Dicotomia entre assistência e gerência no contexto da atenção primária sob a ótica dos enfermeiros assistenciais.

Abstract

To know the dichotomy between care and management in the context of Primary Care from the point of view of care nurses. Method: An exploratory-descriptive study of a qualitative approach, based on Dialectical Historical Materialism (MHD). The collection of empirical material was done through interviews with 03 participants who, from the transcription and analysis of the speech fragments, were made the apprehension of the main themes, grouped in blocks of meaning that originated the empirical categories, later analyzed by the Discourse Analysis Technique. Results: The conception of nursing care is considered in its totality a form of compliance with the programs established by the Ministry of Health, which makes it sometimes inflexible. Bureaucratic content is seen as an obstacle in the development of nurses' work activities by limiting direct assistance to the client, as well as overloading them in their work environment, which reflects a difficulty in reconciling the managerial and care dimensions. Conclusion: Although the research nurses understand that care and management are activities that are interconnected and not dichotomized, there is a dialectic in the reconciliation between these two dimensions of work, related to the workload attributed to nurses, understood by the interviewees. The difficulty in this conciliation process reflects the fragility of investments to prepare and update the professional regarding the confrontation of activities related to the work environment.