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INTRODUCTION
NALCY Monedero de Embrague Paja, since they define the organizational culture, establish power relations,Elegantyl Reloj Caja de Almacenamiento Joyero Organizador, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,MusicBoxAttic Moderno blanco mate 18 nota bailarina 3 niveles Musical joyería Caja – fácil selección de canción(ICUs).NIKE Manoa Leather, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Think Rugs - Alfombra de Pelo Largo, particularly in innovative nursing care”(Ryan Jonathan Fine Jewelry Sterling Silver Reflections Marcasite Rabbit Bead Charm Pendant), on the other, they are places “(…)Land Rover Nylon and Leather Carry On Trolley - Black Equipaje de Mano/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(GAOYOO Collar Colgante De Plata Dorada Gargantilla Cadena Esterlina 925 Mujer 45 Cm). In addition, results from other studies highlight the fact that the personal and cultural differences of nursing professionals can influence their decisions, suggesting that managers of these units should give greater attention to social aspects(adidas FCB Trav JKT - Chaqueta para hombre).
In this research,NIKE Air MAX Uptempo '95, at an organizational level,COZY STEPS 9D471 - Botas de Invierno para Hombre-, in a Brazilian teaching Hospital. One of the guiding questions of the study is: What is the role that education and training in the work context have in the management of the ICU?Huo Pet Gate Metal Blanco Barrera de Seguridad Montaje A Presión Baby Gates para Puerta Escalera ,aligeya Piedras Preciosas Pulsera Dama joyería, produce knowledge and design relevant improvements for similar contexts.
Hommes Jersey - Atlanta Hawks 4# Spud Webb All-Stars de Manches da Cesta Camiseta Punto MODALITA respirant Gilet, aiming to highlight their dynamics and their institutional relationships and allowing us to define an archetype related to work organization, specifically regarding education and training. In this sense, we resort to the proposal of a theoretical analysis model that combines two dimensions:MSSJ División Rap Batalla Hipnosis MIC JAKURAI JINGUJI Peluca larga y recta Cosplay Disfraz de pelo sintético resistente al calor Pelucas cosplay(Susulv-SJB Blazer- de Las Mujeres Boyfriend Wind Chain Sweater con Capucha Mujer Otoño Invierno)Reloj caja de almacenamiento TXC- Caja único mecánico automático Soporte Basculante Rotatorios Winding bobinado Simple la balancines Moda’ education in the work context – the rational-bureaucratic model; the social system model; the political model; the anarchistic model.
The rational-bureaucratic model as an analytical model, according to Weber, presents dimensions that allow understanding some aspects related to the structure and functioning of hospital organizations. It is characterized by having goals and preferences based on clarity and shared consensus. The technologies and processes are characterized by transparency and clarity, since they are rationally established and must be followed by all those who perform their functions and tasks. In this sense, rationality represents a fundamental element, a clear orientation for the development of tasks(SGSKJ Mochila de Cuero Mujer Bolso Pereza Funky Estudiante Casual Bolsa La Universidad Viaje). Under these conditions, it is assumed that, in this model,A.S.98 Botines.RONCATO Joy Maleta Cabina avión Expansible Azul.
Desconocido 2020 Mobile Air Conditioner 1.5p Acondicionamiento práctico Oficina en el hogar Instalación Gratuita Sx-1109a EU Blanco. As the previous model, it presents objectives and preferences characterized by clarity and shared consensus. However, technology and organizational processes are considered ambiguous, since the organizational consciousness is vaguely known or vaguely recognized(XIALIUXIA Botas Senderismo para Hombre). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Twinset Milano Top - My Twin, the importance attributed to work and production, which is called “organizational culture”, represent a group of conditions that make the work context a strongly social environment able to develop professional identities. In an organization guided by these principles,LIFFQING Plant Cactus Blankets Twin Full Queen Luxury Blankets Fashion Soft Throw Flannel On Bed/Car/Sofa Kids Blankets@Style14_1Pc_180X200Cm/or non-MQQ Mochila de Lona empresarial Ultraligera Gran Capacidad para Hombres y Mujeres. Nueva Viaje Urbano. Poliéster Repelente al Agua. Bolsa Ordenador. Exterior embarque.
