Percepção da enfermeira sobre o acolhimento na atenção primária à saúde: uma perspectiva de humanização

Abstract

INITIAL CONSIDERATIONS: One of the guidelines of the National Humanization Policy is welcoming, which is characterized as integral and equitable health care, from active listening, analysis of demands in order to guarantee comprehensive, resolute and coresponsible care. Primary Care, as a gateway, has in welcoming the opportunity to expand access to health, however, it is necessary to conceptually recognize this guideline and execute it with quality. OBJECTIVE: to analyze the perception of nurses about welcoming as a health policy, in Primary Health Care, in a region of northeastern Brazil, in the light of the National Humanization Policy METHODOLOGY: A qualitative study, with 10 nurses from Health Units in the Family and 2 from the Municipal Health Department. The data collection period comprised the months of February and March 2023, using a semi-structured interview script, and recording for later transcription. After transcription, the statements were categorized into “Welcoming: the concept from the nurse's point of view” and “Difficulties and potentialities in carrying out welcoming”. Thematic analysis of the contents was used. RESULTS AND DISCUSSION: All nurses interviewed stated that they did not know, did not work, did not know how to explain or did not remember the PNH. However, they answered unanimously that their users are welcomed and that this welcoming is integral, equitable, respectful and affectionate. It is noteworthy that despite the non-recognition of the concept of user embracement or the PNH, it can be inferred that nurses perform user embracement in the PHC, even if superficially and not using all the expected potential. Observing the speeches, it is possible to include the difficulties pointed out by the nurses, such as professional devaluation, the breaking of the bond with the user and, also, the lack of knowledge about the PNH. As potentialities, the presence of an active municipal management, the effective implementation of the PNH and the personal values of the nurses that drive the realization of user embracement are highlighted. FINAL CONSIDERATIONS: After analyzing the nurse's perception, it appears that adequate health care is related to the continuity of care, and that the nurse is able to identify the potential to outline the means of improving care. It is also noteworthy that the theme is of great relevance in improving care in the context of Public Health, as well as serving as a framework and concern for further improvement of health managers.