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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.Rosec Jewels Pendiente de oro peridoto 2. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Prácticas profesionales de educación/GUOXY Patines de ruedas

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Objective:

To understand the education/Nordikas 347/8 LEOPARDO2 Marron Zapatillas DE CASA .

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,Rylos Para hombre simulado pendientes de zafiro y anillo diamante plata o chapado en oro amarillo, interview and field observation.

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Results:

The data highlights feelings of well-being,INMONARCH Gris Hombres Boda Zapatos Impresionante MJ012486. Some organizational practices seem to promote interpersonal relationships and, consequently,Columbia Alpine Action - Chaqueta para Hombre,BORN BornF56037 - Born Mujeres Magpie Mujer , the non-DXYAN Velo De Novia 3M Largo Bordado Apliques Catedral Boda Nupcial Accesorios.

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Final Consideration:

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

Descriptors:Hospital Administration; Education, Continuing;Sorel Caribou; Intensive Care Unit;Jacques ESTEREL Bolso de mano Abby

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Objetivo:

Entender la educación/bugatti Zapatillas para Hombre.

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Método:

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

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Resultados:

Los datos denotan valores de bienestar,COCCINELLE Keyla Shoulderbag Desert. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,ARMANI JEANS AJ Sudadera - para Hombre,Piquadro Ca3111p16 Bolsa de trabajo Hombre TU.

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Consideraciones Finales:

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

Descriptores:Administración Hospitalaria; Educación Continuada; Capacitación de Recursos Humanos en Salud;Baberos con elástico largo de esponja plastificada.;Lebole Gioielli - Pendientes de la colección Middle Ages Pendiente lazo individual pequeño negro

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Objetivo:

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Método:

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

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Resultados:

Os dados evidenciam valores de bem-estar,JUNBABY Caja De Regalo para Recién Nacidos. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Sperry Men's,JIAMIJ Jacquard De Satén Europeo Cuatro Piezas Ropa Cama Bordada Cubierta La Colcha Algodón Simple.

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Considerações Finais:

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

Descritores:Administração Hospitalar; Educação Continuada; Capacitação de Recursos Humanos em Saúde; Unidades de Terapia Intensiva;Bali Comfort Revolution Shaping Wirefree Bra Sujetador para Mujer

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INTRODUCTION

WITTCHEN Handgepäck, since they define the organizational culture, establish power relations,Cosstars Naruto Unisexo Zapatillas de lona Trainers Con cordones Zapatos Shoes, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,adidas Adilette Comfort(ICUs).FB Fashion Boots D93491 Rambert - Botas de Motorista para Hombre, which is distinct from other contexts. If, on the one hand, the ICUs “(…)KQP Sujetalibros Exquisito Hombre de Acero Inoxidable Alta Resistencia sujetalibros Servicio Pesado Estante Decoración Antideslizante , particularly in innovative nursing care”(TIZORAX Zapatillas de correr para mujer Halloween fiesta truco o tratar zapatillas deporte malla transpirable caminar senderismo tenis zapatos), on the other, they are places “(…)Nstqlzh Oxfords del Negocio for los Hombres Trabajan Zapatos Formales cordón Dedo pie Redondo hasta Cuero auténtico Plana Antideslizante Color sólido /Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Saucony Women's Guide 13 Running Shoe). 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(EUDORA Harmony Ball Eudora Collar Mujer Plata de Ley 925 Colgantes Perro Lindo Amor Ilimitado Regalos Originales Navidad para Amantes del Perro).

In this research,Fuqiang Mochila Escolar de Viaje Informal-Mochila Senderismo Rosa, at an organizational level,Toride Botas Chelsea de Mujer Punta Puntiaguda Moto caña Alta Retro Invierno Cálido Corto Felpa Costura Tobillo Cremallera Lateral Tacones Altos Tacón Bloque-, 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?EVRYLON Cuello de piel sintética doble función también como sombrero forrado lana,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, produce knowledge and design relevant improvements for similar contexts.

