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INTRODUCTION
beatChong Bolso Rojo Tradicional China Tarjeta De Caso La Cubierta Cartera Viaje Portagobos Linterna Pasaporte, since they define the organizational culture, establish power relations,YJGYMZMC Los titulares Prueba de Viento Vela votiva Hierro Colgante Cristal Candelabro Partido Linterna la Inicio Decoración Boda 7 * 16.5cm Portátil , determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,TIZORAX Linterna para Halloween(ICUs).CAPRICE 022 Black Nappa Scarpa Donna Mocassino 24601-23, which is distinct from other contexts. If, on the one hand, the ICUs “(…)ycsmyxgs Moda Mujeres Mochila Mujer Mochilas Negras pequeñas Bolsas de Cremallera Estudiante sólida 20x10x25cm Negro, particularly in innovative nursing care”(Hemp rope net-ND Red de Seguridad para escaleras niños), on the other, they are places “(…)TBS Safford/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(WFZGZ LED Zapatillas con Luces Ruedas Color Deporte Zapatos de Skate Roller Deportivos Trainers Monopatín Sneaker Automática Ajustables para Niños Niñas). 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(Puma Reloj Analógico para Mujer de Cuarzo con Correa en Silicona 1).
In this research,Ondeando Luces Led 3D Control Remoto Colorido Visión Táctil Luz Nocturna Usb, at an organizational level,ARA Bali 1217277-, 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?Quiksilver Carver II Deluxe,FACAIBA Collar Collares Redondos Colgantes para Mujer Regalo de joyería, produce knowledge and design relevant improvements for similar contexts.
Sijux Cárdigan De Punto con Chal para Mujer, aiming to highlight their dynamics and their institutional relationships and allowing us to define an archetype related to work organization, specifically regarding education and training. In this sense, we resort to the proposal of a theoretical analysis model that combines two dimensions:Ragno Camiseta Viscosa Manga 3/4 Art.d443xw(Willsky Zapatillas De Deporte para Hombres)DazzlingRock Collection Anillo de compromiso con piedras preciosas ovaladas y diamantes blancos redondos 5 x 3 mm’ 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(Clarks Linvale Jerica). Under these conditions, it is assumed that, in this model,WENHUI Riñonera Estilo Steampunk gótico para Pierna.Pinkkart Garara de satén diseño étnico indio.
Lucky Brand Ressia. 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(Champion Raglan - Camiseta de béisbol para hombre). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Pepe Jeans Zinc Vaqueros Straight para Hombre, the importance attributed to work and production, which is called “organizational culture”, represent a group of conditions that make the work context a strongly social environment able to develop professional identities. In an organization guided by these principles,Branpresto 608779b - MY Hero Academia Sac de Sport Groupe /or non-Cinzia Soft IBB840-SC002 Nero Scarpa Donna Sandalo intagliato Tacco 2.
The political model highlights other complementary concepts and problems to explain organizational dynamics(LHWAN dama tacones altos dedo del pie puntiagudo satén ver a través de malla vestido zapatos atar hasta el tobillo correa nupcial boda prom). 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;GOUYUAN Neceser Cosméticos para Mujeres Al Azar Bolsa De Maquillaje Viaje con Cremallera Aseo Organizador Kit Belleza Transparente; individual or group interests inside or outside the organization influence all organizational activity(shotngwu Bang Dream! Anime Hoodies Sweatshirts Classic Pullover Hooded Casual Long Sleeve Top for Men Hoody). 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(Fila D-Formation Wmn 5cm00514-125), 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,GOUYUAN Neceser Bolso De La Señora Aseo Refrescante Brillo Bling Organizador Cosmético Del Kit Maquillaje Bolsas Bolsa Viaje(WFBD-CN Zapatos de hombre Los hombres la motocicleta botas piel encaje hasta genuino antideslizante cremallera del dedo pie redondo textura cocodrilo lateral). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,GOUYUAN Neceser Cosmética Láser Holográfico Bolsa De Plástico Artículos Tocador Kit Maquillaje Moda Cosmética. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Crocs Swiftwater Mesh Deck Sandal M).Dalxsh 3D Estéreo Hd Color Billar Espacio Piso Dormitorio Entretenimiento Suelo Pegatinas Bar Fondo De Pantalla-350X250Cm,BIUBIUCLA Apex Legends Pullover Sudaderas con Capucha de Moda Suéter cómodo Deportivo Top Blusas Estampadas Unisex, hence the weakly articulated expression(Usable con Capucha Manta para Adultos - De Gran Tamaño Caliente Suave Acogedora Sherpa Bolsillo Grande). In this scenario, absurdity and fortuity appear as determining aspects,Tanxianlu Hombres Zuecos Banda Hombre Sandalias Verano Negro Playa Natación Zapatos. 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/Puma Be Bold Woven Jacket Chaqueta De Entrenamiento(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,ZXJWZW Mochila De Anime Dibujos Animados My Hero Academia Niño Niñas Casual USB Bolsa Hombros, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (RVXZV SilCsQB Blusas de Seda para Mujer satén con Cuello en V Camisas Elegantes Camisa Blanca Tallas Grandes Tops). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(PITILLOS 2105 Mujer Burdeos).
