Challenges and practicalities for Primary Care nurses to implement the nursing process
DOI:
https://doi.org/10.12957/reuerj.2025.88422Keywords:
Primary Health Care, Nurses, Nursing Process, Nursing CareAbstract
Objective: to identify how nurses working in the Family Health Strategy perceive the challenges and practicalities inherent to implementing the Nursing Process. Method: a convergent care research study with a qualitative approach, conducted with nurses working in the Family Health Strategy from inland Minais Gerais (Brazil) by means of reflection groups between June and July 2022, after due approval from a Research Ethics Committee. Thematic content analysis was adopted for data analysis. Results: the research participants were 13 nurses. Two categories were identified: “Challenges inherent to implementing the Nursing Process in Primary Care” and “Practicalities inherent to implementing the Nursing Process in Primary Care”. Final considerations: the challenges are characterized by work overload, by lack of material, structural and human resources and by the immediate needs of the population and the teams; in turn, legal support, rationale, smaller population groups and knowledge about the epidemiological profile stand out as practicalities.
References
1. Barros ALBL, Lucena AF, Morais SCRV, Brandão MAG, Almeida MA, Cubas MR, et al. Nursing Process in the Brazilian context: reflection on its concept and legislation. Rev Bras Enferm. 2022 [cited 2024 Feb 15]; 75(6):e20210898. DOI: https://doi.org/10.1590/0034-7167-2021-0898.
2. Oliveira MR, Almeida PC, Moreira TMM, Torres RAM. Nursing care systematization: perceptions and knowledge of the Brazilian nursing. Rev Bras Enferm. 2019 [cited 2024 Feb 15]; 72(6):1547-53. DOI: http://dx.doi.org/10.1590/0034-7167-2018-0606.
3. Barros ALBL, Lucena AF, Almeida MA, Brandão MAG, Santana RF, Cunha ICKO, et al. The advancement of knowledge and the new Cofen resolution on the Nursing Process. Rev Gaúcha Enferm. 2024 [cited 2024 Feb 15]; 45:e20240083. DOI: https://doi.org/10.1590/1983-1447.2024.20240083.en.
4. Conselho Federal de Enfermagem. Resolução COFEN nº 736 de 17 de janeiro de 2024. Dispõe sobre a implementação do processo de enfermagem em todo contexto socioambiental onde ocorre o cuidado de enfermagem. Brasília (DF): Conselho Federal de Enfermagem; 2024 [cited 2024 Feb 15]. Available from: https://www.cofen.gov.br/resolucao-cofen-no-736-de-17-de-janeiro-de-2024/.
5. Ferreira SRS, Périco LAD, Dias VRGF. The complexity of the work of nurses in Primary Health Care. Rev Bras Enferm. 2018 [cited 2024 Feb 15]; 71(supl. L):704- 9. DOI: https://doi.org/10.1590/0034-7167-2017-0471.
6. Azevedo OA, Guedes ES, Araújo SAN, Maia MM, Cruz DALM. Documentation of the nursing process in public health institutions. Rev Esc Enferm USP. 2019 [cited 2024 Feb 15]; 53:e03471. DOI: http://dx.doi.org/10.1590/S1980-220X2018003703471.
7. Spazapan MP, Marques D, Almeida-Hamasaki BP, Carmona EV. Nursing Process in Primary Care: perception of nurses. Rev Bras Enferm. 2022 [cited 2024 Feb 15]; 75(6):e20201109. https://doi.org/10.1590/0034-7167-2020-1109pt.
8. Bardin L. Análise de conteúdo. São Paulo: Edições 70, 2011.
9. Caregnato RCA, Mutti R. Pesquisa qualitativa: análise de discurso versus análise de conteúdo. Texto Contexto Enferm. 2006 [cited 2024 Feb 15]; 15(4):679-84. DOI: https://doi.org/10.1590/S0104-07072006000400017.
10. Mendes M, Trindade LL, Pires DEP, Biff D, Martins MMFPS, Vendruscolo C. Workloads in the Family Health Strategy: interfaces with the exhaustion of nursing professionals. Rev Esc Enferm USP. 2020 [cited 2024 Feb 15]; 54:e03622. DOI: https://doi.org/10.1590/S1980-220X2019005003622.
11. Geremia DS. Atenção primária à Saúde em alerta: desafios da continuidade do modelo assistencial. Physis. 2020 [cited 2024 Feb 15]; 30(1):e300100. DOI: http://dx.doi.org/10.1590/S0103-73312020300100.
12. Filgueiras TF, Silva RA, Pimenta CJL, Filgueiras TF, Oliveira SHS, Castro RCMB. Instrumento para consulta de enfermagem a gestantes com diabetes Mellitus. Rev Rene. 2019 [cited 2024 Feb 15]; 20:e40104. DOI: http://dx.doi.org/10.15253/2175-6783.20192040104.
