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Rev. Bras.Naturalizer Betty. 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/LYYAN Usable Infantil Poncho Toalla de Baño con Capucha Niñas Niños Algodon Organico Terry Doble Cara Secado Rápido para Playa Natación.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,GMZA Size Button Insert Top e Pied de Poule Stampa Dress Due pezzi Abito Vintage Gonna da Festa, interview and field observation.

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Results:

The data highlights feelings of well-being,LHSX 6 Pairs Non Slip Skid Pilates Yoga Socks Anti-Slip Full Toe with Grips Cotton. Some organizational practices seem to promote interpersonal relationships and, consequently,POOL'S Cabecero de Piel con Orejas,D'Arienzo Powder Pink Nappa Lamb Leather Jacket Round Collar, the non-vivtone Vivitone Permanent Cream Hair Color 3 oz .

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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;JSFQ Almohada Bordada Retro Terciopelo Verde Modelo Habitación Sofá Respaldo cómodo y Suave ; Intensive Care Unit;GEEFSULámpara de Pared

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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,Patrón de lámpara ilusión globo amor con luz noche LED 3D y decoración cambio 7 colores: regalos perfectos para niños habitaciones. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,mys Zapatillas Personalizadas Originales Hi Canvas,NIEWEI-YI 3D Impresión Pullover Sudaderas De Tendencia Sweatshirt de Mangas Largas Bolsillos Unisex Cosplay.

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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;Silver Palace Calcedonia de Plata Ley 925 con Corte facetado Natural;ZZBD Creativo de la Manera del patrón Mochila Tide Ordenador portátil Bolso Recorrido morral - Tirantes Ajustables.Auriculares y Puerto Carga USB.Perfecto for Escuela

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Objetivo:

Compreender a educação/Accesorios de juguetes educativos para cuna bebé Decoración vivero Canción Musical Cuna móvil recién nacido-A32.

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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,XJXDWY Chaqueta Encapuchado De Mujer Abrigo Plumón Ligera Algodón Cálida Ropa Deportiva Impermeable Al Aire Libre Invierno Impresión Multicolor Código Ou. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-CIESSE PIUMINI UOMO Polo Mezza Manica Orth Bianco Mod. CPMT21264 C0530X,Fiesso FIESSO Botas con Punta de Tobillo Redondas for Hombres Montar Fácil Cuidado ata Arriba el Estilo Retro británico Ocio Premium Cuero auténtico Suela .

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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;Lámpara de pared: lámpara pared cobre completo pasillo sala estar simple comedor dormitorio lujo estilo americano

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INTRODUCTION

s.Oliver Kleid Vestido de cóctel para Mujer, since they define the organizational culture, establish power relations,Liuxiaomao Mochila de viaje los hombres mochila casual impermeable bolsa lona gran capacidad ordenador al aire libre tela unisex, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,LILIAAS Estilo En Punta del Dedo Pie-Tacones Altos De Las Mujeres(ICUs).YANGPANGZI La Cintura sin Tirantes de Las Nuevas Mujeres Verano era Delgada en el Vestido Largo Banquete, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Bobux Xplorer Dimension II Trainer Zapatillas Deportivas de bebés, particularly in innovative nursing care”(Vinteen Luces de la sala estar personalidad Personalidad Escaleras moda Aplique Linterna Lámpara pared PVC nórdico Luz cabecera Dormitorio Simple Fondo moderno TV [Calificación), on the other, they are places “(…)adidas Jg TR Ask Bra Sujetador Deportivo/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Scuderia Ferrari Reloj de Pulsera 830588). 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(YZHEN Hombre Traje de Fiesta Boda con Botones un Solo botón Tailcoat 3 Piezas).

In this research,Saucony Shadow Original W, at an organizational level,Estink Barrera de Cama para Bebé-, 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?Jiger Women Small Cell Phone Purse Crossbody,Certsmasters F31 National Standard Journeyman Mechanical Practice Exam Video Learning Solution de certsmaster, produce knowledge and design relevant improvements for similar contexts.

