Abstract

To understand the actions for health advocacy and user empowerment developed by nurses of the Family Health Strategy in Brazil. A qualitative study carried out with nurses working in the Family Health Strategy in a city in the South of Brazil. Participants were selected by non-probabilistic, snowball sampling. Data was collected from a semi-structured interview guide, recorded, transcribed and analyzed through discursive textual analysis. Fifteen (15) nurses participated in the study. Three categories emerged: user participation; health environments; health advocacy actions related to the multiprofessional team. The closer relationship that the Family Health Strategy enables between the multiprofessional team, users and the community promotes health advocacy practices, while user empowerment favors autonomy in health care, encouraging a healthier life and enabling them to intervene in the health decisions of the local community.

Highlights

  • Brazilian health is organized by actions that occur under different instances commonly sharing the need for interactions between professionals, users and community; aiming to provide quality care and produce health

  • In Brazil, Primary Care (PC) was developed through specific public policies that resulted in the creation of the Family Health Strategy – FHS (Estratégia Saúde da Família), which has the attribution of focusing care on families and the community as objects of health care

  • Concerning data analysis of the interviews with the 15 participants, three categories emerged: user participation, health environment and health advocacy actions related to the multiprofessional team

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Summary

Introduction

Brazilian health is organized by actions that occur under different instances commonly sharing the need for interactions between professionals, users and community; aiming to provide quality care and produce health. In the FHS, the nurses are one of the professionals responsible for consolidating their performance by participating in different actions for the formulation, agreement, monitoring and evaluation of policies that affect health services, the care and the improvement of the quality of life of the communities[3]. This professional demonstrates important potential for implementation, maintenance and development of health policies that aim to qualify health care, as well as community advocacy when necessary[4,5]

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