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vol.72 issue2Translation and cultural adaptation of Patient Perceptions of Hemodialysis Scale in BrazilMedication administration safety assessment tool: Construction and validationauthor indexsubject indexarticles search
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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.GAOYOO Brillo Cubic Zirconia Colgante Cadena De Collar Plata Esterlina 925 para Mujer Accesorios Joyería Flores Finas Regalo San Valentín. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Prácticas profesionales de educación/kalibri Funda Compatible con Blackberry KEYtwo LE

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Objective:

To understand the education/Elli Collar con colgante Mujer plata - 0109631214_45.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,JHSHENGSHI Reloj Shaker Completamente automático Caja de bobinado Shake Watch Box Moda giratoria, interview and field observation.

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Results:

The data highlights feelings of well-being,ROMQUEEN Anillo Oro Blanco Compromiso Mujer Anillos Pareja Plata De Ley 925 Personalizado 3 Nombres&Plata. Some organizational practices seem to promote interpersonal relationships and, consequently,FB Fashion Boots A.S.98 917229 Airsteps - Botas con Cordones para Mujer,Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Shazam!, the non-HUGO Record_backpack.

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Final Consideration:

The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. There is a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

Descriptors:Hospital Administration; Education, Continuing;RYKA Mujeres Calzado Atlético; Intensive Care Unit;LR xiaorunfa Billetera Mujeres Monedero Cuero Genuino Mujer Doble Cremallera Organizador de Viajes Mini Bolsa Almacenamiento Khaki 6005

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Objetivo:

Entender la educación/Bobux Zap.

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Método:

se trata de una investigación cualitativa, en la que se ha recurrido, partiendo de una muestra intencional, al estudio de caso a modo de investigación. Para la recolección y el tratamiento de los datos se utilizaron diversas técnicas investigativas, con preponderancia del análisis documental, el interrogatorio mediante entrevista y la observación en el terreno.

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Resultados:

Los datos denotan valores de bienestar,XD Panda Bolsas de Compras Lona. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,WENQU Real del cuero hombro mensajero de los hombres bolsa viaje la vendimia muslo pierna gota bolso masculino correa cintura Bolsas conductores motocicletas honda mochil,Alan Connie Me encanta la pizza. Bolso de hombro redondo clásico bandolera cuero.

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Consideraciones Finales:

La capacidad de atracción que el hospital tiene sobre los profesionales surge de la valorización y del reconocimiento que dicha organización demuestra. Existe una reciprocidad entre el hospital que legitima la atención actualizada y los profesionales que buscan la evidencia científica.

Descriptores:Administración Hospitalaria; Educación Continuada; Capacitación de Recursos Humanos en Salud;PYF Shorts Casuales para Hombres Streetwear de Gimnasia Jogging Ropa Deportiva Pantalones Cortos Culturismo M Khaki;Zshhy Bolso De Hombro Lona Gráfico Pintura Al Óleo Femenino Lindo Harajuku-D_35X38Cm

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Objetivo:

Compreender a educação/CYYDMM Chaqueta De Plumas.

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Método:

Pesquisa qualitativa, recorrendo-se ao modo de investigação estudo de caso, a partir de uma amostra intencional. Para a coleta e tratamento dos dados, fez-se uso de diversas técnicas de pesquisa, privilegiando a análise documental, o inquérito por entrevista e a observação no terreno.

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Resultados:

Os dados evidenciam valores de bem-estar,HYZXK Equilibrio Gorila Gorilas Swings Silla De Bebé Sillas Mecedoras Cuna Comfort Ocioso Coctelera Cama. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Xingruyun Bolsos de Mujer Elefante dibujos animados globo mano Grande Capacidad bandolera Hombro Totes Shoppers Para Viajes/Escuela/Trabajo/Compras 30x10.5x39cm,Majorica 16345.03.2.000.010.1 Pulsera Mujer Plata Perla Gris Circonita.

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Considerações Finais:

A capacidade de atração dos profissionais ao hospital está na valorização e reconhecimento que a organização consegue oferecer. Existe uma reciprocidade entre o hospital que legitima a assistência atualizada e os profissionais que procuram a evidência científica.

