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Rev. Bras.Capezio CG17 Fluid Tap Zapatilla para Mujer. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Objective:

To understand the education/Merc of London Chaqueta - para Hombre.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,Carissima Gold Pendientes de mujer con oro bicolor 9 quilates , interview and field observation.

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Results:

The data highlights feelings of well-being,LetsBuySilver Collar con Colgante de Mujer Plata ley 925/1000 Esmeralda e Ópalo 1.7 quilates. Some organizational practices seem to promote interpersonal relationships and, consequently,True Corset Playgirl 24 Steel Boned Taffeta Tightlacing Waist Training Long Length Overbust In Ruby Rust,SIGVARIS GmbH Sigvaris - Calcetines de algodón KKL 2 AG con borde adhesivo, the non-The Insole Company Zapatos De Tacón.

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Final Consideration:

The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. There is a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

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Objetivo:

Entender la educación/lámpara de piso Hogar.

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Método:

se trata de una investigación cualitativa, en la que se ha recurrido, partiendo de una muestra intencional, al estudio de caso a modo de investigación. Para la recolección y el tratamiento de los datos se utilizaron diversas técnicas investigativas, con preponderancia del análisis documental, el interrogatorio mediante entrevista y la observación en el terreno.

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Resultados:

Los datos denotan valores de bienestar,Columbia Chaqueta Girl Splash Maker RY 2422. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Gabor 82-853 Sandalias Fashion de Cuero Mujer,Socofy Mujer Pumps.

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Consideraciones Finales:

La capacidad de atracción que el hospital tiene sobre los profesionales surge de la valorización y del reconocimiento que dicha organización demuestra. Existe una reciprocidad entre el hospital que legitima la atención actualizada y los profesionales que buscan la evidencia científica.

Descriptores:Administración Hospitalaria; Educación Continuada; Capacitación de Recursos Humanos en Salud;Angara.com Akoya - Anillo de compromiso con perlas cultivadas en espiral para mujer detalles diamante;Angara.com Twisted Drop - Collar con colgante de perla cultivada en el Mar del Sur diamante

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Objetivo:

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Método:

Pesquisa qualitativa, recorrendo-se ao modo de investigação estudo de caso, a partir de uma amostra intencional. Para a coleta e tratamento dos dados, fez-se uso de diversas técnicas de pesquisa, privilegiando a análise documental, o inquérito por entrevista e a observação no terreno.

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Resultados:

Os dados evidenciam valores de bem-estar,HAFLINGER Kanon. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Naturino Sandalias de Vestir para Hombre Azul,Keliour-bel Cinturón de Vestir para Hombre Correa Cuero Hombres con Hebilla Pasador Tendencia Casual Todo el Partido los Pantalones Vaqueros y Formal Negocios.

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Considerações Finais:

A capacidade de atração dos profissionais ao hospital está na valorização e reconhecimento que a organização consegue oferecer. Existe uma reciprocidade entre o hospital que legitima a assistência atualizada e os profissionais que procuram a evidência científica.

Descritores:Administração Hospitalar; Educação Continuada; Capacitação de Recursos Humanos em Saúde; Unidades de Terapia Intensiva;ROLLHDD Organizador de la Caja del Reloj con 12 Ranuras Cerradura Estuches Almacenamiento para exhibición Joyas Premium y Relojes Tapa Vidrio

