Necessary skills for the Family Health Units manager: a clipping of the nurse’s practice

ABSTRACT Exploratory descriptive qualitative study with the objective of analyzing and discussing the necessary competencies for the Primary Health Care (PHC) manager. The scenario was the Family Health Units of Angra dos Reis and as participants of the research there were 10 statutory nurses who had been working as managers for over a year. Data were produced through focus group and weighted based on Bardin content analysis. Three categories emerged from the study: Leadership management skills; Managerial skills relating to resource management and care; Managerial skills related to the mobilization of cognitive and affective resources. The findings indicate that the competences described by the participants are in line with the narratives in other studies and highlight the need to invest in a training that allows reflecting and seeking development of managerial skills for PHC managers, as the category is under construction, requiring improvement and formal recognition beyond ministerial ordinances. These findings are related to Paulo Freire’s thought as a basis for Permanent Education, a strategy for changing the reality found.摘要：本研究为探索性描述性质性研究，旨在分析并探讨基层医疗保健（Primary Health Care, PHC）管理者所需的胜任力。研究场景为巴西安格拉杜斯雷斯（Angra dos Reis）的家庭健康单元，参与者为10名担任管理者一职满一年以上的持证护士。研究数据通过焦点小组访谈获取，并基于巴丁（Bardin）内容分析法进行加权处理。本研究提炼出三大类胜任力：领导管理技能；与资源管理及照护服务相关的管理技能；与认知与情感资源调动相关的管理技能。研究结果显示，参与者所阐述的胜任力与其他相关研究中的论述相符，同时凸显出为基层医疗保健管理者开展针对性培训的必要性——此类培训应能引导管理者反思并提升其管理技能，因当前该类胜任力体系仍处于构建阶段，亟需完善并获得超越部委规章的正式认可。本研究结论与巴西著名教育家保罗·弗莱雷（Paulo Freire）的教育思想相契合，该思想可作为持续教育（Permanent Education）的理论基础，亦是改变既有现实的可行策略。