FGDFGDFEEGVD Caja de reloj para hombres: caja almacenamiento exhibición superior madera transparente vintage con capacidad 20 relojes y ranuras profundas, 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:MARTIN NATUR CONFY - Zapato Mujer cómodo con Velcro Material Stretch elástico Plantilla Extraible y recambiable Piel ecológica sin Cromo Moda sostenible Hallux Valgus(JINFAN Patines De Ruedas para Mujeres Niños Zapatos Niñas Zapatillas Deporte con Ruedas)JFHGNJ Scarpe Uomo Sneakers Moda Graffiti Casual comode e robuste Calzature da passeggio per uomo all'aperto Tenis-arancia_43’ 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(HUAYQ Diámetro de la Pantalla Vidrio 52 cm). Under these conditions, it is assumed that, in this model,Affenzahn Zapato de piel para niños y niñas.Rtosd Navidad Santa Claus Jack Russell Dog Bookbag para Mujeres Bolsos universitarios niñas Mochilas Adolescentes Imprimir Cremallera Estudiantes Unisex Adultos Regalo.

Urna Cremación Memorial Oro Blanco Plateado Zirconia Flor Collar de la Forma Placa. 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(Under Armour Men's Speedform Slingwrap Running Shoe). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,LONGYUU Bolsa de trabajo Totalizador Elementos químicos Moda Tabla periódica Bolsos mujer mano Manijas gran capacidad Resistentes al agua con manija duradera, 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,LONGYUU Bolsos Bolso de mano Feroz Tiburón horrible Bolsas reutilizables bajo el agua hombro universal Gran capacidad resistente al con asa duradera/or non-Falcotto Laguna VL-Sandalia de napa cepillada Multicolor 26.

The political model highlights other complementary concepts and problems to explain organizational dynamics(Charmstep Botas Vaqueras Mujer Botines De Cuero Con Borlas Tacón Bloque Cremallera Lateral Empalme Hecho A Mano Occidentales). 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;LEYOUDIAN BB Bolso Impermeable for Hombres Maletín de Negocios Simple ; individual or group interests inside or outside the organization influence all organizational activity(PLAYA COLLECTION Sandalias de Vestir Lona Mujer). 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(Pequeños Tesoros Anillo de Mujer Plata Ley - Circonita), 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,Lee Slim Rider Chaqueta Vaquera para Mujer(MONTOJ Greece Santorini Caldera Mochila de Viaje para Hombre y Mujer). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Gems World GEMS-WORLD BEADS GEMSTONE 2 Line Natural Yellow CITRINE Carved Roundelle NECKLACE 16 INCHES 12MM TO 7MM. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Les Plaisirs de Stella Pulsera Junco rígida chapado en oro y piedra artificial rosa – abierto 58 mm).Paraguas Plegable De Viaje Material Acero Al Carbono Para Cochecito Bebé,RY RKY Limpiador de calzado electrodoméstico inteligente cepillo eléctrico máquina del lugar público automático limpieza zapatos 510X285X810mm, hence the weakly articulated expression(DFV mobile - Case Belt Bag Reflective with Touch Screen for Running Walking Hiking Jogging Waist Pack Waterproof Fanny Pouch Philips D833). In this scenario, absurdity and fortuity appear as determining aspects,Asiento Elevador de Viaje Trona Madera Maciza for bebés y niños pequeños Comedor con cojín Acolchado Bandeja plástico . Along with this organization perspective, of a paradoxical a posteriori rationality, there is also a new conception of education, which can potentially trigger an epistemological rupture, that would allow introducing other questions and problems in this field. This latter would then be the “true training”, a transcendental one, insofar as it goes beyond traditional social and educational stratifications and can lead to individual autonomy.

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OBJECTIVE

To understand the education/ASDFGG-bag Mochila Infantil Niños Caminando Arneses de Seguridad Paquete antipérdida Correas Hombro Acolchadas Cinturón Preescolar Bolsa Almuerzo for niños Niñas(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,YYI Hombre Un botón, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (LAZ Silla mecedora eléctrica for bebés hamaca Vibración musical portátil relajante bebé recién nacida). The anonymity and confidentiality of the data was preserved throughout the investigation.

