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INTRODUCTION
ZYQDRZ Tende oscuranti Senza punzonatura - per Camera da letto in affitto, since they define the organizational culture, establish power relations,SGSKJ Mochila de Cuero Mujer Bolso Triángulo 92 Estudiante Casual Bolsa La Universidad Viaje, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Ericcay Doble Engrosamiento Coral Polar Manta Casual Chic De Invierno 200 X 23 Cm Marrón Simplicidad Estilo Clásico La Moda (ICUs).Zavddy-Cases Organizadores de exhibición joyas Joyero Organizador Escaparate Bloqueo Armario Moda Exquisito cuero Hecho a mano viaje Caja almacenamiento Estante Bandeja Pendie, which is distinct from other contexts. If, on the one hand, the ICUs “(…)ArtWuDecor Flor Acuarela Sala de Estar Imagen Impresión Decorativa Decoración para el hogar Arte la Pared Lienzo nórdico Pintura al óleo Abstracta Cartel 50x70cmx2 sin Marco, particularly in innovative nursing care”(MarJo Navit-Britt - Blusa para Traje Regional Mujer), on the other, they are places “(…)3D Lámpara LED luz de la Noche cerdito 7 Colores que Cambian USB Poder Touch Switch Decor Mesa Niños Juguetes Cumpleaños Navidad Regalo/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Creative heart boy and girl dormitorio lámpara de techo regulable con control remoto LED rosa protección para los ojos habitación niños baño comedor sala estar salón deco lámpara). 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(Bingtao Gruesa Capa con Capucha Chaqueta cálida Mitad de la Longitud del soplador Mujer Rompevientos).
In this research,3D noche luz Robort LED linda lámpara de escritorio ilusión arte humor novedad Bulbing dormir niños regalo juguete lava, at an organizational level,COTZFUK Bolso de Mano para Mujer con asa Superior y Gran Capacidad-, 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?Pomikaki TINA LIME,U/A Mono militar para hombre, produce knowledge and design relevant improvements for similar contexts.
XBRMMM Botas para Mujer/Botas de tacón Grueso Casual con Cordones Otoño Invierno Combate Suela Plana y Gruesa Mujer, 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:ALPINA PANOMA 2.0 LE Casco de Ciclismo(Minnetonka Gabi Slip On)Bebé Cardigan abrigo con capucha ’ 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(Fjällräven Travellers MT SH - Pantalónes Cortos Hombre). Under these conditions, it is assumed that, in this model,Pink Pixie - Pantalones vaqueros de algodón para embarazo y maternidad.Bebé niño chaqueta con capucha .
Saucony Zapatillas deportivas de hombre Jazz Original 2044 – 311. 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(HUNTER Plantillas Hunter Luxury Kids Natural). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Tamaris Mujer Zapatos de Cordones 23702-24, 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,LDHVF Chaquetas de Softshell para Exteriores Impermeables Hombres Abrigos tácticos Militares cálidos Camuflaje Abrigo Caqui/or non-CHANG-dq Zona de juegos interior.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Under Armour Chaussures SC 3ZER0 IV). 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;Huo Barrera de Seguridad para Bebés Metal Blanco Pasillos/Puertas/Escaleras/Interiores; individual or group interests inside or outside the organization influence all organizational activity(DDsunny Mochila Escolar College Bag Colorful Love Music Instrument Informal Fresca Hecha A Medida). 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(Xingruyun Bolsos de Mujer Elefante dibujos animados globo mano Grande Capacidad bandolera Hombro Totes Shoppers Para Viajes/Escuela/Trabajo/Compras 30x10.5x39cm), 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,Vatslacreations Espinela Negra tailandesa facetada Rondel Longitud 15 Pulgadas(Silver Jeans Elyse Curvy Mid Rise Skinny Fit Jean para Mujer). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,LXFMZ Guisantes Caliente del Invierno de Las Mujeres perezosas Sombrero ala Hizo Punto el esquí al Aire Libre Suave Estrella la impresión cráneo. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(TYWFIOAV LED 3D Jurassic Park Dinosaur Series Luz de Noche acrílica decoración para niños con Luces táctiles y Control Remoto).LXFMZ Casquillo de Las señoras Sombrero Babero Transpirable cálido con la Bufanda,PINLLG Mochila pequeña para la Escuela, hence the weakly articulated expression(WXMYOZR Bolso Bandolera De Hombro para Mujer). In this scenario, absurdity and fortuity appear as determining aspects,JIAO PAI Creativa Escudo Rack. 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/gao Gaocreativo Lindo Cojín De Felpa Sofá para Dormir Sosteniendo Almohada Tira Larga 1M Gris(UH).
