Nurses' clinical practice in primary care: a process under construction

Abstract

This study aims to present the re-signification process of the meanings of nurses' clinical practice in primary care from the perspective of extended clinic and permanent education.An intervention research was carried out with the approval of an ethics committee. Nine nurses participated in reflection groups from September to December 2008 in Ribeirão Preto-SP-Brazil. The redefinition process of the meanings proposed by the institutional analysis was mapped. The results point out that the nurses perceive differences in clinical work, by acknowledging the sense of user-centered clinical practice; daily limits and tensions and the need for support from managers and the team to deal with users' problems and situations. La práctica clínica del enfermero en la atención básica: un proceso en construcción Este estudio tuvo por objetivo presentar el movimiento de dar nuevo significado a los conceptos de la práctica clínica de enfermeros en la atención básica en proceso de calificación en la perspectiva de la clínica ampliada y educación permanente. Realizamos una investigación-intervención aprobada en comité de ética. Nueve enfermeros participaron del grupo de reflexión, de septiembre a diciembre de 2008, en Ribeirao Preto, SP, en Brasil. Cartografiamos el proceso dar nuevo significado a los conceptos propuesto por el análisis institucional. Los resultados apuntan que los enfermeros perciben diferencias en el quehacer clínico, al reconocer el sentido de la clínica centrada en el usuario, los límites y tensiones de lo cotidiano y la necesidad de obtener soporte de la administración y del equipo para el manejo de situaciones y problemas de los usuarios.Identifican que necesitan abrir espacio en la planificación para realizarla. Concluimos que la práctica clínica del enfermero se viene consolidando y que los procesos colectivos de análisis posibilitan aprendizajes y la reconstrucción de las prácticas.

Actions Related to Care and Management of Nursing Work Process in Primary Health Care

“…In this study, examination of gynecological prevention, home visits, childcare visits, prenatal, family planning and care for hypertensive and diabetic users were also identified as major activities of these professionals in PC. So, the nurse conducts limited care actions in care protocols [6][7].…”

Assessment of attributes for family and community guidance in the child health

“…For this reason, this study emphasizes the need to broaden nurses' clinical practice in pediatric care in PHC services and in a broader clinical context because no isolated knowledge can resolve complex population health problems. A broader clinical aim may help overcome the barriers with traditional clinic care by modifying the work process from individual-centered care in a collective environment (12) to a care focus that is heterogeneous, medically centered, and pragmatic.…”

Analysis of Family Clinical, vision of service nurses

“…In the study (15) , he supports the creation and maintenance of permanent education spaces in health for nurses to learn about their clinical work, which should be built in view of the extended clinic.…”