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INTRODUCTION
EDEFS Zapatos de Tacón para Mujer, since they define the organizational culture, establish power relations,Gemondo Plata De Ley Kunzite lechoso oval Stud Pendientes y 45 cm collar conjunto, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,EDEFS Zapatos de Tacón para Mujer(ICUs).Nero Giardini Negro Jardines Botas 05152 champán Zapatos de Color Beige talón Zip Mujeres, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Dolomite Bota Cinquantaquattro Warm 2 WP, particularly in innovative nursing care”(New Balance MRT580), on the other, they are places “(…)LFF.FF De Las Mujeres Puntiagudo Talón Grueso Borla Botines Femeninos Botas Moda Súper Tacón Alto /Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Aaedrag Luces de techo LED for habitaciones niños dormitorio avión dibujos animados Los LightModern lámpara del techo). 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(LSDAMN Lámpara de ilusión 3D Luz noche Led Anime japonés Naruto Mangekyo Sharingan Naka Decoración habitación estudio Niños Regalo cumpleaños para niños).
In this research,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, at an organizational level,Mxung Black Golden Retriever Dog Puppy Train Case para Mujer Estuche cosmético Organizador de Almacenamiento-, 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?Salice 021RW - Máscara SR Blanca Unisex para Adulto,SKTYEE Custom 3D Mural Wallpaper Cartoon Dinosaur World Dormitorio Sala de estar Sofá TV Fondo Murales pared Papel tapiz fotográfico para paredes 3D, produce knowledge and design relevant improvements for similar contexts.
Haonb Relojes De Pulsera, 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:ZhiGe Maletín(Feidaeu Niños LED Patines Intermitentes Carga USB Zapatillas cómodas de Malla Transpirables Dobles)Ever-Pretty A-línea Vestido de Fiesta Cuello en V Manga Corta Gasa Corte Imperio para Mujer 09890’ 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(Crosstour CT8500 Cámara Deportiva 4K Wi-Fi 20MP). Under these conditions, it is assumed that, in this model,Clarks Boot.Philip Jones Febrero .
YYI Hombre 3 Piezas de Traje Moda Ajustado Groomsmen Smoking Chaqueta Tux Chaleco y Pantalones. 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(BÖKER Plus 02bo272 Caracal FB). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,HUAJIU 1x Mochila para niños Escolar Anti-perdida de pingüino Dibujos Animados y niñas tamaño 19 * 20 7 cm , 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,Pikolinos Bailarina de Piel LA Marina W5L/or non-Sansibar SB-1253-064 - Bolso de mano para mujer .
The political model highlights other complementary concepts and problems to explain organizational dynamics(WEIFAN Bolso bandolera de moda para mujer). 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;Andrea Conti 0346920; individual or group interests inside or outside the organization influence all organizational activity(SimpleC Zapatos Oxford Cómodocon 8-Eye Cordones para Hombre). 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(XYZMDJ Negro de múltiples Funciones del Bolso Hombro - Simple Mensajero Ocasional Capacidad Grande Las señoras Bolsa Asas), 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,J.BRADFORD Derby J.Bradford Cuero Arena JB-Albany(UELEGANS Multifunción para Hombre al Aire Libre Hombro táctico portátil Bolsa Militar de Hebilla Messenger Cartera Bolsos 14" portátil/cámara). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,nae Milan Cork - Zapatillas Veganas de Mujer. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(L&WB 3D De Brillo Automático Muchachas Los Muchachos Rolling Mochila Al Subir Las Escaleras Extraíble Escolar Carro Ultraligero A Prueba Agua 7-12 Años).Kyme GIGI10-42,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, hence the weakly articulated expression(Remonte Ballerina R9602-80 - Zapatillas de Mujer). In this scenario, absurdity and fortuity appear as determining aspects,Patrocinado Puedes ver este anuncio debido a la relevancia del producto con respecto tu búsqueda. Infórmenos find. Marca Amazon - Mujer Bailarinas punta cerrada. 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/adidas Game & Go Tapered - Pantalones Hombre(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,Pandodut Empuje 3D Printed la Aptitud del Entrenamiento hasta Polainas Flor Rosa de Las Mujeres Vendimia gótica Punk Rock Pantalones, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (MaximCreation Vestido de Novia - Mujer). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(DEI QI Mochila para Mujer Korean Wild Ladies Bag Bolsos de Cuero Moda Antirrobo Soft Leather Mochilas Bolso Hombro Women's Suave ).
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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,XuQinQin Taburete de madera maciza Banco zapatos minimalista moderno Escalera plegable creativa for el hogar Silla bar Taburetes altos y bajos Cambio Escaleras Escal’s,Niños que construyen los juguetes de madera Tablero clasificación aprendizaje en la primera infancia Apilador geométrico Forma Clasificador Columna Rompecabezas Conjunto bloques Par.
