Nursing knowledge, skills, and attitudes in the context of spaceflight: a scoping review
DOI:
https://doi.org/10.33159/25959484.repen.2026v37a06ePalavras-chave:
Nursing, Professional Competence, Space FlightResumo
Objective: to identify nursing knowledge, skills, and attitudes in the context of spaceflight. Method: a scoping review in accordance with JBI, performed based on database searches without specifying the time frame or language. The selection process consisted of three distinct stages and was conducted by two independent reviewers. Content analysis was performed. Results: searches in indexed databases identified 1,947 studies, 31 of which were included after screening according to eligibility criteria. Most studies were descriptive or reflective in nature, with a predominance of North American studies and in English.Content analysis allowed for the categorization of nursing care into three phases: pre-flight, duringflight, and post-flight. The pre-flight phase emphasizes astronauts’physical and emotional preparation, as well as clinical screenings and emergency simulations. During flight, in a microgravity environment, nursing plays a strategic rolein the areas of health monitoring, telenursing, and emergency response. In the post-flight phase, the emphasis is on crew members’ physiological and psychosocial readaptation. Conclusion: nursing practice in space missions requires knowledge, advanced skills, and attitudes to act autonomously, in addition to technological proficiency, to provide qualified/effective care in the complex context of spaceflight.
Referências
1. Paula BAC, Haberland DF, Guilherme FJA, Barbosa BL, Oliveira AB, Silva TASM. Aerospace nurses’ competencies in disaster situations: a scoping review. Rev Latino-Am Enfermagem. 2024;32:e4326. https://doi.org/10.1590/1518-8345.6761.4327
2. Silva IC, Russomano T, Ferreira RA, Cupertino MC, Alcantara FA, Geller M, et al. Physiological adaptations to life in space: an update. J Aerosp Technol Manag. 2023;15:e2823. https://doi.org/10.1590/1678-8117jatm.e2823
3. Smith MG, Kelley M, Basner M. A brief history of spaceflight from 1961 to 2020: an analysis of missions and astronaut demographics. Acta Astronaut. 2020;175:290-9. https://doi.org/10.1016/j.actaastro.2020.06.004
4. Sobel AL, Orford R, Klingenberger K. The way ahead: adaptive medical standards to optimize commercial space traveler health, safety and performance. Front Space Technol. 2023;4:1155432. https://doi.org/10.3389/frspt.2023.1155432
5. Han H, Jia H, Wang YF, Song JP. Cardiovascular adaptations and pathological changes induced by spaceflight: from cellular mechanisms to organ-level impacts. Mil Med Res. 2024;11(1):68. https://doi.org/10.1186/s40779-024-00570-3
6. Rivera M, Vargas M, Cornejo J, Plascencia P, Guillen K, Maquera E, et al. Space nursing for the future management of astronaut health in other planets: a literature review. Open Nurs J. 2024;18:e18744346289848. https://doi.org/10.2174/0118744346289848240328074
7. Sannigrahi P, Ghosh G, Mishra S, Sharma V. Post-flight rehabilitation of an astronaut after long duration mission in space: through the eyes of a flight surgeon. Indian J Aerosp Med. 2023;67(2):64-8. https://doi.org/10.25259/IJASM_13_2023
8. Le Boterf G. Compétence et navigation professionnelle. Paris: Éditions d’Organisation; 1997.
9. Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Chapter 11: Scoping reviews (2020 version). In: Aromataris E, Munn Z, editors. JBI manual for evidence synthesis. Adelaide: JBI; 2020. p. 407-52. https://doi.org/10.46658/JBIMES-20-12
10. Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73. https://doi.org/10.7326/M18-0850
11. Pollock D, Peters MDJ, Khalil H, McInerney P, Alexander L, Tricco AC, et al. Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evid Synth. 2023;21(3):520-32. https://doi.org/10.11124/JBIES-22-00123
