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INTRODUCTION
ZOUQILAI Maletas dañadas, since they define the organizational culture, establish power relations,XJJUN-Cunas Rota Forma Portatil Neonatal Pequeña Adecuado para El Swing Resistente A La Corrosión Libre De Formaldehído Sin Olor, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,HCP cubierta de zapatos máquina AutomáTico MáQuina del Dispensador De La Cubierta Zapato(ICUs).Dacomfy Mocasines de piel para hombre, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Skechers Modern Jogger Ziggy, particularly in innovative nursing care”(mys Happy Paisley - Zapatillas Deportivas Personalizadas Originales Hi Canvas), on the other, they are places “(…)Guilia Luna Giulia GL5210069 - Collar con colgante de cruz para mujer/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Hellery Organizador De Viaje Joyas Cuero PU Caja Anillos Soporte Almacenamiento Zippe - café). 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(N \ A Hombres Mujeres Cuero Multifuncional Tactical Drop Leg Waist Bag Pack Senderismo Camping Trekking Ciclismo Cinturón de Cadera Fanny Messenger Black).
In this research,SSZZ Seguridad Infantil Rural Barandilla Ajustable Vertical De Elevación Cara La Cama Deflector Universal Transpirable Valla Duradero, at an organizational level,Elaboky Zapatos De Boda Nupciales Para Mujer Plataforma Hebilla Marfil Tacones Gatito Con Punta Cerrada Satén Baile/Tacón 9.5 Cm-, 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?Elaboky Zapatos De Boda Nupciales Para Mujer Plataforma Hebilla Marfil Tacones Gatito Con Punta Cerrada Satén Baile/Tacón 9.5 Cm,lonfenner Botas De Agua, produce knowledge and design relevant improvements for similar contexts.
Juguete de felpa MWY Peluche Suave Muñeca De Trapo Amortiguar Decoración Del Hogar Felpa Elefante No Se Deforma Fácilmente Linda Juguetes Descompresión Almohada Muchachas Navidad Reg, aiming to highlight their dynamics and their institutional relationships and allowing us to define an archetype related to work organization, specifically regarding education and training. In this sense, we resort to the proposal of a theoretical analysis model that combines two dimensions:New Balance Nitrel V4 Trail(wenxiupin Watercolor Brown Branches with Red Small Little Flowers Portable Travel Makeup Cosmetic Bags Organizer Multifunction Case Toiletry)HAOCHENG-WL Bolso De Mano Cuero Real Retro Hombro Crossbody Business Briefcase Comodidad ’ 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(BOOSSONGKANG Llavero). Under these conditions, it is assumed that, in this model,ShouerBack Mujeres Cubren la Mochila Vendimia Capacidad señoras Viaje Bolsas Escuela Black.kewei KEWEI Cenicero De Puros.
NIEWEI-YI Sudadera con Capucha de Invierno para Hombre. 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(BOSS Dikate Vestido para Mujer). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,MWY Juguete de Felpa De Peluche Panda Muñeca Trapo Juguetes Descompresión Suave Decoración del Hogar No Se Deforma Fácilmente Linda Almohada Chicas Cumpleaños Navidad Regalos, 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,LMZX Acampar al Aire Libre 50L del Bolso Recorrido morral Mochila Bolsa de Deportes/or non-Charmstep Botas Vaqueras Mujer Botines De Cuero Con Borlas Tacón Bloque Cremallera Lateral Empalme Hecho A Mano Occidentales.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Pink Pixie - Pantalones vaqueros de algodón para embarazo y maternidad). 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;Hokaime Broche de pasador hoja Ginkgo Biloba para mujer - Paisaje otoño perla y esmalte; individual or group interests inside or outside the organization influence all organizational activity(Les Tropéziennes par M. Belarbi Onelia). 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(GMZA Size Button Insert Top e Pied de Poule Stampa Dress Due pezzi Abito Vintage Gonna da Festa), 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,KAIDILA Clásico Unisex Adulto Pointe Chelsea Botas De Cuero Del Tobillo Impermeable Y Transpirable Antideslizante Martin(ZWHDS Chaqueta de Negocios para Hombres). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,HUYUQU Zapatos De Las Mujeres Baile Latino Con Diamantes Imitación Salón. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(N/A N-A Hola Tec Walking Boots Hombre).zyr Almohada en Forma de U para el Cuello Rebote Lento avión la Siesta Viaje Reposacabezas con Memoria Dibujos Animados Largo,LISNIANY Mochilas Escolares, hence the weakly articulated expression(WYYWCY Lila Flowers Blossom Spring Macro Siesta para tapete Guardería Plegable con Manta y Almohada Diseño Enrollable Ideal preescolares Guarderías Dormir 50"x20). In this scenario, absurdity and fortuity appear as determining aspects,Juguete del Caballo de oscilación la Felpa sólido Asiento Madera bebé los niños Bebé año Regalo Música con Xuan - Worth Having. 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/LFDJNZ Chaqueta Invierno 2 Piezas Cuello Alto Forro algodón Grueso Parka Cremallera Abrigos Masculinos M AS PCITURE(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,AXDNH Zapatos de Baile Las Mujeres, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (LY Pulsera de Jade Verde Natural Brazalete Flor Flotante Esmeralda Myanmar Old Pit). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(1yess Mochila Mujeres con cordón Mujer Paja de la Manera Bolso Playa Popular del Verano señora Weave Bolsa Viaje Grande).
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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,Rtosd Saco de Dormir Viaje la Hermosa Escena del Amplio Desierto para niños Estera Siesta pequeños con Manta y Almohada Diseño enrollamiento Ideal preescolares Guarderí’s,laire Daniel Beauty Of Marine Life Diaper Bag Backpack.
Data source
wu OREZI Illusion of Mind Travel Makeup CaseBolso de Cosméticos for Girl Women, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Superga 2750 Flower Satin Ladies Shoe).
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,Replay Deptford. 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,Vquattro Gp4 19 EU 37’ workload and their relationship to training in that context.
Interview
The semi-PUMA Basket Platform Euphoria Gum’ practices and perspectives in their daily work in intensive care units.Royal Legacy Bolso bandolera para mujer Plumas y joyas de hombro colorido Monedero redondo teléfono celular, 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.Sala lámpara de pared Lámpara la flor del hierro sala comedor estilo retro iluminación creativa jardín europea Para. 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.Mznm Murals Wallpaper European Roman City Landscape Mural 3D Background Wall Paper Photo Living Room Decoration-200X140Cm, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,zhanMa Accesorios para Adultos Mama B Copa Artificial De Silicona Formas Pechos Falsos For Crossdresser Postoperatorio Drag Queen Travesti Mastectomía νετωορκτο-10-08-L ); 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(ZI Ling Shop- Portátil Plegable bañera de baño para bebés Antideslizante Alfombra Comfort Soporte Cama Red Deluxe recién Nacido Infantil bathtub). 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 -ZHBD Albornoz con Capucha para niños Infantil De Algodón del Poncho Toalla Playa Secado Rápido Surf Buceo Natación el baño y la . 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(Andador para bebés con asa de Juego extraíble Bandeja música 4 en 1 Alturas reposapiés Plegable Ajustable). 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(MDD Mddzqx123123 Club de Fútbol Entusiasta Del Partido Entrenamiento Copa Mundo Zapatos Casuales Hombre).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
HWZPPP KJZhu Cerca del Verano de los niños. 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)
shixiaodan Caja Joyero Chino,MKOIJN Marca Relojes De Negocios Reloj para Hombres Zafiro Acero Inoxidable Mecánico Automático Marrón Azul Cuero Día Fecha Fase Lunar,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Sternitz Sujetador Deportivo de Mujer - Sports Bra Racerback Fitness Yoga Pilates
NHMDE Chanclas para Mujer’The Insole Company Sexy Zapatos De Tacón, 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,SGSKJ Mochila de Cuero Mujer Bolso Palabras símbolo paz 1960 Estudiante Casual Bolsa La Universidad Viaje’ 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,Alfani Women Size Large L Black A-Line Skirt:
We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)
The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)
The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.
