Decision making in management in primary health care

nurses´ perception

Abstract

Objective: to analyze the decision-making process by nurse managers in Primary Health Care. Method: descriptive-exploratory research, with a qualitative approach, conducted with eight nurses from five basic health units in the city of Mossoró / RN. The data were collected from April to July 2017, being organized through Content Analysis. Herbert Simon's Decision Making and Limited Rationality Model was used as a theoretical basis for discussion. Results: The lack of communication, structure of the units, work overload and the interprofessional relationship represent weak points in the execution of health services. Theoretical-practical managerial knowledge, cognitive skills of leadership and understanding in problem solving were listed as potentialities in the process. Conclusion: Decision making in the management process presents poignant weaknesses that stand out from the health team's potential, requiring the development of integrated cooperation, management and assistance skills to achieve quality management at the level of primary health care.