Abstract

To promote child health during nursing consultations, it is essential that nurses establish bonds with mothers to guide them in childcare. The present study attempted to identify a possible bond during nursing consultations between the nurses who work in the Family Health Strategy and the mothers of children who are younger than two years old. This qualitative study was conducted in seven Family Health Units in the city of João Pessoa, in the state of Paraíba (PB), Brazil, between May and November 2013, through semi-structured interviews with nurses. The thematic analysis allowed the identification of relevant themes, namely, (1) the elements that create bonds and (2) the difficulties in the establishment of a bond. The nurses realize that in primary care, relationships are based on intersubjectivity. By acting within the concept of individual care, the nurses provide individualized and humanized care and believe that bonds are essential for comprehensive care. However, the nurses have difficulties in establishing bonds, and they attribute these difficulties to the high demand for care and the difficulty in giving continuity to the mothers' presence in the health care unit.

Highlights

  • The first months of life are some of the most important for child health because vital processes that relate to growth and development occur during this period

  • primary health care (PHC) provides the most favorable conditions to monitor child growth and development because it allows the discovery of new needs and problems, is focused on the individual, and helps to coordinate and integrate the care that is provided at other levels of health care[2]

  • The Family Health Strategy (FHS), which is the model that has been adopted in Brazilian PHC, proposes to renew health care considering the principles of universality, comprehensiveness, equity, participation, and continuity in a context of decentralization and social control

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Summary

Introduction

The first months of life are some of the most important for child health because vital processes that relate to growth and development occur during this period. The Family Health Strategy (FHS), which is the model that has been adopted in Brazilian PHC, proposes to renew health care considering the principles of universality, comprehensiveness, equity, participation, and continuity in a context of decentralization and social control. This strategy attempts to prevent disease and promote health through humanized care; the FHS involves bonding, acceptance, and accountability and is focused on the specific needs of families from a specific region[3]

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