Implicações das relações interprofissionais no trabalho da (o) enfermeira (o) da Atenção Primária à Saúde

Abstract

Interprofessional relationships in the context of Primary Health Care (PHC) can be recognized from the organization of the health work process. Interprofessional practice is essential for effective, comprehensive healthcare, recognizing the health needs and vulnerabilities of the population. The nurse's role is considered to be teamwork, the articulation and coordination of care, the centrality of patient care and the identification of health needs and vulnerabilities. Objective: To understand, from the nurse's perspective, how interprofessional relationships occur in the context of PHC; how nurses recognize interprofessional work and how it influences their work; to investigate how the coronavirus pandemic has interfered with interprofessional work in PHC. Method: A descriptive, qualitative study was carried out in a medium-sized municipality in the state of São Paulo, with nurses working in PHC. Semi-structured interviews were conducted and then transcribed and their thematic content analyzed in the light of the work process and the attributes of interprofessional practice. This study followed the ethical precepts for research with human beings. Results: Interviews were conducted with twelve nurses, whose data enabled the construction of three thematic categories: the work of nurses and their role in integrated or fragmented care management: care and administrative dimensions; Interprofessionality and PHC: persistent weaknesses and difficulties; the coronavirus pandemic affecting interprofessional working relationships. Conclusion: In PHC health care, the role of the nurse stands out, with an emphasis on administrative activities in their work process. Interprofessional work is manifested through partnership, mutual support, bonding and communication, but is hampered by a lack of engagement, vertical and centralized action. The COVID-19 pandemic has altered working relationships, with workers falling ill and becoming overworked. The interprofessional collaboration to strengthen working relationships during the pandemic stands out, an aspect that requires constant investment to move towards more integrated practices.