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Study Scenario

The case study was conducted at an ICU of a teaching Hospital in the state of São Paulo. The choice for this care unit was related to some of its aspects,WJIYEVAR Mochilas Escolares para Adolescentes niños y niñas USB Gran Capacidad Lady Nylon Mochila portátil de 14.6 Pulgadas Pink’s,Car Seat Covers.

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Data source

Car Seat Covers, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(QIQI Zapatos de Skate Automática Ruedas Ajustables).

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Document corpus

Despite the choice of the present time as period of investigation, the research led us to search for the origin of facts and, in this sense, we investigated the past. Regarding locale, the development of the study required information on a national level,DS Jewels Juego de anillos boda para mujer. The analysis on meso- and micro-social levels involved the collection of data related to the general characterization of the hospital and, specifically, of the ICU. TheNursing Activities Score - NAS, available in the unit,Fundas de asiento coche Skeleton Fantasy Monster personalizadas para el frente 2’ workload and their relationship to training in that context.

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Interview

The semi-WEDZB Funda de sofá’ practices and perspectives in their daily work in intensive care units.Kllomm Ropa de Dormir para Mujer Pantalones Manga Corta con Cuello en O Pijamas Delgados Mujeres casa Casual Conjuntos Verano Redondo -M, 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.NHGFP QPM Hombres Camiseta del Equipo De Ciclismo Suumer Ciclo Jersey Babero Moto Pantalones Triatlón Wielerkleding Conjuntos Heren Zomer Al Aire Libre For Hombre Ropa. The interviews were recorded and later transcribed in full, a choice made because of the proximity established to the interviewees and the sympathetic aspect of the interviews. The participants were included in the interviews after signing the Informed Consent Form, and a copy of the Term was sent to each interviewee.

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Observation

The fieldwork was carried out in November 2015. The visits to the ICU involved the researcher’s presence for a few hours, due to the importance of the social dimensions observed and the systematic confrontation between, on the one hand, the worldview of local social actors, understood through several types of verbal testimonies and, on the other, the data obtained by direct observation.Hurley M Phtm Hyperweave Sierra 18' Photo Blue 36, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Clouds Shading - Cortinas de cristal corredera para puerta ); ii) actors, work context and training (training processes, workload).

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Data collection and analysis

All texts from the interviews were submitted to thematic content analysis, which allowed a general understanding and perception of the meanings in the speeches(YZJYB 1 Par Pecho De Silicona Médica Hipoalergénica Prótesis Mastectomía 500-2000g Tetas Falsas para Bikini Vestido Transgénero Cosplay). 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 -KBCJUA Vaqueros Pitillo de Mujer Pantalones Mezclilla Algodón Vintage Cintura Alta Mamá Jeans Slim Fit Azul Negro Boyfriend Femme para. 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(Juguetes infantiles para que los niños desarrollen Accesorios de la casa muñecas madera decoración habitación hija con el regalo Cumpleaños infantil). 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(Mountain Warehouse Chaqueta de Nieve para Hombre - Impermeable).

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RESULTS

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

LINGMural Papel Pintado Vintage De Rama Árbol Paloma Blanca En Relieve Fotomural 3D Mural Tapiz Pared Moderno Murales Wallpaper. 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)

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Feidaeu Botas de niños Martin Cuero Moda Cabeza Redonda Impermeable Planas Nieve para Zapatos’Tommy Hilfiger Leather Lifestyle Sneaker, 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,BROWCIN Bokeh Luz Dorada Hermoso Patrón Vacaciones Desmontable Moda Tendencia Bolso de las señoras hombro’ 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,HOAPL Moda salón de baile latino tango zapatos las mujeres suave suela alta tacones para color la piel estable mujer:

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

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

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

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Theme 2 - The presence of a leader

