Family health nursing care: weaknesses and strengths in the Unified Health System* * Extracted from the master's thesis, "Processo de cuidar da enfermeira na Estratégia Saúde da Família e suas interfaces com a rede do Sistema Único de Saúde em dois cenários da Bahia, Brasil: fragilidades e potencialidades", Departamento de Saúde, Universidade Estadual de Feira de Santana, 2013.

El cuidar de la enfermera en la salud de la familia: fragilidades y potencialidades en el sistema único de salud

Simone Santana da Silva Marluce Maria Araújo Assis About the authors

OBJECTIVE

To analyze the weaknesses and strengths of nursing care in the Family Health Strategy and its interfaces with the Unified Health System network.

METHOD

A qualitative study performed by means of semi-structured interviews and systematic observations, with the participation of a nursing team of 15 people from October of 2012 to January of 2013.

RESULTS

Strengths that were emphasized: the nurse's versatility in conducting users within the unit and the health system, therefore directly acting upon access to these services. The nurse is the main subject that participates in the care processes for the person, family and social groups. Weaknesses that were highlighted: fragile embracement and low resolution of users' and families' problems.

CONCLUSION

The nursing care process in health units still lacks collective articulation, involvement of the team, and decentralization of the decisions.

Nursing Care; Family Health Strategy; Health Services Accessibility; Unified Health System; Public Health Nursing


Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br