A consulta de enfermagem no atendimento à demanda espontânea e programada

Abstract

Nursing consultation is presented as a nurses private procedure, with legal support and space of professional autonomy in primary health care. This work is justified by the need to reformulate the model of assistance to users of Vila Olavo Costa Unit during nursing consultations. We aimed to develop an Intervention Plan for the implementation of nursing consultations on call to spontaneous and scheduled demand following the municipal protocol. This work had the situational diagnosis of local health as methodological orientation, through the flash estimate. Together with the multidisciplinary team there was the discussion about the problems that influence the service routine, defined the core problem and intervention strategies for resolution. To support the development of such intervention proposals and to the basis of the action plan, a literature review was done through the analysis of scientific papers present in the databases of the Virtual Health Library (VHL). We identified as crucial aspects the interpersonal relationship, conflict management, the structure of the health service, the working process of the family health team and the level of knowledge of the professionals involved. We prepared an operation to each critical aspect, determining the responsible social actors, expected products and results, schedule, management and evaluation. The development of this work and the preparation of the intervention plan have become an important tool for the necessary changes to the restructuring of nursing consultations. Through this work, we tried to deal with conflicting and structural issues, being possible to treat the initial problem and the critical aspects that triggered it, involving all team in the development of the actions, thus arousing greater interest of all.