Attendance at nursing consultations in child health

Abstract

Objective: To identify the scientific evidence regarding the factors for adherence to well-child visits conducted by nurses in primary health care. Methods: Integrative literature review with database search, using controlled and uncontrolled descriptors, including 31 articles to compose the research. Results: Among the facilitating factors found are bonding and acceptance, effective communication, organization of services, multidisciplinary action, active outreach, appropriate use of tools and technologies, as well as valuing family particularities and the presence of a support network. On the other hand, adherence is compromised by structural and organizational weaknesses, such as insufficient physical, material and human resources, work overload, excessive bureaucratic demands, high staff turnover, disarticulation of the care network, in addition to social, cultural factors and those related to the predominantly curative care model. Final considerations: Recognizing the factors involved in adherence to appointments allows for better assessments, management, and outcomes in the continuity of care and in child growth and development.