12. Bardin L. Análise de conteúdo. Lisboa: Edições 70; 2015.
13. Syner JC. Science and technology in space nursing. AORN J. 1967;5(1):71-5. https://doi.org/10.1016/S0001-2092(08)71358-9
14. Boysen JE. From the Crimea to the planets. AAOHN J. 1967;15(6):15-7. https://doi.org/10.1177/216507996701500603
15. Hutchins J. Orientation of the aerospace nurse to occupational health. AAOHN J. 1968;16(7):7-12. https://doi.org/10.1177/216507996801600701
16. Marks LN. Occupational health nursing in space age society: academic preparation points the way. Occup Health Nurs. 1980;28(2):11-5. https://doi.org/10.1177/216507998002800201
17. Polk-Walker GC. Aerospace nursing: the new frontier. J Prof Nurs. 1989;5(4):224-30. https://doi.org/10.1016/S8755-7223(89)80055-9
18. Chandler JV, Polk-Walker GC. Health problems in the extraterrestrial environment. OrthopNurs. 1989;8(5):51-5, 64. https://doi.org/10.1097/00006416-198909000-00012
19. Tucker R. Childbearing in space: a theoretical perspective. J Obstet Gynecol Neonatal Nurs. 1990;19(4):344-9. https://doi.org/10.1111/j.1552-6909.1990.tb01656.x
20. McGinnis P. The future of occupational health nursing in space. AAOHN J [Internet]. 1991[cited 2025 Oct 30];39(5):225-30. Available from: https://pubmed.ncbi.nlm.nih.gov/2025333/
21. Miller PL. Nursing in space: a new frontier for nursing. Nurs Manage. 1991;22(8):36-7. https://doi.org/10.1097/00006247-199108000-00010
22. Burge JM. Living and working in space: evolution of nursing in a new environment. Holist Nurs Pract. 1992;6(4):67-74. https://doi.org/10.1097/00004650-199207000-00012
23. Rogers ME. Nursing science and the space age. Nurs Sci Q. 1992;5(1):27-34. https://doi.org/10.1177/089431849200500108
24. Butcher HK, Forchuk C. The overview effect: the impact of space exploration on the evolution of nursing science. Nurs Sci Q. 1992;5(3):118-23. https://doi.org/10.1177/089431849200500308
25. Barrett EA. Virtual reality: a health patterning modality for nursing in space. Visions. 1993;1(1):10-21.
26. Christensen P, Sowell R, Gueldner SH. Nursing in space: theoretical foundations and potential practice applications within Rogerian science. Visions. 1993;1(1):36-44.
27. Reiser JT. The National Flight Nurses Association: past, present, and future. J Emerg Nurs. 1998;24(6):571-3. https://doi.org/10.1016/s0099-1767(98)70048-0
28. Corbett KA, Plush LM. Martha Rogers’ influence: founding of the Space Nursing Society. Rogerian Nurs Sci News. 1999;11(1):7-9.
29. Czerwinski BS, Plush LH, Bailes BK. Nurses' contributions to the US space program. AORN J. 2000;71(5):1051-7. https://doi.org/10.1016/S0001-2092(06)61554-8
30. Symanski ME. A nurse on Mars? Why not? Am J Nurs. 2000;100(10):57-61. https://doi.org/10.2307/3522318
31. Rhoades S. Space nursing: expanding the horizons. Reflect Nurs Leaders[Internet]. 2003[cited 2025 Oct 30];29(4):28-44. Available from: https://pubmed.ncbi.nlm.nih.gov/14723231/
32. Plush LM. Origins, founding, and activities of the space nursing society. J Pharm Pract. 2003;16(2):96-100. https://doi.org/10.1177/0897190003016002004
33. Chonin AT. Pediatric nursing in space environments. J Spec Pediatr Nurs. 2004;9(3):103. https://doi.org/10.1111/j.1547-5069.2004.00103.x
34. Trossman S. On the cutting edge: Florida nurses participate in NASA training program. Am Nurse. 2004[cited 2025 Oct 30];36(2):15. Available from: https://www.proquest.com/docview/205535815?utm_source=chatgpt.com&sourcetype=Trade%20Journals
