Innovative actions developed by nurses in primary health care

ABSTRACT Objectives: to understand the work process dimensions related to innovative actions developed by nurses in Primary Health Care. Methods: qualitative, descriptive study, developed in Primary Health Care in a city in the Southern Region of Brazil. Seventy-six nurses, who worked in management and assistance, participated in this study through semi-structured interviews. After data processing by IRAMUTEQ software, the textual analysis occurred by descending hierarchical classification. Results: forty-two innovative actions, considered by the participants as new ways of working, were identified. There was a predominance of innovative actions related to the Management and Assist dimensions; we noticed the fragility of the actions to contemplate all the nurse’s work process dimensions. Final Considerations: the predominance of innovative actions was related to users’ assistance and better conditions in the teamwork process, besides highlighting the role of nurses in the perspective of a new way of working in health services.摘要 研究目的：探究巴西南部地区某城市初级卫生保健（Primary Health Care）领域护士开展的创新行动相关的工作流程维度。研究方法：采用质性描述性研究设计，研究地点为巴西南部地区某城市的初级卫生保健机构。本研究共纳入76名从事管理与临床照护工作的护士，通过半结构化访谈法收集研究数据。借助IRAMUTEQ软件完成数据处理后，采用递阶层次分类法开展文本分析。研究结果：共识别出42项被研究参与者认定为新型工作模式的创新护理行动。研究发现，创新行动主要集中于管理与照护两大维度；同时可见现有创新行动难以覆盖护士工作流程的全部维度，存在一定局限性。研究结论：本次研究识别出的创新行动多围绕服务对象照护与团队协作流程优化展开，同时凸显了护士在卫生服务领域创新工作模式中的核心作用。