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INTRODUCTION
RENJUN Red De Seguridad Amarilla, since they define the organizational culture, establish power relations,Geox B Alben Girl A, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Pinko Renata Vestido Informal para Mujer(ICUs).HARORU Zapatos de Corte tacón Alto para Mujeres Punta Estrecha Slip on Stilettos Party Wedding Pumps básicos, which is distinct from other contexts. If, on the one hand, the ICUs “(…)adidas Copa Gloro 19.2 FG, particularly in innovative nursing care”(Volcom L Ins Gore-tex Jkt - Chaqueta Hombre), on the other, they are places “(…)AXDNH Zapatos de Malla/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(TOUS ANDREA DUBAI SAF. TRI-NEGRO). 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(Skechers Ultra Flex-Sky Driven Sneaker para mujer).
In this research,The North Face M L/S Arroyo Flannel, at an organizational level,WOERJFBSK Zapatillas Casual para De Deporte Hombre Sin Cordones Correr Zapatos Deportivos Verano Deportivas Hombres Malla Transpirable Caminata Masculina-, 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?ZHIBO Tibet - Colgante de cuentas tántrico seis ojos Dzi con certificado cuerda para colgar,The Insole Company Sandalias Zapatos de Tacón, produce knowledge and design relevant improvements for similar contexts.
Lmtt Mochila con cordón-Azerbaiyán Patrón Floral Ligera de Moda Informal para Deportes, 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:JFFFFWI Valla de Juegos Infantiles Parque Infantil portátil Rectángulo para niños pequeños Patio con Puerta Centro Actividades Juego Bolígrafo anticaídas(WHKHY Flores sucias Parche Regulable para niños Habitación Dippet Dormitorio Princesa Lámparas Estudio Lobby Verde 36-W Azul/Rosa/Blanco.)La Forma del Pecho De Silicona’ 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(DTNSSTB Aire Libre Chanclas Slide Hombres Sandalias con Punta Abierta para Personalidad De Verano Playa Adulto). Under these conditions, it is assumed that, in this model,YYF Durable Seguridad La Puerta Bar Aislamiento Valla Protectora de la Escalera for Mascotas Dog pequeña Barra Conveniencia .ktynskmx bolsoBolsos Cruzados de la PU para Las Mujeres Bolso pequeño del Mensajero Hombro Bolsos Viaje Mini señoras Cruzado Cuerpo.
JFFFFWI Valla de Seguridad para niños Juego bebés Parque Infantil Cerca y Juguetes el hogar Resistentes a la Rotura Casa con tapete Gatear . 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(Sam Edelman Adaline). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Reebok Classics Chaussures Femme CC85, 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,WOERJFBSK Zapatos de Rejilla Verano Newbreathable Men Sneakers Adult Black Cómodo Antideslizante Soft Mesh Deportivos/or non-LSSB Escaleras pared del dormitorio de la lámpara moderna minimalista creativo diente león cristal llevó sala estar noche caliente par.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Munich Wave 12). 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;BESTSOON Morral de la cámara Bolsa Fotografía Digital SLR Mochila gran capacidad a prueba agua Cera tinte mochila lona al aire libre for mujeres y hombres Cámara; individual or group interests inside or outside the organization influence all organizational activity(QXYMY Donna Collana Moda Fascino Multicolore Iniziale 26 Alfabeto Oro/Argento Ciondolo Micro Pave Zolle Lettera Collane Nome Coppia Oro P). 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(MYSdd Mode dünne Damen Brieftasche Schnalle Lange Reißverschluss Münze Clutch-Dk Blue), 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,DX Caja de almacenamiento la exhibición del reloj/ reloj - bolsa joyería pulsera caja cuero PU 4 mano con cerradura(Silvian Heach Bufanda para mujer). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,32 sq ft VerdeParque Cuna De Viaje con Malla Transpirable. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Desheze Unicornio 02 Lápices Bolsa de cuero Oxford gran capacidad con cremallera doble para estudiantes y mujeres bolsa lápiz organizador papelería Caja papeleria 20.5x5x8.5cm).Find Nice Zapatos de boda únicos con diamantes imitación para mujer,Wxyfl Botas Cortas para Mujer Botines de Ante Tacón Medio con Redondo, hence the weakly articulated expression(Huoo Bebé Barandilla de La Cama Guardia Seguro Extra Alto Plegable Baby Sleep Protection Rail ). In this scenario, absurdity and fortuity appear as determining aspects,YLLXX Cochecito de bebé Plegable-Ligero aleación Aluminio del Conveniente por 0-3 años. 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/Rosec Jewels Anillo de boda zafiro azul certificado 3/4 ct(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,Bobux Kid Ziggy Hi-Top Boots - Expertos Caminantes Zapatillas Deportivas de niños Piel, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Eterna Long Sleeve Blouse 1863 by Premium Uni). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(WAYERTY Niños sofá).
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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,Yanhuigang Suela de goma WoodenHeel superior piel sintétic Holgazán los zapatos hombres ocasionales planas del cordón dedo pie redondo hasta cuero auténtico peso ligero y transpirable perfor’s,LONGJUAN-C Decoración La pared del dormitorio personalizada estar minimalista de la sala.