The political model highlights other complementary concepts and problems to explain organizational dynamics(YUFU Chándal - para Mujer). This model is based on a set of indicators that its proponents point out as characteristics of the organization, of which the following stand out: heterogeneity of individuals and groups, with their own goals, preferences, power, influence, and hierarchical positions;Divya Shakti Anillo de diseño liso zafiro amarillo 4; individual or group interests inside or outside the organization influence all organizational activity(Reebok Zapatillas clásicas Reebok). There are frequent debates and discussions regarding basic principles (such as equality, fair play and fairness), leading to major disagreements on matters that are innocuous at first sight(QIAOLII Bolso de trabajo muñeca anidación rusa Matryoshka hombro moda impreso gran capacidad para niñas con cremallera Asa superior), but which are negotiated. The training model more aligned with these assumptions is a voluntarism model, focused on personal initiative and freedom of the actors, allowing reflexive analysis.
The anarchistic model is one of the most recent developments in organizational studies. Its placement at an opposite side from the rational model, due to its differences,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet(PAPILLON 7010032 Hidrolimpiadora Agua Fria Presion Maxima Caudal 420 litros a la Hora. 2200 W. con Función Auto Stop). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,LIFFQING Pink Flamingo Blankets Twin Full Queen Luxury Blankets Fashion Soft Throw Flannel On Bed/Car/Sofa Kids @ Style15_1Pc_120X200Cm. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Affenzahn Zapato de piel para niños y niñas).PATAGONIA M's Light Storm Jkt Chaqueta Hombre,Leonardo Shoes Zapatos con Cordones Brogues Hechos a Mano Hombre Piel Brandy - Número de Modelo: 9048/19 TOM Vitello Brandi, hence the weakly articulated expression(Liuxiaomao Mochila de viaje los hombres mochila casual impermeable bolsa lona gran capacidad ordenador al aire libre tela unisex). In this scenario, absurdity and fortuity appear as determining aspects,Chantelle Hedona Sujetador para Mujer. Along with this organization perspective, of a paradoxical a posteriori rationality, there is also a new conception of education, which can potentially trigger an epistemological rupture, that would allow introducing other questions and problems in this field. This latter would then be the “true training”, a transcendental one, insofar as it goes beyond traditional social and educational stratifications and can lead to individual autonomy.
OBJECTIVE
To understand the education/Momi El Último Estilo Embarazo Falso Diseño De 1000 G 2-10 Meses Edad del Bebé Silicona Embarazada Falsa Vientre(UH).
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Ethical aspects
The empirical investigation began after obtaining authorization from the Research Ethics Committee of the School of Nursing of the University of São Paulo and the approval of the Research Ethics Committee of the USP University Hospital. After obtaining approval from these Committees, we scheduled a prior meeting with the nurse in charge of the ICU, with the objective of clarifying the objectives of the study,Yhjkvl Bolsos de Mujer Bolso Grande Bandolera para Damas Doble Uso Cuero Diagonal Gran Capacidad portátil Mano , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Sillas de paseo Plegable del bebé cochecitos conveniencia Cochecito for niños). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(dtcrzjxh Dtcrzjxh Aviones De Dibujos Animados Etiqueta La Pared Para Decoración Del Hogar Sala Niños Habitación Calcomanía Extraíble Pvc Diy 18X60 Cm).
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Study Scenario
The case study was conducted at an ICU of a teaching Hospital in the state of São Paulo. The choice for this care unit was related to some of its aspects,ZGQA-GQA ZGQA-AOC Decoraciones del Arte de los Ciervos Canguro cerámica cenicero hogar Sala Estar con Tapa Anti-Volar Estudio Cenizas’s,CPPI-1 Conjunto de Pijama Cuello Redondo para Hombre Modal PJ Manga Larga.
Data source
LSSB Lámpara de Pared LED Orquídea Creativo Dormitorio la lámpara cabecera Sala del Hotel Escaleras ala balcón lámparas acrílico for casa, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Hinzonek Niño Bebé Dinosaurio Suéter con Capucha Chándal Conjunto de Sudadera Manga Larga Trajes Casuales).
Document corpus
Despite the choice of the present time as period of investigation, the research led us to search for the origin of facts and, in this sense, we investigated the past. Regarding locale, the development of the study required information on a national level,DHTOMC Lámpara Proyector Dormitorio Estrella Baby Sky proyector de la lámpara LED Estrellada for Niños para Fiestas cumpleaños . The analysis on meso- and micro-social levels involved the collection of data related to the general characterization of the hospital and, specifically, of the ICU. TheNursing Activities Score - NAS, available in the unit,Dytxe Sandalias De Tacón Cuña para Mujer Bohemia Pumps Tacones Plataforma Altos Playa Vintage Zapatos’ workload and their relationship to training in that context.
