Percepção dos enfermeiros que atuam na atenção primária sobre a valorização profissional

Abstract

Nurses who work in primary care develop countless health practices in the search for consolidation of the care model, guaranteeing the rights and principles of the Unified Health System in a way that allows for more effective care for users and the community. The objective of this study was to analyze the perception of nurses who work in primary health care in the city of Florianópolis/SC about their professional valorization. This is a multicenter study, exploratory, descriptive and qualitative in approach. Twenty-eight interviews were conducted with nurses working in the urban city of southern Brazil from October 2020 to February 2021, followed by categorization according to Bardin's content analysis. The category: Professional Appreciation emerged, with social recognition and working conditions as subcategories. The profile of nurses working in PHC in Florianópolis is characterized by most females, with an average age of 30 years, mostly with training in public education, with specialization in expertise, and they present variation in salary conditions, mostly related to municipal career plan. Valuing the work of nurses faces different challenges, especially related to social recognition and working conditions, and these subcategories presented themes that constitute this perception, such as: autonomy, knowledge of society about the attributions, motivation, relationship with the team and management, remuneration conditions, education, structure and human resources, overload, and satisfaction. In the nurses' perception, the working conditions in the municipality are satisfactory, mainly due to the autonomy attributed to the implementation of protocols, working relationships and adequate salary conditions. However, they emphasize the overload of functions due to the pandemic context and the new online tools and technologies included in care. The work of nurses lacks social recognition regarding the visibility of their attributions and their potential impact on the quality of health care in a resolute way.