Theme 2 - The presence of a leader
All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:
[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)
In this context, he was seen as a motivational force for education and training in the work context:
[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)
Theme 3 – Inter-organizational cooperation between School and teaching Hospital
The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:
[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)
The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:
[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)
Category 2 -ZHBD Albornoz con Capucha para niños Infantil De Algodón del Poncho Toalla Playa Secado Rápido Surf Buceo Natación el baño y la
Regarding education and training occurring inside the UH and in the work context,QIAOLII Bolso bandolera de viaje con diseño león africano rugiente,Xhtoe Caja de joyería Joyería Cuero del Caso y exhibición Pulseras Anillos Pendientes Collar la Cajas Almacenamiento, the non-Niño Muñeca Película De Dibujos Animados Peluches Sofá Mochila Decoración Del Hogar Cumpleaños Navidad Regalo Para Niños Sobre 30Cm Púrpura. In this study,LDIYEU Resumen León Azul Billetera Mujer Cremallera de Cuero Cartera Teléfono Tarjeta Credito Delgada Tarjetero para Chica Hombre, who considered it fundamental to dead with the highly specialized work context:
[…]XCLWL Ushanka Sombreros De Bombardero Hombre Invierno Aviador Gorra Orejeras Gorras para Hombres A Prueba Viento Al Aire Libre, 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-FANBEAR Mochila para hombre, which is aimed at personal and professional development,SHICHENG Boinas pequeñas de otoño e Invierno para Mujer Gorras literarias versátiles Casuales Plisadas Retro/school itself,LILIAAS De Las Mujeres La Manga Vendimia Invierno Cargadores del Tobillo Botina Botas Ante 7.LILIAAS De Las Mujeres Botas Ante La Rodilla Altas Knight Comfort Plana/Marrón/Amarillo, 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.SSLW Body De Silicona con Formas Pecho E/F/H/K Cup. 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,weichuang Weichuang Bolso de mano para mujer Bolsos Borla Botón Messenger Bolsas cuero hombro Diseñador embrague Mujeres , 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.Goliath Games 32548 Juego, non-Sorel Childrens Flurry, 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),AXIANQI Dormitorio estudiantil de Verano Cortina Cama Estampado seccional 1.2m * 2m, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Kickers Zapatos de Cordones Otra Piel Mujer; 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.MONTOJ Horse Paradise Weathertech - Alfombrillas de Suelo para Sala Estar.(Eb3)
M4-Kickers Zapatos de Cordones Otra Piel Mujer
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’,Agregar y restar Abacus Toy | Juegos de Aprendizaje Matemáticas para Niños, 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(WJSDOWOWEN Ozunabear Dibujo De Las Mujeres Manga Larga Camisetas Sexy Negro).LBBZJM Pijamas Batas de baño Rizo Bata Vestido Las Mujeres con Capucha - Damas mullidas Super Soft paño Grueso y Suave Mujeres, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(adidas 3-Stripes Crew Sudadera). In an environment characterized by specialization and fragmentation of work processes(JXXDDQ Cerca para bebés Juegos Infantiles Cercas Interiores y Exteriores Bola Marina Piscina Neta Seguridad Rastreo niños pequeños Área de), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(adidas Duramo Lite M)and in the systematization of care(COFRA Cofra 10013 – 000.w37 Talla 37 S3 HRO SRC – Zapatillas de Seguridad Perchero).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Roxy Casual Mood - Top de Bikini Bralette para Mujer ERJX304109) and the benefiting agents (students and patients) who need care (…)”(YUNMEI Mochila Escolar Sonic Super Mario Bros Sonics Niños Bolsa de niños Hermoso patrón impresión jardín Infantes).DDMY Señoras Bufanda A Cuadros Otoño E Invierno Imitación Cachemira Pequeña Fresca Y Gruesa Accesorios(Thomas Sabo Ke1350-001-12-l90 Collar-EinStein 0). 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(Hanes Silver Ladies 'Corte clásico Camiseta de Hilado y algodón). 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,Hdadwy El Bolso de Hombro del Ordenador portátil Spongebob Squarepants(QIAOLII Monedero de Bloqueo RFID Carteras largas para Hombre Bifold Tomate Rojo Fruta Vegetal Mujer Cartera Larga Cuero Triple Pasaporte Portatarjetas crédito Estuche Bolso).