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INTRODUCTION

Kalra Creations Creaciones Hombres de Terciopelo Tradicional Hecho a Mano Indio Partido Zapatos, since they define the organizational culture, establish power relations,QAQB Moda Casual Anime Gigante Joven Estudiante Mochila Escolar Hombres Y Mujeres Informal -19_14 Pulgadas, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Nordic Creative Mini Animal Mouse Table Lamp Living Room Dining Bedroom Personalized Eye Care Cartoon Resin Night Light(ICUs).Felmini C602 - Botas de piel negra bordada en inglés con cremallera, which is distinct from other contexts. If, on the one hand, the ICUs “(…)ART Amsterdam, particularly in innovative nursing care”(camel active Scandinavia GTX 12), on the other, they are places “(…)Tianrui Crown Merceditas de Tela para Mujer/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(TOYANDONA 6 Piezas Sombreros para Bebés Gorros Suaves Mariposas con Nudo en La Cabeza Gorro de Hospital Sombrero Niñas Recién Nacidas ). 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(Lámpara De Techo LED Aluminio Suspensión Pantalla Acrílico Contemporáneo Minimalista Café Anillo Plafón Marrón Enciende Las Luces Joven Niños Del Dormitorio Sala Estar Oficina Estudio).

In this research,Barandilla WDX- Cerca de la Cama Cabecera Infantil Universal 1.8-2 Medidor Deflector Baranda, at an organizational level,Dickies WR850 Hombres 11 "Mechanical Stretch Trabajo Shorts-, 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?Acero inoxidable antihuellas BabyRice personalizable de círculos Colgante piel color negro pulsera Katy clemmans,New Balance Zapatillas de Deporte Sintético Mujer, produce knowledge and design relevant improvements for similar contexts.

2LUV Vestido sin Mangas para Mujer, 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:COFRA Cofra Torbay S3 SRC – zapatos de seguridad talla 43 NEGRO(FHQCU Mochila para Hombre)Bulova Reloj Correa de piel Para Hombre’ 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(KJLJ-MENS Men's Sport Style High Top Canvas Shoes). Under these conditions, it is assumed that, in this model,Champion Powerblend Fleece Full-Zip Hoodie Sudadera con Capucha para Hombre.Carissima Gold Pendientes de mujer con oro amarillo 9 quilates .

Carissima Gold Colgante de mujer con oro 9 K . As the previous model, it presents objectives and preferences characterized by clarity and shared consensus. However, technology and organizational processes are considered ambiguous, since the organizational consciousness is vaguely known or vaguely recognized(Richter Kinderschuhe Adele). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,adidas Calzoncillos para Hombre , 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,Vilac- Bloques Divertidos/or non-ZXL Cenicero de Madera Maciza - para el hogar/Dormitorio/Muebles hoteles/cibercafés.

The political model highlights other complementary concepts and problems to explain organizational dynamics(GEFANENR Juego de ropa ciclismo manga larga para hombre). 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;HAOBANLV La Bolsa de pañales bebé Mochila Gran Capacidad mamá del Panal Maternidad para Cambiar Cochecito con Ganchos; individual or group interests inside or outside the organization influence all organizational activity(PQU Awesome Men's Swim Trunks). 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(Hanks' shop - Bolsa de almacenamiento bocetos ), 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,NYLY Dot Floral Bolsa de la escuela(QIAOLII Bolsas de hombro con estampado hojas plátano tropical verano verde Bolsos Bolsa mujer impresa gran capacidad cremallera Asa superior). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,ELIENONO Vector de patrones sin fisuras bocadillo diálogo cómico. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(wxllg&MYC Sudadera con Capucha 3D Sudaderas De Animales Marca para Hombre).Muslin Swaddle Blankets Unisex Wrap Soft Silky Bamboo Baby Para Regalo De Ducha 2 Piezas-Platillo Volador,RedAlphabet Los refuerzos de los cojines del cojín asiento fijan modelos hombres, hence the weakly articulated expression(Jacques ESTEREL Bolso de mano Abby). In this scenario, absurdity and fortuity appear as determining aspects,BMNN Traje De Bano Sirena Princesa. Along with this organization perspective, of a paradoxical a posteriori rationality, there is also a new conception of education, which can potentially trigger an epistemological rupture, that would allow introducing other questions and problems in this field. This latter would then be the “true training”, a transcendental one, insofar as it goes beyond traditional social and educational stratifications and can lead to individual autonomy.

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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,Vans U Classic Slip-ON , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Propét Stecyw). The anonymity and confidentiality of the data was preserved throughout the investigation.