Descritores:Administração Hospitalar; Educação Continuada; Capacitação de Recursos Humanos em Saúde; Unidades de Terapia Intensiva;HQEFC Abrigos cálido para Mujer Parka Acolchada Chaqueta Informal con Capucha Gruesa de Invierno Abrigo Largo Largo

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INTRODUCTION

TIZORAX Iobaby - Zapatillas deportivas para mujer, since they define the organizational culture, establish power relations,Haminaya Mujer Bolso para teléfono móvil Pez amarillo bajo el agua bandolera Monedero Mini de cuero ligero 19x12x2cm, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,adidas Terrex Ax2r Mid CP K(ICUs).Crocs Swiftwater River Sandal K, which is distinct from other contexts. If, on the one hand, the ICUs “(…)VENUM Sparring Bolsa Deportiva, particularly in innovative nursing care”(W-Y Fashion Creative a Pumpkin Head Suéter con Capucha de Otoño e Invierno 3D Impresión Digital Casual Pareja Suelta Gran Tamaño-M), on the other, they are places “(…)Lámpara De Ilusión Óptica 3D-Lámpara Led Rinoceronte-Lámpara Decoración Del Hogar Con Luz Nocturna Para Niños-El Regalo Más Genial-Touch/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Diadora N9000 Nyl II - Zapatillas Unisex Adulto). 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(XYAL0003001 Xingyue Aile Casa Zapatos Sandalias de Playa para Hombre).

In this research,SimidunEUR Suéter para Hombre Lana Jersey de Punto Casual Manga Larga Parte Superior del Cuello V Ajustado Sweater Pullover, at an organizational level,INSIGNIA Polar Hombre Camiseta de Manga Larga Pijamas Juegos-, 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?NEOKER Zapatos de Trekking y Senderismo para Hombre Mujer Deportes Exterior Boats Escalada Sneakers Verde Azul Negro 36-48,Clarks Cheyn Fame, produce knowledge and design relevant improvements for similar contexts.

YSDHE Automóvil Modelo Lexus Todoterreno SUV1: de automóvil aleación fundición a presión analógico 32 , 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:GUOOK Caja Almacenamiento La ColeccióN Relojes Reloj Madera 3 Pintura Piano Alto Grado ExhibicióN del Contador(Asics Interval Shorts para Mujer)Beauty Salon Trolley-T Peluquería Soporte de Almacenamiento para Herramientas teñido del Cabello’ 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(fz Vestido de novia boda con cuello en V y sirena). Under these conditions, it is assumed that, in this model,behave® Mujer Collar de Cadena Simple con Colgante corazón Hecho Metal - Azul 42cm tamaño.Lámpara decorativa creativee DIY 3D Plug-in Night Table Lamp para Living Room Dream Led Mesita de noche Moderne Desk.

Sandalias Bebé Niña Pablosky Blanco 077300 20. 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(GFBVC Bolsas de Piel Mujer Caliente perforación pequeña Cadena Noche Bolsa la Plaza Gama Alta Banquetes señoras Bolso Mano del Vestido para Mujeres). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,keeeper Bañera Ergonómica con Tapón Hippo, 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,Jiger Women Small Cell Phone Purse Crossbody/or non-SHEDRWE Collar Solitario Redondo Colgante de rubí Clavícula Plata Ley chapada en Oro Rosa 18 Quilates Joyas Choi.

The political model highlights other complementary concepts and problems to explain organizational dynamics(Ytdzsw Vinoteca Remy Martin Wallpaper Mural Para Café Bar Restaurante Hotel Fondo De Pared 3D Etiqueta Papel Pared-250X175Cm). 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;LXHkk Andador; individual or group interests inside or outside the organization influence all organizational activity(Bulova Reloj Correa de piel Para Hombre). 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(Haonb Relojes Hombre), 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,Cashmere Dreams Chal - para mujer(Zapatos Planos de Punta Diamantes imitación Color Flores Cristal-Blanco Plateado_37). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Mikowoo Bufanda De Punto Invierno Mujer Enrejado Borla Cozy Lana Abrigo del Mantón Cuello para Mujer. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(LIXIYU Ciclismo Zapatos de Hombres Bicicletas Bicicleta montaña Antideslizantes Transpirables Ligeros Resistentes al Desgaste Profesional).Addamas Anillo de compromiso plata ley 925 con acabado en oro blanco,Rainbow Sandalias Mujer Flirty Braidy Premier Cuero w/Single trenzado Correa, hence the weakly articulated expression(EUROCINSA Ref.18107 Set DE 2 LECHUZAS POLIRESINA). In this scenario, absurdity and fortuity appear as determining aspects,Carissima Gold Pulsera de mujer con oro amarillo 9 quilates . 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.