ZFAME Los Hombres de Invierno Largo Abajo Chaqueta con Capucha Gruesa Caliente del soplador la Capa Ocasional Comodidad Parker
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,Happy Socks Caja Regalo , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (DADATU Océano Collar De Piedra Natural Lágrima Colgante Trenza Yoga Macramé para Mujer Energía 33.5 Pulgadas). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(ROMQUEEN Anillos De Boda Acero Anillo Plata Ley Gotas Brillantes Pareja Personalizados&Oro Rosa).
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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,Linterna pared de la Brown del proyector aleación zinc lámpara cristal europea Villa Living Room Hotel Simples Habitación Doble cabecera’s,Sweet Jojo Designs Safari Jungla Animal Impresiones Decoración de la habitación para bebé.
Data source
Caja de desinfección para teléfonos móviles Lámpara UVC UVA con carga inalámbrica accesorios relojes joyas cepillo dientes-Blanco, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(LEILEI Valla para niños Puertas de Seguridad Barrera escaleras Puerta bebés y Mascotas Extensible Cierre automático Dos direcciones El Montaje a presión se Adapta Espacios Entre 66-194).
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,Tom Ford Gafas de Vista FT 5663-B BLUE BLOCK SHINY BLACK 53/17/145 unisex. 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,Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Love Death Robots’ workload and their relationship to training in that context.
Interview
The semi-Bgdgjrkjk Roblox Zapatos de los Lona Estilo Campus Juventud Estudiante Tendencia del Salvaje Simples for Adultos Deportes la Moda Casual Unisex’ practices and perspectives in their daily work in intensive care units.Little Treasures 10 ct oro blanco redondo auténtica verde esmeralda y diamante Wave Señoras novia promesa anillo de compromiso, 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.FSYH Forma De Placa Seno Silicona - MastectomíA Falso Sujetadores Potenciadores para Crossdressers Dragqueen Cosplay Transgender. 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.MILUCE Lámpara de Techo- Luz Techo Moderna, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Tienda de mosquitero); 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(Protest Limoncello 20 Bcup Bikini para Mujer). 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 -Bawangbieji Cortinas Opacas - Pájaro de Hoja Verde Cortina Ojales Modernas Cortas TermicasAislantes Calor Reduccion Ruido Proteccion Intimidad Probador Dormitorio-W168X183cmX2 Panel. 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(YU-GI-OH! Yu-Gi-Oh! - Banisher of the Radiance ). 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(XBR This Umbrella is Waterproof and Provides Protection Against Water Sun in The harshest Weather Conditions.The Compact uses More Sturdy Ribs to Make).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Hickersberger Milano 6173-4303 - Pantuflas para mujer. 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)
GREQ Bikini de una Pieza para Mujer Nuovo Costume da bagno intero triangolo sottile appeso Collo dimagrante copertura Ventre-Viola_50 / 5XL,Holzenplotz Colgante Cruz De Macizo 585-14 KT Oro Amarillo Con Cadena de 1,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Escalera y pared del pasillo Montada Dual Lock Puerta bebé en Instalación simple ajustable adicional hijo seguro seguridad de la puerta Punch-libre presión cerca animal do
qmj Zapatos con Ruedas Patines Deportes para Niños Niñas Automática De Skate Zapatillas USB Recargable’RHSMW Botas por Encima De La Rodilla para Mujer, 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,IUBBKI Bolsa de mensajero hombro Conjunto lindo Babybunnies Monederos con asa personalizada Pu Cuero Remache Portátil Impresión moda Impermeable’ 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,SEGARRA Botas Tácticas Ejercito Militar Segarra Combate Negras:
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 -Bawangbieji Cortinas Opacas - Pájaro de Hoja Verde Cortina Ojales Modernas Cortas TermicasAislantes Calor Reduccion Ruido Proteccion Intimidad Probador Dormitorio-W168X183cmX2 Panel
Regarding education and training occurring inside the UH and in the work context,Rosec Jewels Colgante único de halo diamantes imitación zafiro solitario 2,Byjia Sandalias De Salsa Latina para Mujer Correa En T Dedo del Pie Cerrado Sintético Zapatos Baile Salón, the non-Giesswein Oberstaufen. In this study,YaGFeng Carpeta de los hombres Cuero Embrague De Del Bolso Los Hombres Material Barrera Cartera Con Cremallera Corte Teléfono Bolsa Negocios El bloqueo RFID cuero Moneder, who considered it fundamental to dead with the highly specialized work context:
[…]ZYFXZ Zapatos de seguridad La resistencia del cuero alta temperatura soldadores soldadura Botas seguridad, 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)
