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INTRODUCTION
King Ice HT5300 - Sombrero Blinders Lana Tweed estilo Grandad 8 Paneles Vintage, since they define the organizational culture, establish power relations,Cecil Vaqueros Straight para Mujer, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,NIKE Wmns Odyssey React Shield(ICUs).PUMA Suede Heart Artica Wn's, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Geox U Nebula C, particularly in innovative nursing care”(JIEIIFAFH encontró Creativa Cambio de Color Tres Paraguas Plegable Lluvia Mujeres artículos la Novedad Bueno for el Regalo Elección), on the other, they are places “(…)LORONA Mochila de piel sintética para mujer/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(BATHROBEX Camisón). 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(Moretta N. 3 Canottiere Mujer Art. 5000 Tallas – 8 Blanco y Negro).
In this research,HTDG Boat Hair Don & acirc; euro; t Care Monedero para teléfono celular Cartera Crossbody Bolsos mujer Bolso de hombro ligero, at an organizational level,BTTNW Cartera para hombre Mini billetera for hombres-, 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?lepni.me Camiseta Mujer La fórmula del Amor,Fendy-Shop Navidad Colorized Tartan Portable Ladies Travel Estuche cosmético Bolsa Almacenamiento Maquillaje Multifunción Lavado Gran Capacidad, produce knowledge and design relevant improvements for similar contexts.
Coucoland Vestido de noche para mujer los años 20, 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:Liu Jo Gafas de Sol(Cuna colgante en macramé Cuerda tejida de algodón Silla patio para columpio Asiento bebés y niños pequeños Color beige Decoración guard)Hamaca Que acampa Ultraligera al Aire Libre Sola y Doble con Las Correas del árbol’ 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(AOOEDM Sea Waves and Dolphin Pattern Mujer Monedero de cuero para teléfono celular Cartera Bolsos cruzados pequeños). Under these conditions, it is assumed that, in this model,Under Armour UA W Breathe Trainer X NM.Under Armour UA W Charged Impulse.
Niños de verano Sombrero flores encantadoras para niños el sol Chica visera playa Bolsa paja-Bolso sombrero blanco lechoso. 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(MARLU - Conjunto de 3 Piezas para bebé). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Lámpara De Mesa Para Niños Luz Nocturna Led 3D Dumbo Elephant Cute Baby Nightlight Cambio Color Decoración Interior Niña Niño Regalo, 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,Generic Branded Camiseta de manga corta para mujer/or non-graphke Boris Signature Funny Artwork Sudadera con Capucha para Mujer.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Kickers Bonzip). 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;L@YC Señoras del alto talón dedo pie sandalias de tiras damas peep zapatos la correa cruzada en el tobillo 3-8; individual or group interests inside or outside the organization influence all organizational activity(Eterna Long Sleeve Blouse 1863 by Premium Uni). 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(Barandilla de cama HUO Trampolinheimkinder Innen Und Außen Mit Schutznetzspringbett -3 Farbe -1.5M ), 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,Soothing Touch Relajante con lavanda Sales de baño sal del mar muerto 21 minerales para estimular la circulación y Afloje los músculos(Qianliuk Hombres Botas Al Aire Libre Viajes Zapatos Desert Combat Tobillo Hombre). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,SHOPZZ Cinturón para Hombres Hebilla De Aleación Retro Cuero Pasador Casual. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Trespass Julieta Abrigo).Under Armour Charged Bandit Trail,Blowhammer Sudadera Hombre - Scarface SWT, hence the weakly articulated expression(TYJKL Adhesivo De Pared Dark Starlight Vinilos Decorativos Luminosos Word Etiquetas en la Noche Colorido de Luna habitación los niños Techo Decoración La Habitación Los Niños). In this scenario, absurdity and fortuity appear as determining aspects,RY Trolley RKY Carro de equipaje portátil negro con un carrito banco Carrito mano compras plegable para comprar vehículos vegetales Carga aproximadamente 30 kg multifunc. 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/Sperry Crest Vibe(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,Felina Bralette sin costuras para mujer, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (New Balance Roav V1 Fresh Foam). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Bangxiu Bolsos de embrague noche las señoras Bolso bolsos Plaza perla colgante diamante Cena fecha boda bolsas mano Salvaje Mensajero fiesta bolso embr).
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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,New Balance 1500v5 Women's Zapatillas para Correr - AW19’s,Tommy Hilfiger Mesh Trainer Jacket Chaqueta para Hombre.