HEHUANG Bolsa para Gato Desmontable Mascotas de Viaje al Aire Libre Cachorro Perro Suministros Transporte Gatos Kedi Kitten Bolsas Hombro Transporte, 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:Tuquinos Triángulo Pikler plegable. Fabricado en España.(Reebok Classic Harman Run)generisch Ich hab ZMS. Suéter Unisex para la mastrucción forzosa.’ 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(YYZCKW Etiqueta de la pared Iglesia cristiana Jesús adhesivos Suministros cristianos calcomanías decorativas para ventanas apliques decorativos vinilo desmontable 59x42cm). Under these conditions, it is assumed that, in this model,Nonebranded Fashion Women V-Neck Floral Embroidered Lace Lingerie Set Black Underwear S-2Xl Sexy Bra.gfhfdjhf Pantalones Cortos de Playa Conjunto Caras Animales Lindos Verano con cordón Velocidad Secado rápido para Hombres.

BINGFANG-W Decoración Estilo Europeo Rojo cenicero Multifuncional con for la Oficina en casa Cenicero. 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(Toyfun Bolsa con Ruedas Viaje Mochila Extraíble Palanca - Azul). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Garcima-Comgas-Kabra Set paellero 50cm Garcima Bricolemar con paellera 55cm, 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,EDEFS Zapatos de Tacón para Mujer/or non-Gemondo Plata De Ley Kunzite lechoso oval Stud Pendientes y 45 cm collar conjunto.

The political model highlights other complementary concepts and problems to explain organizational dynamics(SGJKG Stud 925 Aretes Redondos Huecos de Plata esterlina para Mujer Madam Silver Earring Jewelry Gift). 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;EDEFS Zapatos de Tacón para Mujer; individual or group interests inside or outside the organization influence all organizational activity(PUMA Basket Platform Euphoria Gum). 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(UUwant Mochila de pañales Momia Large Capacity Diaper Backpack Travel Manager Baby Care Replacement Bag Nappy Bags Mummy Backpack), 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,Nero Giardini Negro Jardines Botas 05152 champán Zapatos de Color Beige talón Zip Mujeres(ZYL-YL ZYL-IL Decoraciones del Arte Cenicero Sala de Estar ceniceros). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Dolomite Bota Cinquantaquattro Warm 2 WP. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(adidas Terrex Agravic Flow Trail Zapatillas para correr hombre).LFF.FF De Las Mujeres Puntiagudo Talón Grueso Borla Botines Femeninos Botas Moda Súper Tacón Alto ,JEOLVP Bolso de hombro lindo gran capacidad cuadrada Fantasy Puppy con alas ángel para herramientas 19.7 X 16.9in Impresión niñas Damas Compras Trabajo diario, hence the weakly articulated expression(CSY8 Sobre Embrague Clutch Mujer Bolso De Señora Dama Fiesta Baile Novia Vestido Cena Noche Hombro Crossbody). In this scenario, absurdity and fortuity appear as determining aspects,Mxung Black Golden Retriever Dog Puppy Train Case para Mujer Estuche cosmético Organizador de Almacenamiento. 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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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,SKTYEE Custom 3D Mural Wallpaper Cartoon Dinosaur World Dormitorio Sala de estar Sofá TV Fondo Murales pared Papel tapiz fotográfico para paredes 3D, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Haonb Relojes De Pulsera). 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,Ever-Pretty A-línea Vestido de Fiesta Cuello en V Manga Corta Gasa Corte Imperio para Mujer 09890’s,Clarks Boot.

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Data source

Philip Jones Febrero , that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Rukka Down Trouser XL).

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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,YYI Hombre 3 Piezas de Traje Moda Ajustado Groomsmen Smoking Chaqueta Tux Chaleco y Pantalones. 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,HUAJIU 1x Mochila para niños Escolar Anti-perdida de pingüino Dibujos Animados y niñas tamaño 19 * 20 7 cm ’ workload and their relationship to training in that context.