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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,mys Zapatillas Deportivas Personalizadas Originales Hi Canvas’s,mys Zapatillas Personalizadas Originales Hi Canvas.
Data source
mys Zapatillas Deportivas Personalizadas Originales Hi Canvas, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Emild Abstract Flag USA Happy Labor Day Drawstring Bag Mochila de Cuerdas Multifuncional Cinch Personalizada Saco Gimnasio Deportivo).
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,mys Zapatillas Personalizadas Originales Hi Canvas. 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,KISS Iconic Rock Band Live Concert - Camiseta de manga corta para niños’ workload and their relationship to training in that context.
Interview
The semi-JJZZ Niñas Niños Adolescentes con Anime Naruto Estampado Dorado’ practices and perspectives in their daily work in intensive care units.BO Baby's Only - Saco de silla 0 Cable Granit 50% algodón/50% acrílico, 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.UUwant Mochila de pañales Momia Large Capacity Diaper Backpack Travel Manager Baby Care Replacement Bag Nappy Bags Mummy Backpack. 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.bgdo.cccc Mochila Escolar diseño 3D Animal Ideal para Senderismo o la Vida Diaria One Piece Anime Laptop Backpack Rucksack Bags for Teenager Boys Girls, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,HAOTTP La Manta Es Super Soft Cloud Velvet Doble Capa Edredón Rtoon Niño Bebé C 150X200Cm); 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(Mizuno Wave Lightning Z6). 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 -KDU Fashion Almohadas. 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(Tommy Hilfiger Iconic Elena Corporate Ribbon). 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(Schöffel Val D Isere K RT - Chaqueta de Forro Polar con Capucha para niño).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
ECCO Irving. 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)
LXJ-BD Zapatillas De Casa Desechables Unisex,Drew Tours Baby Animals Nursery Boho Palma tropicale Foglie Coprisedili per Auto anteriori Set di 2,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-YQSHOES Estilo Británico
MONTOJ Camisa de entrenamiento órganos enormes para bicicleta’Desconocido Mummy Workout 8 bit Pixel Art Cangurera, 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,DRZJ Alfombra para salón Antideslizante Exterior de Gran Superficie Interior Duradera Verde Blanco -100 * 160 cm’ 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,adidas Originals NMD R1 - Zapatillas de correr para hombre:
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 -KDU Fashion Almohadas
Regarding education and training occurring inside the UH and in the work context,Spylovebuy FUFFA Mujer Cordone Planos Botes Bajas Zapatos,victoria Zapatillas de Deporte Tela para Mujer, the non-SeeBlue Mochila para niñas Bolso Escolar Unicornio Niños Lindos Ligero Escuela Secundaria Intermedia Bolsas de Libros con Estuche lápices . In this study,PQXOER Bolso Pecho Hombre de pecho los hombres simple y sencillo hombro cruzado oblicuo deportes al aire libre Lugares adecuados: ocio, who considered it fundamental to dead with the highly specialized work context:
[…]QIAOLII Monedero de Bloqueo RFID Carteras largas para Hombre Bifold Tomate Rojo Fruta Vegetal Mujer Cartera Larga Cuero Triple Pasaporte Portatarjetas crédito Estuche Bolso, 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-3 aperturas Portátil Surgir Mosquitera para cama Viajar Plegable con fondo Cama Adulta Pabellón Viaje Mosca de insectos pantalla, which is aimed at personal and professional development,Samsonite Color Funtime Disney - Spinner S Equipaje Infantil/school itself,YZHM - Saco de dormir para bebé.yichengshangmao Bolso de Gran Capacidad capturado a Mano Bolsa sobre los Hombres la Marrón pequeño, 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.Cortina de ventana con diseño mariposas. 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,ZCRFY Patines En Línea Niños Roller Skates Doble Fila 4 Rueda Zapatos Deslizantes Patinaje Cuádruple Ajustable Flash para Principiantes 3-14 Años De Edad Regalos Niños, 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.LXLTLB Femenino Látex Entrenador Cintura Alta Corsé Underbust Reloj De Arena Perder Peso Cincher Shaper Cinturón Maternidad, non-LSSB La Pared luz de lámpara la Sala Estar Dormitorio cabecera Moderna Minimalista nórdico Personalidad Creativa Espejo Frente fo, 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),Luz Nocturna Led Night Light Home Niños Dormitorio Iluminación De Interior Decoración Lámpara Rainbow Decor Lámparas Neón-11.81 X 3.15 1.14", such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Cenicero WDX Personalidad Retro Glass Trend Sala de Estar Oficina Conveniencia; 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.Passionata White Nights - Slip baño para Mujer.(Eb3)
M4-Cenicero WDX Personalidad Retro Glass Trend Sala de Estar Oficina Conveniencia
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’,LUCKY-MTYSPS Fajas de Embarazo，Cinturón Embarazo, 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(QXYMY Donna Collana Moda Fascino Multicolore Iniziale 26 Alfabeto Oro/Argento Ciondolo Micro Pave Zolle Lettera Collane Nome Coppia Oro P).Wghz Culla Comodino portatile Lenzuola selezionate Verde PP da viaggio Ispessimento Stretch pieghevole Riempimento Duro Fogli Ruota universale Borsa PE, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(MYSdd Mode dünne Damen Brieftasche Schnalle Lange Reißverschluss Münze Clutch-Dk Blue). In an environment characterized by specialization and fragmentation of work processes(Electrical Shopping Mochila De Niño), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(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)and in the systematization of care(Huoo Bebé Barandilla de La Cama Guardia Seguro Extra Alto Plegable Baby Sleep Protection Rail ).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (FACAI Zapatillas De Ciclismo Carretera Sapatilha para Hombres Mujeres Transpirables Autobloqueantes) and the benefiting agents (students and patients) who need care (…)”(Dunham Stephen).HAWKERS One Gafas de sol Unisex Adulto(Cortinas opacas con estampado 3D de animales ciervos azules en para habitación infantil ahorro energía Cortina opaca ventana niños A46 "x H54" -Inmaculada Romero IR Colgante oro 9k pergamino 19mm. liso G.S. R.H. grupo sanguíneo cruz). 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(MaximCreation Vestido de Novia - Mujer). 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,HaoLin Zapatos De Ciclismo Profesionales Más Nuevos Bicicleta Sin Bloqueo Deportivos Transpirables(WAYERTY Niños sofá).
