Abstract
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.
Highlights
We study nurses’ clinical practice in Brazilian primary health care, considered as a social practice, i.e. performed based on each historical moment’s social needs and constituted and transformed in the dynamics of relations with other practices[1]
In the 1980’s and 1990’s, the expansion of service access and the proposal to articulate individual medical care with collective health actions predominantly resulted in emergency care-like actions
We focus on nurses’ clinical practice and their core competency and responsibility — nursing care — questioning: How is nurses’ clinical practice characterized in primary health care? Which would be the difficulties faced? How can nurses’ clinical practice be amplified and qualified in primary health care?
Summary
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. 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. Este estudio tuvo por objetivo presentar el movimiento de dar nuevo significado a los conceptos de la práctica clínica de enfermeros en la atención básica en proceso de calificación en la perspectiva de la clínica ampliada y educación permanente. Descriptores: Enfermería en Salud Pública; Atención Primaria de Salud; Aprendizaje; Trabajo; Conocimientos, Actitudes y Práctica en salud
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