# Bioethical issues in the family health strategy: Considerations for nursing care management

## TL;DR

This study explores bioethical challenges faced by nurses in family health care and how these issues are managed in practice.

## Contribution

The study identifies bioethical issues and their facilitators and challenges in nursing care within the Family Health Strategy.

## Key findings

- Bioethical issues in nursing care are linked to both specific bioethical themes and work peculiarities.
- Challenges and facilitators influence how bioethical issues are addressed in daily nursing practice.
- Some daily practice aspects remain unnoticed, hindering bioethics discussions in this care model.

## Abstract

To understand the bioethical issues involved in the care management of nurses working in the Family Health Strategy.

A qualitative study was conducted through five focus groups with 36 nurses selected in the sample. Thematic content analysis was performed based on the bioethical framework, and the synthesis was presented in a conceptual map.

Bioethical issues were identified in the nursing care practice, related to both specific bioethical themes and the peculiarities of the work. Additionally, challenges and facilitators that interfere with addressing these issues were identified.

Understanding the bioethical issues involved in the care management of nurses was possible with the theoretical support of different bioethical perspectives. The identified issues relate to persistent and current themes in the field of bioethics. However, some aspects intrinsic to daily practice are still imperceptible to professionals, contributing to the difficulty of discussing bioethics in this care model.

Compreender as questões bioéticas envolvidas na gestão do cuidado dos enfermeiros que atuam na Estratégia Saúde da Família

Estudo qualitativo, realizado por meio de cinco grupos focais com 36 enfermeiros selecionados na amostra. Efetuou-se análise de conteúdo temática com base no referencial da bioética e síntese apresentada em mapa conceitual.

Identificaram-se: questões bioéticas presentes na prática de cuidado dos enfermeiros, relacionadas tanto às temáticas específicas da bioética quanto às particularidades do trabalho; e dificultadores e facilitadores que interferem na condução dessas questões.

A compreensão das questões bioéticas envolvidas na gestão do cuidado dos enfermeiros foi possível com o apoio teórico de diferentes correntes bioéticas. As questões identificadas remetem a temáticas persistentes e atuais do campo de conhecimento da bioética, entretanto alguns conteúdos intrínsecos ao cotidiano ainda são imperceptíveis para os profissionais, contribuindo para a dificuldade de discutir bioética nesse modelo de atenção.