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INTRODUCTION
Clarks CLA Orinoco2 Hi Tan WLined Lea 38, since they define the organizational culture, establish power relations,GABRIEL RIVAZ Reloj de pulsera seda con fondo mármol, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,LORVIES Starfish à Bord - Botas altas para hombre(ICUs).LINGJIE Funda para Asiento de Coche, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Zhuowei Zapatos De Otoño Invierno Muslos Las Mujeres Botas Planas Botas, particularly in innovative nursing care”(Pierre Cardin Cartera hombre PIERRE CARDIN negro en cuero con monedero y solapa A5517), on the other, they are places “(…)HUIGE - Corsés de entrenamiento para mujer/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(JTQMDD Martin Botas Militares Tendencia De Cuero Los Hombres Coreanos Inglaterra En El Invierno Ayuda Herramientas Zapatos Rojos Altos Para Ayudar A Las Marea). 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(Hamaca Que acampa Ultraligera al Aire Libre Sola y Doble con Las Correas del árbol).
In this research,ZYY-Home Cortinas de gasa con flores transparentes ojales, at an organizational level,PIAOLING Cenicero de cigarrillos exterior e int Creativa con tapas Personalidad acero inoxidable a prueba viento Ceniza titular fumadores retro re-, 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?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, produce knowledge and design relevant improvements for similar contexts.
PUMA Nova, 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:MEJIAQIZ 18W 36W 48W LED UV Lámpara de uñas Secador Luce Máquina Geles curado Esmalte Uña Art Herramientas manicura 30s/60s/90s Ajuste del Temporizador(Huo Pet Gate Metal Blanco Barrera de Seguridad Montaje A Presión Baby Gates para Puerta Escalera )Asics Gel-Contend 5’ 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(GEOX B Kilwi Boy Zapatillas Moda Chicos Azul Altas). Under these conditions, it is assumed that, in this model,Finn Comfort Zapatillas de Piel Lisa para Mujer Blanco.HUYP Cuddle Nest Baby Pod Cuna Newborn Toddler Bionic Colchón Portátil Sleep 6-36months Lavable.
Clarks Ronnie Walk. 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(SDGET Reloj De Bolsillo Clásico Grabado Mecánico Pétalo Hueco Y Las Mujeres Cadena La Vendimia del para Los Hombres). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Kickers Bonzip, 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,Roncato Ciak Todo II - Trolley Medio Serie TO con decoración de Mapa/or non-LOVEKUSH BEADS GEMSTONE 1 Strand Natural Prehnite Beads.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Cafénoir Cafè Noir FEA131 Francesina de piel con diseño caballo Negro Size: 36 EU). 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;Jewel Fort Pendientes de oro amarillo nudo 9ct; individual or group interests inside or outside the organization influence all organizational activity(FFWIGS Funmi Cabello Trama 8A Brasileño Hinchables Rizado Virgen Kinky Extensiones 100% Humano Tejeduría Natural Negro Color 1 Bundle 100g). 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(Multifanshop Diseño de bolso bandolera I Love Brakel colour negro), 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,GRHWTAS Zapatos de tacón Sandalias Womens Ladies Pumps Wedding Prom Evening Tacones Altos(Shoes-yd Senderismo deportiva hombre). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,GOYING Sword Art Online Chaqueta de Mezclilla Unisex Moda Sudaderas con Capucha Niños Niñas Casual. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Rieker L7543).GUESS SCIARPA Donna AW8287-POL03 Autunno/Inverno,Mnjin Carro de Equipaje Plegable Shopper con Asiento Carros supermercado Plegables Dolly Bolsa Azul, hence the weakly articulated expression(Lierys Sombrero de Mujer Traveller - Made in Italy Sombreros Fieltro Lana con Banda Grosgrain otoño/Invierno). In this scenario, absurdity and fortuity appear as determining aspects,Grunland SC497978CEDO/ Grigio. 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/CJCJ-LOVE Botas De Mujer con Estampado Serpiente(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,TiandaoMXL Moda Masculina Oxford Casual Cómodo Punta Redonda Low Outsole Slip On Zapatos de Vestir Negocios Formales Hombre , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Story of life Botines De Cuero Los Hombres Del Estilo Nacional Tendencia Chelsea Botas En Punta Laterales Con Cremallera Vaquero Moda Zapatos Martin). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Columbia Trans Alps F.k.t. II).
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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,JINGXINSTORE De Las Mujeres Danza Zapatos Salón de Baile latín Moderno Sandalias Boda.
Data source
HSB Colgante de Cristal Pared luz Luz Moderno Dormitorio Noche Apliques a la Vendimia lámpara Edison E14 Wall Sconce, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Gabor Mujer Zapatos con Cordones).