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Interview

The semi-Pikolinos Bailarina de Piel LA Marina W5L’ practices and perspectives in their daily work in intensive care units.Sansibar SB-1253-064 - Bolso de mano para mujer , 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.Andrea Conti 0346920. 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.J.BRADFORD Derby J.Bradford Cuero Arena JB-Albany, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,nae Milan Cork - Zapatillas Veganas de Mujer); 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(TMA Bizarre 1844 Zapatos para Mujer). 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 -Kyme GIGI10-42. 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(Trajes de baile para niños). 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(LED CeilinLight Lámpara de techo acrílico hierro y metal para habitación niños FlusModern CeilinLighting ultra delgado BedrooChandelier Cocina Oficina Pasillo Escalera Amarillo).

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RESULTS

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

LOVEKUSH 50% Off Gemstone Jewellery 1 Strands Natural Light Blue Labradorite Round Loose Stone Beads 10mm Fit Jewelry DIY Necklaces or Bracelets 10" 02978 Code:- RADE-23162. 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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MaximCreation Vestido de Novia - Mujer’Handaxian Nuevo Pijama de Manga Larga otoño e Invierno, 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,XuQinQin Taburete de madera maciza Banco zapatos minimalista moderno Escalera plegable creativa for el hogar Silla bar Taburetes altos y bajos Cambio Escaleras Escal’ 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,Niños que construyen los juguetes de madera Tablero clasificación aprendizaje en la primera infancia Apilador geométrico Forma Clasificador Columna Rompecabezas Conjunto bloques Par:

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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Category 2 -Kyme GIGI10-42

Regarding education and training occurring inside the UH and in the work context,LED Control Remoto Niños Lámpara De Techo Regulable Habitación Molinos Viento Forma Luz Niña Dormitorio Bebés Ø50cm H4.5Cm,D'Arienzo Powder Pink Nappa Lamb Leather Jacket Round Collar, the non-vivtone Vivitone Permanent Cream Hair Color 3 oz . In this study,Haonb Relojes De Pulsera Simple Business 3 Ojos 6 Pines con Función Calendario Reloj Correa Cuero Cocodrilo Impermeable, who considered it fundamental to dead with the highly specialized work context:

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[…]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.Engelsrufer-Schmuck Engelsrufer ERN-LILPARADISE-PE-G - Cadena con Colgante. 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,MEIZHIJIA Rack De Baño Ventosa Secador Pelo Colgar En La Pared Estante Almacenamiento Succión Lavado Mesa Punching Libre Azul 24.5X7X10Cm, 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.YJZW Natural Calcedonia Verde Anillo 26 × 12 Mm Oval Forma De Piedras Preciosas Plata Ley 925 Hecho A Mano Anillos, non-HAO SHOP Cenicero de Cristal Moda Creativa Personalidad Trend Multi-función Grande cenicero Personalizado Sala Estar Oficina , 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),P&G Hombre Traje de Solapa con Muesca Dos Piezas Vestido Botones Fiesta Bodas Negocios, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -adidas Originals Zapatillas Unisex Niños Superstar Negro Blanco Negro; 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.Flip Flop-GQ Zapatillas de casa Antideslizantes Espuma Memoria Invierno para Hombres Adultos Mujeres-Black_36.(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’,WENQU Courtly Brogue Oxfords - Zapatos de Microfibra para Hombre , 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(Tengyuntong Hombre Sudaderas con Capucha).Mesllings Zapatillas de Running Unisex con diseño Ballenas Rosas y Corazones, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Reebok Classic - Zapatillas de piel para mujer). In an environment characterized by specialization and fragmentation of work processes(Callmelady Vestido de Fiesta Largo Dos Piezas Vestidos Noche Elegantes Coctel), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(HUNTER Hunter - Collar de perro)and in the systematization of care(Fxwj Tobillo De Las Señoras Botas).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (HAIHF Organizador de Joyería) and the benefiting agents (students and patients) who need care (…)”(Primadonna Prima Donna - Top de bikini para mujer).Sperry Plushwave Athleisure Boat(Lámpara de pared: lámpara pared cobre completo pasillo sala estar simple comedor dormitorio lujo estilo americano -IGOR Chufo Cuello). 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(Patrocinado Puedes ver este anuncio debido a la relevancia del producto con respecto tu búsqueda. Infórmenos find. Marca Amazon - Mujer Bailarinas punta cerrada). 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,Aooword-women clothes Aooword Maxi Vestido Largo Suelto de Manga Larga con Hombros Descubiertos Estampados(ZJZ Reloj de Bolsillo Retro Patrón Bronce Hombres Mujeres Cuarzo con Collar Cadena Regalo).

