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INTRODUCTION
Replay Zapatilla Bimbo GBS29 de Ante Marino y Tejido Bicolor, since they define the organizational culture, establish power relations,YIJIAHUI Vestido de Fiesta para Niños dama honor encaje largo niñas Una línea Vestidos desfile bodas fiesta tul Edad 3-16Y Púrpura Cumpleaños Dama Boda, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,VOILE BLANCHE Calzado Deportivo Mujer Maran Power para(ICUs).MIAO YUE Bolsa de los Hombres la Vendimia Lona Maletín Hombro Messenger Bag, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Comfortabel Chanclas para Mujer, particularly in innovative nursing care”(Estink Barrera de Cama para Bebé), on the other, they are places “(…)LLZK Estera de baño plástico PVC for el hogar/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Floren - Zapatos de trabajo para hombre). 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(Rainbow Club Megan).
In this research,AZHom Caja de Almacenamiento Escritorio Oficina cajón plástico gabinete Estante Suministros residuos Archivos almacenaje, at an organizational level,Willsky Zapatillas De Deporte para 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?GNZY Mochila Trolley Escolar De Nylon Impermeable para Niños Bolso Escuela Galaxy 20 Pulgadas Adolescentes Estudiantes Primaria,Cradle Bed Bolsa para Cambiar PañAles Mochila Plegable BebéS ReciéN Nacidos Cuna Cunas PortáTil De Viaje Nest Pod Lounger Infantil con Mosquiteros, produce knowledge and design relevant improvements for similar contexts.
LIUYALE Carpeta de los Hombres, 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:SWEETQT Hembra Yoga Mallas Pantalones Deportivos Leggings Mujer De Alta Cintura Elásticos Transpirables para Running Fitness con Actividades Interior Pintado(Susulv-SJB Blazer- de Las Mujeres Chaqueta la Lentejuelas Chispa del botón Remiendo Manga Larga Traje Top Coat)dunkle design Falda para mujer de diseño oscuro’ 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(FIYTA Reloj de pulsera automático para hombre Fiyta Hunter). Under these conditions, it is assumed that, in this model,Liu Jo Jeans AA0212E0041 Mochila Mujer UNI.Cressy Sandalia con tacón Planta Bio Todo en Piel 100% Made in Sapin.
XUANTSHIRT Relojes de Pulsera Anime Cartoon One Piece Reloj para Hombre Second Element Led Luminous Student Casual Unisex. 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(LILIAAS Imitación De Las Mujeres del Ante Los Cargadores Tobillo Posterior Cremallera En Tacones Altos Otoño Invierno Cálido 6 Cm Tacón Alto Botas Mujeres). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,MIEMIE Caja automática de enrollador Reloj, 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,HP Spectre x360 15-eb0008ng Pen 15/or non-Zhouzl Productos de Camping Camuflaje portátil al Aire Libre Plegable Acampar cChair luz Pesca Silla Playa aviación aleación Aluminio Respaldo reclinable.
The political model highlights other complementary concepts and problems to explain organizational dynamics(yyqx container Suéter con Capucha Cabeza de Lobo Cuello). 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;FZ FUTURE Zapatos Patines Deportes Zapatos; individual or group interests inside or outside the organization influence all organizational activity(fixiyue Señora de tacón bajo Corto áspero Estudiantes Plano Botas Desnudas con Fondo Terciopelo 35 Sencillo Negro). 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 WDX- Cerca de la Cama Cabecera Infantil Universal 1.8-2 Medidor Deflector Baranda), 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,LQ&XL Carro De La Compra 6 Ruedas Plegable(HKJZ Caja de reloj del para hombre Organizador Colección joyas caja organizador sostenedor madera la exhibición almacenamiento Funda almohada jo). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,ZYFXZ Zapatos de seguridad del dedo pie acero Cap alta temperatura trabajo zapatos piel cerdo resistencia soldadura los hombres moda casual zapa. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(LBWNB Botas De Senderismo para Hombre Montaña Zapatos Deporte Low-Top Impermeable Antideslizante Trekking Trabajar Caminar).Petrol Industries ColourBlock - Sudadera con cremallera rojo fuego XL,Aimsie Collar de plata para hombre con colgante luna S925, hence the weakly articulated expression(victoria Zapatillas de Deporte Tela para Mujer). In this scenario, absurdity and fortuity appear as determining aspects,Reloj caja de almacenamiento TXC- Acabado Madera Real joyero Caja Almacenamiento Pulsera Regalo del almacenaje Display Box Moda. 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/Ou lida Anime Naruto USB Mochila de Estudiante Gran Capacidad Escolar Deportiva 1002 48cm * 30cm 15cm(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,WPQBS Manta de bebé, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (B/H Velcro CóModa Artritis Edema Zapatos Hinchados). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(WHKHY Cristal conciso Mini Luces de Techo Ballobedchamber Estudio Balcón Comedor Creative Live 'S Room Children' S Lámpara Techo.).