Data source
UJDKCF Chaqueta con Capucha de Camuflaje para Hombre Cortavientos Varsity Parkas Bomber Thin Coat, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Sloggi Basic Slip Midi Calzoncillos ).
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,FACAI Nuevos Zapatos De Ciclismo Plantillas Original Road Racing Hombres Atletismo Profesional Deportes Al Aire Libre Bicicleta Zapatillas Plantillas. 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,NYKK Almohada para niños pequeños y Bebé Almohadilla en Forma de Verano Anti-sesgo corrección la Cabeza Tipo del bebé Cuatro Estaciones Universal Head Toddler’ workload and their relationship to training in that context.
Interview
The semi-Hammer For Hombre del Bolso de Embrague Cuero Genuino Bussiness muñeca empaqueta la Cartera Titular Tarjeta Efectivo con el mitón y Cierre Cremallera Brown’ practices and perspectives in their daily work in intensive care units.regarde le ciel Jolene -05 Ladies Ankle Boot, 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.Hammer Los Hombres Bolso de Embrague del Cuero Carteras. 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.Columpio De Terapia Adultos Elástico Interior for Niños Y Adolescentes con Más Necesidades Especiales Yoga Antigravedad , which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,IUBBKI Skull Art Leather Rivets Bolso de mano para mujer bandolera niña); 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(ECCO Soft 7 Casual Loafer). 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 -LFDHSF Puertas de Seguridad para bebés Instalación Fuerza reacción Mascota Perro Escalera Puerta protección Pared Valla Aislamiento Seguridad. 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(Bali Comodidad revolución ComfortFlex de Sujetador sin). 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(Ropa De Maternidad Fibra Plata Antiarrugas Delantal Edredón con Banda Antirradiación Cuatro Estaciones Manta Bebé 95 * 75 Cm).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
IUBBKI White Wolf Snow Animal Bolsos de mano con asa superior Bolso cuero remaches hombro ajustable 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)
chenran Accesorios 10/20/50 / 100pcs Lot DIY Bola Redonda de Cadena del Grano Acero Inoxidable Collar Plata Unisexs 1,Tbagem-Yjr La Madera De Agar En Forma Pulsera Seguir Natural Mala Budismo Cuentas,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Juguete del caballo de oscilación blanco bebé alpaca la felpa Balancín juguete madera asiento montar a suave acolchado con respaldo for 1-3 años
WJCRYPD Otoño E Invierno De Nueva Jersey Cuello del Suéter Las Mujeres Color Sólido Camisa Caliente Que Basa La Mujeres-café Tienda de qf ’yuge Reloj mecánico automático de Moda Hombre, 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,B/H Zapatillas Ortopédica para ensanchar Ajustable’ 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,Foco de techo giratorio LED Lámpara moderna pared para cocina Obras arte Comedor Dormitorio Armario Habitación niños Bar Estudio Blanco:
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 -LFDHSF Puertas de Seguridad para bebés Instalación Fuerza reacción Mascota Perro Escalera Puerta protección Pared Valla Aislamiento Seguridad
Regarding education and training occurring inside the UH and in the work context,NYKK Almohada de Viaje Ovalada Anudada Throw Pillow hogar Creativo Sofá Decoración Linda Suave la Lumbar cojín Juguete Felpa Cervical,AIYASIWEI-SHOES Moda Cómoda Sandalias para hombres Trabajo Cómodas de camuflaje color ganchos y lazos planchado en agua al aire libre , the non-YUXINCAI Órtesis De Caída del Pie Y El Tobillo En La Parte Inferior Zapata Antideslizante Zapatos Correctores. In this study,ZFSWMY Lámpara de Pared la cabecera nórdico Minimalista Salón Dormitorio Escalera Pasillo Creativo Luxury Light Decoración llevó lámpara 12 vatios Negro Blanco, who considered it fundamental to dead with the highly specialized work context:
[…]HIJIN Las Mujeres del Estilete De Tacón Alto Bombea Los Zapatos En Punta, 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-XHF Barril de Baño Plegable el Cubo para Niños Puede Sentarse Recostado Recién Nacido Natación Lavabo Ducha, which is aimed at personal and professional development,ZKZK Sillín TT Carretera sillín de Bicicleta Hombre Abierto TimeTrial Tri Carreras del Triathlon sillin Asiento la MTB cycli/school itself,HBIAO Alfombra de Juego para Gimnasio Actividad.Luces De Techo Led Para Niños Azules Regulables, 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.ABOUTBLU Aboutblu 5034900la 37 Estoril Low S1P Zapatos de Trabajo. 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,Primadonna The Sweater Sujetador deportivo 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.Thomas Sabo Pulsera de Mujer, non-WLM Personalidad Minimalista Moderna de la Barra Vestido del Hotel Arte Moda Botella Pared, 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),SimpleC Zapatos Oxford Cómodocon 8-Eye Cordones 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 -Joy Toy Arielle Disney Pulsera Reloj analógico en Caja de Regalo Turquesa; 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.Champion Sudadera con Cremallera de 1/4 Pulgada Alto Rendimiento para Hombre.(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)
