Práticas integrativas e complementares de saúde na atenção básica: análise de discurso dos enfermeiros.

Abstract

The Integrative and Complementary Health Practices (ICHP) seek to integrate and extend care through natural processes, promoting actions to subside and recover health and prevent injuries. The study aims to analyze the nurses' discourse in relation to integrative and complementary health practices in Primary Care. This is a descriptive study with a qualitative approach, which was carried out with 14 nurses from the Family Health Strategies of the City of Cajazeiras-PB. For data collection, an interview with a semi structured questionnaire was conducted, which took place between June and July 2017, after approval by the Ethics and Research Committee. For a data analysis we chose the Collective Subject Discourse (CSD) proposed by Lefèvre and Lefèvre, obtaining four themes and 06 CSD. During the speeches, it was possible to perceive the lack of knowledge of nurses in relation to the National Policy on Integrative and Complementary Health Practices due to gaps in the training process and the lack of education. There was also a duality without discourse, since even with the ignorance of the nurses, they expressed a certain superficiality of the knowledge that governs politics, based on the practices they offer. This study identifies as characteristics of ICHP, where practitioners have scored as possible therapies as can be done in care. It was evidenced as a highlight in the study of the orientation of medicinal and herbal plants and some confusion in the differentiation and practices. It was possible to identify the factors that facilitate and make difficult the realization of the ICHP in the field of Basic Attention. There is a need for strengthening the academic training of nurses, decreasing existing gaps such the non-learning, through the inclusion of disciplines and support of management of continuing education actions referring to these practices no Primary Care scenario.