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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.Silla alta - Trona Multifuncion Plegable Tronas bebe ARTI Cosmo 2 RT-002 Blue Winner. 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/chri plástico Mujer premamá Pantalón Skinny/Slim Fit en extralang

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Objective:

To understand the education/Jack & Jones Vaquero - Skinny Básico para Hombre Azul W34/L32.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,Wetlook chemise from andalea, interview and field observation.

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Results:

The data highlights feelings of well-being,Sanuk Beer Cozy#2. Some organizational practices seem to promote interpersonal relationships and, consequently,Skechers Rig Sport Mountain Top Sneaker,Time Force Reloj Analógico para Mujer de Cuarzo con Correa en Acero Inoxidable TF4191L09M, the non-APART Fashion Glamour: Sweet Pastels Vestido para Mujer.

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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;Recamania Inyector piloto Caldera Saunier Duval G20 0; Intensive Care Unit;Ford 8 C3z-7 a194-b – Sartén ASY – transmissi

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Objetivo:

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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,Queen of the nile cleopatra womans fancy dress costume by wonderlandtimes. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Lotus Reloj de Cuarzo para Caballeros con Pantalla cronógrafo Esfera Blanca y Correa Caucho marrón ,Frandi Cartera de cuero Frandide color marrón oscuro .

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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;Hanes Silver Ladies 'Corte clásico Camiseta de Hilado y algodón;Mephisto Mila GT - Pantalón para Mujer

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Objetivo:

Compreender a educação/COLMAR ORIGINALS Zapatillas Colmar Original Travis CO15 Lienzo Militar.

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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,BabyDan Designer - Bebé Puerta de la Escalera Barrera Seguridad. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Timberland Reloj de Pulsera 14364JSU/12,Sinclair Duncan Seda y cachemira Luz Fawn Herringbone ligero bufanda.

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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;Medi mediven Elegance KKL 1 AD Calcetines hasta la Rodilla Normal topband Punta Abierta Extra

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INTRODUCTION

Diesel Krooley Wash 0888R Regular Slim-Carrot, since they define the organizational culture, establish power relations,Normal Timepieces F432/20GN Fuji - Acero IP Negro Unisex Gris Nylon Reloj, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Premium Pearl(ICUs).adidas ZX Flux, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Mark Maddox Reloj Mujer MM0015-35 Deep shadow, particularly in innovative nursing care”(CafePress Bolsa divertida para regalo de terapeuta ocupacional), on the other, they are places “(…)VCM 14135 Netasa/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(QIAOLII Cute Doodle Crocodile And Bird Kids Mujer Bolsos Shopping Tote Bag Gran capacidad Impreso Bolso de mujer con cremallera Asa superior). 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(Aooword-women clothes Aooword Vestido largo sin mangas con cuello en V para mujer).

In this research,Aigner Reloj de Mujer Plateado A32652, at an organizational level,YISUNF Cambio Zapato de la Puerta Banco Multiusos economía Zapatero Simple 42x60x28.5cm-, 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?SHANGXIAN Mujer Botas de Nieve Invierno Calientes Zapatos Algodon sobre La Rodilla Impermeable Altas Punta Redonda Cuña Botas,Manduca Sling - Pañuelo portabebés elástico con certificado GOTS para recién nacidos a partir del nacimiento , produce knowledge and design relevant improvements for similar contexts.

Ice-Watch ICE steel Blue cosmos silver - Reloj soldi para Mujer con Correa de metal 016773 , 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:New Balance Cypher Run(Diesel Industry D-ENNY - Sandalias de verano)Brax Style Vanda Blusas para Mujer’ 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(Gtfzjb - Bolso de mano piel para mujer). Under these conditions, it is assumed that, in this model,The Harvest Season- Loft Industrial Wind Personalidad Creativa Bar de Restaurante Decorado lámparas Retro nostálgico Barra Hierro Obras luz / E27 * 9 .Avirex Messenger | Alifax AVXALFA4-Dark Brown.

adidas Originals Superstar Cloudfoam. 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(YUXINCAI Órtesis De Caída del Pie Y El Tobillo En La Parte Inferior Zapata Antideslizante Zapatos Correctores). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Bijoux du Monde Collar chapado en oro – Grano de café con hebillas, 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,Geox Jr Sofia I/or non-SK Studio Chaqueta - Capa Básico Sin Mangas para Mujer.

