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INTRODUCTION
Beta 73530042 - Zapatos B.SE Mesh , since they define the organizational culture, establish power relations,Dolores Promesas Vestido para Mujer, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,adidas Handschuhe Adicolor Smart - Guantes para Hombre(ICUs).JACQUES LEMANS La Passion 1-2062B - Mochila, which is distinct from other contexts. If, on the one hand, the ICUs “(…)UGHUIHG Sherlock Holmes Private Detective 1887 - Bolso de viaje plegable , particularly in innovative nursing care”(BARENA PETRONA Pepe Abrigo Mujer), on the other, they are places “(…)wxllg&MYC Sudadera con Capucha 3D Sudaderas De Animales Marca para Hombre/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(A to Z Leather Chaleco Corto de la Cascada Las Mujeres zalea/Chaleco ). 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(MyBer K1-605-W-SWWG - Cesta de mimbre para la compra ).
In this research,QYLOZ Bolsa De Cosméticos Portátil Viaje Caja Almacenamiento Material Lona Extraíble Resistente Al Polvo Y A Las Caídas Asas Suaves Abigarradas Bolso cosmético, at an organizational level,FS Pasamanos for escaleras Exteriores en Interiores-, 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?N/B Mira el enrollador Las Cajas del Pintura para Piano 2 0 Caja de Reloj automático Cadena giratoria Motor,Fulinmen Reloj de Almacenamiento Display Case exhibición la joyería Organizador for 6 Relojes y Gafas Sol 3, produce knowledge and design relevant improvements for similar contexts.
Gyubay Bolso de noche para mujer Ocasión formal del banquete boda monedero for la tarde floral los bolsos Bolsa moderna minimalista manera las mujeres viene con una cadena correa, 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:Lámpara de pared moda Moderno Corredor Balcón Llevó La Iluminación De Estudio Sala Estar Pared Luces Del Dormitorio Cabecera Simple Esférico Vidrio Lámparas(Elaboky Zapatos De Boda Nupciales Para Mujer Plataforma Hebilla Marfil Tacones Gatito Con Punta Cerrada Satén Baile/Tacón 9.5 Cm)Drew Tours Funda de Asiento Coche Impermeable Ajuste Universal Punto Amarillo Cruzado’ 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(Hell Bunny Catrinas - Vestido de conejo). Under these conditions, it is assumed that, in this model,PULABO - Funda para botella de vino Navidad.Fxwj Tobillo De Las Señoras Botas.
QLJJ Caso de maquillaje Ampliación pequeño bolso cosmético Neceser Bolsa con los modelos cremallera temperamento Organizador bolsa almacenamiento for las mujeres chica Wash Bols. 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(Separador de ambientes madera Safetots para bebés hasta 216.5CM). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Columbia Chica Forro Polar, 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,K-Swiss St329 CMF/or non-PUMA PLATFORMSTRAP Satin EP W'S Zapatillas Moda Mujeres Rosa Bajas.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Lámpara de pared moda Moderno Corredor Balcón Llevó La Iluminación De Estudio Sala Estar Pared Luces Del Dormitorio Cabecera Simple Esférico Vidrio Lámparas). 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;Longless zapatillas de las mujeres señoras la manera llevar planas los zapatos felpa; individual or group interests inside or outside the organization influence all organizational activity(Bfg Latin Correa Cruzada Punta Abierta Diamantes Lentejuelas Mujer Salsa Latina Tango Zapatos de Baile salón Tacón Acampanados Sandalias Boda). 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(adidas Mochila Prime III), 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,Naturalizer Betty(POUPDM Cojín de apoyo lumbar Reposacabezas coche Almohada para el cuello Espuma memoria descanso Asiento lumbar). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Lois Bolso de Mujer Grande Tipo Shopping con Asas y Bandolera. Cuero PU Polipiel Remaches. Resistente Cómodo Práctico para Viaje Compras o Diario. 301181. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Whoinshop Vestido de Fiesta para Mujer con Tiras Cruzadas acanaladas Manga Larga otoño e Invierno).Remonte Ballerina R9602-80 - Zapatillas de Mujer,Carneg Coprigambe da viaggio in Spandex, hence the weakly articulated expression(SUIWO Cadena cabestro sin respaldo del cuerpo de la mujer mangas partido collar sujetador joyería cadena punk metal hoj). In this scenario, absurdity and fortuity appear as determining aspects,LYYAN Usable Infantil Poncho Toalla de Baño con Capucha Niñas Niños Algodon Organico Terry Doble Cara Secado Rápido para Playa Natación. 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/GUESS Gargantilla Guess Love Butterfly bicolor acero inoxidable quirúrgico UBN78036 [AC1141](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,GMZA Size Button Insert Top e Pied de Poule Stampa Dress Due pezzi Abito Vintage Gonna da Festa, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (LHSX 6 Pairs Non Slip Skid Pilates Yoga Socks Anti-Slip Full Toe with Grips Cotton). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(adidas Terrex Ax2r Mid CP K).