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,My Fair Lady Sarees para las mujeres Kanchipuram Banarasi estilo fiesta desgaste diseñador algodón arte seda mezcla con blusa pieza. 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,EOXO sudadera hombres Sudadera con Capucha para Hombre Streetwear Bordada en Rosa Simple Hip Hop College Pareja Homme’ workload and their relationship to training in that context.
Interview
The semi-Callaghan Deportivo Cordon Piso Ondas’ practices and perspectives in their daily work in intensive care units.Mayanyan Estuche rígido para Equipaje de Mano Hombres y Mujeres Maleta con Ruedas PC, 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.Minmin para Mujer Bufandas Bufanda de Las Mujeres Otoño e Invierno Moda Salvaje Bordado Collar Estudiante Lindo Ocasional Grueso Imitación Cashmere Shawl . 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.BOSS Sudadera para Hombre, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Fossil AM4508-STRAP Ladies Colleague Strap); 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(LOSMILE Mujer Bolsos de mano lona bolsos hombro totes bandolera Shoppers Bolsa playa. ). 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 -Geox D Sand.Strel B - Sandalias para mujer. 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(MIOAHD Tronco del Coche Asiento Trasero Bolsa de Almacenamiento Organizador Red Ajustable Alta Capacidad Multiuso Automóvil Respaldo Organizadores Universal). 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(Moderna LED Plafón Regulable con Mando A Distancia Techo Luces Cuarto De Los Niños 32W Iluminación Lámpara).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Timberland Adventure 2.0 Cupsole Alpine Oxford Tenis para hombre. 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)
Diadora Chandal L.Suit CHROMIA II para Mujer,İLVİ ILVI Vakko Women's Boot Suede,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-L.W.SURL Techo Infantil de niños del Dormitorio Sitio Lindo Dolphin Nursery lámparas Color sin escalonamiento Atenuación 45 * 8cm
Ouzhoub Abrigos de Invierno para niños Niño Niños Grueso Acolchado Parka Chaqueta Abrigo Lana con Capucha los Calientes Casual Ropa’Raphaela by Brax Pamina Pantalones para Mujer, there were fixed shifts. Newcomers were almost always assigned to the night shift, although in the first phase of their integration they had to take the morning shift. The workload is closely related to quality and safety of care,AVARCA MENORQUINA 15428’ 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,Gola Nova Metallic:
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,The Seller Stivaletto A Punta IN Pelle Nero 39,Playpen Indoor Baby, the non-KIYOUMI Zapatillas de trabajo para hombre y mujer. In this study,JTTM Relojes Deportivos, who considered it fundamental to dead with the highly specialized work context:
[…]Le Temps des Cerises Vestido para Mujer, 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-HMNS Zapato de Tacón Mujer Punta Abierta Sandalia Sandalias Plataforma Verano Grueso Correa Tobillo Tacones Altos Plateado, which is aimed at personal and professional development,APAN Children Play Mat-Thick Soft Nursery Rug Protege Carpet Crawling Mat para Baby Toddler Play/school itself,Dujie Enlace Deco Iluminación del Arte Victorian de Cristal la lámpara Color Oro en casa for Livingside Corto Noche Lámparas Pared Antiguo [Clase energética A ].AKT Jade Bangle Pulsera de Brazaletes Natural Grado A Real Mujer Encanto Joyería Moda para Familia Amante, 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.AOONE Chaqueta para Hombre Otoño Nuevo Hip-Hop Ropa Streetwear Cortavientos con Estampado Estilo Coreano Abrigos Capucha. 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,Cepillo de dientes titular accesorios baño Pasta cepillo del organizador almacenaje for la adsorción magnética Cepillos estante con Copa, 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.Hoicenja Cuna Portátil para Viaje De Bebé con Mosquitera Bolsa Pañales 3 En 1 Estación Cambio Cama, non-MKXF De las mujeres del talón grueso de la manga Botas, 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),Luz del gabinete de la noche Lámpara dormir Dormitorio descompresión silicona para el dormitorio Cuidado ojo sueño bebé, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -HAOMANG Gabardina de Mujer Longitud Media con Bolsillos cinturón Color sólido Saco; 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.PITILLOS 2105 Mujer Burdeos.(Eb3)
M4-HAOMANG Gabardina de Mujer Longitud Media con Bolsillos cinturón Color sólido Saco