35. Kirkpatrick AW, Ball CG, Campbell M, Williams DR, Parazynski SE, Mattox KL, et al. Severe traumatic injury during long duration spaceflight: light years beyond ATLS. J Trauma Manag Outcomes. 2009;3:4. https://doi.org/10.1186/1752-2897-3-4
36. Savel RH, Munro CL. Tough and competent. Am J Crit Care. 2015;24(6):460-2. https://doi.org/10.4037/ajcc2015182
37. Goswami N. Falls and fall-prevention in older persons: geriatrics meets spaceflight! Front Physiol. 2017;8:603. https://doi.org/10.3389/fphys.2017.00603
38. Vandali V, Biradar S, Mistry K, Purani J, Kolhe K, Prasad J. Space nursing: rapidly emerging nursing specialty. Int J Curr Adv Res. 2018;7(2):9946-7. https://doi.org/10.24327/ijcar.2018.9947.1661
39. Rani U. Space nursing. Narayana Nurs J [Internet]. 2014[cited 2025 Oct 30];3(3):21-3. Available from: https://www.bibliomed.org/mnsfulltext/157/157-1506336570.pdf?1774617433
40. Pandian V, Coker DK, Shelhamer M. Nursing care in space—The need for nurses in the new and evolving field of healthcare in space. J Clin Nurs. 2022;31(1-2). https://doi.org/10.1111/jocn.16092
41. Cao X. Research progress on the effects of microgravity and space radiation on astronauts’ health and nursing measures. Open Astron. 2022;31(1):300-9. https://doi.org/10.1515/astro-2022-0038
42. Dell C. Letter to the editor in response to: Planetary health and mental health nursing: what will you do. Int J Ment Health Nurs. 2024;33(6):2400-1. https://doi.org/10.1111/inm.13364
43. Carvalho EC, Oliveira-Kumakura ARS, Morais SCRV. Raciocínio clínico em enfermagem: estratégias de ensino e instrumentos de avaliação. Rev Bras Enferm. 2017;70(3):662-8. https://doi.org/10.1590/0034-7167-2016-0509
44. Watenpaugh DE. Analogs of microgravity: head-down tilt and water immersion. J Appl Physiol (1985). 2016;120(8):904-14. https://doi.org/10.1152/japplphysiol.00986.2015
45. Hughson RL, Shoemaker JK, Blaber AP, Arbeille P, Greaves DK, Pereira-Junior PP, et al. Cardiovascular regulation during long-duration spaceflights to the International Space Station. J Appl Physiol (1985). 2012;112(5):719-27. https://doi.org/10.1152/japplphysiol.01196.2011
46. Tuday EC, Meck JV, Nyhan D, Shoukas AA, Berkowitz DE. Microgravity-induced changes in aortic stiffness and their role in orthostatic intolerance. J Appl Physiol (1985). 2007;102(3):853-8. https://doi.org/10.1152/japplphysiol.00950.2006
47. Santos PE, Bonamino MH. Efeitos cardiovasculares agudos da exposição ao ambiente microgravitacional. Arq Bras Cardiol [Internet]. 2003[cited 2025 Oct 30];80(1):105-15. Available from: https://www.scielo.br/j/abc/a/DbvJSYR9rG6yQ5Mf9CxB7wJ/?format=pdf&lang=pt
48. Tanaka K, Nishimura N, Kawai Y. Adaptation to microgravity, deconditioning, and countermeasures. J Physiol Sci. 2017;67(2):271-81. https://doi.org/10.1007/s12576-016-0514-8
49. Rangel MA, Esper RC. Reanimación cardiopulmonar en microgravedad y en los vuelos espaciales tripulados. Med Crit. 2024;38(1):40-50. https://doi.org/10.35366/115680
50. Hinkelbein J, Kerkhoff S, Adler C, Ahlbäck A, Braunecker S, Burgard D, et al. Cardiopulmonary resuscitation (CPR) during spaceflight: a guideline from the German Society of Aerospace Medicine (DGLRM) and the European Society of Aerospace Medicine Space Medicine Group (ESAM-SMG). Scand J Trauma ResuscEmerg Med. 2020;28(1):108. https://doi.org/10.1186/s13049-020-00793-y
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