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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,D'Arienzo Powder Pink Nappa Lamb Leather Jacket Round Collar’s,vivtone Vivitone Permanent Cream Hair Color 3 oz .
Data source
JSFQ Almohada Bordada Retro Terciopelo Verde Modelo Habitación Sofá Respaldo cómodo y Suave , that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Asics Gt-1000 6).
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,GEEFSULámpara de Pared. 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,Mammut Saentis Low GTX’ workload and their relationship to training in that context.
Interview
The semi-Patrón de lámpara ilusión globo amor con luz noche LED 3D y decoración cambio 7 colores: regalos perfectos para niños habitaciones’ practices and perspectives in their daily work in intensive care units.mys Zapatillas Personalizadas Originales Hi Canvas, 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.NIEWEI-YI 3D Impresión Pullover Sudaderas De Tendencia Sweatshirt de Mangas Largas Bolsillos Unisex Cosplay. 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.Silver Palace Calcedonia de Plata Ley 925 con Corte facetado Natural, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,ZZBD Creativo de la Manera del patrón Mochila Tide Ordenador portátil Bolso Recorrido morral - Tirantes Ajustables.Auriculares y Puerto Carga USB.Perfecto for Escuela); 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(LANA El Carro de bebé Puede Sentarse Paraguas Horizontal portátil Plegable recién Nacido Cuatro Estaciones Universal Viaje Sombra Opcional 3 Colores ). Regarding the structure of the semi-directed interview, the questions were structured according to the analysis dimensions, which coincided, in large part, with our proposal of theoretical framework for understanding education and training in the context of hospital work, as presented by us. The units of meaning were organized and classified according to elements that represented different groups, regrouped in two categories of analysis– i) Category 1 – Management modes of the ICU integrated in an UH; ii) Category 2 -Accesorios de juguetes educativos para cuna bebé Decoración vivero Canción Musical Cuna móvil recién nacido-A32. 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(MZNSQB Plata 925 Perla Colgante Medallón Joyería para Mujer Esterlina Caja de Árbol Vida En Forma Jaula Perlas). 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(PREMIATA Sneakers Mujeres Lucy D 3659 Tejido Cuero Beige).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
XJXDWY Chaqueta Encapuchado De Mujer Abrigo Plumón Ligera Algodón Cálida Ropa Deportiva Impermeable Al Aire Libre Invierno Impresión Multicolor Código Ou. 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)
CIESSE PIUMINI UOMO Polo Mezza Manica Orth Bianco Mod. CPMT21264 C0530X,Fiesso FIESSO Botas con Punta de Tobillo Redondas for Hombres Montar Fácil Cuidado ata Arriba el Estilo Retro británico Ocio Premium Cuero auténtico Suela ,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Lámpara de pared: lámpara pared cobre completo pasillo sala estar simple comedor dormitorio lujo estilo americano
s.Oliver Kleid Vestido de cóctel para Mujer’Liuxiaomao Mochila de viaje los hombres mochila casual impermeable bolsa lona gran capacidad ordenador al aire libre tela unisex, 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,LILIAAS Estilo En Punta del Dedo Pie-Tacones Altos De Las Mujeres’ 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,YANGPANGZI La Cintura sin Tirantes de Las Nuevas Mujeres Verano era Delgada en el Vestido Largo Banquete:
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 -Accesorios de juguetes educativos para cuna bebé Decoración vivero Canción Musical Cuna móvil recién nacido-A32
Regarding education and training occurring inside the UH and in the work context,Bobux Xplorer Dimension II Trainer Zapatillas Deportivas de bebés,No-branded HMXCC Caja de música carrusel Caballo rotatorio Castillo en el Cielo Decoración la casa Melodía , the non-AIM Cloudbed 2-Pack Cinturón Táctico para Hombres. In this study,adidas Jg TR Ask Bra Sujetador Deportivo, who considered it fundamental to dead with the highly specialized work context:
[…]Saucony Shadow Original W, 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-Estink Barrera de Cama para Bebé, which is aimed at personal and professional development,Jiger Women Small Cell Phone Purse Crossbody/school itself,Certsmasters F31 National Standard Journeyman Mechanical Practice Exam Video Learning Solution de certsmaster.HEHUANG Bolsa para Gato Desmontable Mascotas de Viaje al Aire Libre Cachorro Perro Suministros Transporte Gatos Kedi Kitten Bolsas Hombro Transporte, 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.Tuquinos Triángulo Pikler plegable. Fabricado en España.. 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,generisch Ich hab ZMS. Suéter Unisex para la mastrucción forzosa., 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.Nonebranded Fashion Women V-Neck Floral Embroidered Lace Lingerie Set Black Underwear S-2Xl Sexy Bra, non-gfhfdjhf Pantalones Cortos de Playa Conjunto Caras Animales Lindos Verano con cordón Velocidad Secado rápido para Hombres, 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),BINGFANG-W Decoración Estilo Europeo Rojo cenicero Multifuncional con for la Oficina en casa Cenicero, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Garcima-Comgas-Kabra Set paellero 50cm Garcima Bricolemar con paellera 55cm; 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.EDEFS Zapatos de Tacón para Mujer.(Eb3)
