Consulta de enfermagem gerontogeriátrica na atenção primária: aspectos estruturais do cuidado

Vitoria Victor Menezes; Patrício de Almeida Costa; Adrya Thayanne Henriques da Silva; Caio Bismarck Silva de Oliveira; Bruno Jonathan Queiroz Silva; Maria Paula Ramalho Barbosa; Matheus Figueiredo Nogueira

doi:10.36517/2175-6783.20252695653

Authors

Vitoria Victor Menezes Universidade Federal de Campina Grande https://orcid.org/0000-0001-8939-9131
Patrício de Almeida Costa Universidade Federal do Rio Grande do Norte https://orcid.org/0000-0003-1111-7733
Adrya Thayanne Henriques da Silva Universidade Estadual da Paraíba https://orcid.org/0009-0001-8014-034X
Caio Bismarck Silva de Oliveira Universidade Federal da Paraíba https://orcid.org/0000-0003-3033-6595
Bruno Jonathan Queiroz Silva Universidade Federal de Campina Grande https://orcid.org/0009-0007-3627-2314
Maria Paula Ramalho Barbosa Universidade Federal do Rio Grande do Norte https://orcid.org/0000-0002-7642-3195
Matheus Figueiredo Nogueira Universidade Federal do Rio Grande do Norte https://orcid.org/0000-0002-5787-7861

DOI:

https://doi.org/10.36517/2175-6783.20252695653

Keywords:

Primary Health Care; Office Nursing; Geriatric Nursing; Comprehensive Health care; Aged.

Abstract

Objective: to explore the structural aspects of geriatric nursing consultation carried out by nurses working in primary care. Methods: a qualitative study was conducted with eight nurses selected through purposive sampling. Data collection included a socioprofessional questionnaire and semi-structured interviews. Data were processed using IRAMUTEQ and analyzed with content analysis. Results: five classes emerged: Characterization of the approach to older adults in the Basic Health Unit, Biomedical perspectives of care, Nursing perspectives on frailty in older adults, Organizational flow of geriatric nursing consultations, and Recording and assessment methods used during the consultation. Two thematic categories were identified: (I) Nursing consultations with older adults focused on disease-oriented care; (II) The deficit in multidimensional care for older adults, from user embracement to longitudinal care. Conclusion: The biomedical model predominated in consultations, with limited use of multidimensional assessment tools, a lack of specific planning for older adults, and a shortage of professional training. Conversely, the use of the electronic health record was highlighted as a potential enabler. Contributions to practice: the findings underscore the need for professional training and may support the implementation of humanized practices, care protocols, and public policies aimed at comprehensive care for older adults in primary care.

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