Percepção de enfermeiras sobre a autonomia na atenção primária à saúde em cenários rurais e urbanos
DOI:
https://doi.org/10.34019/2446-5739.2026.v12.51709Palavras-chave:
Atenção Primária à Saúde, Enfermeiras e Enfermeiros, Autonomia ProfissionalResumo
Objetivo: Analisar a percepção das enfermeiras na Atenção Primária à Saúde sobre sua autonomia profissional em municípios rurais e urbanos. Metodologia: Estudo qualitativo, descritivo e exploratório, derivado do estudo multicêntrico Práticas de Enfermagem no Contexto da Atenção Primária à Saúde: estudo nacional de métodos mistos. As participantes foram 53 enfermeiras de três municípios rurais e três munícipios urbanos da Bahia, Brasil. A coleta de dados foi por meio de entrevista semiestrutura e analisado por meio de análise de conteúdo temática. Resultados: A análise dos dados revelou duas categorias temáticas: a primeira destaca a área de identificação da autonomia da enfermeira, enquanto a segunda aborda a autonomia para prescrição e solicitação de exames e seus limites na Atenção Primária à Saúde. Considerações Finais: As enfermeiras percebem sua autonomia profissional associada a um grupo específico de atendimento, baseado em protocolos assistenciais. Na maioria das vezes, não precisam de outro profissional para concluir o atendimento.
ABSTRACT
Objective: To analyze the perception of nurses in Primary Health Care regarding their professional autonomy in rural and urban municipalities. Methodology: Qualitative, descriptive, and exploratory study derived from the multicenter study Nursing Practices in the Context of Primary Health Care: a national mixed methods study. The participants were 53 nurses from three rural and three urban municipalities in Bahia, Brazil. Data were collected through semi-structured interviews and analyzed using thematic content analysis. Results: Data analysis revealed two thematic categories: the first highlights the area of identification of nurse autonomy, while the second addresses autonomy for prescribing and requesting tests and its limits in in Primary Health Care. Final Thoughts: Nurses perceive their professional autonomy as associated with a specific care group, based on care protocols. In most cases, they do not need another professional to complete the care.
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Copyright (c) 2026 Priscila Araujo Rocha, Tatiane Araújo dos Santos, Daniela Gomes dos Santos Biscarde
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
