WORK PROCESS AND MANAGEMENT COMPETENCES OF THE NURSES IN THE FAMILY HEALTH STRATEGY PROCESSO DE TRABALHO E COMPETÊNCIAS GERENCIAIS DO ENFERMEIRO DA ESTRATÉGIA SAÚDE DA FAMÍLIA PROCESO DE TRABAJO Y COMPETENCIAS GERENCIALES DEL ENFERMERO DE LA ESTRATEGIA SALUD FAMILIAR

The objective was to identify the dimension of the process of nursing work in a unit of the Family Health Strategy and correlate the necessary competences for the development of managerial activities. It is a descriptive study using the technique of non-participant observation during 160 hours of activities of four nurses from a unit of the Family Health Strategy, from March to May, 2011. The results showed that the care dimension holds 42% of the time spent by nurses in their activities, followed by management (33%), education (20%) and political participation (2.5%). In managerial dimension, managerial competences were classified as follows: communication (55%), leadership (33%), permanent education (8%) and decision making (4%). These competences are interrelated and developed together with administrative functions: planning, coordination, direction and control. For the development of their attributions in the Family Health Strategies the nurse professionals uses administrative tools demanding constant mobilization of different competences. Descriptors: Nursing; Professional Competence; Practice Management; Family Health.

The process of work has several components: the object, which is the focus of the activity to be followed; as a result the product is obtained; the instruments of work and the activity used to reach the object are obtained (1) . Other elements constitute the process of work: the ones which do the work (agents), the reason why the work is done (purpose), and the product, or final result. The knowledge, abilities and attitude developed by the health professionals to reach results in their work are considered non tangible products.
Consequently, in the process of work of the nurse five dimensions are noticed: the assistance, management, teaching, research and political participation (2) .
Within the assistantial dimension of the work of the nurse, the objective is the direct individual and collective care, with the intention to promote, keep and recover health. In this dimension, the assistance of quality requires, from the nurse, the domain of his instruments and methods of work. In the administrative dimension, the nurse uses specific tools for the management of the care and/or of the service and has as target the agents of care and the resources used, in order to coordinate the assistance in nursing (2) .
Regarding the educational dimension, the agents apply theories, methods and resources of teaching/learning as tools, in order to form and improve nursing human resources, or attend the needs of the users regarding education in health (2)(3) . The knowledge in nursing is the goal of the work of the nurse in the scope of the research. This resource allows identifying new and better ways to act in all the dimensions of the process of work (2) .
The last dimension, called political participation, is political instances are used (2) .
In Brazil, the activities of the managerial dimension are outstanding in the process of work of the nurse and they aim at guaranteeing the quality of nursing assistance, as well as the good functioning of the unit (4) . According to that, the National Curricular Guidelines (NCG) emphasize the importance of managerial dimension when general competences for the education of the nurse are proposed, the ones of managerial character (5) : communication, leadership, permanent education and taking of decisions (6) .
In turn, competence is considered as the capacity to mobilize knowledge efficiently and to act in order to attend the current demands caused by changes in the scope of the work. So, the nurse has a double responsibility: to be competent and to guarantee competence from part of his team (7) .
The specific competences of the managerial dimension of the work of the nurse are determined during the education and are developed in their daily experiences (8) . Actually, the education and the professional practice of the nurses must go through the dimensions of the process of work to open ways in the development of competences, with a greater interaction between teaching and service, complying with the current NCG, as well as attending the demand of the population when contributing to the operationalization of SUS (Unified Health System) (9) .
In the managerial dimension of their process of work, the nurses performed administrative functions which, in this study, where listed from the adaptation to Fayol´s proposal, which is presented as: planning, organization, order/direction, coordination and control.
So, the administrative functions considered were: planning, coordination, direction and control (10) .
In the scenario of primary attention to health, the activities attributed to the nurses of the Family Health The process of work of the observed nurses was classified according to the following dimensions: assistance, management, education, research and political participation.   Table 2.   (12) .

RESULTS
As activities of planning, the participation of the nurses in meetings to organize the actions related to the campaigns of vaccination, organization of materials and equipment is highlighted. The planning, among the administrative functions is a necessary factor so that the actions can be directed towards the results previously established, thus preventing the system from working in a disintegrated and disarticulated manner (13) . It also supplies support for the other administrative functions, once it is a managerial instrument which has phases and stages that involve the participation of several actors in its elaboration, execution and evaluation.
The leadership was identified in this study, by the nurses, as the second most developed competence and is linked to management of personnel, as well the management of time and negotiation. These two elements together are considered by some authors as complementary, facing the importance of the ability to communicate for the development of the leadership (15) .
In this context, the nurse, as a member of a multiprofessional team and responsible for the work of Other managerial competences to be developed in the FHS are the capacity of negotiation, ability of dialog, persistence, technical knowledge and flexibility to relate with the population and with the team, leadership, emotional control and management of conflicts (19) . The specific competences, presented in this study, could also be considered as complementary competences required to the work of the nurse, as well as in other moments competences which are not described here are necessary.
No activity of research developed by the nurses was observed, despite the fact that the unit of health, which is the objective of this work, is accessible to the students of the health area to their trainings. Although this dimension is recognized as essential to the professional practices, the nurses enter the institutions and start working according to the rules of the work, which privilege doing, and limits knowledge, characterized as production of knowledge. For this reason, the dimension of the research is restricted to the universities and it is not shown as practice developed by the nurses in their process of work (6) .
The basic attention has its complexity through the social determinants in the health-disease process, once in this level of attention the users present all this social, emotional and family charge and looks for help to solve their problems. Facing that, the FHS strengthens the prevention or aggravations in the promotion of health and has as guideline the integrality of the assistance (20) .
In order to reflect on the process of work of the nurses in the FHS, the contributions of this study corroborates for the analysis of its managerial dimension, considering that the work of the nurses is not limited by the development of competences of this dimension, but they grow in other dimensions in order to reach their integrality.
Once the process of work of the nurses of FHS is