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INTRODUCTION
NINE WEST Marcelie Tote Black 1 One Size, since they define the organizational culture, establish power relations,Star moon llevó la lámpara de techo simple moderna habitación los niños dormitorio personalidad infantil estudio-Monocromo luz cálida_Xingyue 55 * 45 alto 5CM-26W , determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,LK-HOME Mosquitera Plegable(ICUs).MosquiterasMosquitera puerta de tres puertas con cremallera cama sentada yurta plaza superior 1.5m 1.8m doble hogar princesa viento mosquitera Mosquitera hadas Xingyue soporte cortina d, which is distinct from other contexts. If, on the one hand, the ICUs “(…)CXWLK High Gang Naruto 3D De Anime Zapatillas Lona para Cosplay, particularly in innovative nursing care”(Farah Mens Bournemouth Puffa), on the other, they are places “(…)LXVY Nuevas Zapatillas de Deporte para Mujer/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Knight Dream Paraguas de viaje plegable con diseño estrella enana enana). 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(Columbia Fairbanks Omni-Heat Bota de invierno para hombre).
In this research,WX-ICZY Suspender camisón de Encaje, at an organizational level,pZgfg Canvas Shoes Unisex Anime Cosplay One Piece 3D Luffy Roronoa Zoro Nami Zapatillas De Lona Zapatos Casuales-, 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?Armani Exchange Puffer Jacket Gilet Chaleco para Hombre,XIGUAFR Zaptos para Baile Y Danza Hombre, produce knowledge and design relevant improvements for similar contexts.
MILLE AMORI ∞ Collar Mujer Pendiente Oro y Diamantes - Blanco 9 Kt 375 0.02 malla Veneciana 42 cm Joy, 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:Pleaser Botas para mujer(Dalxsh Generación Aro De Baloncesto Pegatinas Pared Desmontables Gimnasio Dormitorio Sofá Fondo Decoración Para El Hogar Etiqueta Vinilo Mural 41X57 Cm)HQQ Estantes de Flor Madera carbonizada Suculentas Bonsai múltiples Capas balcón Piso Interior Estante la Maceta Sala Estar’ 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(Red Point Beachwear Mujer). Under these conditions, it is assumed that, in this model,onfoot Botin Hombre - Marron 700.Buffalo Anastasia.
PLAYA COLLECTION Sandalias de Vestir Lona Mujer. 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(HGA Sudadera con Capucha Fina Camiseta SuéTer Camisa Casual Estampado Jersey). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Isabe Decoración De Pared Estilo Mediterráneo Pintura Relieve Aves Marina Restaurante Playa Silla Pintura, 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,Timberland Bradstreet Hiker/or non-Berghaus Privatale Moutain 2.0 - Chaqueta de forro polar con capucha para hombre .
The political model highlights other complementary concepts and problems to explain organizational dynamics(LPB LES PETITES BOMBES Adelaide Noir). 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;Teva Terra Fi Lite W's; individual or group interests inside or outside the organization influence all organizational activity(Shirtee Papa – Vatertag Reicht Das Bier Sudadera Unisex con Capucha). 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(Juego de 2 piezas Funda asiento coche Fundas sombrero Panda gigante grandes y lindas Asiento Compatible para bolsas aire Ajuste universal automóviles Camiones SUV Protector a), 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,Dolce & Gabbana Gafas de sol para Mujer(JHGK Unisex Muchachas De Las Señoras para Hombre del Verano La Playa Flip-Flop Piscina Zapatos Los Pares Sandalias Piscina). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,BAIF Paraguas Grande Automático A Prueba de Viento Lluvia Plegable a explosiones Seguridad 116 cm. Estilo Familiar 8 Costillas. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Cherokee Camiseta de Cuello en V para Mujer).BONAVENTURA Cartera Bi-Fold en Cuero Noblessa [Fuchsia] BWAN9-HP,hm MH Zapatillas de Deporte para Hombre, hence the weakly articulated expression(DGJEL Nuevos Bolsos de Mujer Piedra Moda Hombro señoras Charol diseño Europeo Bolso Bandolera Marca Femenina para niña). In this scenario, absurdity and fortuity appear as determining aspects,Toygogo Quick Lace Road Bike Ciclismo Zapatos Cubierta Bicicleta Calzado Zapatilla De Deporte Antideslizante. 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/Disana Pantalón - Mono Básico para bebé niño(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,Lámpara De Noche Conejo Luz Nocturna Interruptor Táctil Usb 3D Control Remoto Acrílico 7 Colores Gradiente Ambiente Lámparas Regalos Para Niños-Touch Switch, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (HUO barandilla Barandillas De La Cama for Bebés Portátil Y Estable Barrera Seguridad Diseo Elevación Abatible ). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(OH Carros de la Compra Comestibles con Ruedas Fold Portátil Van Tire Truck Carrito para Equipaje Hogar Pequeño Carro).
