research Ethics Committee with opinion nº 3,180,102. Results: The results showed an overload of nurses' work and superficial knowledge of the nursing team regarding SAE. Conclusion: It is necessary that conditions in the work environment favor quality in the nursing service provided, such as the number of nurses adequate to the demands of care and bureaucratic services, as well as the in-depth knowledge of the topic with discussions and in-service training through permanent education with professionals so that nurses and nursing technicians recognize their roles in systematization.