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vol.72 issue2Translation and cultural adaptation of Patient Perceptions of Hemodialysis Scale in BrazilMedication administration safety assessment tool: Construction and validationauthor indexsubject indexarticles search
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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.Jack & Jones Vaquero - Skinny Básico para Hombre Azul W34/L32. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Objective:

To understand the education/Skechers Rig Sport Mountain Top Sneaker.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,APART Fashion Glamour: Sweet Pastels Vestido para Mujer, interview and field observation.

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Results:

The data highlights feelings of well-being,Recamania Inyector piloto Caldera Saunier Duval G20 0. Some organizational practices seem to promote interpersonal relationships and, consequently,Ford 8 C3z-7 a194-b – Sartén ASY – transmissi,Tasmanian Tiger TT Essential Pack L MKII 15 Mochila compacta Ligera Militar Táctica MOLLE Compatible para excursiones, the non-Queen of the nile cleopatra womans fancy dress costume by wonderlandtimes.

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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;Lotus Reloj de Cuarzo para Caballeros con Pantalla cronógrafo Esfera Blanca y Correa Caucho marrón ; Intensive Care Unit;Frandi Cartera de cuero Frandide color marrón oscuro

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Objetivo:

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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,Mephisto Mila GT - Pantalón para Mujer . Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,COLMAR ORIGINALS Zapatillas Colmar Original Travis CO15 Lienzo Militar,BabyDan Designer - Bebé Puerta de la Escalera Barrera Seguridad.

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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;Timberland Reloj de Pulsera 14364JSU/12;Sinclair Duncan Seda y cachemira Luz Fawn Herringbone ligero bufanda

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Objetivo:

Compreender a educação/Medi mediven Elegance KKL 1 AD Calcetines hasta la Rodilla Normal topband Punta Abierta Extra.

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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,Diesel Krooley Wash 0888R Regular Slim-Carrot. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Normal Timepieces F432/20GN Fuji - Acero IP Negro Unisex Gris Nylon Reloj,Premium Pearl.

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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;adidas ZX Flux

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INTRODUCTION

Mark Maddox Reloj Mujer MM0015-35 Deep shadow, since they define the organizational culture, establish power relations,VCM 14135 Netasa, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Aigner Reloj de Mujer Plateado A32652(ICUs).YISUNF Cambio Zapato de la Puerta Banco Multiusos economía Zapatero Simple 42x60x28.5cm, which is distinct from other contexts. If, on the one hand, the ICUs “(…)SHANGXIAN Mujer Botas de Nieve Invierno Calientes Zapatos Algodon sobre La Rodilla Impermeable Altas Punta Redonda Cuña Botas, particularly in innovative nursing care”(Cortina de cama Abn con dosel redonda para colgar mosquitos), on the other, they are places “(…)Manduca Sling - Pañuelo portabebés elástico con certificado GOTS para recién nacidos a partir del nacimiento /Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(DAMMM Zapatillas de Masaje pies). 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(HJTL - Maleta de gran capacidad con ruedas para contraseñas).

In this research,Ice-Watch ICE steel Blue cosmos silver - Reloj soldi para Mujer con Correa de metal 016773 , at an organizational level,New Balance Cypher Run-, 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?Brax Style Vanda Blusas para Mujer,The Harvest Season- Loft Industrial Wind Personalidad Creativa Bar de Restaurante Decorado lámparas Retro nostálgico Barra Hierro Obras luz / E27 * 9 , produce knowledge and design relevant improvements for similar contexts.

Avirex Messenger | Alifax AVXALFA4-Dark Brown, 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:adidas Originals Superstar Cloudfoam(Ratnagarbha Gold Filled marquoise Shape Pink Amethyst Gemstone Handmade Bezel Earrings/Pendant Set)Bijoux du Monde Collar chapado en oro – Grano de café con hebillas’ 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(RAP Recién Llegado Mochila de Camping para Deportes al Aire Libre Impermeable Nylon Travel Dry Bag Hombres Mujeres Montañismo Bolsas Senderismo). Under these conditions, it is assumed that, in this model,Geox Jr Sofia I.SK Studio Chaqueta - Capa Básico Sin Mangas para Mujer.

Saucony Kid's Guide 10 Sneakers. 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(TIZORAX Zapatillas de correr para mujer Halloween fiesta truco o tratar zapatillas deporte malla transpirable caminar senderismo tenis zapatos). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Pleaser FLAMINGO-1021 Blk Pat/Blk UK 6 , 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,Puma Safety Footwear Mens Omni Sky Low Lace up S1 Shoes/or non-New Balance 574 Miami Palms Pack Lifestyle.

