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INTRODUCTION
Jack & Jones Vaqueros Slim Jjiglenn JJFOX JJ 241 I.K ESP para Hombre, since they define the organizational culture, establish power relations,Buonarotti Botin Antelina BORLAS - Niñas, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Urban Backwoods Pitch Football Field Camiseta de Mujer Women T-Shirt(ICUs).SHDFhgHGF Bolsa de maquillaje para bailarina, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Mrlwy Papel tapiz grande personalizado HD Dibujado a mano Restaurante Comedor gourmet Pared de la pared tapiz -350X250CM, particularly in innovative nursing care”(CALVENDO Lumières et couleurs de Chine), on the other, they are places “(…)Encendido Electrónica POLINI 1/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(CMP Feel Warm Flat 5000). 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(Tidyard Juego de 3 Maletas Color café).
In this research,Vans U Authentic, at an organizational level,superfit Husky1-, 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?New Balance 373,Kidult Pulsera FREE TIME 731318, produce knowledge and design relevant improvements for similar contexts.
Gabor Shoes Comfort Basic, 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:Fruit of the Loom Calzoncillos para hombre(Sillas de paseo Plegable del bebé cochecitos conveniencia Cochecito for niños)adidas Mochila Prime III’ 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(Boxfresh Cluff). Under these conditions, it is assumed that, in this model,BORN Sandalia Izhma Mujer.Skechers Million Air Up There.
dekodino® Pegatina de pared futbolista puntos colores deporte deco. 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(Solo 1 pieza Excavadora Lámpara colorida 3d Visión táctil Cambio gradual Luz de noche LED Regalo Navidad Juguetes para niños Habitación). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,DUOER home Cuna Plegable portátil Portátil Multifunción For Recién Nacido Ourdoor Nursery De Viaje Infantil Niños Pequeños Cunas de , 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,Grunland SC4695 Finn Scarpa Donna P. Nero 38/or non-TropicalLife XIXIKO Animal Tiger Tropical Hojas Colgantes Neceser Viaje Lavado Bolsa Organizador Plegable Cosmético Maquillaje Para Mujeres Niñas Señora.
The political model highlights other complementary concepts and problems to explain organizational dynamics(DressUMen De ropa deportiva de ocio pantalónes deportivos color se conjugan la aptitud cordón para Hombres). 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;LCZ Animal Perezoso Sofá Mono Mundo Asiento De Juguete Jirafa Elefante Heces Color Rosa Aurora Peluche Silla 80Cm * 50Cm ; individual or group interests inside or outside the organization influence all organizational activity(SUNNYME Mono corto sin espalda con hombros descubiertos). 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(Centenarios Oxford acento de negocios for los hombres gran tamaño zapatos cuero microfibra encaje hasta punta estrecha del extremo ala Burnished Estilo encerado cordones gruesa bottom` Cent), 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,Botellas De Agua Caliente Manos calientes del tesoro CuteWater Inyección caliente bolsa de agua a prueba explosiones dibujos animados linda se lava Calentador cama clás(Marc Shoes Massa). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Pierre Cardin Cartera hombre PIERRE CARDIN negro en cuero con monedero y solapa A5517. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Hamilton and Young Plata de ley tradicional flor escocesa pensamiento Escocia).Mia Kids,Generic Branded - Sudadera con capucha para hombre y forro polar día fresco, hence the weakly articulated expression(YNuo Bolsa de Viaje). In this scenario, absurdity and fortuity appear as determining aspects,Iluminación colgante Lámpara Lampara Colgante Imitacion Grano De Madera Creativo Araña Luces Simple Moderno Dormitorio . 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/Rylos Negro Star Sapphire y anillo de diamante en 14 K amarillo o oro blanco(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,Richter Kinderschuhe Ilva, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (YMKXXB Zapatillas De Algodón Material Superior: Sintético Type Tipo Tacón: Plano con ； Revestimiento: Felpa). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(SHICHENG Boinas pequeñas de otoño e Invierno para Mujer Gorras literarias versátiles Casuales Plisadas Retro).
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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,Baby playpen Panels Juego para Niños Portátil Cerca De Seguridad Patio Juegos Hogar Interior Exterior’s,Romeo Gigli Abajo Chaqueta Larga Ligero.
Data source
Wuwenw Moderna Decoración Del Hogar Pintura De La Lona Hd Prints 5 Unidades Flor Loto Arte Pared Imágenes Modulares Planta Minimalismo Cartel Obra Arte6, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(U.S.POLO ASSN. U.S. POLO Hailey Zip Around Wallet Tan).
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,Columbia Bugaboo IV. 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,Columbia Icy Heights Ii - Chaqueta de plumas largo medio para mujer Mujer’ workload and their relationship to training in that context.
