O cuidado em saúde: um enfoque sob necessidades de saúde na ótica de enfermeiros (as) na estratégia de saúde da família / Health care: a focus on health needs in the perspective of nurses in the family health strategy.

Mariana Quites Arantes

This study deals with the practice of graduated nursing professionals who work in services of Primary Health Care Network, especially in the Family Health Strategy (FHS). It aims to analyze how nurses identify and intervene in health needs presented by the users who demand the health services of three Family Health Units, located in the city of Marilia, state of São Paulo, besides to understand the difficulties and facilities of nurses to develop nursing practice, in view of the production of health care. It consists of a descriptive and qualitative study. For data collection, free observation and semi-structured interview were used. The free observation was during the scheduled and possible attendances occurred in the unit and also at the home visit. Participants were three nurses form the FHS in the north zone of the city. For data analysis, the Thematic Content Analysis was used. During the analysis it was possible to identify a thematic unit related to the identification and interventions performed by nurses, who were subjects of this research, and two subunits: episodic events and previous problems and episodic events and current problems. The results showed predominance of the identification of health needs as a synonym of complaints, and in the interventions, the reasoning in biological knowledge prevailed. Regarding the facilities mentioned by the nurses are the bond and autonomy for some procedures, and the difficulties highlighted were the lack of human resources, non-compliance of users in relation to collective activities, among others. Thus it is concluded that investments are needed in training and qualification of nurses to change their practice in health, nowadays focused on the disease, for a practice based on an expanded concept of health-disease process, so that the satisfaction of needs, desires and doubts of the users becomes the focus of nursing care. It is necessary to use the Continuing Education in the setting of health work in primary care and thus provide a qualified listening of workers, especially nurses, who work in health services.

O cuidado em saúde: um enfoque sob necessidades de saúde na ótica de enfermeiros (as) na estratégia de saúde da família / Health care: a focus on health needs in the perspective of nurses in the family health strategy.

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