13. Freitas TCC, Moreira GGF, Aquino JM, Lacerda KPC, Silva R, Jesus APGA, et al. A atenção primária como parte integrante da rede de atendimento as urgências e emergências: à luz da literatura. REAS. 2020 [cited 2024 Feb 15]; 38:e2881. DOI: https://doi.org/10.25248/reas.e2881.2020.
14. Pires RCC, Lucena AD, Mantesso JBO. Atuação do enfermeiro na atenção primária à saúde (APS): uma revisão integrativa da literatura. Rev Recien. 2022 [cited 2024 Feb 15]; 12(37):107-14. DOI: https://doi.org/10.24276/rrecien2022.12.37.107-114.
15. Braghetto GT, Sousa LA, Beretta D, Vendramini SHF. Difficulties and facilities of the Family Health nurse in the work process. Cad. Saúde Colet. 2019 [cited 2024 Feb 15]; 27(4):420-6. DOI: https://doi.org/10.1590/1414-462X201900040100.
16. Pelbart PP. A nau do tempo-rei: 7 ensaios sobre o tempo da loucura. Rio de Janeiro: Imago, 1993.
17. Ayres JRCM. Cuidado e reconstrução das práticas de Saúde. Interface (Botucatu). 2004 [cited 2024 Feb 15]; 8(14):73–92. DOI: https://doi.org/10.1590/S1414-32832004000100005.
18. Ribeiro CG, Padoveze MC. Nursing Care Systematization in a basic health unit: perception of the nursing team. Rev Esc Enferm USP. 2018 [cited 2024 Feb 15]; 52(1):e03375. DOI: https://doi.org/10.1590/S1980-220X2017028803375.
19. Andrade SR, Schmitt MD, Schittler ML, Ferreira A, Ruoff AB, Piccoli T. Configuração da gestão do cuidado de enfermagem no brasil: uma análise documental. Enferm Foco. 2019 [cited 2024 Feb 15]; 10(1):127-33. DOI: https://doi.org/10.21675/2357-707X.2019.v10.n1.1926.
20. Maciel AMM, Lettiere-Viana A, Mishima SM, Fermino TZ, Matumoto S. The longitudinality of care from the perspective of Family Health users. Rev Esc Enferm USP. 2024 [cited 2024 Feb 15]; 58:e20240051. https://doi.org/10.1590/1980-220X-REEUSP-2024-0051en.
21. Alvarenga JPO, Sousa MF. Work and practices of nursing in Primary Health Care in the state of Paraíba – Brazil: professional profile and care practices in the care dimension. Saúde Debate. 2022 [cited 2024 Feb 15]; 46(135):1077-92. DOI: https://doi.org/10.1590/0103-1104202213509.
22. Campos DB, Bezerra IC, Jorge MSB. Production of care in mental health: territorial practices in the psychosocial network. Trab. Educ. Saúde. 2020 [cited 2024 Feb 15]; 18(1):e0023167. DOI: http://dx.doi.org/10.1590/1981-7746-sol00231.
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Franciele Vilela Sousa, Camila de Paula Fonseca, Patrícia Helena Gonçalves, Iacara Santos Barbosa Oliveira, Elexandra Helena Bernardes, Silvia Matumoto

This work is licensed under a Creative Commons Attribution 4.0 International License.
When publishing in Revista Enfermagem UERJ, the authors declare that the work is their exclusive authorship and therefore assume full responsibility for its content.
Authors retain copyright to their article and agree to license their work using a Creative Commons Attribution International Public License (CC BY), thereby accepting the terms and conditions of this license (https://creativecommons.org/licenses/by/4.0/legalcode.en), which allows material created by the author to be distributed, copied and displayed by third parties. The original work must be cited and present a link to the article available on the website of the journal in which it was published.
The Copyright of the articles published in Revista Enfermagem UERJ belongs to their respective author(s), with the rights of first publication assigned to Revista Enfermagem UERJ, with the work simultaneously licensed under a Creative Commons License CC BY, which allows sharing of work with recognition of authorship and initial publication in this journal.
The authors grant Revista Enfermagem UERJ the right of first publication, to identify themselves as the original publisher of the work and grant the magazine a license of non-exclusive rights to use the work in the following ways:
- Sell and/or distribute the work in printed copies and/or electronic format;
- Distribute parts and/or the work as a whole with the aim of promoting the magazine through the internet and other digital and printed media;
- Record and playback work in any format, including digital media.
In line with the journal's policies, each published article will be assigned a Creative Commons Attribution (CC BY) license.



