Desafios para a implementação das competências gerenciais do enfermeiro no âmbito da atenção primária à saúde: uma revisão integrativa da literatura

Abstract

Objective: To identify in the literature the challenges faced by nurses in developing managerial competencies in basic health units and the possibilities for their implementation in the Primary Health Care setting. Methodology: This is an integrative literature review, and for this study, a search was carried out in the Virtual Health Library and PubMed databases, using the acronym PICo to elaborate the guiding question. Publications in Portuguese, English and Spanish were considered for this research, including articles, books, theses and dissertations. After the initial screening, the studies were mapped using the PRISMA flowchart to identify and organize them for use in this review. Results: 12 studies were selected from the Virtual Health Library and PubMed databases. Methodology: They were catalogued in a synoptic table containing information such as title, authors, year of publication, methodology applied, main results and the database of origin. Discussion: The literature shows that nurses who exercise managerial functions have been subject to insufficient professional training, including vertical organizational cultures and other situations that challenge their autonomy and professional identity. As public health managers, these professionals aim to improve the quality of care, thus generating satisfaction, efficiency and effectiveness.