OBJECTIVE: Compare the interventions performed by the nursing staff in a Primary Health Care Unit with the interventions recorded in the information system. METHODS: Descriptive, exploratory study conducted in two stages at a Health Unit considered as having good practices in nursing. Stage 1: direct, non-participatory and structured observation for five days. Stage 2: application of the cross-mapping technique in the activities recorded in the computerized system, adapting them in standardized language for nursing interventions. RESULTS: It was found that 23.5% and 27.2% of the interventions made by the nursing staff and nurses were recorded in the computerized system. CONCLUSION: The computerized system displays insufficient fields to report the work carried out by the nursing team at the Primary Health Care Unit.
Nursing, team; Primary health care; Primary care nursing; Nursing staff; Nursing records; Health records, personal
