The Situation of Nursing in the Development of the Primary Health Care in Antioquia (Colombia): An Approach from the Perspective of the Health Professionals ; Situación de la enfermería en el desarrollo de la atención primaria en salud en Antioquia (Colombia): aproximación desde la perspectiva de los profesionales ; Situação da enfermagem no desenvolvimento da atenção primária em saúde em Antioquia (Colômbia): aproximação sob a perspectiva dos profissionais

Objective: To understand the situation of the nursing in the development of the Primary Health Care (PHC) in Antioquia, Colombia. Methodology: It is an ethnography-focused qualitative study combining a participative observation with semi-structured interviews applied to 13 professional nurses. Results: From 2005, Antioquia is implementing a PHC strategy redesigned to include now the nursing when coping with the different obstacles caused by the configuration of the current health system; this strategy prioritize a clinical approach over the community approach and provides better working conditions. This social imagery is reproduced in the formation of the new professionals; however, the nursing professionals deem the community-based PHC work as a source of personal and professional motivation. Conclusion: The nursing practice has been a field of contention between the clinical and community-based work. The former is currently granted a better professional standing while the latter –which includes the PHC implementation– is underestimated both by the nursing guild and by the workers in general. ; Objetivo: comprender la situación de la enfermería en el desarrollo de la atención primaria en salud (APS) en Antioquia, Colombia. Metodología: estudio cualitativo de tipo etnografía enfocada que combinó observación participante con entrevistas semiestructuradas a trece profesionales de enfermería. Resultados: a partir del 2005, Antioquia implementa la estrategia de APS renovada con participación de la enfermería para enfrentar diversos obstáculos derivados de la configuración del sistema de salud actual que privilegia el enfoque clínico sobre el comunitario y ofrece mejores condiciones laborales. Este imaginario social se reproduce en la formación profesional; no obstante, para estos profesionales de enfermería, el trabajo comunitario en APS es fuente de motivación personal y profesional. Conclusión: la praxis de enfermería se ha constituido en campo de disputa entre sus ámbitos clínico y comunitario. El primero goza de ...