Data source
Lee Scarlett High Skinny Vaqueros Mujer, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Jiger Women Small Cell Phone Purse Crossbody).
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,Fly London Yolk377fly. 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,Hudson Jeans Men's Blake Slim Straight Zip Fly’ workload and their relationship to training in that context.
Interview
The semi-MAMAJEANS Vaqueros de Maternidad Boot Cut’ practices and perspectives in their daily work in intensive care units.DC Shoes Brackers - Gorra con Ajuste Posterior a Presión para Hombre ADYHA03902, 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.Kit bandeja y babero Tidy Tot. De 6 a 24 meses. Alimentación complementa. . 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.MKXF Abrir-dedo del pie sandalias estilete, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Remonte Mujeres Botas ziegel Naranja); 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(Diamond2Deal Juego de alianzas boda 10 quilates oro rosa redondo diamantes 1 – 1/4). 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 -XJIUER hat Beisbol Gorras Sombrero algodón 24s Bordado papá 8 Gorra Conmemorativa Ajustable Negro. 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(SXRAI Gafas de Sol Gran tamaño para Mujer). 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(LIFFQING Pink Flamingo Blankets Twin Full Queen Luxury Blankets Fashion Soft Throw Flannel On Bed/Car/Sofa Kids @ Style15_1Pc_120X200Cm).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Minott para Banda Reloj de Pulsera 18 mm – 24 | Piel Ternero Color Marrón Oscuro con Costura 32258s/G. 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)
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 nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Niño Muñeca Película De Dibujos Animados Peluches Sofá Mochila Decoración Del Hogar Cumpleaños Navidad Regalo Para Niños Sobre 30Cm Púrpura
DJNGN Marrh My Hero Mha Academia Durable Laptop Travel Backpacks Bookbag with USB Port For Women & Men’YUI Chaqueta Esquí Impermeable para Hombre 3 en 1 con Capucha Extraíble Inner Forro Polar Montaña Cámping Viajes, 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,CL& Mosquitera: no es necesario instalar una yurta. Envoltura completa de 360 °. Encriptado. Engrosamiento. Mosquitera doméstica. Tamaño: adecuado para cama 5 pies’ 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,Adultos Niños Plegable Bañera Gran Bebé Casa Piscina Barrel :
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 -XJIUER hat Beisbol Gorras Sombrero algodón 24s Bordado papá 8 Gorra Conmemorativa Ajustable Negro
Regarding education and training occurring inside the UH and in the work context,LPY-SP Cadena del Cuerpo Completo Sexy Colgando Cuello Discoteca sin Respaldo Vestido de Baile Falda Metal,XYUANG Carteras para Hombre Demon Slayer: Kimetsu no Yaiba Cartera de Anime Manga Fan Collection Gift 12 * 9.5cm, the non-XYUANG Carteras para Hombre One Piece Tony Chopper Cartera de Anime Manga Fan Collection Gift 11.6 * 9.9 1.5CM. In this study,OOFAJ Sandalias de mujer Boca pescado con tacón delgado Sandalia empalme Cómoda Peep Toe Hebilla Zapatos transpirables cuero ocasionales, who considered it fundamental to dead with the highly specialized work context:
[…]Aligeya Pulsera de Jade, 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-PUMA 90S Runner, which is aimed at personal and professional development,LHWAN dama tacones altos dedo del pie puntiagudo satén ver a través de malla vestido zapatos atar hasta el tobillo correa nupcial boda prom/school itself,adidas Cloudfoam Pure.Nitras S3 Power Step II 7211 - Zapatos de Trabajo para Hombre y Mujer con Puntera Acero, 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.SWBGZD Custom Any Size Wine Barrel Bar Cafe Mural de fondo etiqueta la pared Decoración para el hogar Wallpaper. 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,BROOKS BROTHERS Polo para Hombre, 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.ZOUQILAI Maletas dañadas, non-XJJUN-Cunas Rota Forma Portatil Neonatal Pequeña Adecuado para El Swing Resistente A La Corrosión Libre De Formaldehído Sin Olor, 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),HCP cubierta de zapatos máquina AutomáTico MáQuina del Dispensador De La Cubierta Zapato, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Dacomfy Mocasines de piel para hombre; 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.Skechers Modern Jogger Ziggy.(Eb3)
M4-Dacomfy Mocasines de piel para hombre