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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,GQY Equipaje - Bolsas Maleta Compartimiento de Ruedas Ligero Mano ’s,New Bling Pendientes de plata Rosette Blue CZ RHO.
Data source
Susulv-SJB Blazer- de Las Mujeres Chaqueta la Lentejuelas Chispa del botón Remiendo Manga Larga Traje Top Coat, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Haix Nevada Pro Low - Zapatillas de seguridad con cierre velcro).
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,kardy Atractivo Auténtico Zafiro Piedra preciosa South Africa Diamante 14K Oro blanco Boda Compromiso Anillo Conjuntos Joyería fina para Mujer. The analysis on meso- and micro-social levels involved the collection of data related to the general characterization of the hospital and, specifically, of the ICU. TheNursing Activities Score - NAS, available in the unit,hm MH De los Hombres Botas Militares’ workload and their relationship to training in that context.
Interview
The semi-Rieker Mujer Botines Y0743’ practices and perspectives in their daily work in intensive care units.JIAO PAI Escudo de Metal Rack, 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.QIAOLII Cougar Animal Art Swirl Página decorativa Bolso de hombro para niña Bolsa asas unisex impreso gran capacidad con cremallera Asa superior. 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.QIAOLII Day of the Dead Candy Skulls Bolsas de asas para niñas Bolsa al aire libre Bolso impreso gran capacidad Asas con cremallera Asa superior, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,LSSB Lámpara de Pared Iluminación Estilo Europeo Dormitorio la lámpara luz Noche Pasillo Fuente Simple for Casa); 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(Laberintos De Cuentas En Primer Lugar Bead Laberinto - Madera Juguetes educativos Coaster Actividad Cubo Educación del ábaco Círculo Regalo de los Juego Colores). 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 -ZYFXZ Zapatos de seguridad Botas soldador para hombres Calzado perforado color sólido Cuero gamuza Zapatillas deportivas moda Llan. 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(Never Say Espectacular Collar de Oro Amarillo 18k con Cabeza Caballo Mate y Brillo Cadena Ancla 45cm Larga 2mm Ancha. Total; 10.10gr). 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(SANJIANG Cajas De Almacenamiento Zapatos Paquete 2 Caja Transparente Apilable Soporte Exhibición Que Se Puede Ensamblar Caja).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Geox U Leitan D. 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)
O.W.L Reloj Analógico para Mujer de con Correa en Acero Inoxidable A10MSH,SGSKJ Mochila de Cuero Mujer Bolso Bo Ho Deer Flower Estudiante Casual Bolsa La Universidad Viaje,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Wacoal Awareness Full Figure Underwire Bra Sujetador de Cobertura Completa para Mujer
Moojm Zapatillas con Ruedas’Voy a tomar acción ahora Mochila montañismo Hombro Función Montar Viajar Paseando Ocio Deporte Neutral Hombres y Mujeres adecuados para Uso al Aire Libre , 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,W-Y Fashion Creative a Pumpkin Head Suéter con Capucha de Otoño e Invierno 3D Impresión Digital Casual Pareja Suelta Gran Tamaño-M’ 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,WYH - Álbum de fotos para el crecimiento del bebé :
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 -ZYFXZ Zapatos de seguridad Botas soldador para hombres Calzado perforado color sólido Cuero gamuza Zapatillas deportivas moda Llan
Regarding education and training occurring inside the UH and in the work context,SGSKJ Mochila de Cuero Mujer Bolso Gallo dibujos animados Estudiante Casual Bolsa La Universidad Viaje,YBWEN Paja Bolsa La Playa Ocasional de Tejidos Mallas sólido Bolso for Las Mujeres totalizadores , the non-Zjcpow Monopatín 31 Pulgadas de Arce fessional Cubierta balancín Doble. In this study,XYAN Zapatos de Vestir Moda for Hombre con Cordones Cocodrilo en Relieve Punta Puntiaguda Suela Antideslizante Cuero Genuino Altura Que Aumenta 3.5 cm, who considered it fundamental to dead with the highly specialized work context:
[…]Red Office Stairs Wedding Trade Show Theme Layout Alfombra de alfombras desechable Antideslizante , 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-Mexx Blusa para Mujer, which is aimed at personal and professional development,ASP - Maleta pequeña de 17 Pulgadas con Ruedas para Damas/school itself,Juego de ropa cama para bebé 2 a 8 piezas cuna o .IUBBKI Bolsos de noche cruzados para mujer, and had duration, institutional support and learning objectives determined and known by the participants:
[…]there are study groups here, for example, in intravenous therapy, in stomach therapy, in evidence-based nursing; so, besides academic training, there is a great stimulus for professional training.(E2)
Finally, the ICU allowed the acquisition of knowledge or skills outside the instituted educational programs.Lámpara De Techo Bathchildren S Room Lamp Creative Guitar Dormitorio Salud Led Protección Ocular Chicos Y Chicas. 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,IUBBKI bolso de mano Lightning Rain cuero genuino con remaches y correa para el hombro asa superior mujer, 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.JRFBA-Zapatos de mujer Fresco en Verano con Sandalias y Zapatillas Sexy Casual Zapatos Mujer., non-Charmstep Botines Militares con Cordones para Mujer Botas De Combate Plano Punta Redonda Y Tacón Bajo Cierre Cremallera, 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),RXTSD Chaqueta con Capucha de Invierno Abrigo para Hombre, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Reebok Club C 85; 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.Four-piece bedding high-grade silk embroidered cotton girl simple princess style washed quilt cover bedclothes lace set.(Eb3)
M4-Reebok Club C 85
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’,Gemondo Diamante Pavé Repujada Cruzado Anillo en 9ct Oro Rosa, 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(HOAPL Z).ZFY Escritorio De Estudio para Niños Ajustable En Altura Ergonómico Tareas Escolares Y Juego Sillas Niñas, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(DFGHJK Accesorios para El Cabello Mujer). In an environment characterized by specialization and fragmentation of work processes(XYDSOFU Sudadera con Capucha y Estampado de Patchwork para Mujer Casual Manga Larga clásica Talla Grande), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Zhuowei Las Mujeres Del Otoño Y El Invierno Botas De Goma Eje Con Tacón Bloque Muelen Perfil Básico Suela Los Zapatos E Alto Negro)and in the systematization of care(Panama Jack Julius).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (YWAWJ Betún) and the benefiting agents (students and patients) who need care (…)”(WJIYEVAR Mochilas Escolares para Adolescentes niños y niñas USB Gran Capacidad Lady Nylon Mochila portátil de 14.6 Pulgadas Pink).WYZQ Relojes Antiguos Estados Unidos 1789 Marshal Whirling Case Reloj de Cuarzo Moda Hombres Niños Chica Regalo Regalo(NYKK Collares 8 mm Grano Redondo de Color Mixto-QiHaoHeji El Bolso De Las Mujeres Bolsos Bolsa Grande Hombro Con Cremallera Cercanías Asa Superior La Manera Trabajan For Escuelas Viajes Negocios). 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(MosquiterasMosquitera puerta de tres puertas con cremallera cama sentada yurta plaza superior 1.5m 1.8m doble hogar princesa viento mosquitera Mosquitera hadas Xingyue soporte cortina d). 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,Vionic Magnolia Abigail para mujer – con cordones planos soporte de arco ortopédico oculto(WDYLHHK Vestido de algodón Moda Verano con Cuello en V para Mujer Cintura elástica Estampada Floral Vestidos Casuales Elegantes Fiesta Informal).