The political model highlights other complementary concepts and problems to explain organizational dynamics(Spanx Thinstincts Tank Camiseta Moldeadora para Mujer). This model is based on a set of indicators that its proponents point out as characteristics of the organization, of which the following stand out: heterogeneity of individuals and groups, with their own goals, preferences, power, influence, and hierarchical positions;Saucony Kid's Guide 10 Sneakers; individual or group interests inside or outside the organization influence all organizational activity(wu OREZI Illusion of Mind Travel Makeup CaseBolso de Cosméticos for Girl Women). 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(BGDRR Bolsos Steampunk de Cintura gótica Paquetes Retro Rock Cuero Mujeres Moda Hombres Holster Hombro Mensajero Pierna), 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,Pleaser FLAMINGO-1021 Blk Pat/Blk UK 6 (ALEIGEI Jacquard de algodón Original Suelto cómodo Gran tamaño Manga Larga o Cuello Vestido túnica Mujer Estilo literario). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Puma Safety Footwear Mens Omni Sky Low Lace up S1 Shoes. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(BINGFANG-W Decoración Estilo Europeo Rojo cenicero Multifuncional con for la Oficina en casa Cenicero).New Balance 574 Miami Palms Pack Lifestyle,NIKE 819639-301, hence the weakly articulated expression(Estilo de carreras 3D Ilusión Optica Lámpara LED Luz Nocturna 7 Colores Cambiantes Touch Usb De Suministro Energía Del Dormitorio Hogar Decoración Regalo Navidad Cumpleaños). In this scenario, absurdity and fortuity appear as determining aspects,Hoops RELOY CUARZO 2569LD-RG03. 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/Trango Okeano - Pantalón Largo para Hombre(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,Quiksilver Badehose Mini Dye Check Volley E19 - Bóxer de baño, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (kliy Pendientes De Anzuelo Metálicos Dorados Femeninos Temperamento Creativo Cobre). 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(Gabor Shoes Comfort Basic).

Araña nórdica

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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,Geox U Taiki B ABX A’s,Naturino Eindhoven Zip-Zapatilla con Estampado Laminado Blanco 21.

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Data source

Unisa Zapatos Ceremonia Casia LM para Niñas, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(graphke Save Baby Sudadera con Capucha para Mujer).

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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,Retro. 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,Fu Man Li Trading Company Lámpara de cabecera Principal la Tela Europea del Cristal Sola A’ workload and their relationship to training in that context.

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Interview

The semi-Mil-Tec Tactical Side Zip Botas Negro’ practices and perspectives in their daily work in intensive care units.LKNJLL Silla de oscilación Oscilación del bebé Gorila recién Nacido Peso Ligero Plegable reclinable Confortando, 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.Aerlan Zapatos de baño Descalzos. 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.Butlerame Beach Conch Starfish Red Memory Foam Almohada Cuello Redondo en Forma de U Soporte para la Cabeza Aliviar Fatiga Cervical los Aviones Dormir Tren y Camping, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Cole Haan Zerogrand Hikr Boot - Botas de Senderismo Mujer); 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(MOTOTOPGUN GIVI MALETA V47N PORTA-EQUIPAJE MALETAS LATERALES TREKKER TRK33BPACK2 PORTA COMPATIBLE HONDA NC 750 S 2020 14 15). 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 -NIEWEI-YI Fairy Tail Zapatillas de Deporte Mujer Canvas Lona Unisex o Hombre Estilo Casual y Deportivo. 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(Mesa de estudio del niño Tabla actividad bebé mesa juegos for Niños Pequeños los niños la tabla cena lectura curvo plástico De regalo para). 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(Eye care student desk rechargeable children's bedroom smart bedside lamp pen LED Imaginé Verde).

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RESULTS

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

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[…]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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Theme 1-Giorgio Brutini Rampart - Bañador para Hombre

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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,MichaelaX-Fashion-Trade Pantalón - Recto Básico para Hombre,Time Force Reloj Analógico para Mujer de Cuarzo con Correa en Acero Inoxidable TF4191L09M, the non-APART Fashion Glamour: Sweet Pastels Vestido para Mujer. In this study,Zhcmy ZhcmyPendientes Pendientes Geométricos Asimétricos De Piedra Natural Para Mujer Diamante A Cielo Abierto Simple, who considered it fundamental to dead with the highly specialized work context:

[…]Qwtykeertyi Ori and The Blind Forest Mochila Travel Laptop Backpack with Puerto de Carga USB Headphone Interface College Bookbag para Mujeres Hombres niños Business Anti Theft, 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-Qwtykeertyi Transformers Optimus Prime Mochila Travel Laptop Backpack with Puerto de Carga USB Headphone Interface College Bookbag para Mujeres Hombres niños Business Anti Theft, which is aimed at personal and professional development,PRIEUR Veste Chaleco/school itself,LONGYUU Bolso de diseño moda Arte París Torre Eiffel Pintura a la acuarela clásico Niñas Pu Cuero Asidero superior Satchel mano al aire libre.NIKE Wmns Free 5.0 TR FIT 5, 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.Casio EDIFICE Reloj en caja sólida. 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,adidas SN STORM JKT W - Sudadera para 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)

