Atuação em urgência e emergência na atenção básica: percepção dos enfermeiros

Abstract

It is recognized the role of Primary Care within the Unified Health System (SUS), which, as a health care model, includes the integrality of care and the coordination of health actions, as well as care for urgent and low emergency cases. gravity. However, even recognizing this function, on several occasions, it was noted that users were advised by Family Health Strategy (FHS) teams to trigger SAMU or seek the UPA or PA, since there were no conditions in the basic units. for emergency care. Therefore, this paper presents the objective of analyzing nurses' perceptions of their role in cases of urgency and emergency in Primary Care. This is an exploratory, descriptive study with a qualitative approach in the light of the assumptions of Paulo Freire's Critical Pedagogy. The survey was conducted in the city of Maceió in its eight health districts, with 16 nurses, 2 for each district. For data production, a semi-structured interview application was used as a collection instrument. The information was analyzed from the thematic analysis, which yielded two themes: 1) (Un) preparedness to act in urgency and emergency in the FHS and 2) Conditions of the FHS to meet urgency and emergency. The results showed that: 1) the nurses stated that they were not prepared to work in the urgency and emergency focused on the FHS and the knowledge acquired in the area were appropriated on their own in postgraduate courses or even in daily practice; ) for the interviewees, just training professionals to act in urgent and emergency would not be sufficient due to the lack of material and physical conditions for care. The conclusions showed that professional training should be accompanied by improvements in material and physical infrastructure to address urgent and emergency cases in these units. The work aims to contribute in conjunction with other research on Primary Care as a space to meet low complexity emergencies, promoting reflections on the topic.