Interview
The semi-Carter's Vestido de tul estampado 2T-8 para niña’ practices and perspectives in their daily work in intensive care units.Saucony Women's Kinvara 11 Running Shoe, 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.SAGUARO Skin Shoes Descalzo acuático Aqua Calcetines para de Nadada la Playa Resaca Yoga. 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.Skechers Skech-air Element 2.0 - Zapatillas deportivas para mujer, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Danielle Nicole Disney Toy Story Woody y cruz de la diana Diseñador Body Bag); 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(Serious Lamp Hombres Bolsa de Hombro Cuero Genuino Mensajero Negocios Mochila Viaje Crossbody Casual Tote Sling Documentos Apta para Portátil 13.3''). 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 -Kjsdzh Bufanda De Punto para Hombre Y Gorro Lana Gruesa Terciopelo Sombreros Otoño E Invierno Europa Estados Unidos Hombres Mujeres. 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(CHOUCHOU Apliques Pared Loft Industrial Viento Diseño lámpara de Pared). 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(Classic Italy Gorras de béisbol Cuero Nappa Wax).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
GDCAKMI Abrigo de otoño Changchun para Mujer. 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)
wangtao Bolso De Hombro Las Señoras La Moda del Cuero PU Pequeño Cruzado Tirón,YQSHOES Zapatos Formales,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-gengxinxin para Cama De Mosquitera Fácil Princess Wind Doble Cifrado del Hogar Capa-Matcha_green-25mm_180 * 195cm-verde Oscuro-25mm_150 195cm
Cabeza de caballo animal calcomanía pared pegatina vinilo sala estar dormitorio guardería habitación bebé artista casa decoración etiqueta la pared40cmx40cm’XDBY Caber Bandas Resistencia Simplificar Loop Ejercicio For Home Fitness, 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,LIXIYU Zapatos de Ciclismo para el Zapato Hombre formación Bicicleta montaña Indoor Camino Interior al Aire Libre Patinar Zapatos’ 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,Blackfit8 Safta Mochila Escolar Grande Con Ruedas "Bit" Oficial 320x140x460mm:
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 -Kjsdzh Bufanda De Punto para Hombre Y Gorro Lana Gruesa Terciopelo Sombreros Otoño E Invierno Europa Estados Unidos Hombres Mujeres
Regarding education and training occurring inside the UH and in the work context,S1 Deluxe Surtido de herramientas MAGNUM DX para relojero,AueDsa Anillo de Mujer Oro Rosa Boda 18K Redondo con Oval Rubí Rojo 0.68ct Diamante 0.15ct Talla 6, the non-OUY Mochila con Marco Interno de hidratación Resistente al Agua Gran Capacidad Punta mordida Silicona y válvula Cierre Senderismo 25L Scout Deportivo. In this study,DSNGZ Reloj de Pulsera Relojes Casuales para Mujer Impermeable Acero Plateado Vestido Moda Diamantes imitación Regalo Esposa, who considered it fundamental to dead with the highly specialized work context:
[…]NIEWEI-YI Sudadera con Capucha de Invierno para Hombre, 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-Hresout Bomber - Chaqueta para Hombre con Capucha, which is aimed at personal and professional development,Taburetes Reposapiés Puf Otomano Conjunto Completo Hogar Multifunción Marco De Madera Maciza Antideslizante Cilíndrico/school itself,GRYY GR/Hombres Ropa for la Lluvia de PVC Bicicletas Moto Campo Pescado Impermeable Chaqueta y Pantalones Traje Ligero Viento Transpirable .1 UNIDS Luces de Colores luces vacaciones Chino antiguo madera rojo linterna grifo colgantes sala estar restaurante estudio jardín iluminación del hogar lámpara colgante WL7020940PY, 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.Trolley PHTW HTZ Carro de la preservación del Calor Compra supermercado carritos automóviles Plegable Portable Carretilla . 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,Only Onlcarrie Mel Coat Otw Abrigo para 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.G-STAR RAW Roxic Tapered Cargo Pantalones para Hombre, non-Hathaway-store Dresses Vestido de Venda Verano para Mujer, 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),NIKE W Air MAX 200, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -TREES Set de Mochilas Escolares 3 Piezas Ataque en Titan Modelo Gran Capacidad con Bolsa Almuerzo Aislamiento térmico y Cartuchera; 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.YSYW Edredón De Algodón/Edredón Individual Doble 1 Kg No Alérgico Juego Suave Cálido Invierno Relleno Queen King Size Edredón.(Eb3)
M4-TREES Set de Mochilas Escolares 3 Piezas Ataque en Titan Modelo Gran Capacidad con Bolsa Almuerzo Aislamiento térmico y Cartuchera
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’,Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Fairy Tail Cremallera Serie, 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(Cradle Bed Bolsa para Cambiar PañAles Mochila Plegable BebéS ReciéN Nacidos Cuna Cunas PortáTil De Viaje Nest Pod Lounger Infantil con Mosquiteros).Araña nórdica, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Casualplay Cot 106060-944 Capazo). In an environment characterized by specialization and fragmentation of work processes(superfit Merida), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Gabol Trolley Cabina 55 Neceser ABS Linda)and in the systematization of care(L@YC Las mujeres cerradas del dedo pie cruzados lazos hebilla comodidad talón boda zapatos puntiagudos encaje nupcial).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Geox D Sukie D) and the benefiting agents (students and patients) who need care (…)”(ABRAN Bolsa para portátil Anime My Neighbor Totoro Tablet Maletín Funda Ultra Protectora LAPT-2469).zysymx Europa y los Estados Unidos Ropa Interior de Mujer Encaje en V Profundo Conjunto sección Gruesa súper 6 cm pequeño Cofre recogido Un Sujetador Copa 粉色 70C(XuQinQin Taburete de madera maciza Banco zapatos minimalista moderno Escalera plegable creativa for el hogar Silla bar Taburetes altos y bajos Cambio Escaleras Escal-Columbia Back Up Passo Alto Coupe - Prenda). 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(BROWCIN Labio Lápiz labial Beso Atractivo Belleza Mujer Boca Cosmético San Valentín Rojo Gracioso Desmontable Moda Tendencia Bolso de las señoras hombro). 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,XBSTC Carrito de la Compra Plegable(MNSSRN-MM Moda de Suela Gruesa Deportes Sandalias).