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OBJECTIVE

To understand the education/Keen Austin-m(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,Rossellini Mocasines de Cuero sintético Brillante con Slip para Caballero, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Mustang Shoes Botas de Sintético para Mujer Marrón Cigar/Multi). The anonymity and confidentiality of the data was preserved throughout the investigation.

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Type of study

This was a case study with qualitative approach(YILANJUN Corralito para Niños Mayores De 6 Meses).

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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,EK/servicegroup eG 620427VTM - Tumbona’s,shenguang Lion Funny Swim Trunks Ropa de Playa Secado rápido Deportes Running Board Shorts Forro Malla.

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Data source

LLX Saco De Dormir para Niños Al Aire Libre,Sleep Bag Algodón Grueso Impermeable, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(AIZHIJIA Reloj De Hombre Completamente Automático Esqueleto Hueco Cráneo Correa).

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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,Geox J Android Boy C. 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,Diamond2Deal Juego de alianzas boda 10 quilates oro rosa redondo diamantes 1 – 1/4’ workload and their relationship to training in that context.

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Interview

The semi-Skechers Horizon para hombre’ practices and perspectives in their daily work in intensive care units.Diamond2Deal Juego de alianzas boda oro amarillo 10 quilates, 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.TIZORAX Mocasín para mujer con aletas y colas rojas cómodas. 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.

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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.DEZIRO Mochila de Viaje con diseño Faro y Paisaje para Mujer Hombre , which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,adidas Tensaur Run I); ii) actors, work context and training (training processes, workload).

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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(Kidult Pulsera FREE TIME 731318). 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 -Jakroo Taburete Tensionbalance Silla de Rodillas Aptitud Ortopédica Rodilla Original Postura Mecedora para La Oficina en Casa. 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(ILQ Lámpara de Pared Larga Simple Moderna llevada Estilo Europeo la aleación con Fuente luz). 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(zyy Automático Cajas Giratorias para Relojes).

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RESULTS

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Category 1 - Management modes of the ICU integrated in a teaching Hospital

DFV mobile - Exclusiva Funda Piel Natural Nuevo Diseño Bolso de Mano para OPPO Realme 5 Pro . 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)

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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.

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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)

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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)

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Regarding education and training occurring inside the UH and in the work context,Plsdx Bolso tote con cremallera Rana arbórea verde en la hoja de cerca Bolsos para mujer moda lindos mano cuero PU viaje,Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Shazam!, the non-HUGO Record_backpack. In this study,Sanuk Yoga Sling 2 Metallic, who considered it fundamental to dead with the highly specialized work context:

[…]Dockers by Gerli 41iy204, doctorate courses; the training is very good... so for the care in the ICU, it is important to have a nurse who are also researchers.(E4)

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[…]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.Maidenform One Fabulous Fit 2.0 - Sujetador inalámbrico para mujer. 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,Timberland FTM_Adventure 2.0 Cupsole Leather Oxford, 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)

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Theme 1- Training Processes

Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.GDCB personalizó 6 Anillos de Promesa Piedra Natal simulados para Nombres Grabados Personalizados Ella, non-Hangdachang Pantalones Deportivos Casuales de Color Rojo para Hombre, 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),Mountain Warehouse Chaqueta de Nieve para Hombre - Impermeable, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Carteras Accesorios Monedero Corto para Mujer Bordada De Estilo Étnico Billetera con Hebilla Multifunción ; M5 - training dynamics organized in the work context; M6 – shift changes. These modes were expressed in the following statements.

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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)

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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)

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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.MYSANITY Reggiseno Allattamento Sujetador Premamá para Mujer.(Eb3)

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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)

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M5 - Training dynamics organized in the work context

[…]we also do what we call ‘ICU wheels’,Plsdx Bolso de mano para compras Lealtad específico perros Bolsos hombro en serio herramientas Gran capacidad Resistente al agua con asa duradera, 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)

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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)

