National Primary Care Policy (2017) and the roles of community health workers.

IF 1.2 Q3 NURSING Revista Brasileira De Enfermagem Pub Date : 2025-01-13 eCollection Date: 2025-01-01 DOI:10.1590/0034-7167-2024-0230

Juliana Roza Dias, Sonia Acioli, Vanessa de Almeida Ferreira Corrêa, Inês Leoneza de Souza, Ricardo de Mattos Russo Rafael, Paulo Henrique de Almeida Rodrigues, Glaucia Bohusch

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Abstract

Objective: To analyze the new roles of community health workers as outlined in the 2017 National Primary Care Policy (PNAB) from the perspectives of both nurses and community health workers.

Methods: This qualitative study involved nurses and community health workers from Family Health teams, conducted through semi-structured interviews via videoconference between August 2021 and April 2022. The data were analyzed using thematic content analysis.

Results: We identified professionals who argued that the new roles for community health workers aim to increase their autonomy and professional recognition. Others highlighted concerns about the loss of originality in their work and the potential for the illegal practice of nursing or nursing technician duties.

Final considerations: The 2017 PNAB emphasizes task execution for these workers, contributing to the mechanization of activities, reinforcing the biomedical model, and undermining the role of community health workers in promoting health within Primary Care.

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国家初级保健政策（2017年）和社区卫生工作者的作用。

目的：从护士和社区卫生工作者的角度分析2017年国家初级保健政策（PNAB）中社区卫生工作者的新角色。方法：本定性研究于2021年8月至2022年4月期间通过视频会议进行半结构化访谈，涉及来自家庭卫生团队的护士和社区卫生工作者。采用主题内容分析法对数据进行分析。结果：我们确定了一些专业人士，他们认为社区卫生工作者的新角色旨在提高他们的自主性和专业认可度。其他人则强调了他们工作中独创性的丧失，以及非法从事护理或护理技术员工作的可能性。最后考虑：2017年PNAB强调这些工作者的任务执行，有助于活动的机械化，加强生物医学模式，并削弱社区卫生工作者在初级保健中促进健康的作用。

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来源期刊

Revista Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.

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