Atuação da enfermagem no cuidado familiar na atenção primária à saúde: uma revisão integrativa

The family plays a fundamental role in health care, particularly in situations involving chronic diseases, functional dependence, aging, and the need for continuous home care. In this context, nursing plays a strategic role in Primary Health Care (PHC) through health education, longitudinal follow-up, home visits, guidance for family members and caregivers, and care coordination. Objective: to analyze the role of nursing in strengthening family care strategies within the context of Primary Health Care. Methods: this is an integrative literature review conducted using the Virtual Health Library (VHL), PubMed, and Scientific Electronic Library Online (SciELO) databases, considering studies published between 2015 and 2026. Predefined inclusion and exclusion criteria were established, and study selection was performed through identification, screening, full-text assessment, and analysis of eligible articles. After duplicate removal and application of the eligibility criteria, 15 studies comprised the final review sample. Results: the studies identified health education, guidance for family members and caregivers, nursing consultations, home visits, active listening, welcoming, relationshipbuilding, longitudinal follow-up, and coordination with the health care network as the main nursing strategies. These actions contributed to family participation, continuity of care, expansion of caregivers’ knowledge, and health promotion. However, barriers were identified, including professional and caregiver burden, communication difficulties, insufficient training, weaknesses in service organization and health care network coordination, as well as limited systematization of information regarding the family context. Conclusion: nursing plays a strategic role in strengthening family care strategies in PHC, requiring an approach that recognizes families and caregivers as active participants and, simultaneously, as individuals who also require care. Strengthening health education, home visits, therapeutic relationships, longitudinal follow-up, and health care network coordination may contribute to more comprehensive, participatory care aligned with the needs of users and their families.