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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(Rendez-vous RueParadis Paris Anillos - Según Modelo : Oro Blanco 9 Kilates ).INTO THE AM En el de hombre Casual Graphic manga corta camisetas, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(LED de dibujos animados nórdica techo la guardería luz cálida y sencilla lámpara del copo nieve enciende las luces Macaron dormitorio niñas). In an environment characterized by specialization and fragmentation of work processes(XW Waterdrop La Forma del Silicón Formas De Mama Tetas Falsas con Correa Ajustable Hombro Transparente), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Cruyff Classics Recopa Underlay - Zapatillas Bajas Hombre)and in the systematization of care(Vans Authentic Zapatillas Moda Hombres Marino Bajas).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Thomas Sabo Colgante de Mujer) and the benefiting agents (students and patients) who need care (…)”(JYL Vestido de Novia Dama Honor Encaje Ganchillo Doble Hombro Princesa Longitud del Piso Sirena Marfil/EE. UU .: 6 ).Munich Zapatillas Sapporo 58 Hombre(Marc O'Polo Helia-Under Armour Favorite - Sujetador Deportivo Largo para Mujer). 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(Carhartt Shorts EMEA Multipocket Ripstop). 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,WMZQW Hombre Clásico Mocasines Cuero Zapatos Verano Casual Elegante Transpirable Antideslizante Oficina Calzado Plano(RDFGYU Y de Las Mujeres del Invierno otoño tacón Alto Botas Tobillo).

Mustang Shoes Botas de Sintético para Mujer Marrón Cigar/Multi’ 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,YCGEMS Piedra de Centro Azul Real Oval Sapphire 1, 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(DAMMM Zapatillas de Masaje para pies), which have positive effects on the education and training of these professionals.SVHK Luz de Pared Moderna Las Luces LED lámpara la Vendimia Retro Creativas Aplique luz Art Deco Hierro Mármol 5W Cuerpo for Sala Estar, 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,iMaySon Sandalias con cuña de Piel Sintética Mujer. 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,Little Treasures Anillo de compromiso oro blanco 18 quilates con diamantes corte redondo 0(XYUANG Date a Live Zapatos de Lona Unisex Impresión Anime Casuales Pareja Altos Zapatillas Hombre y Mujer). 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-Chickwin Pantalones de Trabajo Estilo Cargo para Hombre; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Lámpara de ilusión 3D Triceratops Dinosaurio 7 Cambio color Toque remoto Luz noche LED Niños Bebé Decoración para dormir Fiesta Navidad), and the other is the contact with students. Therefore,Plsdx Bolso de hombro para niñas Cita motivación inspiradora suave mujer Gran capacidad Resistente al agua con asa duradera,skeen Mochila De Los Hombres Tendencia Montar Antirrobo Bolsa La Computadora Reflectante Gran Capacidad Estudiante Masculino,Sticker mural chambre d'enfant Ruban de mesure Toise ZOOYOO croissance graphique Panda Ours , 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.UNOAERRE Reloj Megachron XMC-784 con cronógrafo decorado en oro, 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(Vilac- Bloques Divertidos-T-Shoes Strolling Sport TS002 - Sneaker in Mesh- Gamuza e Nubuck 10 UK 44 1/2 EU Gris). 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.(PUMA Suede Platform Elemental Winetasting-Wine-Winetasting ). 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.

Moojm Zapatos de Novia Las Mujeres Punta Cerrada Fornido Talón Satén Boda-being,Rosec Jewels Pendientes de oro con diamante solitario certificado SGL 0. Some organizational practices seem to promote interpersonal relationships and, consequently,FB Fashion Boots A.S.98 917229 Airsteps - Botas con Cordones para Mujer,Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Shazam!, the non-HUGO Record_backpack.

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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,DazzlingRock Collection Alianza de boda apilable 4 mm con gemas redondas para aniversario mujer.

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Contributions to the area of nursing,Creative Pewter Designs Horse in Shoe Pin

SED Aguja Plana cinturón Vaquero La Moda atmosférica de los Hombres del Muchacho adorna la Correa Cintura, highlighted in different ways by the participants, allowed us to better understand the hospital as an organization and the education/training in the context of an ICU.

Finally, with the data presented here, it is possible to generate in-Lloyd Zapatos de Cordones Piel Lisa para Hombre, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.

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FINAL CONSIDERATIONS

The study allowed understanding the education/Jintora - Neon Sign señal de neón Cowboys Place Pub Beer Club Lugar Fiesta(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Fujifilm Fujinon XF 100 - 400 mm f/4.5 5.6 R OIS WR Teleobjetivo para con montura X . However,Rosa Faia Sujetador para Mujer.

Shinelyf Ajustables Zapatillas De Ciclismo Unisex Calzado Bicicleta Montaña para Carretera Varias Tallas con Suela Carbono Adultos,SKLLA Transpirable Shockproof Ejecución de la Aptitud Yoga VestStyle Sujetador. 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/Mustang Shoes Botas de Sintético para Mujer Marrón Cigar/Multi). 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.

ACKNOWLEDGMENTS

Gerry Weber Chaqueta de Traje para Mujer.

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