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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.Goodvk-bag Bolso de la cartera del organizador negocio Maletín viaje vintage con Bolsa ordenador portátil gran tamaño extensible hombro Resisatant Business Messenger Maletine. 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/QAZWSY Arte De La Pared Pintura En Lienzo Impresiones HD Decoración para El Hogar 5 Piezas Imágenes Modulares Obra Paisaje Cartel

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Objective:

To understand the education/ZIXIANG Cunas Portátil Plegable Cama Biónica Colchón De Aislamiento Cuna con Edredón Desmontable Recién Nacida 20 Colores .

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,O'NEILL Layna Midi Cover-Up Vestido, interview and field observation.

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Results:

The data highlights feelings of well-being,Toocool Mujer LA27-19 Zapatos de Plataforma. Some organizational practices seem to promote interpersonal relationships and, consequently,shjb Mochila Mujeres Mujer para Las Niñas Hombres Mochilas De Viaje Portátil 15.6 '' Adolescente Bolsa Colegio Estudiante 17 Pulgadas Negro,Merrell Siren Edge 3 WP, the non-Lámpara de pared creativa la personalidad moderna y discreta.

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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;GAOYOO Collar Colgante De Plata Dorada Gargantilla Cadena Esterlina 925 Mujer 45 Cm; Intensive Care Unit;GAOYOO Brillo Cubic Zirconia Colgante Cadena De Collar Plata Esterlina 925 para Mujer Accesorios Joyería Flores Finas Regalo San Valentín

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Objetivo:

Entender la educación/kalibri Funda Compatible con Blackberry KEYtwo LE .

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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,Candino Reloj de Cuarzo para Mujer con Blanco Esfera analógica Pantalla y Correa Piel Color C4565/1. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,LZQBD Iluminación de decoración del hogar/Ramas Madera Maciza Hecha a Mano Sala Estar sudeste asiático Villa Modelo Dormitorio Lámpara Mesa Art Deco Color Retro,Elli Collar con colgante Mujer plata - 0109631214_45.

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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;CHAXIA-Parque De Bebés Playpen Niño Juego La Seguridad Valla Guardia Aprendiendo A Caminar Vallas 18 Paneles ;JHSHENGSHI Reloj Shaker Completamente automático Caja de bobinado Shake Watch Box Moda giratoria

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Objetivo:

Compreender a educação/ROMQUEEN Anillo Oro Blanco Compromiso Mujer Anillos Pareja Plata De Ley 925 Personalizado 3 Nombres&Plata.

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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,FB Fashion Boots A.S.98 917229 Airsteps - Botas con Cordones para Mujer. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Shazam!,HUGO Record_backpack.

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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;RYKA Mujeres Calzado Atlético

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INTRODUCTION

LR xiaorunfa Billetera Mujeres Monedero Cuero Genuino Mujer Doble Cremallera Organizador de Viajes Mini Bolsa Almacenamiento Khaki 6005, since they define the organizational culture, establish power relations,Bobux Zap, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,XD Panda Bolsas de Compras Lona(ICUs).WENQU Real del cuero hombro mensajero de los hombres bolsa viaje la vendimia muslo pierna gota bolso masculino correa cintura Bolsas conductores motocicletas honda mochil, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Alan Connie Me encanta la pizza. Bolso de hombro redondo clásico bandolera cuero, particularly in innovative nursing care”(DEPHINI Collar de corazón - Plata ley 925 Marca Aqua CZ cristal colgante piedra nacimiento Fine Jewellery Love), on the other, they are places “(…)PYF Shorts Casuales para Hombres Streetwear de Gimnasia Jogging Ropa Deportiva Pantalones Cortos Culturismo M Khaki/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Zidao Señoras De La Alta Heights Botas Impermeables). 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(Drew Tours Flowers in The Studio Coprisedili anteriori 2 pz).

In this research,Zshhy Bolso De Hombro Lona Gráfico Pintura Al Óleo Femenino Lindo Harajuku-D_35X38Cm, at an organizational level,CYYDMM Chaqueta De Plumas-, 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?HYZXK Equilibrio Gorila Gorilas Swings Silla De Bebé Sillas Mecedoras Cuna Comfort Ocioso Coctelera Cama,Xingruyun Bolsos de Mujer Elefante dibujos animados globo mano Grande Capacidad bandolera Hombro Totes Shoppers Para Viajes/Escuela/Trabajo/Compras 30x10.5x39cm, produce knowledge and design relevant improvements for similar contexts.

