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In the present study, the constitution of the clinical knowledge which guides the nurse practice, in the health primary attention, is analyzed, in order to use it on the object / subject of the action. Exploratory study with qualitative approach and thematic analysi of data. Semi-structured interviews were made with 65 nurses from the family health public services, in te southern part of Rio Grande do Sul state, Brazil. The data was analyzed based on a matrix which sustains the nursing clinical science in a populational basis, constituted by three topics the individual and the family, the community and the health system. It was made clear that the clinical knowledge organizes the nurse practice in the predominant focus of the individual and the family. Without, however, connecting to the origin the populational base, through the way the clinical knowledge enables learning/knowing the object of the action. It is believed that these findings may subsidize a new reading of the organizational potential of the nursing clinical knowledge. DESCRIPTORS: Primary health care. Health services. Public health nursing. EL CONOCIMIENTO CLINICO DEL ENFERMERO EN LA ATENCION PRIMARIA DE LA SALUD: APLICACION DE UNA MATRIZ DE ANALISIS FILOSOFICO RESUMEN: En este estudio se analiza la constitucion del conocimiento clinico que guia la practica del enfermero en la Atencion Primaria de la Salud, para el funcionamiento del objeto/sujeto de la accion. Es un estudio exploratorio con enfoque cualitativo y analisis tematico de los datos. Se realizaron entrevistas semiestructuradas con 65 enfermeros del area de salud publica familiar, en el sur de Rio Grande do Sul, Brasil. Los datos fueron analizados utilizando una matriz que se apoya en la ciencia clinica de la enfermeria con base en la poblacion, constituida por tres nucleos: el individuo y la familia, la comunidad, y el sistema de salud. Se ha mostrado que el conocimiento clinico organiza la practica del enfermero con enfoque predominante en el individuo y la familia. Sin subsumir la raiz de su origen, la poblacion, por medio del conocimiento clinico se hace aprender/conocer el objeto de la accion. Se cree que estos descubrimientos pueden apoyar una reinterpretacion de las posibilidades de organizacion de los conocimientos clinicos de enfermeria. DESCRIPTORES: Atencion primaria de salud. Servicios de salud. Enfermeria en salud publica.

Conhecimento clínico do enfermeiro na atenção primária à saúde: aplicação de uma matriz filosófica de análise