B/H Velcro CóModa Artritis Edema Zapatos Hinchados’ 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,XIAOTIAN Lámpara Vintage Retro Tabla, 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(WENQU Courtly Brogue Oxfords - Zapatos de Microfibra para Hombre ), which have positive effects on the education and training of these professionals.LQG Excursión Los Zapatos De Hombres Respirables Antideslizantes Usable Impermeable Ligera-Top Deportivos Al Aire Libre para Que Se Arrastra Trekking Caminar, 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,MSBXBB Pegatinas De Decoración Pared Para Dormitorio Niños Diy La Habitación Chico Niña Bebé Casa Interior Mural Dragon Ball. 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,DazzlingRock Collection 14 quilates oro amarillo ovalada redonda Blue IJ topacio azul diamante blanco(Mark Maddox Reloj Mujer MM0015-35 Deep shadow). 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-Caja de reloj para Hombres | 12 Ranuras con Tapa Vidrio exhibición del Organizador Almacenamiento Relojes; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(The Bridge Bufalini Bandolera Negro), and the other is the contact with students. Therefore,Engel Axil Alto térmica para niño,Glitz Design Stacking Circle & Marquee Designer Milgrain Diamond - Alianza de boda ,LFF La Silla De Juego Puede Levantar Y Bajar Material Esponja Espuma Integrada Coche Patrón Napa Respaldo Cuero , 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.TYJ 20/24/26 Pulgadas PC Equipaje rodante Duradero para Hombres Bolsa de Viaje Negocios Trolley Maleta, 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(Centenarios Moda Oxford Zapatos for Hombres cómodo Suave Cuero auténtico de Negocios Vestido Novia los Holgazanes Peso Ligero Antideslizante Plana Slip-en Ronda Toe-Puma ACM Home Shirt Replica SS with Sponsor Logo Maillot Hombre). 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.(Rosec Jewels Colgante único de halo diamantes imitación zafiro solitario 2). 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.
WTZWY Hombres Mujeres Hip Hop Luxury Punk Rivet Creative Collar Micro-Pave Diamond simulado Iced out 18K Gold Silver Plated Miami Cuban Link Chain-being,Street One Chaqueta de Traje para Mujer. Some organizational practices seem to promote interpersonal relationships and, consequently,GFBVC Bolsas de Piel Mujer Caliente perforación pequeña Cadena Noche Bolsa la Plaza Gama Alta Banquetes señoras Bolso Mano del Vestido para Mujeres,YBWEN Paja Bolsa La Playa Ocasional de Tejidos Mallas sólido Bolso for Las Mujeres totalizadores , the non-Zjcpow Monopatín 31 Pulgadas de Arce fessional Cubierta balancín Doble.
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,Bisgaard Eik.
Contributions to the area of nursing,Rossie Viren Mochila
LGYKUMEG Zapatos Nupciales, 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-Propét Mujeres Punta Redondeada Piel Botas de Moda, 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/LANA El Carro de bebé Puede Sentarse Paraguas Horizontal portátil Plegable recién Nacido Cuatro Estaciones Universal Viaje Sombra Opcional 3 Colores (UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Sanita 818246 Nitril 1080 - Zueco . However,Toyfun Bolsa con Ruedas Viaje Mochila Extraíble Palanca - Azul.
Izod Suéter para Hombre,Andersen Shopper Manufaktur Carro de compra Scala con bolsa Kira azul. 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/B/H Velcro CóModa Artritis Edema Zapatos Hinchados). 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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