Abstract

Objective: to identify, from nurses’ speeches, the actions that enable care management in the Family Health Strategy.Methods: descriptive study with a qualitative approach conducted with 32 nurses of primary care. It was used a semistructuredinterview as the data collection technique. The methodological process of the collective subject discourse wasused to organize the data Results: from the nurses’ speeches one identified the categories: complementary relationshipbetween care and management; meeting with community health agents, a care management strategy in nurses’ work;health education activities such as a care management action and a health information system as an essential tool forcare Conclusion: it was possible to observe that nurses understood the importance of coordination and complementaritybetween the activities of the working process of care and management.

Highlights

  • The actions developed by the nursing staff in their daily practices are characterized primarily by direct care and management activities

  • Among the possible reasons for the differentiation between care and management, one can highlight the model proposed by Florence Nightingale in the nineteenth century, with the technical and social division of labor between nurses and ladies nurses as well as by the precepts of administrative theories that consolidated the fragmentation of work and the separation between creation and execution, these elements that influenced the gap between these dimensions of the nursing working process[1]

  • Among the various health care settings in which nursing has the management of care, there is the Family Health Strategy, which was set up by the National Primary Care Policy as a key strategy to expand the service at this level of attention[3]

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Summary

Introduction

The actions developed by the nursing staff in their daily practices are characterized primarily by direct care and management activities These activities are influenced by the historical process that permeates the consolidation of this professional category, marked by the dichotomy of these practices. The care management in the Family Health Strategy is still a practice that is not developed and not discussed on the national scenario[3], in addition to this, there are factors that separate care and management, especially due to the precariousness of the labor process and to the traditional care model These characteristics harm the actions taken by nurses in this scenario of action and they can even generate on these professionals feelings of frustration especially for restriction of autonomy and little solving of the problems identified[4]

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