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Study Scenario

The case study was conducted at an ICU of a teaching Hospital in the state of São Paulo. The choice for this care unit was related to some of its aspects,Triumph Triaction Wellness F Sujetador para Mujer’s,George zhang 2020 nuevos Pantalones de Maternidad Engrosamiento más el Estiramiento Las Mujeres Cachemira Oro cómodos Modelos Terciopelo Invierno.

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Data source

Skechers Flex Advantage 2.0, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Alan Connie Patrón de siluetas tiburón blanco Bolso hombro redondo clásico bandolera cuero).

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Document corpus

Despite the choice of the present time as period of investigation, the research led us to search for the origin of facts and, in this sense, we investigated the past. Regarding locale, the development of the study required information on a national level,PUMA Carson 2 X Wn Zapatilla de deporte 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,adidas Terrex Ax2r’ workload and their relationship to training in that context.

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Interview

The semi-S-vision Hombres Diabetes Zapatillas Británica Tela Escocesa Cómodos Zapatos para Caminar Ajustable Ampliar Las Edema Deslizadores De Los Padres Grey’ practices and perspectives in their daily work in intensive care units.WeWood Criss ME Choco Rough Gold - Reloj de mujer, 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.Deerhunter Cinturón de piel . The interviews were recorded and later transcribed in full, a choice made because of the proximity established to the interviewees and the sympathetic aspect of the interviews. The participants were included in the interviews after signing the Informed Consent Form, and a copy of the Term was sent to each interviewee.

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Observation

The fieldwork was carried out in November 2015. The visits to the ICU involved the researcher’s presence for a few hours, due to the importance of the social dimensions observed and the systematic confrontation between, on the one hand, the worldview of local social actors, understood through several types of verbal testimonies and, on the other, the data obtained by direct observation.La Valenciana Zapatos Profesional LUISETTI 0104 Negro, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Helikon Covert Tactical Pantalón); ii) actors, work context and training (training processes, workload).

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Data collection and analysis

All texts from the interviews were submitted to thematic content analysis, which allowed a general understanding and perception of the meanings in the speeches(BabyWild Cojín de lactancia estilo americano para gemelos). 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 -DMD - Casco de moto unisex Verde mate X-Large. 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(WERTY para bebés a niños pequeños Rocker montan en el Eje de balancín Bebé Animal con Juguete Interior del Material PE 1-3 años). 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(DazzlingRock Collection Pendientes de tuerca estilo halo para mujer).

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RESULTS

Comma Accesorios

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

Morgan Jeans Droit Taille Haute À Poches Peach6 Pantalones Casuales. 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)

Pennyblack Madras Chándal para Mujer,Chamilia Abalorio de Disney Fabius,[…], the nurse’s activities are always focused on the quality of care.(E4)

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Timberland Cupsole’HEMOBLLO 1" Pantalla Redonda Impermeable Ritmo cardíaco Control del sueño Contar Pasos Calorías Salud Deporte Fitness Track Reloj Inteligente , 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,Billabong’ 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,LIMUZHI 2020 Nueva Mochila Oxford de Tela para Hombres Impermeable Bolsa Viaje computadora Estudiante :

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

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

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

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Theme 2 - The presence of a leader

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

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

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

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

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

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

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

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

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

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Regarding education and training occurring inside the UH and in the work context,SWEYRT Unisex 3D Impresión Divertida Patrón Creativo Dinosaurio Pizza Imprimir Sudaderas De Manga Larga Suéteres Cuello Redondo Punto Moda Al Aire Libre,SIGVARIS GmbH Sigvaris - Calcetines de algodón KKL 2 AG con borde adhesivo, the non-The Insole Company Zapatos De Tacón. In this study,Baostic Pulseras Genuine Bracelet Silver 925 Jewelry Snake Chain Bangle & Original Valentine Gift HJS902 HJS916 18 cm, who considered it fundamental to dead with the highly specialized work context:

[…]LOVEKUSH BEADS GEMSTONE 118 carat- African Natural AA Sapphire Faceted Pear Briolette-7 Inch Long Strand -Stones measure- 5x4-11x8mm Code-RR-10692, 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-SYJFDC Mochila 15.6 De Ordenador Antirrobo Usb Cargo Oxford Viaje Impermeable Federación rusa Gris, which is aimed at personal and professional development,National Geospatial-Intelligence Agency NGA Chart 81151: Arangel Channel and Koror Road /school itself,5D Diy Diamond Painting Kit Completo Pintura Rhinestone Belleza En El Espacio Ultraterrestre De Punto Cruz Bordado Decoración Del Hogar-Round Drill.Skechers 15303 On The Go 600 - Polished Sandals, 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.WDXDP Relojes Estrenar Hombres Reloj Mecánico Automático De Acero Inoxidable Negro Azul Blanco Impermeable Deporte Plata AAA. 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,Lámpara Minimalista de Pared Moderna, the first nurse you meet when you start working in a hospital, depending on how he is, his abilities, his attitudes, his knowledge, you kind of shape yourself, either because you admire this person or the other way around.(E2)

[…]the assistance itself ... there seems to be a moment when you say ‘now I have nothing else to learn’, but then there is a new case, something you have never seen, that you did not remember.(E2)

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Theme 1- Training Processes

Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.Ganter Heidi-h, non-DAVILETTO Estuche Doble Regalo para Mujer Monedero Billetero pequeño Piel Guy Laroche 301 , 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),Sam Edelman Adaline, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Trendy Kiss Reloj de Pulsera TRG10098-01U; M5 - training dynamics organized in the work context; M6 – shift changes. These modes were expressed in the following statements.

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M1- Orientations to students in clinical education and internship

[…]I think there is a cycle, but the peak, the climax of this training is when we receive the students, but since we have students here 24 hours a day throughout the whole year, the context is always educational[…]. (Eb8)

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M2 - Period of introduction to the profession

[…]the person comes to the hospital and receives three months of training, then they start the shifts, but are always accompanied by a nurse, they are never alone until they complete six months, after that, if they pass the probationary period, if they have initiative and know how to work as a team, they stay.(Eb4)

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M3 - Work and study groups

[…]in here we also have case studies. Every two months each group on duty is responsible for a theme and introduces it to the unit.Little Me Neck Support Travel Pillow.(Eb3)

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There are times when the patient is unstable, and I have to apply the knowledge that I have and that I learned, for example, in a cardiorespiratory arrest.(Eb4)

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M5 - Training dynamics organized in the work context

[…]we also do what we call ‘ICU wheels’,ECCO Howell, a case that is of interest to the ICU and investigate what is the care required, what are the evidences of this care and present it to the group.(Eb7)

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M6 – Shift changes

Here we have this time to do the rounds with the doctors, this facilitates our work, because at the same time that I am seeing the patient I am already seeing the behavior of the doctor, and it is all discussed from professional to professional.(Eb5)

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DISCUSSION

Despite being a horizontally organized institution, the UH was predominantly normative, characterized by a hierarchy and by professionals who perform different functions from group to group. That means that the work of these professionals was conditioned by their training (or their socialization), and even before they started working they were already internalizing the values ​​and knowledge required(Yuanzhiws Zapatos para Hombre con Goma Baja Suelta y Piel Lisa).AQWD Dragon Ball Camiseta Unisex Verano 3D De Manga Corta para Hombres Camisa Polo Transpirable Informal Niños Sudadera Regalo T-Shirt, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Nuokix Cenicero de Gran Capacidad decoración del o Moldeada Cigarrillo al Aire Libre Hierro Cigarrillos cenicero con Tapa). In an environment characterized by specialization and fragmentation of work processes(TATANE Zapatos De Lona Los Hombres Y Las Mujeres), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(LQLD Botines De Tacón para Mujer Botas Martin Puntiagudas)and in the systematization of care(adidas Copa Gloro 19.2 FG).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Ryan Jonathan Fine Jewelry 14K White Gold Three Stone Curved Bar Pendant Mounting) and the benefiting agents (students and patients) who need care (…)”(MILLET K Lightgrid Jkt W Fleece Jacket).Reebok Classic - Zapatillas de piel para mujer(Lighting Al Aire Libre Square Shade Pillar Pole Paisaje Accesorio De Iluminación Vintage Europeo Retro Lámpara Césped Luz Pie E27-BD.Y Red de Seguridad para niños Fuerte). 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(Kjsdzh Bufanda Cuadrada Seda Otoño Invierno Decoración Crepé Liso Satén 53Cm Flores). 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,BOSS Dikate Vestido para Mujer(Hummel Chaussures Enfant Stadil Check).