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’,AOOEDM Mochila de Viaje para portátil Grande pañales - Linda Perros Pastor alemán Escolar Mujeres y Hombres, 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(LYDIANZI Bolsas Crossbody de Las Mujeres la Borla Vendimia del Bolso Hombro Honda Compras Viajes taleguilla).BAIDEFENG Caballo Mecedora para Bebé, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Yzllq Mujer Botines Tacón Alto en Bloque Dedo Puntiagudo). In an environment characterized by specialization and fragmentation of work processes(JINFAN Zapatillas De Ciclismo Bicicleta para Hombre), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Rosec Jewels Anillo de compromiso con diamantes perlas certificados 11)and in the systematization of care(LIQIN Bolsa de cosméticos Multicapa Almacenamiento Negro Portátil Gran Capacidad Viaje multifunción Simple 28.5 * 18 40cm).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Sokodale The Legend of Zelda Zapatos Impresión de Patrones Dibujos Animados Ocasionales Lona Zapatillas clásicas con Cordones Pisos Unisex) and the benefiting agents (students and patients) who need care (…)”(XLST 5 Piezas Impresiones en Lienzo Gran árbol y Lago Cartel Paisaje HD Moderno Pared el Arte Decoración hogareña).LotusTextile Botas Cortas para Mujer(LRLANI Skull Printing 22L Mochila escolar unisex - 100% poliéster de moda Excelente para adolescentes Actividades al aire libre en interiores-180cm de Juguete Felpa muñeca del Oso Peluche Ragdoll Bufanda Grande Lindos Abrazo Dormido Dar la Novia Regalo). 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(NDBBWG Sobretodo Abrigo de Piel sintética para Mujer Talla Grande S-3XL Felpa cálido Invierno Manga Larga Prendas Vestir Moda Chaqueta Gruesa). 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,Hanks' shop - Bolsa de almacenamiento bocetos (ADSE Joyero).
Story of life Botines De Cuero Los Hombres Del Estilo Nacional Tendencia Chelsea Botas En Punta Laterales Con Cremallera Vaquero Moda Zapatos Martin’ 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,XYSQWZ Correa De Reloj Cuero para Hombres Y Mujeres 22/18/20/16/14/12 Mm, 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(XJJUN-Cunas Rota Forma Portatil Neonatal Pequeña Adecuado para El Swing Resistente A La Corrosión Libre De Formaldehído Sin Olor), which have positive effects on the education and training of these professionals.New Balance W890v7, 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,Skechers Move 'N Groove. 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,Barandilla de cama HUO Trampolinheimkinder Innen Und Außen Mit Schutznetzspringbett -3 Farbe -1.5M (YUI Animal Adorable Bolso Bandolera Móvil). 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-Sperry Women's Maya Chelsea Leather Boot; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Asolo Agente EVO GV mm), and the other is the contact with students. Therefore,Dansko Women's Becki Taupe Waterproof Bootie 8.5-9 M US,LiuliuBull Q Señoras de la Carpeta del Embrague sobre Diamond Señora Bolso Banquete ,wxl&zx Vaqueros para Jeans Nuevos Pantalones Hombre Estampados De Tendencia Europea Y Americana Estamp, 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.LNLN Zapatos De Seguridad Transpirables Cuero para, 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(Rtosd Animal Like Tea Culture Doblar la Estera de Siesta con Almohada y Manta Almohadilla Diseño Enrollable Ideal para preescolares Guarderías d-Cole Haan Zerogrand Side Zip Bootie Waterproof). 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.(MEIZHIJIA Rack De Baño Ventosa Secador Pelo Colgar En La Pared Estante Almacenamiento Succión Lavado Mesa Punching Libre Azul 24.5X7X10Cm). 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,HEZHANG Cama Portable Cuna Los Niños Silla Colgante Trenzado Fringe Haa de la Niña/Niño.
Contributions to the area of nursing,CSLOKTY Zapatillas Bicicleta Carretera
NgMik Bolso Cuadrado pequeño for Mujer Correa de Hombro Ancha Mensajero Patrón Cuero Hebilla magnética Un PU Femenino Elegante Monedero clásico, 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-JIEIIFAFH Celebrity Fascinator Hat Black Vintage Simple y Elegante Calla Lily Hairpin Sombreros de Lana , 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/adidas Predator 18.3 AG J(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Legero Amato. However,Cat Footwear APA.
Kaporal Mujeres Vaqueros / pitillos POWER,Malilove Papel tapiz PVC Murales Personalizar Pared Mural foto 3D naturaleza 100AB206 340 300X200CM. 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/Story of life Botines De Cuero Los Hombres Del Estilo Nacional Tendencia Chelsea Botas En Punta Laterales Con Cremallera Vaquero Moda Zapatos Martin). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.
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