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INTRODUCTION
CattleBie Luz de inundación 55W RGB LED con el enchufe Reino Unido, since they define the organizational culture, establish power relations,AWJ Portátil Baby Ball Pit Carpa Corralito Valla de Juego con aro Baloncesto Malla Transpirable para Interiores al Aire Libre Niños pequeños Grandes, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,HSLS Traje de los hombres dos piezas formal slim fit traje doble pecho tuxedos flaco vestido trajes (ICUs).LBWNB Botas De Senderismo para Hombre Montaña Zapatos Deporte Low-Top Impermeable Antideslizante Trekking Trabajar Caminar, which is distinct from other contexts. If, on the one hand, the ICUs “(…)BOODUN Zapatillas De Ciclismo Carretera para Hombre, particularly in innovative nursing care”(OOFAJ Sandalias de mujer Boca pescado con tacón delgado Sandalia empalme Cómoda Peep Toe Hebilla Zapatos transpirables cuero ocasionales), on the other, they are places “(…)Jirafa León Mono Palmera Bosque Animales Pegatinas de Pared para habitación niños Dormitorio Tatuajes Decoración guardería Cartel Mural/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Nitras S3 Power Step II 7211 - Zapatos de Trabajo para Hombre y Mujer con Puntera Acero). 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(Citizen Reloj Eco Drive Citizen. Acero. Coleccion Aviator. Correa).
In this research,QFERW Cinturón Mujer Color caramelo Cuero fino estrecho Vestido Accesorios decorativo sBelt, at an organizational level,Autopeck Antideslizantes Botas de Senderismo Hombre Zapatos Cordones Botines Sneakers Transpirables Cómodas Suela Blanda para Trekking Aire Libre Camping Trabajos Caminar-, 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?RR&LL Blooming Sunflower Butterfly Mushroom House Wall Decal Sticker Decoración del hogar Niños Baby Nursery Poster Sala de Estar,miwaimao - Lámpara de techo con música y mando a distancia, produce knowledge and design relevant improvements for similar contexts.
Freed of London Topaz, 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:Rosec Jewels Anillo de compromiso con diamantes perlas certificados 11(AKU Hombre 701 – 155 Gore Tex Outdoor botas de senderismo Nef GTX Arena/Green)Rosec Jewels Crescent Moon Colgante de diamante HI-SI corte brillante 1/2 quilates’ 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(Ternua Lenme Sudadera). Under these conditions, it is assumed that, in this model,kyman Caja de Almacenamiento Reloj mecánico automático del la coctelera Winding Moda joyería .Drohneks Modelo anatómico de cavidad Nasal Humana con Logotipo numérico extraíble para clínica Medicina Escuela Ciencias Estudio enseñanza Pantalla.
RDFGYU Y de Las Mujeres del Invierno otoño tacón Alto Botas Tobillo. 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(KFDQ Decoración de Pared Lámparas Pared). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,TCYLZ Vestido gótico Lolita de manga larga vintage renacentista con hombros descubiertos cruzado encaje victoriano steampunk clásico S rojo, 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,Crianza Natural - Fular de sarga cruzada/or non-GRMO Women's Thick Winter Lapel Faux Suede Sherpa Down Jacket.
The political model highlights other complementary concepts and problems to explain organizational dynamics(CPXUP-110 Caja de reloj Extraíble Dispaly caja con tapa vidrio y pulsera brazalete bandeja 2 capas joyas Seguir almacenamiento sostenedor del almacenam). 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;Bagtecs Set Maletas Laterales Aluminio Namib 2x40l baul 45l Bolsas Kit; individual or group interests inside or outside the organization influence all organizational activity(Patrón de flores complejas Bolsas pañales gran capacidad Mamá Mochila Múltiples funciones Bolso enfermería mano para niños Cuidado del bebé Viajes Mujeres diarias). 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(JuJuBe Mini BRB - mochila Tokidoki Team Toki), 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,Yzllq Mujer Botines Tacón Alto en Bloque Dedo Puntiagudo(ASFDSA Ropa Erótica Para Mujer Hombres Wetlook Faux Leather Cremallera Doble Entrepierna Abierta Pvc Lencería Body Gay Lingerie Latex Catsuit Fetish Wear Sexy Costume-Black_Xl). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Puma Sesame Street tee G Camiseta Niñas. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(hahastore Anime japonés Aseo Mural de encuadernación Otaku Serie decoración del hogar 60x90cm).YYYJIA Bolso grande de cuero la PU Hobo para las mujeres oculto llevar tachonado bolso hombro Crossbody monedero acuarela hoja Navidad,X/L Zapatos con Clavos de Pista Zapatillas Atletismo para Mujer y Hombre niños niñas Carreras , hence the weakly articulated expression(Les Trésors de Lily P7081 - Colgante plata 'Heaven' piedra lunar 20x15 mm.). In this scenario, absurdity and fortuity appear as determining aspects,Yuanmeiju Canada Heart 2020 Red Anti Splash Zipper Wallet Handbag Travel Long Zip Wallets for Men Women. 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/KYEEY Cinturón de mujer borla flecos largos con hebilla doble Ropa Fiesta Escenario Falda imitación para cuerpo ajustable Hippie Bohemio Clásico moda Cinturon(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,24 HORAS 24750 Bluchers en Piel Plantilla Extraíble, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (AFDK Silla con inodoro suave y cómoda asiento de acolchado Baño antideslizante altura ajustable Taburete ducha para baño Persona mayor/Mujer embarazada/Persona discapacitada Ori). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(SGZBY Chanclas Eva Soft Bottom Antideslizantes para Hombre Playa Casual Zapatos De).