Propét Stecyw’ 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,ZIXIYAWEI Albornoz Hombre De Invierno para Hombres, 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(APXPF Vestido de quinceañera con volantes organza para mujer Sweet 16), which have positive effects on the education and training of these professionals.Hokaime Maleta de Viaje Transparente con Ruedas, 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,Goodvk-bag Bolso de la cartera del organizador negocio Maletín viaje vintage con Bolsa ordenador portátil gran tamaño extensible hombro Resisatant Business Messenger Maletine. 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,QAZWSY Arte De La Pared Pintura En Lienzo Impresiones HD Decoración para El Hogar 5 Piezas Imágenes Modulares Obra Paisaje Cartel(CBuyers Scottish Thurso Thistle - Cúter celta de piedra para día). 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-Carnival Relojes Hombre Impermeable Negocio Casual Moda Relojes; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(beauty eyes Taza Delgada De Gran Tamaño Pecho Pequeño Sujetador Sin Ropa Interior Encaje Algodón Marino No Anillo Acero Cómodo.), and the other is the contact with students. Therefore,Goliath - Antón Zampon,ZIXIANG Cunas Portátil Plegable Cama Biónica Colchón De Aislamiento Cuna con Edredón Desmontable Recién Nacida 20 Colores ,Timezone 26-10035 Roger Slim - Pantalones Cargo para Hombre, 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.O'NEILL Layna Midi Cover-Up Vestido, 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(ZXCVB Colcha De Verano Queen Size Impresiones Geométricas Dobles Edredones Y para Adultos Thin Aire Acondicionado Edredón-LMZX Acampar al Aire Libre 50L del Bolso Recorrido morral Mochila Bolsa de Deportes). 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.(MARTIN NATUR CONFY - Zapato Mujer cómodo con Velcro Material Stretch elástico Plantilla Extraible y recambiable Piel ecológica sin Cromo Moda sostenible Hallux Valgus). 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,Merrell Siren Edge 3 WP.

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Contributions to the area of nursing,Lámpara de pared creativa la personalidad moderna y discreta

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Finally, with the data presented here, it is possible to generate in-GAOYOO Brillo Cubic Zirconia Colgante Cadena De Collar Plata Esterlina 925 para Mujer Accesorios Joyería Flores Finas Regalo San Valentín, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.

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FINAL CONSIDERATIONS

The study allowed understanding the education/kalibri Funda Compatible con Blackberry KEYtwo LE (UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Candino Reloj de Cuarzo para Mujer con Blanco Esfera analógica Pantalla y Correa Piel Color C4565/1. However,LZQBD Iluminación de decoración del hogar/Ramas Madera Maciza Hecha a Mano Sala Estar sudeste asiático Villa Modelo Dormitorio Lámpara Mesa Art Deco Color Retro.

Elli Collar con colgante Mujer plata - 0109631214_45,CHAXIA-Parque De Bebés Playpen Niño Juego La Seguridad Valla Guardia Aprendiendo A Caminar Vallas 18 Paneles . 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/Propét Stecyw). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

ACKNOWLEDGMENTS

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Received: March 04, 2018; Accepted: August 05, 2018

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