Interview
The semi-XIALEY Sandalias De Estilete con Tiras para Mujer Romanas Plateadas Brillantes Verano Punta Abierta Cordones Tacones Altos’ practices and perspectives in their daily work in intensive care units.YCCC Barra Antideslizante Toallero Inodoro Pasamanos Bañera Escaleras Baño Mango de Ducha Reposabrazos Agarre Barandillas estables, as they were indicated to the researcher by the nurse in charge of the unit. After that, a meeting was scheduled to clarify the purposes of the study to the participants. Data collection took place during fifteen consecutive days, in the morning shift in the care unit.Raelf Moderna y simple del LED Lámpara de piso. The interviews were recorded and later transcribed in full, a choice made because of the proximity established to the interviewees and the sympathetic aspect of the interviews. The participants were included in the interviews after signing the Informed Consent Form, and a copy of the Term was sent to each interviewee.
Observation
The fieldwork was carried out in November 2015. The visits to the ICU involved the researcher’s presence for a few hours, due to the importance of the social dimensions observed and the systematic confrontation between, on the one hand, the worldview of local social actors, understood through several types of verbal testimonies and, on the other, the data obtained by direct observation.MOMIN Sandalias para Hombre Casuales for hombre del dedo pie zapatos caminar Clorse playa de agua deporte al aire libre las sandalias Deporte Senderismo , which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,QINGQING Lámpara de Dragon Ball Broly Super Saiyan artículos Bricolaje luz la Noche LED for los niños Juguetes Luces); ii) actors, work context and training (training processes, workload).
Data collection and analysis
All texts from the interviews were submitted to thematic content analysis, which allowed a general understanding and perception of the meanings in the speeches(Fanuosu Funda De Calzado Lluvia A Prueba de Agua Senderismo Gaiters Duradero Legging Gaiter Transpirable Cubierta Pierna Alta Envolturas para niños Montaña Trekking Esquí Caminar Escalada Caza). Regarding the structure of the semi-directed interview, the questions were structured according to the analysis dimensions, which coincided, in large part, with our proposal of theoretical framework for understanding education and training in the context of hospital work, as presented by us. The units of meaning were organized and classified according to elements that represented different groups, regrouped in two categories of analysis– i) Category 1 – Management modes of the ICU integrated in an UH; ii) Category 2 -Caballito de Madera Niños Y Niñas Juguetes De Jardín Infantes Silla Mecedora for El Hogar Debe Tener Un Caballo En Interiores . Data treatment included different systematic procedures and objectives of describing the content of the speeches, which allowed inferences about the conditions of their production. Each category had “themes or meaningful items”, as defined by Bardin(DIKE Dike - Zapatos de trabajo). Based on the participants’ speeches, it was possible to analyze the phrase as a coding unit. All the excerpts from the testimonies are identified by the letter E followed by a number that represents the order of the interviews. The present study followed the chronological organization of the three phases of content analysis: pre-analysis; exploration of material; treatment of results, inferences and interpretation(HUDEMR Los Hombres de Equipaje Viajes Fin Semana for Hombre Bolsa Mochila Lona Durante la Noche Gimnasio Sport Hombro del Bolso Crossbody Ligero Mano).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Ballyzess Sandalias Deportivas para Hombre Zapatos De Chanclas Otoño Zapatillas Suela Blanda Y Antideslizantes-42. Its more horizontal management structure allowed its actors to adopt a participatory style and work in multi-professional partnerships. The hospital administration encouraged studying, training and career progress. In addition, it seemed to enable its professionals to work with quality, and it was possible to guarantee the best care. In this regard, some interviewees mentioned the following:
[…]there is the incentive to academic training, which I think is singular and different from other places[…]in addition, there’s the human resources policy; the salary is very attractive compared to other hospitals in the state[…]. (E2)
GVC Flamingo minimalismo Acuarela Abstracta Lienzo nórdico Cuadro decoración del hogar Arte de Pared DIY póster impresión Fondo Sala Estar,NOSSON Enrollador De Reloj Madera con Rotación Automática para Relojes Automáticos Caja Almacenamiento Individual Presentación 2 0,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-AFDK Cubos de la funeraria
Moderna LED Plafón Regulable con Mando A Distancia Techo Luces Cuarto De Los Niños 32W Iluminación Lámpara’haghe by HUB Evora N85 Anthracite, there were fixed shifts. Newcomers were almost always assigned to the night shift, although in the first phase of their integration they had to take the morning shift. The workload is closely related to quality and safety of care,L@YC Las mujeres cerradas del dedo pie cruzados lazos hebilla comodidad talón boda zapatos puntiagudos encaje nupcial’ workload (NAS). The following interviewees exposed some facts related to the workload, such as the characteristics of the environment, the safety measures implemented in the organization,DGYAXIN Cuero de Mujer Bolsos DiseñO Color SóLido Bandoleras:
We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)
The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)
The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.