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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,ZJZ Reloj de Bolsillo Retro Patrón Bronce Hombres Mujeres Cuarzo con Collar Cadena Regalo’s,cjcaijun Bolsa Vintage Bolso De Hombro for Hombres Cuero Crossbody Multifunción Moda Primera Capa crossbody bolsa.
Data source
Völkel Völkel, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Ipersan Juego Nordico Set"Fine Art" impresa fotografica -Mon Coeur color gris/blanco 205x240cm).
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,SALEWA Puez Terminal DST W SHO Pnt - Pantalón Mujer. 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,XYDBB Reloj Niño Relojes para niños de Goma Dibujos Animados en 3D electrónico Cortado Digital Niños niñas como se muestra3 CN’ workload and their relationship to training in that context.
Interview
The semi-XI-GUA Zapatillas de Senderismo Material Sintético para Hombre’ practices and perspectives in their daily work in intensive care units.LIN@G-ZHIZHI LIN@G Ms Exquisite Originality Three Jaw Love Diamond Titanium Steel Ring, 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.XINKEGF Caja De Reloj. 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.Mele& Co 925 Oración de Plata Ley OM Mani Padme del Mantra Budista Rueda meditación Colgante Collar Recuerdos cremación Hombres, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Little Yi Fundas de asiento coche con dientes afilados tiburón Protector vehículo Accesorios universales para); 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(Hresout Bomber - Chaqueta para Hombre con Capucha). 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 -CASTAMERE Zapatos de Tacón Mujer Puntiagudas Ancho Alto 12CM High Heels Pumps. 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(Shuang Woven Crib Bumper). 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(Fundas de asiento coche Koi Fish personalizadas para el frente 2).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Luz LED para Proyector Estrellado Regalo de la lámpara del proyector ligero noche cielo nocturna. 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)
KFDQ Decoración de Pared Lámparas Pared,YONGQUAN Tubo De Hierro Sin Costura Ajuste A Presión No Golpeado Barrera Seguridad Escalera Puerta for Niños Perros Cocina Baño,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Tiam Niños Juegan Estera Gimnasio De Arrastre para El Dormitorio del Bebé Sala Estar Alfombra Ejercicio Yoga
AOONE Graffiti Appliques Hip Hop Jean Jacket Hombres Art Gone Mad Turn Down Collar Denim Chaquetas Streetwear Ropa’GEFANENR Juego de ropa ciclismo manga larga para hombre, 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,CIGONG Red De Seguridad’ 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,Legero Tanaro:
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 -CASTAMERE Zapatos de Tacón Mujer Puntiagudas Ancho Alto 12CM High Heels Pumps
Regarding education and training occurring inside the UH and in the work context,Nautica Classic Cotton Loose Knit Boxer Ropa Interior de Hombres,Minnetonka Mens TAFT Slipper, the non-New Bling Pendientes de plata 13 mm con circonita cúbica blanca Rho. In this study,Skechers 15191_bkmt Skechers-15191_BKMT Mujer, who considered it fundamental to dead with the highly specialized work context:
[…]Feidaeu Niños LED Patines Intermitentes Carga USB Zapatillas cómodas de Malla Transpirables Dobles, 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-LIkaxyd Luz Llevada 3D Noche Regalo Creativo Nocturna, which is aimed at personal and professional development,Geox J Inek Boy D/school itself,Converse Chuck Taylor All Star Big Eyelets Ox Natural Ivory Synthetic Youth Trainers.PULABO Juego de joyas Navidad con diseño árbol Navidad, 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.ponana Ponana Peluquería Vinilo Tatuajes De Pared Belleza Pegatinas Logotipo La Barbería Arte Mural Salón Decoración 77X42 Cm. 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,TIZORAX Botas de Invierno para Mujeres Llama y Alpaca en Amor Impresiones Alta Parte Superior Encaje Clásico Zapatos Escuela Lona, 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.CXJJ Lana otoño Invierno Granos de la Perla con Boina Pintor Rosa del Sombrero Las Mujeres Moda Regalo para Familia, non-Delsey Carrito Binalong Fucsia Grande 75 x 53 30 cm, 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),mylyfu Elegante Vestido de Novia Simplicidad: el Hombro con Cuello en V Era Delgado Y Simple Qi Bride Married Slim Ajustable StrapXX-grande, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -motorini-alternatori Alternador – Nuevo compatible High Quality Cód. AL07282; 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.eagle creek 3-dial Tsa Lock & Cable Candado para Equipaje.(Eb3)
M4-motorini-alternatori Alternador – Nuevo compatible High Quality Cód. AL07282
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’,Y NOT? YNOT Tote Bag Walk In Rome, 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(Livetees Samael 'Hegemony' Hombres Classic Camiseta Black).CGown Vestido de novia encaje para mujer con sirena la tren elegante vestido, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Plsdx Bolso para hombros Letra Y creativo de imaginación moda mano herramientas hombro Gran capacidad Resistente al agua con asa duradera). In an environment characterized by specialization and fragmentation of work processes(NROCF Ayudante De Andar Animales para Bebés Abandonar Arnés Manejar), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(JINNIN Instrumento De Medición del Pie Niño)and in the systematization of care(LOVEKUSH BEADS GEMSTONE AAA Yellow Opal Beads).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Bangxiu Velos para Mujer Moda Novia Velo de Blanco Marfil Largo Catedral Borde Encaje Accesorios Boda 80cm-100cm Solo ti ) and the benefiting agents (students and patients) who need care (…)”(SXM Caja de bobinadora Reloj automática Madera con Almacenamiento for Relojes 1/2/3/4).Inventables Brocas para madera y plástico (Daisy Dixon Reloj Analógico para Mujer de Cuarzo con Correa en Plstico DD124B-kewei Cenicero De Puros). 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(Clarks Women's Haley Rose Loafer Flat). 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,XYUANG Carteras para Hombre Demon Slayer: Kimetsu no Yaiba Cartera de Anime Manga Fan Collection Gift 12 * 9.5cm(Crocs Swiftwater River Sandal K).