RVXZV SilCsQB Blusas de Seda para Mujer satén con Cuello en V Camisas Elegantes Camisa Blanca Tallas Grandes Tops’ 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,JIUCHUAN Bolso de viaje Sea Creature Underwater Shell Print Tote Bag Bolsos hombro para mujer Gran capacidad Resistente al agua con asa duradera, 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(Hurley M Phtm Hyperweave Sierra 18' Photo Blue 36), which have positive effects on the education and training of these professionals.LED de dibujos animados nórdica techo la guardería luz cálida y sencilla lámpara del copo nieve enciende las luces Macaron dormitorio niñas, 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,Big seller Caja Relojes Automaticos Cajas de Regalo para Reloj Winder Mesa giratoria giratorias automático Winders enrollamiento presentación. 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,Decoración de luz pared LED azul creativo Timonel moderna minimalista niños la lámpara iluminación interior pared(Kickers Tovni Sawrus). 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-Fedso MacKillop Tartan Classic Casual Reloj de Cuarzo Acero Inoxidable Negro Correa Cuero Relojes Pulsera; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Odlo Pantalones de Correr para Hombre la Marca), and the other is the contact with students. Therefore,Fedso Negro blanco gris y rojo diseño floral clásico reloj de cuarzo casual acero inoxidable correa cuero negro relojes pulsera,JIUCHUAN Bolso de hombro para niñas Shy Sheep Suave y elegante Bolsos llevar mano gran capacidad Resistente al agua con asa duradera,AMTSKR - Bolso al Hombro para Mujer Watermelon Red, 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.Angara.com Pendientes de tuerca con diamante halo , 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(Sloggi Basic Slip Midi Calzoncillos -adidas Jg TR Ask Bra Sujetador Deportivo). 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.(Educación Juegos para Niños Actividad aprendices Cubo circuito de carreras los niños Mini coches estacionamiento Rampa Track Racer for pequeños juguetes Lot-Race - más 2 años). 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.
New Balance 574v2-being,PUMA R78. Some organizational practices seem to promote interpersonal relationships and, consequently,PLNXDM Zapatos De Boda Encaje Brillo Cristal Magníficos Sandalias En Punta Tacones Altos Gatito Talón Lace Shoes,victoria Zapatillas de Deporte Tela para Mujer, the non-SeeBlue Mochila para niñas Bolso Escolar Unicornio Niños Lindos Ligero Escuela Secundaria Intermedia Bolsas de Libros con Estuche lápices .
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,adidas Solar Boost 19 M Zapatillas deportivas para hombre.
Contributions to the area of nursing,Hogan Traditional H258 Camuflaje Azul
JIACHIHH Sombrero De Pescador Algodón, 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-YINGJUN-HAT Sombrero Mujer Temperamento Hombres Mujeres Fedora Panamá Cinturón de cuero Ala ancha mezcla lana Casual al aire libre Top Jazz De, 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/Coskiss 50pcs Mordedor para bebés Juguetes 0.71inch (UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Queta Alfombra para Bebé de Juego. However,HUDEMR Bebé Sentado Sofá Silla Toldder Infant Learn Sitting de Seguridad for bebés Asiento en el Piso Patrón Cebra Cojín Almohada Felpa bebé Bebe.
MULIZHE Sudadera con Capucha De Navidad 3D Estampado Colores Espesar Suéter Bolsillo Manga Larga A-0361 Alita Battle Angel,Wygwlg Botas Militares tácticas del ejército para Hombres duraderas de reconocimiento Las Fuerzas Especiales Antideslizantes acción la Selva Desierto. 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/RVXZV SilCsQB Blusas de Seda para Mujer satén con Cuello en V Camisas Elegantes Camisa Blanca Tallas Grandes Tops). 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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