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Nursing practices in the primary health care context: a scoping review 1

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ABSTRACT

Objective:: to identify and categorize the practices performed by nurses working in PrimaryHealth Care and Family Health Strategy Units in light of responsibilitiesestablished by the profession's legal and programmatic frameworks and by theBrazilian Unified Health System.

Method:: a scoping review was conducted in the following databases: LILACS, IBECS, BDENF,CINAHL and MEDLINE, and the Cochrane and SciELO libraries. Original researchpapers written by nurses addressing nursing practices in the primary health carecontext were included.

Results:: the review comprised 30 studies published between 2005 and 2014. Three categoriesemerged from the analysis: practices in the service; practices in the community;and management and education practices.

Conclusion:: the challenges faced by nurses are complex, as care should be centered on thepopulation's health needs, which requires actions at other levels of clinical andhealth responsibility. Brazilian nursing has achieved important advancements sincethe implementation of policies intended to reorganize work. There is, however, aneed to shift work processes from being focused on individual procedures to beingfocused on patients so that an enlarged clinic is the ethical-political imperativeguiding the organization of services and professional intervention.

No MeSH data available.


Management and qualification practices
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f4: Management and qualification practices

Mentions: The category management and education practices presents and characterizes thecoordination and management actions carried out by nurses in the scope of PHC (Figure 4). Among management practices, planning isdescribed as essential to developing an action plan for activities that will beperformed by nurses in the routine of health services36, with an emphasis on the idea that nurses should be able to simultaneouslyperform care and management activities35. The range of routines that unfolds from these attributions is associatedwith the notion of ethical competencies. Nurses construct technical and scientificknowledge during academic education to ensure a broad view concerning thehealth/disease continuum, taking advantage of this knowledge in their daily practice,with autonomy and the competence to perform tasks and the understanding to maintainrespectful behavior toward their team members13.


Nursing practices in the primary health care context: a scoping review 1
Management and qualification practices
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5016049&req=5

f4: Management and qualification practices
Mentions: The category management and education practices presents and characterizes thecoordination and management actions carried out by nurses in the scope of PHC (Figure 4). Among management practices, planning isdescribed as essential to developing an action plan for activities that will beperformed by nurses in the routine of health services36, with an emphasis on the idea that nurses should be able to simultaneouslyperform care and management activities35. The range of routines that unfolds from these attributions is associatedwith the notion of ethical competencies. Nurses construct technical and scientificknowledge during academic education to ensure a broad view concerning thehealth/disease continuum, taking advantage of this knowledge in their daily practice,with autonomy and the competence to perform tasks and the understanding to maintainrespectful behavior toward their team members13.

View Article: PubMed Central - PubMed

ABSTRACT

Objective:: to identify and categorize the practices performed by nurses working in PrimaryHealth Care and Family Health Strategy Units in light of responsibilitiesestablished by the profession's legal and programmatic frameworks and by theBrazilian Unified Health System.

Method:: a scoping review was conducted in the following databases: LILACS, IBECS, BDENF,CINAHL and MEDLINE, and the Cochrane and SciELO libraries. Original researchpapers written by nurses addressing nursing practices in the primary health carecontext were included.

Results:: the review comprised 30 studies published between 2005 and 2014. Three categoriesemerged from the analysis: practices in the service; practices in the community;and management and education practices.

Conclusion:: the challenges faced by nurses are complex, as care should be centered on thepopulation's health needs, which requires actions at other levels of clinical andhealth responsibility. Brazilian nursing has achieved important advancements sincethe implementation of policies intended to reorganize work. There is, however, aneed to shift work processes from being focused on individual procedures to beingfocused on patients so that an enlarged clinic is the ethical-political imperativeguiding the organization of services and professional intervention.

No MeSH data available.