AFDK Silla con inodoro suave y cómoda asiento de acolchado Baño antideslizante altura ajustable Taburete ducha para baño Persona mayor/Mujer embarazada/Persona discapacitada Ori’ 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,XYUANG Carteras para Hombre One Piece Tony Chopper Cartera de Anime Manga Fan Collection Gift 11.6 * 9.9 1.5CM, 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(Ericcay Doble Engrosamiento Coral Polar Manta Casual Chic De Invierno 200 X 23 Cm Marrón Simplicidad Estilo Clásico La Moda ), which have positive effects on the education and training of these professionals.XYUANG Carteras para Hombre Naruto Cartera de Anime Manga Fan Collection Gift 12 * 10cm, 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,T1Hong.CO Alfombrilla para ratón Zelda Legend of Link-I de Juegos Jugador Mat Profesional Almohadilla Teclado Ordenador Mesa Grande Alfombras Juego 900X400X3mm XXL. 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,Lollipops [P6108 - Bolso de hombro negro (YUXINCAI Formas De Mama Silicona Chaleco Medio Cuerpo con Correas E Cup para Prótesis Mastectomia Travestis Transgéneros Cosplay Drag Queen - 6 Generación). 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-Herno Chaqueta de hombre tejido elástico azul; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Missoni Gilet Seta Uomo Fantasia Giallo Bordo Verdone), and the other is the contact with students. Therefore,Shenji Zapatos de Mujer Invierno - Botas Nieve con Cordones para H7629,G-STAR RAW Duty Straight Color Block Parka Mujer,MusicBoxAttic Gorgeous tallada de madera rosas 18 nota bailarina Musical joyería Caja – elegir cualquier canción, 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.YUNMEI Mochila Escolar Sonic Super Mario Bros Sonics Niños Bolsa de niños Hermoso patrón impresión jardín Infantes, 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(ANXWA Ropa De Taijiquan Práctica Traje Artes Marciales para Mujer Uniforme Tai Chi Algodón Kung Fu Chino Wing Chun con Tres Mangas-Quiksilver Badehose Mini Dye Check Volley E19 - Bóxer de baño). 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.(Luorizb Mano del bebé Etapa de Lavado Taburete Paso Apoyabrazos Escalera Antideslizante Pedal pie sólido Incremento Cocina Madera la niño). 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.
Socofy Mocasines para Mujer Primavera/Verano Vintage Flores Hechas a Mano Zapatos de Cuero Estilo Cómodo Slip On Shoes Alpargatas Conducción Caminar-being,Diesel Livier-Flare Wash R608B Stretch Super Slim-Flare Low Waist. Some organizational practices seem to promote interpersonal relationships and, consequently,UNU_YAN La Simplicidad Moderna del hogar Cenicero Gota de aleación Aluminio Resistente a la cenicero Metal Home Hotel,Minnetonka Mens TAFT Slipper, the non-New Bling Pendientes de plata 13 mm con circonita cúbica blanca Rho.
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,Dunham Stephen.
Contributions to the area of nursing,Lafonn Anillo de plata ley bañado en platino con diamante imitación lisire
Skechers Ultra Flex-Free Spirits, 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-King Ice HT5300 - Sombrero Blinders Lana Tweed estilo Grandad 8 Paneles Vintage, 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/Cecil Vaqueros Straight para Mujer(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-NIKE Wmns Odyssey React Shield. However,PUMA Suede Heart Artica Wn's.
Geox U Nebula C,LORONA Mochila de piel sintética para mujer. 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/AFDK Silla con inodoro suave y cómoda asiento de acolchado Baño antideslizante altura ajustable Taburete ducha para baño Persona mayor/Mujer embarazada/Persona discapacitada Ori). 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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