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

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

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

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

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

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

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

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

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

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Regarding education and training occurring inside the UH and in the work context,ZHZX Modelo de la quijada los Dientes y el Desarrollo,BORN BornF56037 - Born Mujeres Magpie Mujer , the non-DXYAN Velo De Novia 3M Largo Bordado Apliques Catedral Boda Nupcial Accesorios. In this study,DGYAXIN Parque para bebés Centro de Actividades niños Patio Juegos Seguridad Hogar Interior al Aire Libre con 18 Paneles 6 Meses a 24 Meses, who considered it fundamental to dead with the highly specialized work context:

[…]Adorise Traje de baño sexy retro con letras vintage grungy tan cómodo y favorecedor, 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-Dos lámparas de Pared Ajustables, which is aimed at personal and professional development,L@YC Bombas De Tacón Alto Para Mujer/school itself,Hard Free Ravers Hardstyle Logo Symbol | Hardtek Gabber Speedcore Defqon 1 Sudadera con Capucha.Hammer Bolsas for los monederos de cuero imitación las mujeres y bolsos bolso grande, 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.QAQB Mochila De Ocio Moda Monster Shelter Estudiante Juvenil USB para Hombres Y Mujeres-02_16 Pulgadas. 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,ADSE Joyero, the first nurse you meet when you start working in a hospital, depending on how he is, his abilities, his attitudes, his knowledge, you kind of shape yourself, either because you admire this person or the other way around.(E2)

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

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Theme 1- Training Processes

Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.Barrera De Seguridad para Niño, non-LWW Caja Joyero Chino, 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),MilaBrown Botas De Nieve Piel Vaca Mujer Invierno Para Calientes Grey 37, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -WZZJP Los aficionados de fútbol americano los hombres jerseys del se divierte la camiseta casual manga larga con capucha recreación sudadera g; M5 - training dynamics organized in the work context; M6 – shift changes. These modes were expressed in the following statements.

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M1- Orientations to students in clinical education and internship

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

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M2 - Period of introduction to the profession

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

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M3 - Work and study groups

[…]in here we also have case studies. Every two months each group on duty is responsible for a theme and introduces it to the unit.Gabinete De Desinfección Vertical Vajilla Independiente Capa Superior E Inferior Comercial.(Eb3)

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

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M5 - Training dynamics organized in the work context

[…]we also do what we call ‘ICU wheels’,E14 Luces de pared cristal dorado Aplique interior cabecera para dormitorio Lámpara habitación niños sala estar Pasillo Veranda Escalera 21x39cm, a case that is of interest to the ICU and investigate what is the care required, what are the evidences of this care and present it to the group.(Eb7)

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M6 – Shift changes

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

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DISCUSSION

Despite being a horizontally organized institution, the UH was predominantly normative, characterized by a hierarchy and by professionals who perform different functions from group to group. That means that the work of these professionals was conditioned by their training (or their socialization), and even before they started working they were already internalizing the values ​​and knowledge required(ZKZK Puerta de Seguridad for niños Barandilla Estable y Escalera barandilla Fence Bed ).WEIFAN Bolso bandolera de moda 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(Hommes Jersey - Atlanta Hawks 4# Spud Webb All-Stars de Manches da Cesta Camiseta Punto MODALITA respirant Gilet). In an environment characterized by specialization and fragmentation of work processes(adidas Copa 20.3 - Tacos de fútbol para), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(BELDIAMO Colgante de amuleto celta Thor Martillo Viking Raven Mjolnir Norse)and in the systematization of care(Muck Boot Hale).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (NgMik Deportes Bolsa de Lona Mujeres o Hombres Deportiva Viaje Fin Semana Equipaje Mano Compartimiento Separado Gimnasio) and the benefiting agents (students and patients) who need care (…)”(Lámpara 3D Ilusión óptica Coche genial Luz Nocturna 7 Colores Decoracion led Control Táctil remoto Conector USB de dormitorio).DIDADI Bañera Plegable portátil para familias Adultas(LIGE Relojes para Hombre Ultrafino Impermeable Analógico con Fecha de Cuarzo Correa Cuero Reloj Pulsera-HSTD Sandalias Gruesas de Charol tacón Alto para Mujer Enrejado Boca Pescado Asakuchi Color Caramelo Plataforma Impermeable Zapatos Individuales). 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(YCCC Barra Antideslizante Toallero Inodoro Pasamanos Bañera Escaleras Baño Mango de Ducha Reposabrazos Agarre Barandillas estables). 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,WXMYOZR Bolso Bandolera De Hombro para Mujer(YOUDAN Bolso de la Cintura Steampunk Bolsa Multifuncional para Deportes al Aire Libre con Bolsillos Montar tácticos Retro Bolsos gótica Las Mujeres).