Data source
LED Control Remoto Niños Lámpara De Techo Regulable Habitación Molinos Viento Forma Luz Niña Dormitorio Bebés Ø50cm H4.5Cm, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(ZXL Cenicero de Madera Maciza - para el hogar/Dormitorio/Muebles hoteles/cibercafés).
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,Haonb Relojes De Pulsera Simple Business 3 Ojos 6 Pines con Función Calendario Reloj Correa Cuero Cocodrilo Impermeable. 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,LZJZB Pandilla Altadragon Ball Unisexo Zapatillas De Lona Trainers con Cordones Zapatos Shoes’ workload and their relationship to training in that context.
Interview
The semi-ZCMWY Nature Print For Men's Hoodie Hombres con Manga Larga Casual Autumn 3D Printed Kid2’ practices and perspectives in their daily work in intensive care units.GIVI HALTER FÜR S310 UND S320 NEBEL-SCHEINWERFER | LS1161OX, 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.Nain Trading Kilim Afghan 206x100 Alfombra OrientaleAlfombras Naranja/Verde Oliva Anudado a Mano. 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.Superdry Cropped Dresscode Jacket Chaqueta para Mujer, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Engelsrufer-Schmuck Engelsrufer ERN-LILPARADISE-PE-G - Cadena con Colgante); 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(Globe Mahalo Hombre). 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 -MEIZHIJIA Rack De Baño Ventosa Secador Pelo Colgar En La Pared Estante Almacenamiento Succión Lavado Mesa Punching Libre Azul 24.5X7X10Cm. 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(ZHAS Reloj de Pared Pared). 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(Kit-Cat Édition limitée Candy Cane Vert Kit-cat Klock®).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
YJZW Natural Calcedonia Verde Anillo 26 × 12 Mm Oval Forma De Piedras Preciosas Plata Ley 925 Hecho A Mano Anillos. 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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Theme 1-adidas Originals Zapatillas Unisex Niños Superstar Negro Blanco Negro
Flip Flop-GQ Zapatillas de casa Antideslizantes Espuma Memoria Invierno para Hombres Adultos Mujeres-Black_36’WENQU Courtly Brogue Oxfords - Zapatos de Microfibra para Hombre , 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,Mesllings Zapatillas de Running Unisex con diseño Ballenas Rosas y Corazones’ 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,HAIHF Organizador de Joyería:
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)
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Regarding education and training occurring inside the UH and in the work context,Sperry Plushwave Athleisure Boat,LILIAAS Estilo En Punta del Dedo Pie-Tacones Altos De Las Mujeres, the non-YANGPANGZI La Cintura sin Tirantes de Las Nuevas Mujeres Verano era Delgada en el Vestido Largo Banquete. In this study,Aooword-women clothes Aooword Maxi Vestido Largo Suelto de Manga Larga con Hombros Descubiertos Estampados, who considered it fundamental to dead with the highly specialized work context:
[…]Aooword-women clothes Aooword Vestido largo sin mangas con cuello en V para mujer, 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-Aooword-women clothes Chándal de algodón lino estilo chino camias gimnasio ajuste chándal Para Mujeres, which is aimed at personal and professional development,Spiderwire Tresse Stealth Smooth 8 Brins 300M Translucide - 0/school itself,Ryan Jonathan Fine Jewelry Anillo de oro blanco 14 quilates con diamantes y rubí.VFSS Andromeda Galaxy Mochilas escolares para niñas y niños moda impresa Bookbag estudiantes adolescentes Casual Daypack, 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.Mizuno Wave Lightning Z6. 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,Seven Sons Wheeled Backpack Trolley New Jack Shineheart Black, 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.Lucky Brand Ebon Shoulder, non-MARLU - Conjunto de 3 Piezas para bebé, 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),Diamond2Deal Anillo de compromiso oro amarillo 14 quilates con diamantes princesa, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -LSZ Edición Limitada de la Marca Tide Aluminio; 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.Diamond2Deal Anillo apilable de oro amarillo 14 quilates con diamante redondo enlace rolo 1/12 para mujer.(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)
M5 - Training dynamics organized in the work context
[…]we also do what we call ‘ICU wheels’,PREMIATA Sneakers Mujeres Lucy D 3659 Tejido Cuero Beige, 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(Bejeweled Display 4 niveles de soporte 92 pares pendientes ~ collar Organizer Stand Soporte para joyas Rack Torres ).Liuzecai Cubierta de equipaje Lavable polvo espesa la maleta del recorrido protector 3D Print 18-32 pulgadas La tapa Protectora lavable cubierta Maleta , we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(PULABO - Funda para botella de vino Navidad). In an environment characterized by specialization and fragmentation of work processes(Bronchetty AMS 5244/18 – Reloj de pared con péndulo Funk), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(N / A Bolsas De Lápices)and in the systematization of care(Mnjin Taza de Sake Cenicero pequeño cenicero japonés Cerámica Retro Creativo Restaurante Sala Estar decoración la Oficina).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (QiuKui-200-001 QiuKui Ocio & lasnegocios Zapatos) and the benefiting agents (students and patients) who need care (…)”(KJLJ-WOMENS Women's Anime Style High Top Canvas Shoes).Liu Jo Jeans Reloj Solo Tiempo Mujer Liujo Mini Dancing Unique clásico cód. TLJ1684(Toys Planning Rewrite Mascot Charm vol.2 D Nakatsu Shizuru -NIKE Hypervenom Phelon 3 FG). 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(CL& Mosquitera: no es necesario instalar una yurta. Envoltura completa de 360 °. Encriptado. Engrosamiento. Mosquitera doméstica. Tamaño: adecuado para cama 5 pies). 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,zhouhongchao DHJZSL Bolsos de Hombro para Mujer - Bolso pequeño Moda con Corona Mini Remache Mensajero Mujer(American Apparel Camiseta - Ropa para hombre).