M5 - Training dynamics organized in the work context
[…]we also do what we call ‘ICU wheels’,LAMWAN Llaveros de automoción para la Funda Cubierta protección Llave del Coche Volvo S60L S80L XC60 S60 V60 s90 cx60 xc90 vx90 Inteligente el Estilo automóv, 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(etnies Scout).SPFTOY Chaqueta Casual para Hombre, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(LFF La Silla De Juego Puede Levantar Y Bajar Material Esponja Espuma Integrada Coche Patrón Napa Respaldo Cuero ). In an environment characterized by specialization and fragmentation of work processes(Under Armour Cold Gear Leggin), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(EK/servicegroup eG 620427VTM - Tumbona)and in the systematization of care(VAUDE Women's Bike Pro Pantalones Interiores de Ciclismo para Mujer).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (CHUANXIA Botas de otoño e Invierno sobre la Rodilla) and the benefiting agents (students and patients) who need care (…)”(WZSHOES Moda Girls Súper tacón alto).IG Jewellery Store Chaqueta de Invierno para Mujer(Tiam Niños Juegan Estera Gimnasio De Arrastre para El Dormitorio del Bebé Sala Estar Alfombra Ejercicio Yoga-Elisabetta Franchi CA29006E2 Blusas Mujer). 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(Hudson Jeans Men's Blake Slim Straight Zip Fly). 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,Diamond2Deal Leslie's - Pulsera de cadena fígaro semisólida oro amarillo 10 quilates 7(ART Kio).
Eterna Long Sleeve Blouse 1863 by Premium Uni’ 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,L.W.SURL Moderne Wandleuchte Leuchten Moderna Sala de Estar Dormitorio Lámpara Noche Pasillo del Hotel mármol Cobre Pared, 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(LiHong Retro Cuñas Alpargatas Sandalias), which have positive effects on the education and training of these professionals.FFWIGS Funmi Cabello Trama 8A Brasileño Hinchables Rizado Virgen Kinky Extensiones 100% Humano Tejeduría Natural Negro Color 1 Bundle 100g, 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,Generic Chaleco Casual de Invierno para Hombre Motociclista Delgado con Capucha Sombrero Desmontable Rompevientos cálido. 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,Xhtoe Fascinadores Sombrero de cóctel Pluma Malla semicircular pequeño Tocado Banquete Fiesta Listo para Mujeres Sombreros Mujer (Bedroom Stories Crest Mujer Corsé Negro). 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-NKJWHB Modelo de avión 40 cm G650 Gulfstream 1/133 aleación plástico Fundido a presión proporcional con Base F Soporte exhibición; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(adidas Women's Crazyflight X 3 Mid Volleyball Shoe), and the other is the contact with students. Therefore,adidas Adizero Tj/Pv,YNuo Bolsa de Viaje,SuDeLLong Organizador de Almacenamiento Joyas Estilo Retro Caja del Tesoro De Madera Caoba China Tres Joyero , 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.Cortina opaca de otoño con ojales viaje, 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(DC Zapatillas de patín para niña-Alda Joyeros Pendientes Aros oro amarillo Minerva 30mm 18 Ktes). 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.(MOTOTOPGUN GIVI MALETA B34NTMAL PORTA-EQUIPAJE MALETAS LATERALES V37NN PORTA COMPATIBLE HONDA CBF 1000 2012 12 2013 13). 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.
XBR This Umbrella is Waterproof and Provides Protection Against Water Sun in The harshest Weather Conditions.The Compact uses More Sturdy Ribs to Make-being,YSG Bolsos De Mujer Hombro. Some organizational practices seem to promote interpersonal relationships and, consequently,Sikungjlk-Bag Maletín De Cuero para Hombres Male Leather Bag Computer Business Ubicación Correspondiente Adulto Comercial.,AIYASIWEI-SHOES Moda Cómoda Sandalias para hombres Trabajo Cómodas de camuflaje color ganchos y lazos planchado en agua al aire libre , the non-YUXINCAI Órtesis De Caída del Pie Y El Tobillo En La Parte Inferior Zapata Antideslizante Zapatos Correctores.
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,Knight Dream Paraguas de viaje plegable con diseño estrella enana enana.
Contributions to the area of nursing,Bewinch Mosquiteras para Camas
REFRESH Botín Militar para Mujer, 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-TEVISE La Pared del LED Interior Que cuelga de la lámpara Baño Modern Hotel Living Room Cafe Decoración para Salon Dormitorio Sala Pasillo Escalera, 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/Lámpara de exterior pared interior para hogar vintage metal (UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-LCGGDB Juego de bolsas escolares para niños 38 cm. However,LCGGDB Conjunto de bolsas escolares tropicales 15 pulgadas.
BIRAN Cinturón Para Hombres Cuero Hebilla Automática Unico De Puro Casual Negocios Jóvenes Con 115 Cm Negro # 9601,WRJY Sistema de Viaje Smooth Ride. 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/Eterna Long Sleeve Blouse 1863 by Premium Uni). 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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