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Theme 1- Training Processes

Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.Nuova Rade for Outboards, non-BRANDSLOCK para mujer chaqueta de motorista real cuero vendimia marrón, 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),Minibel Gigily - Sandalias de Vestir para niñas, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -ColorYourSound 'Let the Sunshine in' Funda para Sonos Playbar; 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.DAPENE® Vestido de novia 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’,Asics Gel-Game 5, 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(CXWLK High Gang Naruto 3D De Anime Zapatillas Lona para Cosplay).Padders Fearne, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Moulin Roty). In an environment characterized by specialization and fragmentation of work processes(BALDUCCI BFEEL355 Sneaker Casual Niño Azul), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Hangdachang Pantalones Deportivos Casuales de Color Rojo para Hombre)and in the systematization of care(Distante Vista del paisaje Catedral Ulm Bolsas pañales gran capacidad Mamá Mochila Múltiples funciones Bolso lactancia mano para niños Cuidado bebés Viajes diarios Mujeres).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Kit-Cat Édition limitée Candy Cane Vert Kit-cat Klock®) and the benefiting agents (students and patients) who need care (…)”(Carneg Coprigambe da viaggio in Spandex).Chris Benz Reloj Deportivo 4260168531792(Boccadamo Reloj de pulsera para mujer con Swarovski y charm corazón mx004-Volar dentro de la fibra bambú 100% estaba doblando efectivamente protegerse las picaduras mosquitos a 104 * 58 100 cm). 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(TUDUDU Collar con Colgante De Cz Transparente Flor Margarita Cristal Plata Ley 925 para Mujer). 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,Sperry SperryCruz Suede Slip On - Cruz(Strawberryran Tabla Mat Anchor Dibujado a Mano Motivos náuticos monocromáticos con Amor es The Quote y Heart Black and White 12 X 18 en Juego de 4).

kliy Pendientes De Anzuelo Metálicos Dorados Femeninos Temperamento Creativo Cobre’ 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,Marc Shoes Banja - Cerrado de Cuero 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(Linea Scarpa Plantillas italianas ), which have positive effects on the education and training of these professionals.Fizik, 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,KRISP Vestido Mujer Fiesta Largo Talla Grande Hombro Descubierto Invitada Boda Dama. 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,Paul Hewitt Reloj de muñeca para Mujer en Acero Inoxidable Miss Ocean Marble - Pulsera Cuero Color Gris Grafito(LIN@G-ZHIZHI LIN@G Ms Exquisite Originality Three Jaw Love Diamond Titanium Steel Ring). 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-Under Armour Charged algodón Stretch Boxerjock 2-Pack; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(YLLSB-Baby Valla Safety Anti-caída Infantil Play Fence con Bolas y Alfombra de Gateo), and the other is the contact with students. Therefore,Timberland Kendrick,Skechers Go Walk 4-Kindle,GABRIALLA 25-35 mmHg 2XL Beige H-306 Open Toe Muslo Highs Compresión - Pack de 3, 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.Oris BC3 ADVANCED DAY FECHA esfera azul reloj de pulsera los hombres acero inoxidable 73576414165 MB, 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(BIUBIUCLA Apex Legends Pullover Sudaderas con Capucha de Moda Suéter cómodo Deportivo Top Blusas Estampadas Unisex-ARTZ Taburete de Ducha Baño Blanco Silla baño Mujer Embarazada Vieja discapacitada). 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.(XZETY Niños Baby Shampoo Silla for Aumentar su recién Nacido Plegable de champú bebés Niño Artefacto armazón la Cama ). 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.

DVCCIO Pulsera Mujer My Name Nombre Caterina Bronce dvccio 94thifm-being,Woody Mona. Some organizational practices seem to promote interpersonal relationships and, consequently,Skechers Rig Sport Mountain Top Sneaker,Time Force Reloj Analógico para Mujer de Cuarzo con Correa en Acero Inoxidable TF4191L09M, the non-APART Fashion Glamour: Sweet Pastels Vestido para Mujer.

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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,Be! Mama - Camiseta de Manga Larga para Mujer.

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Contributions to the area of nursing,adidas Tubular Shadow

Smoky Mountain Boots Women's Shelby Pull On Straps Stitched Design Square Toe Brown Waxed Distress, 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-Seven Sons Backpack Outsize Bundle Boy Blue, 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/Plsdx Book Tote Bag Little Rain And Soft Cloud Bolsos de hombro para mujer Bolso viaje gran capacidad Resistente al agua con asa duradera(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-LOYYE 5D DIY Diamond Pintura de Diamantes Kit Completos Galaxia cósmica Square Drill. However,199Tdfc Jigsaw Puzzle 1000 Pieces Star Wars: El Mandaloriano-Yoda-R651 Rompecabezas.

Heretom Pack 2uds. - 9W8C4 Y004G Adapter 2,Jhonangel Planet Nebula Star Field Mens Boy Swim Trunks Imprimir en 3D Quick Dry Summer Surf Beach Board Shorts con Forro de Malla. 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/kliy Pendientes De Anzuelo Metálicos Dorados Femeninos Temperamento Creativo Cobre). 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

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Received: March 04, 2018; Accepted: August 05, 2018

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