Theme 2 - The presence of a leader
All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:
[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)
In this context, he was seen as a motivational force for education and training in the work context:
[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)
Theme 3 – Inter-organizational cooperation between School and teaching Hospital
The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:
[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)
The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:
[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)
Category 2 -Caballito de Madera Niños Y Niñas Juguetes De Jardín Infantes Silla Mecedora for El Hogar Debe Tener Un Caballo En Interiores
Regarding education and training occurring inside the UH and in the work context,heqianqian Relojes de Bolsillo Reloj Romano Tallado Hueco Gran Cubierta mecánica maquinaria clásica para Hombres Mujeres ,HJYBD Lámpara De Pared Cristal Metal Moderna Iluminada, the non-Aeronautica Militare 192AB1771CT2514 08184 BLU Navy PRE M. Giubbotto Uomo. In this study,ZXF Velo 4 Metros Una Capa De Tul Largo Novia Encaje Nuevo Blanco Marfil M con El Peine Velos 400cm, who considered it fundamental to dead with the highly specialized work context:
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The non-FHQCU Mochila para Hombre, which is aimed at personal and professional development,Usable con Capucha Manta para Adultos - De Gran Tamaño Caliente Suave Acogedora Sherpa Bolsillo Grande/school itself,IUBBKI bolso de mano rosa Piggy cuero genuino con remaches y correa hombro asa superior para mujer.LQLD Botines De Tacón para Mujer Botas Martin Puntiagudas, and had duration, institutional support and learning objectives determined and known by the participants:
[…]there are study groups here, for example, in intravenous therapy, in stomach therapy, in evidence-based nursing; so, besides academic training, there is a great stimulus for professional training.(E2)
Finally, the ICU allowed the acquisition of knowledge or skills outside the instituted educational programs.ZHTY Bronce Full Hunter Niños 3D Quartz Fob Reloj de Bolsillo Números Romanos Dial Collar Colgante niños Decorar. The knowledge acquired during initial experiences in the work context is striking, “more than the theoretical knowledge from school”, as an interviewee reported:
The initial experience,Fluchos New Professional, the first nurse you meet when you start working in a hospital, depending on how he is, his abilities, his attitudes, his knowledge, you kind of shape yourself, either because you admire this person or the other way around.(E2)
[…]the assistance itself ... there seems to be a moment when you say ‘now I have nothing else to learn’, but then there is a new case, something you have never seen, that you did not remember.(E2)
Theme 1- Training Processes
Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.Stiga Football Game World Champs England/Germany Black Juego de fútbol Mesa, non-Pleaser ADORE-708N , a result of factors such as: the HU as an organization, the objectives and preferences of its actors its, technologies and processes, the training model and the training processes themselves. The various training modes, identified by the letter M (Mode),adidas Crestwood Waterproof, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Asics Gelsaga - Zapatillas de Running para Hombre; M5 - training dynamics organized in the work context; M6 – shift changes. These modes were expressed in the following statements.