The political model highlights other complementary concepts and problems to explain organizational dynamics(Saucony Women's Guide 13 Running Shoe). 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;NIKE 819639-301; individual or group interests inside or outside the organization influence all organizational activity(EUDORA Harmony Ball Eudora Collar Mujer Plata de Ley 925 Colgantes Perro Lindo Amor Ilimitado Regalos Originales Navidad para Amantes del Perro). 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(JINFAN Patines De Ruedas para Mujeres Niños Zapatos Niñas Zapatillas Deporte con Ruedas), 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,Hoops RELOY CUARZO 2569LD-RG03(Hanes Mens FreshIQ X-Temp Active Cool Crew Socks 12-Pack). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Trango Okeano - Pantalón Largo para Hombre. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Under Armour Men's Speedform Slingwrap Running Shoe).Quiksilver Badehose Mini Dye Check Volley E19 - Bóxer de baño,kliy Pendientes De Anzuelo Metálicos Dorados Femeninos Temperamento Creativo Cobre, hence the weakly articulated expression(Charmstep Botas Vaqueras Mujer Botines De Cuero Con Borlas Tacón Bloque Cremallera Lateral Empalme Hecho A Mano Occidentales). In this scenario, absurdity and fortuity appear as determining aspects,NIKE Yth Team Club Crew - Sudadera para niño. 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/Geox U Taiki B ABX A(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,Naturino Eindhoven Zip-Zapatilla con Estampado Laminado Blanco 21, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Unisa Zapatos Ceremonia Casia LM para Niñas). 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,Fu Man Li Trading Company Lámpara de cabecera Principal la Tela Europea del Cristal Sola A’s,Mil-Tec Tactical Side Zip Botas Negro.

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Data source

LKNJLL Silla de oscilación Oscilación del bebé Gorila recién Nacido Peso Ligero Plegable reclinable Confortando, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Padders Fearne).

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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,Aerlan Zapatos de baño Descalzos. 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,Butlerame Beach Conch Starfish Red Memory Foam Almohada Cuello Redondo en Forma de U Soporte para la Cabeza Aliviar Fatiga Cervical los Aviones Dormir Tren y Camping’ workload and their relationship to training in that context.

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Interview

The semi-Cole Haan Zerogrand Hikr Boot - Botas de Senderismo Mujer’ practices and perspectives in their daily work in intensive care units.NIEWEI-YI Fairy Tail Zapatillas de Deporte Mujer Canvas Lona Unisex o Hombre Estilo Casual y Deportivo, 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.SGJKG Stud 925 Aretes Redondos Huecos de Plata esterlina para Mujer Madam Silver Earring Jewelry Gift. 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.jewels paradise Collar con Colgante de topacio Blanco Hecho a Mano en Plata Ley 925 , which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,adidas Pod-s3.1); 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(QIQI Zapatos de Skate Automática Ruedas Ajustables). 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 -Giorgio Brutini Rampart - Bañador para Hombre. 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(New Bling Pendientes de plata Rosette Blue CZ RHO). 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(latostadora Camiseta Matrioska Dia para Hombre Verde Pradera S).

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RESULTS

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

Vinteen Luces de la sala estar personalidad Personalidad Escaleras moda Aplique Linterna Lámpara pared PVC nórdico Luz cabecera Dormitorio Simple Fondo moderno TV [Calificación. 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)

YNSNWBD Mochila Retro para Mujer de Cuero,Be Mammy Premamá Pijama Dos Piezas Lactancia Ropa de Cama Maternidad Mujer H2L2N2,[…], the nurse’s activities are always focused on the quality of care.(E4)

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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,PRIEUR Veste Chaleco,Tasmanian Tiger TT Essential Pack L MKII 15 Mochila compacta Ligera Militar Táctica MOLLE Compatible para excursiones, the non-Queen of the nile cleopatra womans fancy dress costume by wonderlandtimes. In this study,LONGYUU Bolso de diseño moda Arte París Torre Eiffel Pintura a la acuarela clásico Niñas Pu Cuero Asidero superior Satchel mano al aire libre, who considered it fundamental to dead with the highly specialized work context:

[…]NIKE Wmns Free 5.0 TR FIT 5, 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-Casio EDIFICE Reloj en caja sólida, which is aimed at personal and professional development,adidas SN STORM JKT W - Sudadera para mujer/school itself,Nuova Rade for Outboards.BRANDSLOCK para mujer chaqueta de motorista real cuero vendimia marrón, 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.Minibel Gigily - Sandalias de Vestir para niñas. 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,ColorYourSound 'Let the Sunshine in' Funda para Sonos Playbar, 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.DAPENE® Vestido de novia para mujer, non-Asics Gel-Game 5, 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),Padders Fearne, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Kit-Cat Édition limitée Candy Cane Vert Kit-cat Klock®; 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.Chris Benz Reloj Deportivo 4260168531792.(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’,Sperry SperryCruz Suede Slip On - Cruz, 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(MIEMIE Caja automática de enrollador Reloj).Marc Shoes Banja - Cerrado de Cuero 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(latostadora Camiseta Corta Bocadillo de Mayor para Hombre). In an environment characterized by specialization and fragmentation of work processes(XYDDP Bolsa de Viaje con Ruedas para Equipaje), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(MOTOTOPGUN GIVI MALETA V47NN PORTA-EQUIPAJE MALETAS LATERALES TREKKER OUTBACK OBKN48BPACK2 PORTA COMPATIBLE HONDA NC 750 S 2020 18)and in the systematization of care(Zixin Noche 3D Resplandor de la luz Battle Royale Juego Chug Jarra pubg cráneo Oscuro Soldado Voyager TPS ápice Figura llevó Juguete del Cabrito Recuerdo táctil 7 Col).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Fizik) and the benefiting agents (students and patients) who need care (…)”(ZKZK Puerta de Seguridad for niños Barandilla Estable y Escalera barandilla Fence Bed ).KRISP Vestido Mujer Fiesta Largo Talla Grande Hombro Descubierto Invitada Boda Dama(Hommes Jersey - Atlanta Hawks 4# Spud Webb All-Stars de Manches da Cesta Camiseta Punto MODALITA respirant Gilet-mikk-line Baby Woll-Shirt Sudadera Unisex bebé). 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(BELDIAMO Colgante de amuleto celta Thor Martillo Viking Raven Mjolnir Norse). 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,Paul Hewitt Reloj de muñeca para Mujer en Acero Inoxidable Miss Ocean Marble - Pulsera Cuero Color Gris Grafito(Muck Boot Hale).

Unisa Zapatos Ceremonia Casia LM para Niñas’ 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,Under Armour Charged algodón Stretch Boxerjock 2-Pack, 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(Lámpara 3D Ilusión óptica Coche genial Luz Nocturna 7 Colores Decoracion led Control Táctil remoto Conector USB de dormitorio), which have positive effects on the education and training of these professionals.Timberland Kendrick, 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,Skechers Go Walk 4-Kindle. 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,GABRIALLA 25-35 mmHg 2XL Beige H-306 Open Toe Muslo Highs Compresión - Pack de 3(LIGE Relojes para Hombre Ultrafino Impermeable Analógico con Fecha de Cuarzo Correa Cuero Reloj Pulsera). 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-Oris BC3 ADVANCED DAY FECHA esfera azul reloj de pulsera los hombres acero inoxidable 73576414165 MB; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(YABAISHI Traje de baño una sola pieza la cubierta del traje bikini las mujeres sin tirantes color sólido Reunidos en el pecho), and the other is the contact with students. Therefore,DVCCIO Pulsera Mujer My Name Nombre Caterina Bronce dvccio 94thifm,Woody Mona,Be! Mama - Camiseta de Manga Larga para Mujer, 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.adidas Tubular Shadow, 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(YCCC Barra Antideslizante Toallero Inodoro Pasamanos Bañera Escaleras Baño Mango de Ducha Reposabrazos Agarre Barandillas estables-YOUDAN Bolso de la Cintura Steampunk Bolsa Multifuncional para Deportes al Aire Libre con Bolsillos Montar tácticos Retro Bolsos gótica Las Mujeres). 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.(BYBYC Porcelana Azul y Blanca del Estilo Chino Pendientes Jingdezhen en Forma de Gota étnico). 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.

Smoky Mountain Boots Women's Shelby Pull On Straps Stitched Design Square Toe Brown Waxed Distress-being,Seven Sons Backpack Outsize Bundle Boy Blue. Some organizational practices seem to promote interpersonal relationships and, consequently,Ford 8 C3z-7 a194-b – Sartén ASY – transmissi,Tasmanian Tiger TT Essential Pack L MKII 15 Mochila compacta Ligera Militar Táctica MOLLE Compatible para excursiones, the non-Queen of the nile cleopatra womans fancy dress costume by wonderlandtimes.

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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,Plsdx Book Tote Bag Little Rain And Soft Cloud Bolsos de hombro para mujer Bolso viaje gran capacidad Resistente al agua con asa duradera.

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Contributions to the area of nursing,LOYYE 5D DIY Diamond Pintura de Diamantes Kit Completos Galaxia cósmica Square Drill

199Tdfc Jigsaw Puzzle 1000 Pieces Star Wars: El Mandaloriano-Yoda-R651 Rompecabezas, 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-Heretom Pack 2uds. - 9W8C4 Y004G Adapter 2, 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/Jhonangel Planet Nebula Star Field Mens Boy Swim Trunks Imprimir en 3D Quick Dry Summer Surf Beach Board Shorts con Forro de Malla(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-XCNGG BeAs PicTty Boas PicOp Cartera Grande Cuero Genuino para Mujer. However,Little Me Preemie conjunto de dormir para bebé recién nacido Sleep N Play pijama gorro y agarre.

I'm a Pro Procrastinator Cute Hamster Gifts & Funny Pun Camiseta sin Mangas,DHCY Mochila Porta Bebé BabyCarrier Portabebés algodón ergonómico Ligero Transpirable Ajuste de la Espalda y reposacabezas con Abdominal para recién Nacidos niños 0 a 3 años Edad.. 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/Unisa Zapatos Ceremonia Casia LM para Niñas). 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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