Consulta de enfermagem gerontogeriátrica na atenção primária sob a perspectiva de enfermeiros especialistas.

Abstract

In the Primary Health Care (PHC) setting, nurses are responsible for nursing consultations as one of their exclusive activities. Given the specificities of the elderly, nurses are required to have skills in gerontological and geriatric assessment and care management, with a view to preserving their autonomy and independence, as well as ensuring a better quality of life. Objectives: To learn the opinion of nurses about gerontological and geriatric nursing consultations in primary health care; and to raise essential elements for gerontological and geriatric nursing consultations from the perspective of nurses specialized in teaching, research, and management of care/assistance to the elderly. Methodology: Exploratory and descriptive study with a qualitative approach carried out with 15 specialist nurses working in the field of Gerontology from all over Brazil. Data were collected between October and December 2024 through a semi-structured interview conducted in a virtual environment. The textual corpus was processed in the IRAMUTEQ software, systematized in Descending Hierarchical Classification (DHC) and analyzed based on the Content Analysis proposed by Bardin. Results: the classes originated by the DHC dendrogram signaled the elaboration of two subcategories: I - The multidimensionality of the evaluation of the elderly person, whose findings provided guidance

for conducting the first stage of the nursing process; and II - Nursing interventions: evidence- based decision-making, with an emphasis on proposing viable and resolutive care, guidance

and strategies. Final considerations: The nurse must demonstrate skills and abilities to integrate biopsychosocial aspects and multidimensional evaluation of the elderly person during the nursing consultation. The adoption of a systematized approach can be made possible through an instrument that contributes to the operationalization of this care, which is composed of a checklist with all aspects of the elderly person's life.