Cuidado integral à criança na atenção primária à saúde com enfoque para atuação do enfermeiro revisão integrativa

Abstract

Introduction. The Unified Health System (SUS) is composed of actions and services for health promotion, protection and recovery, carried out by federated entities, directly or indirectly, through the complementary participation of the private sector, in a regionalized and hierarchical way. The National Policy for Integral Attention to Children's Health (PNAISC) covers children and adolescents up to the age of 15 (fifteen) years, with flexibility regarding the age limit, subject to change according to the rules and routines of the health establishment responsible for the service (BRAZIL, 2015; 2017). Primary Health Care (PHC) has a fundamental role for children's health, as it constitutes the main access door for users to the SUS and adds attributes such as longitudinality, comprehensiveness and coordination of health care, being the organizer of the flows of health care. service and articulator of the different points of attention of the Health Care Network (RAS) (BRASIL, 2017; 2020a; STARFIELD, 2002). Objective. To describe the comprehensive care for children carried out in Primary Health Care and the connections with the work of the professional nurse, in the light of scientific productions on the subject. Methodology. Integrative literature review, characterized as a method that provides the synthesis of knowledge and the incorporation of the applicability of results of significant studies in practice. Based on six phases that include: 1) Elaboration of the guiding question; 2) Search or sampling in the literature; 3) Data collection; 4) Critical analysis of included studies; 5) Discussion of results; 6) Presentation of the integrative review. Results and discussions. Two searches were carried out in the LILACS, BDENF, PubMed/MEDLINE databases, in August 2022, which resulted in a total of 21 articles. The Health Sciences descriptors (DeCs) were articulated by the Boolean operator AND. After applying the filters and inclusion criteria, 05 articles were included, available in English and Portuguese. National and international productions covered 02 integrative reviews; 01 cross-sectional study; 01 quantitative research; 01 qualitative study. The mothers' adherence to consultations to monitor the child's growth and development (DC) stood out; the difficulties faced by nurses in the Integrated Care of Childhood Illnesses (IMCI); perspective of dentists in monitoring the CD, in the context of the Family Health Strategy; use of the Child Health Handbook (CSC) by health professionals; Child Health Care in Family Health Units. Conclusion. It was concluded that the nurse has a fundamental role, as a member of the health team, in the development of strategies aimed at strengthening the actions advocated by the National Policy for Integral Attention to Children's Health. It became clear that Primary Health Care is an essential locus for achieving more robust results in this area of care.