title: Nursing challenges for universal health coverage: a systematic review.
abstract: OBJECTIVE
  to identify nursing challenges for universal health coverage, based on the findings of a systematic review focused on the health workforce' understanding of the role of humanization practices in Primary Health Care.
  
  
  METHODS
  systematic review and meta-synthesis, from the following information sources: PubMed, CINAHL, Scielo, Web of Science, PsycInfo, SCOPUS, DEDALUS and Proquest, using the keyword Primary Health Care associated, separately, with the following keywords: humanization of assistance, holistic care/health, patient centred care, user embracement, personal autonomy, holism, attitude of health personnel.
  
  
  RESULTS
  thirty studies between 1999-2011. Primary Health Care work processes are complex and present difficulties for conducting integrative care, especially for nursing, but humanizing practices have showed an important role towards the development of positive work environments, quality of care and people-centered care by promoting access and universal health coverage.
  
  
  CONCLUSIONS
  nursing challenges for universal health coverage are related to education and training, to better working conditions and clear definition of nursing role in primary health care. It is necessary to overcome difficulties such as fragmented concepts of health and care and invest in multidisciplinary teamwork, community empowerment, professional-patient bond, user embracement, soft technologies, to promote quality of life, holistic care and universal health coverage.
authors.affiliation: Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Mariana Cabral
authors.initials: MC
authors.lastname: Schveitzer
authors.affiliation: Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Elma Lourdes Campos Pavone
authors.initials: EL
authors.lastname: Zoboli
authors.affiliation: Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, Portugal.
authors.forename: Margarida Maria da Silva
authors.initials: MM
authors.lastname: Vieira
mesh_terms: D006694:Holistic Health; D006801:Humans; D024802:Nurse's Role; D011320:Primary Health Care; D011788:Quality of Life; D019472:Universal Health Insurance