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OBJETIVO: este estudo propoe-se a analise dos cursos de graduacao em Enfermagem no estado de Sao Paulo quanto a avancos e desafios frente as Diretrizes Curriculares Nacionais (DCN), considerando modelo de gestao, perfil profissional, estrutura curricular, concepcao pedagogica e articulacao ensino/servico. METODO: estudo qualitativo, a partir de analise documental e entrevistas com os coordenadores de dois cursos de instituicoes publicas e tres de instituicoes privadas. RESULTADOS: descrevem-se um perfil que se aproxima das DCNs e a utilizacao do referencial pedagogico problematizador na tentativa de promover inovacoes. Em contradicao a tal direcionamento, observam-se matrizes curriculares conformadas por disciplinas, dificuldades de insercao nos cenarios de pratica, alem de contratacao e capacitacao docente incompativeis com as propostas inovadoras. CONCLUSAO: depreende-se que as instituicoes caminham entre o proposto e o possivel, em contextos marcados por contradicoes. OBJECTIVE: This study aims to analyze the advances and challenges of five undergraduate nursing courses in the state of Sao Paulo, as they try to meet the National Curriculum Guidelines. We considered their model of institutional management, professional profile, curriculum, pedagogical design and the relationship between teaching and service. METHOD: Qualitative study, from documental analysis and interviews with directors of two public institutions and three private ones. RESULTS: The profile is close to what is proposed by the guidelines, and the use of a questioning pedagogical model are attempts to promote innovations. In contradiction we observed rigid curricula, obstacles in insertion in practical scenarios, and a model of faculty hiring that is incompatible with innovations. CONCLUSION: We understand that the institutions are between the what is proposed and what is possible, within a context that is itself contradictory. El estudio propone analizar cursos de grado en enfermeria del estado de San Pablo en cuanto al avance de las Directrices Curriculares Nacionales (DCN), teniendo en cuenta el modelo de gestion, el perfil profesional, el plan de estudios, el diseno instruccional y la coordinacion entre la ensenanza y la practica. Se trata de un estudio cualitativo a partir del analisis de documentos y entrevistas a dos coordinadores de dos cursos de instituciones publicas y a tres de instituciones privadas. Se describe un perfil que se acerca a las DCN y se observa el empleo de un marco pedagogico basado en problemas, en un intento de promover innovaciones. En contradiccion a dicha direccion, se observan matrices curriculares formadas por disciplinas, dificultades de integracion en la practica, ademas de contratacion y capacitacion docente incompatibles con las propuestas innovadoras. Las institucionesfuncionan entre lo propuesto y lo posible, en contextos llenos de contradicciones.

State nursing courses in São Paulo forward the curriculum guidelines