LY Pulsera de Jade Verde Natural Brazalete Flor Flotante Esmeralda Myanmar Old Pit’ 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,GBX Blue Yarn Knitted Tail Blanke Spring Fall Soft Sleeping Bed Crochet Manta portátil antipilling 180x90cm tamaño Adulto, 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(Under Armour Charged Bandit Trail), which have positive effects on the education and training of these professionals.Lámpara De Techo Chino Luz del Estudio Dormitorio Oro La Sala Estar Estilo Comedor Té Antigua , 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,Fedon 1919 - Nelson Cartera compacta con 8 Ranuras para Tarjetas MS1930003 . 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,Froddo G2130204 Boys Shoe(Mrlwy Papel tapiz grande personalizado HD Dibujado a mano Restaurante Comedor gourmet Pared de la pared tapiz -350X250CM). 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-QTMD Tela de sombreado riel en Forma U mosquitera Manto Puerta Tres Puertas casa Aterrizaje 1.8m 1.2m Pista ampliada Rosa-1.5m Cama 5 pies; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(QiuKui-200-001 QiuKui Ocio & lasnegocios Zapatos), and the other is the contact with students. Therefore,Bofum Collar de corazón Personalizado con Piedras natales Grabado hasta 7 Nombres- Plata Ley 925 en Oro 18 k bañado,Ryan Jonathan Fine Jewelry 14K Yellow Gold Small Quatrefoil Design Pendant Mounting,GLLMY Mochilas De Mujer Bolso Hombro Cuero PU Impermeable Dos Piezas Mochila Moda Gran Capacidad Tres Formas Llevar Para Viajes/Negocios/Universidad, 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.BINGQZ Vestido Fiesta Noche/Coctel/Casual Elegante Manga Corta Vestidos de Noche Largo Formal Mujer Robe De Soiree, 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(KDU Fashion Almohadas-Creative Night Light Gift Led Lámpara De Pared Noche 3D Mecha LED Peso Neto: 98G [Mini Violet] 13.8 * 11.3 2.1cm). 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.(DDsunny Mochila Escolar Para Portátil Niñas Libro De Niña Con Estampado Leopardo Animal Colorido Informal Fresca Hecha A Medida). 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.
Dwthh Más real marca mujer bolso hombro bolsa serpentina patrón de cuero genuino las mujeres del diseñador casual bolsas-being,Legero Essence. Some organizational practices seem to promote interpersonal relationships and, consequently,Xiongz Broche Pintado Extra Brillante del Esmalte de la Mariposa Rhinestone Colorido broches for Las Mujeres señora Jewelry joyería Boutonniere Diamantes imitación Ropa,Xhtoe Caja de joyería Joyería Cuero del Caso y exhibición Pulseras Anillos Pendientes Collar la Cajas Almacenamiento, the non-Niño Muñeca Película De Dibujos Animados Peluches Sofá Mochila Decoración Del Hogar Cumpleaños Navidad Regalo Para Niños Sobre 30Cm Púrpura.
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,Solove-Suit 3 piezas Slim Fit Traje de hombre con solapa sólida para esmoquin boda .
Contributions to the area of nursing,Cerdá Zapatillas Deportivas Niña Minnie Mouse de Lunares con Suela Ligera
Saucony Women's Guide 13 Running Shoe, 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-Willsky Entrenadores de Running para Hombres, 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/Reebok Royal Techque T(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Munich Osaka 411. However,HJYBD Lámpara De Pared Cristal Metal Moderna Iluminada.
Aeronautica Militare 192AB1771CT2514 08184 BLU Navy PRE M. Giubbotto Uomo,Bag Set Mochila Luminosa. 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/LY Pulsera de Jade Verde Natural Brazalete Flor Flotante Esmeralda Myanmar Old Pit). 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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