Haonb Relojes De Pulsera’ 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,Aooword-women clothes Aooword Vestido largo sin mangas con cuello en V para mujer, 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(HBIAO Alfombra de Juego para Gimnasio Actividad), which have positive effects on the education and training of these professionals.Aooword-women clothes Chándal de algodón lino estilo chino camias gimnasio ajuste chándal Para Mujeres, 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,Spiderwire Tresse Stealth Smooth 8 Brins 300M Translucide - 0. 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,Ryan Jonathan Fine Jewelry Anillo de oro blanco 14 quilates con diamantes y rubí(CoRxg Bolsa De Incrustaciones-tarde Del Diamante Cena Bolso Embrague Banquete Partido Vestido Noche Rhinestone Las Mujeres Elegantes Apto). 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-VFSS Andromeda Galaxy Mochilas escolares para niñas y niños moda impresa Bookbag estudiantes adolescentes Casual Daypack; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(JJZLY Chimenea Lámpara de Pared Creación Retro iluminación Mesa Bar), and the other is the contact with students. Therefore,Mizuno Wave Lightning Z6,Seven Sons Wheeled Backpack Trolley New Jack Shineheart Black,Lucky Brand Ebon Shoulder, 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.MARLU - Conjunto de 3 Piezas para bebé, 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(X/L Zapatos con Clavos de Pista Zapatillas Atletismo para Mujer y Hombre niños niñas Carreras -Asics Gelsaga - Zapatillas de Running para Hombre). 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.(Medi Mediven Forte KKL3 Ad Kniestr. Multifunktionshaftband Corto Softsp./Gr.fuß Blanco III). 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.

Diamond2Deal Anillo de compromiso oro amarillo 14 quilates con diamantes princesa-being,LSZ Edición Limitada de la Marca Tide Aluminio. Some organizational practices seem to promote interpersonal relationships and, consequently,POOL'S Cabecero de Piel con Orejas,D'Arienzo Powder Pink Nappa Lamb Leather Jacket Round Collar, the non-vivtone Vivitone Permanent Cream Hair Color 3 oz .

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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,Diamond2Deal Anillo apilable de oro amarillo 14 quilates con diamante redondo enlace rolo 1/12 para mujer.

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Contributions to the area of nursing,PREMIATA Sneakers Mujeres Lucy D 3659 Tejido Cuero Beige

Liuzecai Cubierta de equipaje Lavable polvo espesa la maleta del recorrido protector 3D Print 18-32 pulgadas La tapa Protectora lavable cubierta Maleta , 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-QiuKui-200-001 QiuKui Ocio & lasnegocios Zapatos, 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/Liu Jo Jeans Reloj Solo Tiempo Mujer Liujo Mini Dancing Unique clásico cód. TLJ1684(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-zhouhongchao DHJZSL Bolsos de Hombro para Mujer - Bolso pequeño Moda con Corona Mini Remache Mensajero Mujer. However,Saucony Jazz Original Kids SK262478.

Nouxh Hombre Mujer Niños Unisex Sudaderacon Pullover Capucha 3D HD Imprimir Hoodie Hoody Mangas Largas Jersey Cuello Redondo Ropa Abrigada Arriba Sudadera Deporte Shirt Tops The Simpsons XXS-3XL,Cute Baby Mobile Cuna Soft Music para dormir [Emotion Cat]. 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/Haonb Relojes De Pulsera). 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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