Family health nursing care: weaknesses and strengths in the Unified Health System

Abstract

OBJECTIVETo analyze the weaknesses and strengths of nursing care in the Family Health Strategy and its interfaces with the Unified Health System network.METHODA qualitative study performed by means of semi-structured interviews and systematic observations, with the participation of a nursing team of 15 people from October of 2012 to January of 2013.RESULTSStrengths that were emphasized: the nurse's versatility in conducting users within the unit and the health system, therefore directly acting upon access to these services. The nurse is the main subject that participates in the care processes for the person, family and social groups. Weaknesses that were highlighted: fragile embracement and low resolution of users' and families' problems.CONCLUSIONThe nursing care process in health units still lacks collective articulation, involvement of the team, and decentralization of the decisions.

Embracement as an analyzer of the relationships between professionals, managers and users

“…One study (15) points to the multifunctionality of nurses' work in the Family Health Strategy (FHS) and weaknesses regarding its resoluteness and user embracement, findings that corroborate those of this research.…”

Authentic leadership among nursing professionals: knowledge and profile

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Enfermagem familiar em cuidados de saúde primários

“…Os relatos sobre as atitudes afetivas e relacionais dos enfermeiros como participantes ativos dos processos de saúde das pessoas e das famílias são enfatizados, assim como a competência e o seu profissionalismo. Se estas atitudes podem ser percecionadas como transversais aos profissionais de saúde, por outro lado, a sua valorização pode ser interpretada como diferenciadora da natureza dos cuidados de enfermagem, sugerindo satisfação com o acolhimento dado pelo enfermeiro (Silva & Assis, 2015), e a sua preocupação em promover respostas eficazes. Ou seja, mesmo que as situações de maior complexidade sejam descritas tendo como base alterações do estado de saúde de um dos membros da família, como a doença oncológica, as competências sócio profissionais associadas à interação sobressaem nos relatos dos participantes.…”