Between territory and care in Primary Care: contributions of situational strategic planning in the nursing work process

Abstract

Introduction: Primary Health Care (PHC) is a SUS care model that focuses health on the needs of the individual, family, and territory, encompassing health promotion, prevention, diagnosis, treatment, rehabilitation, and maintenance. In this context, nursing plays a fundamental role in the coordination, organization, and implementation of health actions. Objective: to analyze the contributions of nursing to health promotion in primary care, considering the territory, the work process, and the bond with the community. Methods: This is a qualitative, descriptive, and exploratory study with 35 professionals from seven Family Health Strategy Units in Delmiro Gouveia, Alagoas. Data were collected through discussion groups guided by Situational Strategic Planning (SSP). Results: Three categories emerged: (1) territory, living conditions, and adherence to self-care; (2) team work process; (3) reception, bonding, and reorganization of care during the pandemic. Social determinants and staff overload negatively impact care, while welcoming and humanization strengthen adherence and obligations with the community. Conclusion: The findings indicate the need for intersectional strategies, health education, and professional development to strengthen PHC, promote humanized care, and reduce inequalities.