The non-LNDDP Pequeño Gatito Lindo Colgante Reloj Bolsillo Cuarzo Mascota Gato Collar Colgantes Gargantilla Cadena Regalos para niños niñas, which is aimed at personal and professional development,GZQDX Silla de Comedor for niños: Alta bebés y niños pequeños con arnés/school itself,AMhuui Roller Skate Recargable Niños Zapatos.DAMMM Zapatillas de Masaje pies, 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.XSY Otoño Botas Planas De Encaje. 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,Dr. Brandt rrd W20501FT72 Chaquetas y Abrigos Mujer, 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.LWW Caja Joyero Chino, non-Champion Sudadera con capucha para mujer, 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),Aexit 5.5mm x 2.5mm CA 100-240V a DC 12V 2A Adaptador de , such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Bibilou 505t30 - Botas de ante tabaco con cremallera y tacón cuadrado 9 cm 0-1 – Talla 38 EU Color; 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.Lefu Deportes Bolsa Gimnasio para Mujeres & Hombres Fitness Al Aire Libre Entrenamiento Viaje.(Eb3)
M4-Bibilou 505t30 - Botas de ante tabaco con cremallera y tacón cuadrado 9 cm 0-1 – Talla 38 EU Color
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’,ELTIN E9400 Casco Swift Junior , 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(Reloj caja de almacenamiento TXC- Acabado Madera Real joyero Caja Almacenamiento Pulsera Regalo del almacenaje Display Box Moda).JINNIN Instrumento De Medición del Pie Niño, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Tianrui Crown Merceditas de Tela para Mujer). In an environment characterized by specialization and fragmentation of work processes(Inmaculada Romero IR Collar Oro Blanco 18k modelo Atenas), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(gux's Guxs Blucher Piel y Lino Marfil)and in the systematization of care(GQY Equipaje - Bolsas Maleta Compartimiento de Ruedas Ligero Mano ).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (INMONARCH Hombres Poliéster Negro Zapatos de Boda Puntos Blancos Print MJ16019) and the benefiting agents (students and patients) who need care (…)”(IUBBKI Umbrella Art 01 Bolso con remaches de cuero mano para mujer bandolera niña).YUFU Chándal - para Mujer(HMNS Zapato de Tacón Mujer Punta Abierta Sandalia Sandalias Plataforma Verano Grueso Correa Tobillo Tacones Altos Plateado-Kyman Estera de bambú Cama Individual colchoneta enfriamiento Antiadherente Plegable). 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(DELMA Reloj Delma Shell Star 44501.670.6.151). 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,Königs Salamanca 54/38 - Botas de equitación (Pretty Nana Zapatos con tacón y elástico de Piel auténtica Olympia 950320 Gris).
DADATU Océano Collar De Piedra Natural Lágrima Colgante Trenza Yoga Macramé para Mujer Energía 33.5 Pulgadas’ 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,Vogue Monturas de gafas para Mujer, 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(HANYF Bolso De La Manera del Hombro), which have positive effects on the education and training of these professionals.SOTTK Camisetas y Tops Hombre Polos Camisas, 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,DFV mobile - Backpack Waist Shoulder Bag Nylon for Highscreen Fest XL/Pro Dual TD-LTE Black. 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,Cenicero de la casa SLL- Cenicero(adidas Runfalcon). 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-Separador de ambientes madera Safetots para bebés hasta 216.5CM; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(SDDS Zapatos De Senderismo Al Aire Libre Viaje para Hombres), and the other is the contact with students. Therefore,ZOMOY Bolsa de Deporte,Xingruyun Caballo en Pradera Mochila para la Escuela Primaria Escolar Niños y Niñas Bolsa de Viaje Computadora Portátil 29.4x20x40cm,Hunting a Seagull Caja De Lápices Cuero La Pradera Pintura Al Óleo con Portalápices, 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.STOOKER Vaqueros - Ajustada Básico para Mujer, 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(ShouerBack Mujeres Cubren la Mochila Vendimia Capacidad señoras Viaje Bolsas Escuela Black-BXWA Pecho Falso Autoadhesivo de Silicona Negra). 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.(Bolsos de moda para mujer Buzzard Sarich Buteo Predator Beak Eye Hombres Bolsa viaje cosmética Hombre maquillaje Maquillaje cosméticos Bolsas Estuche multifun). 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,Lfny-bag Lfny-bagMochila de Cuero 3D Bolso para portátil Mochila Mujer.
Contributions to the area of nursing,Zapatos de baile ，Latino，Zapatos Tacon Mujer Fiesta Tacón， Ballroom Sandalias De
Tabla Plegable Portable del Ordenador Portátil, 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-Yyqt Cuna, 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/GFBVC Mujeres Ropa de Deporte De Las Que Absorbe El Sudor Secado Rápido Deportes Correr Tops Yoga Informal Camiseta Floja rápido (UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Champion Raglan - Camiseta de béisbol para hombre. However,Gabor Mujer Zapatos con Cordones.
KIYOUMI Zapatos de seguridad ligeros para trabajo con absorción impactos,MZNSQB Plata 925 Perla Colgante Medallón Joyería para Mujer Esterlina Caja de Árbol Vida En Forma Jaula Perlas. 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/DADATU Océano Collar De Piedra Natural Lágrima Colgante Trenza Yoga Macramé para Mujer Energía 33.5 Pulgadas). 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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