Nursing practices in the family health strategy in Brazil: interfaces with illness

Abstract

Objective To identify Nursing practices in the Family Health Strategy in Brazil and interfaces in the illness of these professionals. Method Qualitative research, carried out in the five Regions of Brazil, with 79 nursing professionals from 20 health units. Data were collected from 2015 to 2017, using interviews, observation and documentary study. The analysis with the aid of the software ATLAS.ti 8.0, guided by the theorization of the Work Process and Workloads. Results The practices of the care dimension prevailed, followed by the administrative-managerial and educational dimensions. The illness resulting from workloads, predominantly psychic, was related to care practices, potentiated by overload and poor working conditions. Conclusion The centrality of nursing practices in the dimension of care and administrative management characterized the professional work in Primary Care. The findings indicate that improved working conditions may minimize the wear and tear of these professionals in this scenario.

Situational analysis and reflections on the introduction of advanced practice nurses in Brazilian primary healthcare

“…The managerial dimension mainly includes the practices of organizing, planning, and supervising the actions of technicians, assistants, and community agents; holding and participating in meetings; and setting agendas. In general, nurses are also the managers of the health units, and this dimension occupies a large portion of the nurses' working time, reinforcing the idea that much of what nurses do is invisible [25][26][27][28][29][30][31].…”

“…This dimension includes actions to promote, prevent, and control illnesses and vulnerabilities over the area of operation, such as active searches, notification of events in public health interest, and vaccination campaigns [26][27][28][29][30][31][32][33]. The educational dimension, which is part of the other dimensions, encompasses health education actions for individuals, families, and groups; permanent education for other team professionals; and student mentorship [25][26][27][28][29][30][31][32][33][34][35].…”

“…Nursing consultations constitute a strategy that favors performing the actions prescribed in programs that integrate PHC. Moreover, these actions are the main reasons why nurses provide care, such as management of chronic non-communicable diseases, sexual and reproductive health, women's health, and prenatal care [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44]. In this dimension, the most common technical procedures include the administration of vaccines and medications, the collection of oncotic colpocytology (Pap smear) and test materials, and the application of dressings and glucose tests.…”

impacto da Covid-19 nas práticas de enfermeiras da Atenção Primária à Saúde no município do Rio de Janeiro

“…Desde sua criação, há pouco mais 30 anos, o Sistema Único de Saúde (SUS) enfrenta inúmeros desafios para manter seus princípios e garantir máxima resolutividade dos problemas de saúde dos brasileiros. A Atenção Primária à Saúde (APS) é vista como porta de entrada para os serviços de saúde da rede em um processo contínuo de cuidado (1,2). Assim como em outros países, o nível de cuidados primários à saúde é reconhecido como estratégia fundamental para a reorganização e ampliação da efetividade do SUS (2,3).…”