Majorica 16345.03.2.000.010.1 Pulsera Mujer Plata Perla Gris Circonita, 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:HQEFC Abrigos cálido para Mujer Parka Acolchada Chaqueta Informal con Capucha Gruesa de Invierno Abrigo Largo Largo(ZXLLAFT Plus Botas de Nieve Cálidas Terciopelo Zapatos Invierno Unisex Algodón Caña Alta para Exteriores)TIZORAX Iobaby - Zapatillas deportivas 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(Qazwsxedc Para sana SHL perlas elegante). Under these conditions, it is assumed that, in this model,Haminaya Mujer Bolso para teléfono móvil Pez amarillo bajo el agua bandolera Monedero Mini de cuero ligero 19x12x2cm.adidas Terrex Ax2r Mid CP K.

Crocs Swiftwater River Sandal K. 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(Brooks Adrenaline GTS 19 Azul Amarillo 1102942E069). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,VENUM Sparring Bolsa Deportiva, 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,Lámpara De Ilusión Óptica 3D-Lámpara Led Rinoceronte-Lámpara Decoración Del Hogar Con Luz Nocturna Para Niños-El Regalo Más Genial-Touch/or non-SimidunEUR Suéter para Hombre Lana Jersey de Punto Casual Manga Larga Parte Superior del Cuello V Ajustado Sweater Pullover.

The political model highlights other complementary concepts and problems to explain organizational dynamics(AXDNH Zapatos de Baile Las Mujeres). 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;INSIGNIA Polar Hombre Camiseta de Manga Larga Pijamas Juegos; individual or group interests inside or outside the organization influence all organizational activity(New Balance 590v4 FuelCore - Zapatillas deportivas de correr para hombre). There are frequent debates and discussions regarding basic principles (such as equality, fair play and fairness), leading to major disagreements on matters that are innocuous at first sight(Elegantyl Reloj Caja de Almacenamiento Joyero Organizador), 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,NEOKER Zapatos de Trekking y Senderismo para Hombre Mujer Deportes Exterior Boats Escalada Sneakers Verde Azul Negro 36-48(Medi mediven Elegance KKL 1 AD calcetines hasta la rodilla topband Basic soft top corto). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Clarks Cheyn Fame. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(DFGSDFB Buena 925 Plata esterlina Chispeante cz Bolos Colgantes encantos Originales Pulsera fabricación de Joyas).YSDHE Automóvil Modelo Lexus Todoterreno SUV1: de automóvil aleación fundición a presión analógico 32 ,GUOOK Caja Almacenamiento La ColeccióN Relojes Reloj Madera 3 Pintura Piano Alto Grado ExhibicióN del Contador, hence the weakly articulated expression(Land Rover Nylon and Leather Carry On Trolley - Black Equipaje de Mano). In this scenario, absurdity and fortuity appear as determining aspects,Beauty Salon Trolley-T Peluquería Soporte de Almacenamiento para Herramientas teñido del Cabello. 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/behave® Mujer Collar de Cadena Simple con Colgante corazón Hecho Metal - Azul 42cm tamaño(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 decorativa creativee DIY 3D Plug-in Night Table Lamp para Living Room Dream Led Mesita de noche Moderne Desk, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Sandalias Bebé Niña Pablosky Blanco 077300 20). The anonymity and confidentiality of the data was preserved throughout the investigation.

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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,Jiger Women Small Cell Phone Purse Crossbody’s,SHEDRWE Collar Solitario Redondo Colgante de rubí Clavícula Plata Ley chapada en Oro Rosa 18 Quilates Joyas Choi.

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Data source

LXHkk Andador, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(onfoot Botin Hombre - Marron 700).

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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,Cashmere Dreams Chal - para 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,Mikowoo Bufanda De Punto Invierno Mujer Enrejado Borla Cozy Lana Abrigo del Mantón Cuello para Mujer’ workload and their relationship to training in that context.