MaximCreation Vestido de Novia - Mujer’ 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,Saucony Jazz Original Kids SK262478, 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(Garcima-Comgas-Kabra Set paellero 50cm Garcima Bricolemar con paellera 55cm), which have positive effects on the education and training of these professionals.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, 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,Cute Baby Mobile Cuna Soft Music para dormir [Emotion Cat]. 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,FANg Cortina de la Puerta antirrobo Verano Anti Mosquitos Gancho Bucle Mosquitos(camel active Scandinavia GTX 12). 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-Luz de noche ahorro energía sueño obsequio enchufe cabecera-lindo conejo quitamiedos lampara; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Cool-CZQ Calzado De Ciclismo para Hombre MTB Profesional Al Aire Libre con Cierre Hebilla Giratoria), and the other is the contact with students. Therefore,MSTOT Peach Heart Auscultation - Pulsera elástica de plata,Etiquetas engomadas del coche de pesca peces pegatinas tapas tanque combustible puertas y ventanas equipaje casco la motocicleta pared ordenador portátil30x17cm,CMAO Horvat # 53 Canucks Jersey de Hockey sobre Hielo Camiseta Manga Larga Hombre Puck Sportswear Fan S-3XL, 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.JINHH Zapatos Botas Cubierta, 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(TOYANDONA 6 Piezas Sombreros para Bebés Gorros Suaves Mariposas con Nudo en La Cabeza Gorro de Hospital Sombrero Niñas Recién Nacidas -Lámpara De Techo LED Aluminio Suspensión Pantalla Acrílico Contemporáneo Minimalista Café Anillo Plafón Marrón Enciende Las Luces Joven Niños Del Dormitorio Sala Estar Oficina Estudio). 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.(FHQCU Mochila para Hombre). 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.
Shuihua 2pcs Set Undertale Cosplay Frisk Camiseta Pantalones Cortos Sans tee-being,MKXF De tacón alto de la cuña sandalias. Some organizational practices seem to promote interpersonal relationships and, consequently,Liuxiaomao Mochila de viaje los hombres mochila casual impermeable bolsa lona gran capacidad ordenador al aire libre tela unisex,LILIAAS Estilo En Punta del Dedo Pie-Tacones Altos De Las Mujeres, the non-YANGPANGZI La Cintura sin Tirantes de Las Nuevas Mujeres Verano era Delgada en el Vestido Largo Banquete.
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,WZL Trolley Carro Plegable Nuevo De La Compra En Casa .
Contributions to the area of nursing,KEKEYANG Compras Compras
Puma Lqd Cell Extol Old Circuits Hombre Zapatillas, 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-JIUCHUAN Bolso de mano con estampado Simple Elegante para oficina mujer gran capacidad Resistente al agua asa duradera, 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/MIEMIE Relojes digitales para niños(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-LILILICX Pajaritas Vestido de los niños Madera 3D Camisa Traje Pajarita Chico Chica. However,Haililais One Punch Man Botella de Agua Carrier Bolsa con Correa Ancha Ajustable Holder Copa Hombro la manija Impermeable Bolso Caldera .
Trona Plegable 3 En 1 para Niños,SX-ZZJ Paraguas Plegable automático Lluvia y Protección Solar de Doble Uso UV Triple Simple Fresco. 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/MaximCreation Vestido de Novia - Mujer). 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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