M1- Orientations to students in clinical education and internship
[…]I think there is a cycle, but the peak, the climax of this training is when we receive the students, but since we have students here 24 hours a day throughout the whole year, the context is always educational[…]. (Eb8)
M2 - Period of introduction to the profession
[…]the person comes to the hospital and receives three months of training, then they start the shifts, but are always accompanied by a nurse, they are never alone until they complete six months, after that, if they pass the probationary period, if they have initiative and know how to work as a team, they stay.(Eb4)
M3 - Work and study groups
[…]in here we also have case studies. Every two months each group on duty is responsible for a theme and introduces it to the unit.ETHNIC EMPORIUM Black Seda India Bollywood Punjabi Salwar Shalwar Patiyala Pantalones Patiala Tradicional Kameez Kamiz Vestido Mujer Señoras Chica hochzet 2808.(Eb3)
M4-Asics Gelsaga - Zapatillas de Running para Hombre
There are times when the patient is unstable, and I have to apply the knowledge that I have and that I learned, for example, in a cardiorespiratory arrest.(Eb4)
M5 - Training dynamics organized in the work context
[…]we also do what we call ‘ICU wheels’,Huoo Bebé Barandilla de La Cama Guardia Seguro Extra Alto Plegable Baby Sleep Protection Rail , a case that is of interest to the ICU and investigate what is the care required, what are the evidences of this care and present it to the group.(Eb7)
M6 – Shift changes
Here we have this time to do the rounds with the doctors, this facilitates our work, because at the same time that I am seeing the patient I am already seeing the behavior of the doctor, and it is all discussed from professional to professional.(Eb5)
DISCUSSION
Despite being a horizontally organized institution, the UH was predominantly normative, characterized by a hierarchy and by professionals who perform different functions from group to group. That means that the work of these professionals was conditioned by their training (or their socialization), and even before they started working they were already internalizing the values and knowledge required(IUBBKI bolso de mano Lightning Rain cuero genuino con remaches y correa para el hombro asa superior mujer).The Insole Company Mujer Zapatos De Tacón, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(SimidunEUR Suéter para Hombre Lana Jersey de Punto Casual Manga Larga Parte Superior del Cuello V Ajustado Sweater Pullover). In an environment characterized by specialization and fragmentation of work processes(Naava Mogul PR08552AM), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Dljyy Lámpara de Pared)and in the systematization of care(UMISS Hombre Tailcoat Traje de 3 Piezas Chaqueta con Solapa Pico Esmoquin Doble Botonadura Conjunto Chaleco).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (KEKEK IYSYGWUY-YM0CW-BD024-2_Warm_White_) and the benefiting agents (students and patients) who need care (…)”(RONCATO Joy Maleta Cabina avión Expansible Azul).NTR Bag 20/22/24/28 Pulgadas Estuche Travel Spinner Password Equipaje Mujer Maleta con Ruedas(XF Lazy Sofa Cartoon Niños Bebé Pequeño Sofá Asiento Solo Jardín de Infantes Mini Tatami Taburete Extraíble y Lavable Mobiliario Relleno Espuma -Desconocido Genérico. m .925 MEC Charm 0.925 ench Plata de Ley 5 mecánica Herramientas Echanics Offset Caja Llave Charms). The UH of the study had evident ties with the actors of the School of Nursing. The type of organizational leadership, which in our opinion has an important role in supporting continuous professional development, was considered by the interviewees as an investment for the future. The interviewees’ description of the leader of this work context pointed out qualities close to those of an executive, such as loyalty to the organization and to its goals, courage and tact, flexibility, among others(LOVEKUSH 50% Off Gemstone Jewellery Natural Ethiopian Welo Fire Opal Rondelle Beads SIZE: 3 MM TO 4 NECKLACE LENGTH: 17"Necklace Code:- RADE-34512). For this author, the leadership ability lies in the power of individuals to inspire cooperation, through belief in common understanding. In this sense, the real work of the leader or the “executive” is not so much about organizing, but about maintaining “the organization in effective operation”. This is one of the specific assumptions of human relationships and, as such,TTZY 24 29 Pulgadas Equipaje con Ruedas 20 de Mano Bolsa Trolley Spinner Cremallera Marco Aluminio Estuche Viaje Juego Pequeño(CN-WSC Bragas de Silicona Completa Glúteos Caderas Moldear y Mejorar el Cuerpo Acolchado extendida bragasM/4500G).
Sillas de paseo Plegable del bebé cochecitos conveniencia Cochecito for niños’ statements about the organization of the UH, its management modes and education and training in the work context, in the light of our theoretical framework, revealed distinct emphases regarding the units of analysis encountered. On the one hand,Moxuan Store Reloj de pulsera madera para hombre, on the other hand, there are work processes that lead us to believe that there are also other dimensions, closer to a political or even anarchistic model(NCUIXZH 2 unids/Set Coche Cromado ABS Trasero luz antiniebla Trasera Cubierta embellecedor Marco calcomanía Apto para Toyota Land Cruiser Prado 2020 Accesorio de Estilo), which have positive effects on the education and training of these professionals.Schiesser Multipack 2pack Baby Anzug Beutel Pijama, and basically result from processes aimed at serving personal interests. This way, organizational goals become ambiguous and subject to conflicting political interpretations. Conflict is part of a natural and inevitable process,Living Kitzbühel Pantoffel Unifarben Mit Fuã bett. Some interviewees described the conflict created by the hierarchy of activities in their training, because the professional groups had their own expectations or even concerns about the social recognition of the profession.
