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      The complexity of the work of nurses in Primary Health Care Translated title: A complexidade do trabalho do enfermeiro na Atenção Primária à Saúde Translated title: La complejidad del trabajo del enfermero en la Atención Primaria a la Salud

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          Abstract

          ABSTRACT Objective: to promote thinking on the work of nurses in Primary Health Care (PHC) and the necessary aspects for the (re)construction of this professional practice, reinforcing its role in the care of individuals, families and communities. Method: to apply the questions raised in the process of organizing a book, the literature and the PHS work experience of the authors. Results: Conflicts, dilemmas and relevant aspects of the practice of nurses in PHC are presented, contributing to critical thinking about the context of work and the need to articulate the category in the construction of its workspace. Final considerations: the practice of nurses in PHC is broad and a process of qualification field, whether performing in clinical, educational or managerial activities, and nurses need to be familiar with these contents in their daily work, seeking to articulate their class entities for the development of this specialty.

          Translated abstract

          RESUMO Objetivo: promover reflexão sobre o trabalho do enfermeiro na Atenção Primária à Saúde (APS) e sobre os aspectos necessários para a (re)construção dessa prática profissional, consolidando esse espaço de atuação no cuidado das pessoas, famílias e comunidades. Método: as questões apontadas para a reflexão foram construídas no processo de organização de um livro, baseadas na literatura e na experiência de trabalho na APS das autoras. Resultados: apresentam-se conflitos, dilemas e aspectos relevantes da prática do enfermeiro na APS, contribuindo com o pensamento crítico sobre o contexto de trabalho e a necessidade de articulação da categoria na construção do seu espaço profissional. Considerações finais: a atuação do enfermeiro na APS é um campo amplo e em processo de qualificação, seja na prática clínica, educativa ou gerencial e os enfermeiros precisam se apropriar desses conteúdos no seu cotidiano, buscando a articulação com suas entidades de classe para o desenvolvimento dessa especialidade.

          Translated abstract

          RESUMEN Objetivo: promover reflexión sobre el trabajo del enfermero en la Atención Primaria a la Salud (APS) y sobre los aspectos necesarios para la (re)construcción de esa práctica profesional, consolidando ese espacio de actuación en el cuidado de las personas, familias y comunidades. Método: las cuestiones apuntadas para la reflexión fueron construidas en el proceso de organización de un libro, basadas en la literatura y la experiencia de trabajo en la APS de las autoras. Resultados: se presentan conflictos, dilemas y aspectos relevantes de la práctica del enfermero en la APS, contribuyendo con el pensamiento crítico sobre el contexto de trabajo y la necesidad de articulación de la categoría en la construcción de su espacio profesional. Consideraciones finales: la actuación del enfermero en la APS es un campo amplio y en proceso de calificación, ya sea en la práctica clínica, educativa o gerencial y los enfermeros necesitan apropiarse de esos contenidos en su cotidiano, buscando la articulación con sus entidades de clase para el desarrollo de esa especialidad.

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          The nurse's work in primary health care

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

            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. They identify the necessity to open space in the schedule to do that. It was concluded that nurses' clinical practice is being consolidated, and that collective analysis processes permit learning and the reconstruction of practices.
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              The identification of nursing interventions in Primary Health Care a parameter for personnel staffing

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                reben
                Revista Brasileira de Enfermagem
                Rev. Bras. Enferm.
                Associação Brasileira de Enfermagem (Brasília, DF, Brazil )
                0034-7167
                1984-0446
                2018
                : 71
                : suppl 1
                : 704-709
                Affiliations
                [1] Porto Alegre Santa Catarina orgnameHospital Nossa Senhora da Conceição orgdiv1Community Health Management Brazil
                [2] Florianópolis Santa Catarina orgnameQualirede Consultoria Empresarial Brazil
                Article
                S0034-71672018000700704
                10.1590/0034-7167-2017-0471
                29562031
                3ff0f515-fcfe-4d2b-8f4e-4fc2ff7fa1d0

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 18 November 2017
                : 21 June 2017
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 10, Pages: 6
                Product

                SciELO Brazil


                Advanced Nursing Practice,Family Health Nurses,Primary Care Nursing,Community Health Nursing,Acceso a los Servicios de Salud,Práctica Avanzada de Enfermería,Enfermería de Atención Primaria,Enfermagem de Atenção Primária,Enfermeras de Salud de la Familia,Access to Health Services,Prática Avançada de Enfermagem,Enfermeiras de Saúde da Família,Acesso aos Serviços de Saúde,Enfermagem em Saúde Comunitária,Enfermería en Salud Comunitaria

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