The extra training of nursing care in the teaching hospitals

: Study type integrative review of literature that aimed at understanding the integration of middle level nursing trainees in the nursing care of teaching hospitals. Using the theoretical framework of contextual analysis, in which the context is featured in four distinct interactive levels, and as containing meanings that facilitate the description and understanding of issues surrounding the phenomenon. We found thirteen texts which were organized in three levels of contextual issues: the nursing care under the immediate context; the working trainees, under the specific context; and the teaching hospital, as the metacontext. The study helped to identify the extracurricular work experience as a means of scientific and technical development of trainees in the nursing care provided in teaching hospitals, while involved in the context of the current professional world that may also be a silenced form of the precariousness of work.