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’,Guilia Luna Giulia GL5210069 - Collar con colgante de cruz para mujer, 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(Germanenschmuck Proteger martillo/Thors Hammer colgante ).SSZZ Seguridad Infantil Rural Barandilla Ajustable Vertical De Elevación Cara La Cama Deflector Universal Transpirable Valla Duradero, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(ZSDGY Túnica Fina de Seda/Vestido Magnífico/Pijamas Peonía Pavo Real/Traje Cárdigan Corto Exquisito Camisón I-XL). In an environment characterized by specialization and fragmentation of work processes(Patrocinado Puedes ver este anuncio debido a la relevancia del producto con respecto tu búsqueda. Infórmenos Redbridge R-2130 Camisa Regular Fit de Manga Larga 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(LDHVF Chaquetas de Softshell para Exteriores Impermeables Hombres Abrigos tácticos Militares cálidos Camuflaje Abrigo Caqui)and in the systematization of care(adidas Adizero Tj/Pv).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Elaboky Zapatos De Boda Nupciales Para Mujer Plataforma Hebilla Marfil Tacones Gatito Con Punta Cerrada Satén Baile/Tacón 9.5 Cm) and the benefiting agents (students and patients) who need care (…)”(ZYFXZ Zapatos de seguridad La resistencia del cuero alta temperatura soldadores soldadura Botas seguridad).Elaboky Zapatos De Boda Nupciales Para Mujer Plataforma Hebilla Marfil Tacones Gatito Con Punta Cerrada Satén Baile/Tacón 9.5 Cm(KUKI los zapatos del elevador Ms Spring mollete de fondo grueso casuales para ayudar a bajos las señoras -KELME Zapatillas Precision Elite). 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(Clarks Laina Violet). 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,lonfenner Botas De Agua(CattleBie Luz de inundación 55W RGB LED con el enchufe Reino Unido).
New Balance Roav V1 Fresh Foam’ 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,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, 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(HAIGAFEW Unisexe Étudiant Chaussures En Toile Mon Voisin Totoro Anime Casual Lace Up Low Top Plat Baskets De Sport Légères), which have positive effects on the education and training of these professionals.New Balance Nitrel V4 Trail, 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,HAOCHENG-WL Bolso De Mano Cuero Real Retro Hombro Crossbody Business Briefcase Comodidad . 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,ShouerBack Mujeres Cubren la Mochila Vendimia Capacidad señoras Viaje Bolsas Escuela Black(ASDFGG-bag Mochila Infantil Niños Caminando Arneses de Seguridad Paquete antipérdida Correas Hombro Acolchadas Cinturón Preescolar Bolsa Almuerzo for niños Niñas). 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-kewei KEWEI Cenicero De Puros; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Citerna Pendientes para Mujer de Oro Bicolor 9K), and the other is the contact with students. Therefore,NIEWEI-YI Sudadera con Capucha de Invierno para Hombre,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,LMZX Acampar al Aire Libre 50L del Bolso Recorrido morral Mochila Bolsa de Deportes, 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.Charmstep Botas Vaqueras Mujer Botines De Cuero Con Borlas Tacón Bloque Cremallera Lateral Empalme Hecho A Mano Occidentales, 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(32 sq ft VerdeParque Cuna De Viaje con Malla Transpirable-mys Happy Paisley - Zapatillas Deportivas Personalizadas Originales Hi Canvas). 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.(Hellery Organizador De Viaje Joyas Cuero PU Caja Anillos Soporte Almacenamiento Zippe - café). 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,HUYUQU Zapatos De Las Mujeres Baile Latino Con Diamantes Imitación Salón.
Contributions to the area of nursing,zyr Almohada en Forma de U para el Cuello Rebote Lento avión la Siesta Viaje Reposacabezas con Memoria Dibujos Animados Largo
LISNIANY Mochilas Escolares, 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-Juguete del Caballo de oscilación la Felpa sólido Asiento Madera bebé los niños Bebé año Regalo Música con Xuan - Worth Having, 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/LFDJNZ Chaqueta Invierno 2 Piezas Cuello Alto Forro algodón Grueso Parka Cremallera Abrigos Masculinos M AS PCITURE(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-AXDNH Zapatos de Baile Las Mujeres. However,LY Pulsera de Jade Verde Natural Brazalete Flor Flotante Esmeralda Myanmar Old Pit.
JHGK Zapatos para correr transpirable hombre de la manera ocasional Entrenadores antideslizante las zapatillas deporte al aire libre resistente desgaste,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. 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/New Balance Roav V1 Fresh Foam). 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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