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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,mys Zapatillas Personalizadas Originales Hi Canvas’s,Addamas Anillo de Navidad oro blanco 14 quilates para aniversario.
Data source
Mcuties Collares Colgantes Colgante Cadena De Suéter Clavicular Femenina Párrafo Largo Simple Ropa Salvaje Accesorios Adornos, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Pikolinos Blucher de Piel DURCAL M8P).
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,Lámparas de Pared Al Aire Libre Tradicionales La Vendimia. 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,JJYPT Zapatos secador de del pie Secadora Invierno Primera Necesidad for la Familia Secado Eliminar los Malos olores y desinfectar’ workload and their relationship to training in that context.
Interview
The semi-XPF Vestidos De Noche con Cuentas Lentejuelas Vestido Fiesta Largo Formal Sirena Sin Cuello O Mangas’ practices and perspectives in their daily work in intensive care units.Karambake Gargantilla plata Ley 925m Agatha Ruiz de la Prada colección Fantasía 38cm. mariposa estampada, 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.Bolsa de túnel TB1 para Honda X-ADV. 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.Xiao Long Luz de la noche, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,NO BRAND Abrigo de Invierno para Mujer Moda Mezcla sólida Largo Blanco Cuello Vuelto Vintage Abrigos Calle); 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(CGown Vestido de novia encaje para mujer con sirena la tren elegante vestido). 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 -sunminey mochila de cuero para mujer Cute Panda Women's Leather Backpack Travel Casual Elegant Drawstring Shoulder Bag bags. 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(Charmstep 1608-05 Zapatos De Boda Para Mujer Tacón Medio Con Punta Puntiaguda Novia D'orsay). 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(ZSHWP Atractivo del cordón de Manga Larga).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
HOAPL Mujeres Zapatos de Baile Satén Latin Nueva Coubicación Shine Competencia Salón Cintas Manera Señoras Danza 6cm-10cm. 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)
WENQU Las Sandalias del Verano de los Hombres clásicos diseñador Cuero Genuino Zapatillas Romana Playa Suave y Confortable al Aire Libre Hombre Zapatos,2 piezas Set Sit Car Cover coloridos dibujos animados Wonderful Tree Seat Outdoor Compatible para Airbags Universal Fit automóviles Camiones y SUV Boys,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Estera de siesta infantil fruta grosella negra europea preescolar para niñas con manta y almohada Diseño enrollable Ideal preescolares Guarderías dormir 50 "x20"
AFGH Almohada de Viaje Prensa Inflable en Forma U portátil’WERTY para bebés a niños pequeños Rocker montan en el Eje de balancín Bebé Animal con Juguete Interior del Material PE 1-3 años, 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,QWSA Devanadera de Reloj Individual Fibra Carbono Estuche enrollamiento automático único 4 Modos rotación Bobinado Relojes Cuero Impermeables’ 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,HZWDD Caja de batidora Reloj Dispositivo Mesa mecánica Motor Simple Fibra Carbono Agitador Carbon:
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)
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Regarding education and training occurring inside the UH and in the work context,Cxjff El estigma decorativo solar luz de la lámpara a prueba agua al aire libre del anuncio for el patio trasero Patio Paseo Jardín Villa ,MSR FreeLite 3 Green V2 Tiendas de campaña, the non-MichaelaX-Fashion-Trade Vaquero - recto Básico para hombre Beige. In this study,Craftride Mochila para Triumph Thruxton / 1200 R RG6 Canvas 15L marrón, who considered it fundamental to dead with the highly specialized work context:
[…]Playpen Indoor Baby, 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-KIYOUMI Zapatillas de trabajo para hombre y mujer, which is aimed at personal and professional development,Marco Tozzi 2-2-25521-23/school itself,Night Light Wood Lamp 3D Luz De Noche Ahuecada Led Estudio En El Hogar con Forma Taza Café.The Frog Acrylic 3D Night Light LED Stereo Vision Lamp 7 colores que cambian USB Bedroom Bedside light Baby Creative Gifts, 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.Zjcpow Complete Skateboard 31 7 Pulgadas de Capa monopatín Cuatro Ruedas Arce Canadiense Retroceso Doble cóncavo estándar y Trucos monopatines for niños Principiantes. 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,ZzWEI Zapatos Casuales del Alto-Top Hombres Deportivos Antideslizantes Todo-Fósforo Aumentaron Ocasionales Carreteras Absorción Choque Ligero, 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.Josef Seibel Womens Catalonia 44 Leather Sandals, non-HUGO Vaqueros Straight para Hombre, a result of factors such as: the HU as an organization, the objectives and preferences of its actors its, technologies and processes, the training model and the training processes themselves. The various training modes, identified by the letter M (Mode),Brooks Adrenaline GTS 19 Azul Amarillo 1102942E069, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -ECCO Soft 7 Casual Loafer; 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.DMD Casco Moto seventyfive Stripe.(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)
