Abstract
ABSTRACT
Objective: The objective was to identify and analyze the challenges faced by nurses in the face of patients in palliative care in health institutions in Brazil. Methods: This is a qualitative research through an integrative literature review performed by content analysis. This is one of the research methods used by Evidence-Based Practice (EPS). It allows the incorporation of evidence in clinical practice, with the purpose of gathering and synthesizing research results on a delimited theme/question, in a systematic and orderly manner, contributing to the deepening of the knowledge of the investigated subject. Results: The studies were analyzed in their entirety from which emerged the category of analysis: Communication and the bond between nurses, patients, and family as an essential element in palliative care. Conclusion: The construction of bonds in the patient nurse relationship proved to be a strategy to minimize the difficulties in daily care. Facing the challenges and seeking improved qualification of care requires institutional actions that value the emotional health of nurses who deal with pain, suffering and death in this scenario.