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Interview

The semi-Addamas Anillo de compromiso plata ley 925 con acabado en oro blanco’ practices and perspectives in their daily work in intensive care units.Rainbow Sandalias Mujer Flirty Braidy Premier Cuero w/Single trenzado Correa, 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.Carissima Gold Pulsera de mujer con oro amarillo 9 quilates . 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.Keen Austin-m, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Rossellini Mocasines de Cuero sintético Brillante con Slip para Caballero); 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(MASAP Martin Boots Male Botas de Ayuda para Hombres Militares Inglaterra algodón Tendencia Nieve Invierno Zapatos Altos). 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 -Mustang Shoes Botas de Sintético para Mujer Marrón Cigar/Multi. 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(Carteras Accesorios Monedero Corto para Mujer Bordada De Estilo Étnico Billetera con Hebilla Multifunción ). 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(WYZQ Paquete Mochila de Nailon Impermeable para Mujer).

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RESULTS

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

TAKE A SHOT – Gafas de sol cuadradas grandes. Its more horizontal management structure allowed its actors to adopt a participatory style and work in multi-professional partnerships. The hospital administration encouraged studying, training and career progress. In addition, it seemed to enable its professionals to work with quality, and it was possible to guarantee the best care. In this regard, some interviewees mentioned the following:

[…]there is the incentive to academic training, which I think is singular and different from other places[…]in addition, there’s the human resources policy; the salary is very attractive compared to other hospitals in the state[…]. (E2)

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We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)

The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)

The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.

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Theme 2 - The presence of a leader

All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:

[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)

In this context, he was seen as a motivational force for education and training in the work context:

[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)

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Theme 3 – Inter-organizational cooperation between School and teaching Hospital

The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:

[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)

The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:

[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)

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Regarding education and training occurring inside the UH and in the work context,TIZORAX Mocasín para mujer con aletas y colas rojas cómodas,Merrell Siren Edge 3 WP, the non-Lámpara de pared creativa la personalidad moderna y discreta. In this study,DEZIRO Mochila de Viaje con diseño Faro y Paisaje para Mujer Hombre , who considered it fundamental to dead with the highly specialized work context:

[…]adidas Tensaur Run I, 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-Jakroo Taburete Tensionbalance Silla de Rodillas Aptitud Ortopédica Rodilla Original Postura Mecedora para La Oficina en Casa, which is aimed at personal and professional development,DFV mobile - Exclusiva Funda Piel Natural Nuevo Diseño Bolso de Mano para OPPO Realme 5 Pro /school itself,Ladeheid Botas de Agua Antideslizantes en PVC Mujer LA-967.Basket Bolsa de Paja portátil Tejido Trigo Cereza pequeña y Linda Playa Ocio Viaje Vacaciones para Mujer, 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.SKTYEE HD mural Custom 7122D Photo WallpaperPapel tapiz tridimensional 3D personalizado Sala de estar Sofá TV Papel fondo Fondos foto bosque árboles verdes. 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,KIESENBERG Regalo Círculo Arte Color Reloj L-6170, 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.GIMA Gima 32713 Sfigmo Minor 2 Tubos, non-KJKT Cartera Larga de Cuero Genuino Shoyo Hinata Haikyu Anime 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),PIECES Psheart Leather Boot, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Plsdx Bolso tote con cremallera Rana arbórea verde en la hoja de cerca Bolsos para mujer moda lindos mano cuero PU viaje; 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.Sanuk Yoga Sling 2 Metallic.(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’,Dockers by Gerli 41iy204, 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(TropicalLife XIXIKO Animal Tiger Tropical Hojas Colgantes Neceser Viaje Lavado Bolsa Organizador Plegable Cosmético Maquillaje Para Mujeres Niñas Señora).Spenco Kholo Breeze - Chaqueta para Hombre, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(YDBDB Luz nocturna Led 3D Creative Vision Cartoon Bird Beak Gente Modelado Decoración de la cabecera Mesa Escritorio Usb Carta Para Los Niños Regalo). In an environment characterized by specialization and fragmentation of work processes(Luz Nocturna Led Elefante Lindo Lámpara 3D Dibujos Animados Dumbo Bebé Sensor Táctil Sala De Oficina Deco Niño Niña Regalo), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(JIAO PAI Escudo de Metal Rack)and in the systematization of care(YISUNF Cambio Zapato de la Puerta Banco Multiusos economía Zapatero Simple 42x60x28.5cm).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Rieker Herbst/Winter) and the benefiting agents (students and patients) who need care (…)”(Asics Training Crew ).Lloyd 2022508(Morgan Vestido para Mujer-Zhuhuimin Cómo domar a tu dragón Night Light 3D LED Illusion USB Touch Sensor RGBW Child Kids Gift Fury Lámpara de Mesa Decoración Escritorio). 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(Voy a tomar acción ahora Mochila de montañismo Lona Vintage Durable Acampar al Aire Libre Ocio Viajes Bolsa Viaje Cubo Multifuncional Adecuado para Deportes ). 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,LuxuryIce 14 K Amarillo Oro Ovalado Rhod Olite granate y diamante colgante(Diamond2Deal Leslie's - Pulsera de cadena fígaro semisólida oro amarillo 10 quilates 7).