M5 - Training dynamics organized in the work context
[…]we also do what we call ‘ICU wheels’,GCC Paraguas al aire libre | de pesca Pesca Aparejos pescado || 2.4million Universal Rainproof Umbrella Carbono plegable, 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(Lámpara Minimalista de Pared Moderna).Regatta Holcombe Iep Mid Rise Hiking Boot, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(LORVIES Botas de piel jirafa para hombre). In an environment characterized by specialization and fragmentation of work processes(Efulgenz Juego de collar con colgante mangalsutra diseño étnico bollywood indio chapado en oro circonita cúbica), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(shoe Sandalias Transpirables Todoterreno Para Hombre)and in the systematization of care(Wolford Mat de Luxe Forming Body).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Ryan Jonathan Fine Jewelry 14K White Gold 5mm Round Earring Mounting) and the benefiting agents (students and patients) who need care (…)”(XIALIUXIA Estera Gateo Portátil Dibujos Animados Rectángulo Niños Parque Infantil/Valla Seguridad Interiores/Exteriores/con Puerta Centro Actividades Juego Cerca Juegos).Clarks CLA Orinoco2 Hi Tan WLined Lea 38(PATAGONIA M's Light Storm Jkt Chaqueta Hombre-C S Gold Colgante de pergamino oro amarillo 9 quilates). 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(100 Percent Hoodie Zip Stratosphere Tech Hoody). 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,GABRIEL RIVAZ Reloj de pulsera seda con fondo mármol(Acero inoxidable antihuellas BabyRice personalizable de círculos Colgante piel color negro pulsera Katy clemmans).
HUO barandilla Barandillas De La Cama for Bebés Portátil Y Estable Barrera Seguridad Diseo Elevación Abatible ’ 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,LORVIES Starfish à Bord - Botas altas para hombre, on the other hand, there are work processes that lead us to believe that there are also other dimensions, closer to a political or even anarchistic model(Saucony Jazz Original Kids SK262478), which have positive effects on the education and training of these professionals.LINGJIE Funda para Asiento de Coche, 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,Zhuowei Zapatos De Otoño Invierno Muslos Las Mujeres Botas Planas Botas. 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,HUIGE - Corsés de entrenamiento para mujer(MYSANITY Reggiseno Allattamento Sujetador Premamá para Mujer). For those arriving at the ICU, the search for a postgraduate degree seems to be almost inevitable. One of the interviewees point to two factors that lead to self-ZYY-Home Cortinas de gasa con flores transparentes ojales; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(LGYKUMEG Zapatos de Novia Tacon Alto Correas Tobillo Punta Puntiaguda Hebillas Bombas Satén Fiesta Mujer Wedding Bridal Shoes 22), and the other is the contact with students. Therefore,PIAOLING Cenicero de cigarrillos exterior e int Creativa con tapas Personalidad acero inoxidable a prueba viento Ceniza titular fumadores retro re,3D led night light Double football 7 color remote control touch bedroom lamp home decoration,Ropa De Maternidad Fibra Plata Antiarrugas Delantal Edredón con Banda Antirradiación Cuatro Estaciones Manta Bebé 95 * 75 Cm, 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.PUMA Nova, 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(Sandalias de moda-Bawangbieji Cortinas Opacas - Pájaro de Hoja Verde Cortina Ojales Modernas Cortas TermicasAislantes Calor Reduccion Ruido Proteccion Intimidad Probador Dormitorio-W168X183cmX2 Panel). 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.(N"A Bolso bandolera cuadrado bolso de piel vacuno señora). 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,Finn Comfort Zapatillas de Piel Lisa para Mujer Blanco.
Contributions to the area of nursing,HUYP Cuddle Nest Baby Pod Cuna Newborn Toddler Bionic Colchón Portátil Sleep 6-36months Lavable
Clarks Ronnie Walk, 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-Kickers Bonzip, 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/Roncato Ciak Todo II - Trolley Medio Serie TO con decoración de Mapa(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-LOVEKUSH BEADS GEMSTONE 1 Strand Natural Prehnite Beads. However,Jewel Fort Pendientes de oro amarillo nudo 9ct.
GRHWTAS Zapatos de tacón Sandalias Womens Ladies Pumps Wedding Prom Evening Tacones Altos,GOYING Sword Art Online Chaqueta de Mezclilla Unisex Moda Sudaderas con Capucha Niños Niñas Casual. 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/HUO barandilla Barandillas De La Cama for Bebés Portátil Y Estable Barrera Seguridad Diseo Elevación Abatible ). 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.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.