Nurses' leadership in child health consultations: a socio-historical study.

Q3 Nursing

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2026-10-05 eCollection Date: 2026-01-01 DOI:10.1590/1983-1447.2026.20250273.en

Joaquina de Cândido Fagundes, Maria Lígia Dos Reis Bellaguarda, Marinalda Boneli da Silva, Camila do Couto Maia, Carolina Cardoso Pires, Marcella Gabrielle Betat

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引用次数: 0

Abstract

Objective: To analyze the work of nurses in child health consultations in Primary Health Care.

Method: A socio-historical study with a qualitative approach, grounded in the Thematic Oral History technique. The participants were 15 nurses from Primary Health Care in a municipality in southern Brazil. Data were collected between September and November 2023 through semi-structured interviews. The interviews were submitted to a transcreation process. Subsequently, thematic analysis was performed with the support of ATLAS.ti 9® software, and the findings were interpreted based on Eliot Freidson's Sociology of Professions.

Results: Three categories emerged: Nursing consultations in child health: childhood health problems; Difficulties faced in nursing consultations in child health; Nurses' leadership: building bonds and autonomy in child health consultations.

Final considerations: Child health consultations strengthen nurses' autonomy and leadership in Primary Health Care by articulating technical-scientific knowledge, clinical judgment, family bonding, prevention of health problems, and health surveillance. However, this practice is marked by social vulnerabilities, structural limitations, difficulties in longitudinal care, and physician-centered resistance. The findings indicate the need for continuing education strategies, clinical training, and intersectoral actions to qualify and strengthen nursing practice in this area.

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护士在儿童健康咨询中的领导作用：一项社会历史研究。

目的：分析初级卫生保健机构护士在儿童健康咨询中的工作。方法：以专题口述历史技术为基础，采用定性方法进行社会历史研究。参与者是巴西南部一个城市初级卫生保健部门的15名护士。数据是在2023年9月至11月期间通过半结构化访谈收集的。这些采访被提交到一个创作过程中。随后，在ATLAS的支持下进行了专题分析。ti 9®软件，研究结果是根据艾略特·弗里德森的职业社会学来解释的。结果：出现了三个类别：儿童保健护理咨询：儿童健康问题；儿童保健护理咨询面临的困难；护士的领导：在儿童健康咨询中建立联系和自主权。最后考虑：儿童健康咨询通过阐明技术科学知识、临床判断、家庭纽带、预防健康问题和健康监测，加强了护士在初级卫生保健中的自主权和领导力。然而，这种做法的特点是社会脆弱性、结构性限制、纵向护理困难以及以医生为中心的抵制。研究结果表明，需要继续教育战略，临床培训和跨部门行动，以合格和加强这一领域的护理实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista gaucha de enfermagem / EENFUFRGS Medicine-Medicine (all)

CiteScore

1.70

自引率

0.00%

发文量

118

审稿时长

16 weeks

期刊介绍： A Escola de Enfermagem da Universidade Federal do Rio Grande do Sul edita e publica a Revista Gaúcha de Enfermagem para divulgar a produção científica da Enfermagem e áreas afins. Foi criada em 1976 e atualmente tem periodicidade trimestral.