Abstract
Objective: To identify in the main databases the obstacles evidenced and the facilitators of the leadership process by nurses in the Family Health Strategy. Methods: Integrative literature review carried out using the descriptors "Nursing", "Leadership" and "Family Health Strategy" in the LILACS, MEDLINE, BDENF and SciELO databases. Results: The leadership by the nurse emerged in all selected articles, elucidating the relevance of this professional as responsible for guiding and directing work processes. Communication, interpersonal relationships, work overload, autonomy and permanent education were considered key elements for the exercise of leadership, being identified either as facilitators or as obstacles. Final considerations: The study's findings signal the need for new qualitative research in order to understand, not only how the nurse's leadership in the Family Health Strategy has been conformed, but if the obstacles and facilitators found in the literature persist in the present.