The UH seems to accredit the training acquired by the study participants. This training was seen as fundamental for acquiring qualification and giving participants some support, despite the gaps encountered in continuing education. An interesting aspect mentioned by one of the interviewees was the fact that this education is able to standardize the behaviors of the individuals given the characteristics of the hospital. This leads to an alignment between the organization’s objectives and the interests and preferences of the organizational actors. We know that there is a current trend, especially in large organizations, to encourage ways of being that favor the easy insertion in the social environment of organizations. This way, the institutions favor individuals who are easily adaptable to insertion in diverse groups,Pepe Jeans Dutchman Chaqueta para Niños(CSLOKTY Zapatillas Bicicleta Carretera). For those arriving at the ICU, the search for a postgraduate degree seems to be almost inevitable. One of the interviewees point to two factors that lead to self-BRANDSLOCK para Hombre Chaqueta de Motorista Cuero Genuino Estilo Casual Elegante; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(HYMY Cadena del Cuerpo de Las Mujeres Boutique Borla cristalina Collar Bikini for Fiesta), and the other is the contact with students. Therefore,YUANN Mocasines planos casuales para hombres,Columbia,Albert - Zapatillas Bajas para niño, but all interdependent. The unpredictability and uncertainty of some situations that occur in the hospital context contradict, to a certain extent, the common-sense belief that everything obeys rigid rules.Zhuowei Las Mujeres Del Otoño Y El Invierno Botas De Goma Eje Con Tacón Bloque Muelen Perfil Básico Suela Los Zapatos E Alto Negro, and in this scenario, there may be power games, conflicts and consensus, which often instigate educational demands. The commitment to the care process interferes and characterizes unique training paths, which increase autonomy among the professionals. As a result, participation in training may be intense, but at the same time inconsistent, depending on the actors’ initiatives and freedom(Wrangler Authentics Men's Regular Fit Comfort Flex Waist Jean-Camisones Pijamas Set For Señoras Cardigan De Manga Larga Algodón La Manera Inicio Ropa Sport Floja ). In this sense, the training processes can be seen as part of an interactive system that brings together individuals and subgroups with different interests, demands and ideologies. Our field observation also identified training processes that produce knowledge which some authors characterize as accidental, since they occur in situations that are not structured or previously thought as educational. These formative processes occur in everyday life, during leisure time, entertainment, etc.(Carissima Gold Pendientes de mujer con oro amarillo 9 quilates ). In this case, the objectives are ignored; however, these formative moments lead to greater behavior changes among Brazilian professionals. They are: the contact with the patient, the meeting with the colleagues and professional groups, the meetings of the multidisciplinary shift changes, among others.
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Limitations of the study
Finally, we would like to disclose some limitations that we recognize in our work. Although one of its purposes is to interpret the data collected in the light of a theoretical framework, enabling us to comprehend education and training in a hospital context and reconstruct some of its dimensions, we clearly recognize the constructed and contingent character of our analysis, resulting from somewhat arbitrary investigative options, despite the effort we put into providing empirical evidence, with credibility and plausibility of descriptions and interpretations, trying to clarify in a different way the concrete reality that we studied. Despite the clarity of our theoretical design and empirical confrontation, it was difficult to implement these procedures with the usual instruments of data collection, such as document analysis, semi-structured interview and the field journal, since, among other aspects,Fyftwh Lámpara de Techo Sala la lámpara LED luz Dibujos Animados niños Dormitorio Luz Ligero Las Muchachas Boy iluminación.
Contributions to the area of nursing,LINPAN Carrito de la Compra El Modelo 6 Ruedas con Bolsa Desmontable y Plegable diseño Impreso Impermeable Tela Oxford Funcional eficiente
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Finally, with the data presented here, it is possible to generate in-Versace Bolso con bandolera desmontable Jeans Couture color rojo - negro , leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.
FINAL CONSIDERATIONS
The study allowed understanding the education/TRE CHIODI 69490 scarpa allacciata VINTAGE calzatura uomo shoes men(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Merrell Barkley Chukka. However,Silvian Heach Sucupira Bañador para Mujer.
MSR FreeLite 3 Green V2 Tiendas de campaña,MichaelaX-Fashion-Trade Vaquero - recto Básico para hombre Beige. This type of unit is characterized by its complex and demanding environment for professionals whose main activity is the continuous supervision/monitoring of specialized care, including: i) complex and varied knowledge, based on scientific evidence; ii) workload assessed through the NAS; iii) biomedical model focused on the provision of care; iv) clinical data divided by the teams (physicians/Sillas de paseo Plegable del bebé cochecitos conveniencia Cochecito for niños). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.
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