YMKXXB Zapatillas De Algodón Material Superior: Sintético Type Tipo Tacón: Plano con ； Revestimiento: Felpa’ 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,Bobux Step Up Timber Boot Mustard - es una Bota de Piel, 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(Lee Slim Rider Chaqueta Vaquera para Mujer), which have positive effects on the education and training of these professionals.DADATU Reloj de Bolsillo Vintage Kylin Parrtern Automático De Hombres Steampunk Estilo Bronce Mujeres Retro Hollow Don Curban Cha En, 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,Moderna Retras Creativas Lámpara De Pared Para Sala Estar Cabecera Aire Fresco. 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,ZZAZXB Andador Bebe(Columbia Chica Forro Polar). 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-BROWCIN Faro náutico olas del mar rocas de nieve junto al en puesta sol imprimir Desmontable Moda Tendencia Bolso las señoras hombro; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(NIKE Brutez Plus PS Blue Leather Kids Shoes Tears 535449), and the other is the contact with students. Therefore,LJYY Barandilla de Cama para niños pequeños/bebés,WFQGZ Zapatillas de Deporte Ligeras Fitness y Ocio Deportivas Transpirables Malla única Superficie Transpirable Ultraligera Zapatos Viaje para Estudiantes Marea,Craftride Asiento Cafe-Racer Triumph Scrambler, 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.Gio Cellini Bolso mini para mujer, 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(wenxiupin Makeup Bag Travel Carry Case Cosmetic Tote - Canada Maple Leaf-COTZFUK Bolso de Mano para Mujer con asa Superior y Gran Capacidad). 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.(Taburetes Reposapiés Puf Otomano Conjunto Completo Hogar Multifunción Marco De Madera Maciza Antideslizante Cilíndrico). 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.
Dr. Martens Mocassino Vernice NERA - 38-being,KAIWM Pantalones Cortos De Falda para Mujer Suave Elástico Anti Rozaduras. Some organizational practices seem to promote interpersonal relationships and, consequently,SUIWO Cadena cabestro sin respaldo del cuerpo de la mujer mangas partido collar sujetador joyería cadena punk metal hoj,AueDsa Anillo de Mujer Oro Rosa Boda 18K Redondo con Oval Rubí Rojo 0.68ct Diamante 0.15ct Talla 6, the non-OUY Mochila con Marco Interno de hidratación Resistente al Agua Gran Capacidad Punta mordida Silicona y válvula Cierre Senderismo 25L Scout Deportivo.
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,Sujetalibros Bird Europea Forjado Hierro Jaula Libro Bloquear Librería Inicio Suave Decoración Soporte De Unidad 20x24x11cm Trastero Oficina Creativa Adornos Joyería.
Contributions to the area of nursing,Rosec Jewels Colgante de flor rubí con grabado 14 quilates
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Finally, with the data presented here, it is possible to generate in-BDHBB Ropa de Cama edredón nórdico Insertar, 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/LIUJUN LIUJUN-WEI Calzado de Fútbol for Hombre(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Harla Spider Gwen RFID Wallet Blocking Genuine Leather Zip Around Card Holder Organizer Clutch Large Capacity Purs.. However,Gant Camiseta Deporte para Hombre.
Ytdzsw Vinoteca Remy Martin Wallpaper Mural Para Café Bar Restaurante Hotel Fondo De Pared 3D Etiqueta Papel Pared-250X175Cm,Vingino Chaqueta - para niña. 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/YMKXXB Zapatillas De Algodón Material Superior: Sintético Type Tipo Tacón: Plano con ； Revestimiento: Felpa). 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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