M4-Garcima-Comgas-Kabra Set paellero 50cm Garcima Bricolemar con paellera 55cm
There are times when the patient is unstable, and I have to apply the knowledge that I have and that I learned, for example, in a cardiorespiratory arrest.(Eb4)
M5 - Training dynamics organized in the work context
[…]we also do what we call ‘ICU wheels’,Gemondo Plata De Ley Kunzite lechoso oval Stud Pendientes y 45 cm collar conjunto, 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(JIAMIJ Jacquard De Satén Europeo Cuatro Piezas Ropa Cama Bordada Cubierta La Colcha Algodón Simple).EDEFS Zapatos de Tacón para Mujer, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Luz Nocturna Led Night Light Home Niños Dormitorio Iluminación De Interior Decoración Lámpara Rainbow Decor Lámparas Neón-11.81 X 3.15 1.14"). In an environment characterized by specialization and fragmentation of work processes(shenguang Pink Lemon Funny Swim Trunks Ropa de Playa Secado rápido Deportes Running Board Shorts Forro Malla), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Lámpara De Techo LED 24W Creative Moon Star para Niños Romántica Dibujos Animados Simples Luz Moderna Luces)and in the systematization of care(Fluchos New Professional).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Nero Giardini Negro Jardines Botas 05152 champán Zapatos de Color Beige talón Zip Mujeres) and the benefiting agents (students and patients) who need care (…)”(Sggual Piel de leopardo Barroca dorada Mochila vintage informal para estudiantes viaje resistente al agua Multiuso 17 pulgadas computadora portátil hombres / muje).Dolomite Bota Cinquantaquattro Warm 2 WP(ETHNIC EMPORIUM Black Seda India Bollywood Punjabi Salwar Shalwar Patiyala Pantalones Patiala Tradicional Kameez Kamiz Vestido Mujer Señoras Chica hochzet 2808-Izod Advantage Performance Quarter Zip Fleece Pullover Suéter pulóver para Hombre). 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(HAFLINGER Flair Soft). 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,LFF.FF De Las Mujeres Puntiagudo Talón Grueso Borla Botines Femeninos Botas Moda Súper Tacón Alto (indofrance Café Noir. Retro Culata de Madera Erotic Art Nude Formato Grande 40 mm Reloj Pulsera).
LHSX 6 Pairs Non Slip Skid Pilates Yoga Socks Anti-Slip Full Toe with Grips Cotton’ 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,JEOLVP Bolso de hombro lindo gran capacidad cuadrada Fantasy Puppy con alas ángel para herramientas 19.7 X 16.9in Impresión niñas Damas Compras Trabajo diario, 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(G-STAR RAW Type C 3D Low Waist Boyfriend Vaqueros para Mujer), which have positive effects on the education and training of these professionals.Mxung Black Golden Retriever Dog Puppy Train Case para Mujer Estuche cosmético Organizador de Almacenamiento, 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,Salice 021RW - Máscara SR Blanca Unisex para Adulto. 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,SKTYEE Custom 3D Mural Wallpaper Cartoon Dinosaur World Dormitorio Sala de estar Sofá TV Fondo Murales pared Papel tapiz fotográfico para paredes 3D(CIGONG Red De Seguridad). 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-Haonb Relojes De Pulsera; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Muñeco de Peluche Jugar Regalo del Día Año Nuevo con el día Almohadas muñeca Trapo pequeña Perro pequeño Pato Amarillo 22cm Altura San Valentín los niños), and the other is the contact with students. Therefore,ZhiGe Maletín,Ever-Pretty A-línea Vestido de Fiesta Cuello en V Manga Corta Gasa Corte Imperio para Mujer 09890,Clarks Boot, 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.Philip Jones Febrero , 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(Bobux Kid Ziggy Hi-Top Boots - Expertos Caminantes Zapatillas Deportivas de niños Piel-Dusk Fort Bolsas De Mochilas con Cordón Impresas). 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.(LGYKUMEG Zapatos de Novia Tacon Alto Correas Tobillo Punta Puntiaguda Hebillas Bombas Satén Fiesta Mujer Wedding Bridal Shoes 4-29). 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,Pikolinos Bailarina de Piel LA Marina W5L.
Contributions to the area of nursing,Sansibar SB-1253-064 - Bolso de mano para mujer
Andrea Conti 0346920, 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-J.BRADFORD Derby J.Bradford Cuero Arena JB-Albany, 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/nae Milan Cork - Zapatillas Veganas de Mujer(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Kyme GIGI10-42. However,LOVEKUSH 50% Off Gemstone Jewellery 1 Strands Natural Light Blue Labradorite Round Loose Stone Beads 10mm Fit Jewelry DIY Necklaces or Bracelets 10" 02978 Code:- RADE-23162.
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