Abstract
ABSTRACT Objective: to know and reflect on the best practices in nursing and their interface with the Expanded Family Health and Basic Healthcare Centers (NASF-AB). Method: this is a participatory research based on Paulo Freire’s methodological framework and developed from thematic investigation, coding, decoding, and critical unveiling. The information was produced and analyzed in four Culture Circles, with an average of five nurses and duration of two hours each, between April and June 2018. The investigation revealed four generating themes, unveiled during the meetings. In this study, the theme “best nursing practices that favor relations with NASF-AB” will be discussed. Results: nurses acknowledge communication as a tool that promotes best practices in nursing. It was possible to deepen the dialogue and knowledge about NASF-AB’s work process and the role of nursing. Nurses act as a link between the support team and the Family Health team, a skill resulting from their training focused on management, having leadership and dialogue as resources for conflict resolution. Conclusion: the present study contributed to improve nurses’ thinking and acting in relation to the proposed theme. The reflections made during Culture Circles boosted transformative attitudes in the practice settings. Nurse approximation with NASF-AB favors autonomy and collaborative practices (understood as best practices), encouraging interprofessional and solve-problem actions within Basic Care.
Highlights
Constructing the Unified Health System (SUS - Sistema Único de Saúde) is a milestone in the history of Brazil with regard to public health policies and social practices, with a marked role of nursing since its conception
The Chapecó Department of Health (SESAU) appointed 19 nurses to participate in the research, which belonged to the Family Health team (FHt) supported by NASF-AB
Four generating themes have emerged: 1) NASF-AB attributions: interface between the FHt and the support team; 2) the relationship between FHt and NASF-AB professionals: nurses as a link; 3) development of groups as a management technology that enhances the relationship between nurses and NASF-AB professionals; 4) best nursing practices in interface with NASF-AB
Summary
Constructing the Unified Health System (SUS - Sistema Único de Saúde) is a milestone in the history of Brazil with regard to public health policies and social practices, with a marked role of nursing since its conception. PHC is considered a technological innovation that operates as a health service provider and a priority gateway for users in accessing the Health Care Network (RAS - Rede de Atenção à Saúde). In this regard, Brazil’s Family Health Programme (FHP), currently called Family Health Strategy (FHS), was established in 1994, which made it possible to expand assistance, initially for the most vulnerable populations, through territorialization and health responsibility.[1]. Oral health professionals can be included such as dental surgeon, generalist or FH expert, auxiliary and/or technician in oral health.[3]
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