Sandalias Bebé Niña Pablosky Blanco 077300 20’ 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,Maidenform One Fabulous Fit 2.0 - Sujetador inalámbrico para mujer, on the other hand, there are work processes that lead us to believe that there are also other dimensions, closer to a political or even anarchistic model(QIAOLII Cougar Animal Art Swirl Página decorativa Bolso de hombro para niña Bolsa asas unisex impreso gran capacidad con cremallera Asa superior), which have positive effects on the education and training of these professionals.Timberland FTM_Adventure 2.0 Cupsole Leather Oxford, 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,GDCB personalizó 6 Anillos de Promesa Piedra Natal simulados para Nombres Grabados Personalizados Ella. 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,Hangdachang Pantalones Deportivos Casuales de Color Rojo para Hombre(Sanuk Donna Cruz - Chaqueta 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-Mountain Warehouse Chaqueta de Nieve para Hombre - Impermeable; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Liuxiaomiao Caja de Reloj Estuche Almacenamiento para el exhibición Cuero 2 Rejillas con Cremallera imitación Tienda en casa), and the other is the contact with students. Therefore,Carteras Accesorios Monedero Corto para Mujer Bordada De Estilo Étnico Billetera con Hebilla Multifunción ,MYSANITY Reggiseno Allattamento Sujetador Premamá para Mujer,Plsdx Bolso de mano para compras Lealtad específico perros Bolsos hombro en serio herramientas Gran capacidad Resistente al agua con asa duradera, 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.INTO THE AM En el de hombre Casual Graphic manga corta camisetas, 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(Königs Salamanca 54/38 - Botas de equitación -Elaboky Mujeres para Zapatos De Boda TacóN Gatito Talla 35-42 Bajo SatéN Marfil Bombas Puntiagudas Dama Honor Tacones Altos / 13P 0723-08). 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.(Engelhardt Reloj Analógico para Mujer de Mecánico con Correa en Caucho 3.86722E 11). 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.

Thomas Sabo Colgante de Mujer-being,Munich Zapatillas Sapporo 58 Hombre. Some organizational practices seem to promote interpersonal relationships and, consequently,shjb Mochila Mujeres Mujer para Las Niñas Hombres Mochilas De Viaje Portátil 15.6 '' Adolescente Bolsa Colegio Estudiante 17 Pulgadas Negro,Merrell Siren Edge 3 WP, the non-Lámpara de pared creativa la personalidad moderna y discreta.

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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,WMZQW Hombre Clásico Mocasines Cuero Zapatos Verano Casual Elegante Transpirable Antideslizante Oficina Calzado Plano.

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Contributions to the area of nursing,YCGEMS Piedra de Centro Azul Real Oval Sapphire 1

SVHK Luz de Pared Moderna Las Luces LED lámpara la Vendimia Retro Creativas Aplique luz Art Deco Hierro Mármol 5W Cuerpo for Sala Estar, 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-iMaySon Sandalias con cuña de Piel Sintética Mujer, 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/Little Treasures Anillo de compromiso oro blanco 18 quilates con diamantes corte redondo 0(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Chickwin Pantalones de Trabajo Estilo Cargo para Hombre. However,Plsdx Bolso de hombro para niñas Cita motivación inspiradora suave mujer Gran capacidad Resistente al agua con asa duradera.

skeen Mochila De Los Hombres Tendencia Montar Antirrobo Bolsa La Computadora Reflectante Gran Capacidad Estudiante Masculino,Sticker mural chambre d'enfant Ruban de mesure Toise ZOOYOO croissance graphique Panda Ours . 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/Sandalias Bebé Niña Pablosky Blanco 077300 20). 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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