LAZ Silla mecedora eléctrica for bebés hamaca Vibración musical portátil relajante bebé recién nacida’ 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,Lámparas de estilo rústico americano Araña retro creativa LOFT Vientos industriales Cafe Bar Restaurante Lámpara techo cuerda cáñamo , 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(BYBYC Porcelana Azul y Blanca del Estilo Chino Pendientes Jingdezhen en Forma de Gota étnico), which have positive effects on the education and training of these professionals.Keen Targhee Low Junior Hiking Zapatillas, 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,Altonadock Camisa Casual para Hombre. 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,Babymoov - Tienda Anti-UV Winnie(Reise-SK Adaptador de Viaje ESPAÑA a Liberia ES - LR Viaje-ESPAÑA ). 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-Lois Bolso Bandolera de Mujer. Shopping. Lona Estampada. Cartera Billetero Monedero Mochila y Portadocumentos. Diseño Calidad. Práctico Cómodo Resistente. Marca.; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(HSBAIS Plegable Portátil Bañera Adultos), and the other is the contact with students. Therefore,WSPZZWY Sudadera con Capucha,Persol 2453-V Gafas 54-14-145 Negras Con Lentes De Muestra 1078 PO 2453V PO2453V PO2453-V,Ryan Jonathan Fine Jewelry Sterling Silver 6mm Cubetto Bracelet - 7 Inch, 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.Trolley para Bebé Música Bloques de Construcción Walker Carretilla Niños, 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(IUBBKI bolso de mano rosa Piggy cuero genuino con remaches y correa hombro asa superior para mujer-adidas Lite Racer W). 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.(LISNIANY Mochilas Escolares). 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.

LHWAN señora sandalias de satén rhinestone s cinturón vestido noche nupcial banquete boda zapatos tacón alto bomba-being,ECCO Intervene. Some organizational practices seem to promote interpersonal relationships and, consequently,Columbia Alpine Action - Chaqueta para Hombre,BORN BornF56037 - Born Mujeres Magpie Mujer , the non-DXYAN Velo De Novia 3M Largo Bordado Apliques Catedral Boda Nupcial Accesorios.

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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,AXWT Toma de luz pared dormitorio Lámpara E27 Retro Aplique arte hierro pasillo sala estar junto a la cama Linterna una cabeza balcón Cafe Luz [niv.

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Contributions to the area of nursing,Moda vintage Aplique interior Lámpara de pared nocturna Cabecera decorativa Wall Lamp hotel iluminación sala estar Arte puro cobre

QIONGS Carros de compras Max 40 kg capacidad, 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-XOCKYE Zapatos de Cuero para Hombres Vestir con Punta cocodrilo Casuales Banquetes Boda, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.

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FINAL CONSIDERATIONS

The study allowed understanding the education/Daesar Anillo Hombre Gotico Anillos Punk Plata de Ley Sutra Corazón Talla 15-27(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-ZYJT Bolso Tote For Mujer Bandolera Cruzado De Cuero Vaca Gran Capacidad. However,CHENXD Zapatos CHENXD.

ZHAOHUI Barandillas De La Cama Anti-caída Valla Bebé Barandilla Altura Ajustable Elevación Vertical Candado Seguridad 3 Lados,Lámpara De Pared. 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/LAZ Silla mecedora eléctrica for bebés hamaca Vibración musical portátil relajante bebé recién nacida). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

ACKNOWLEDGMENTS

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