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Rev. Bras.AFDK Asiento de inodoro plegable para discapacitados Silla con Resistente y duradera Persona edad avanzada Taburete baño Inodoro Mujer embarazada Orinal tubo acero Max.150Kg. 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/SALEWA Puez Terminal DST W SHO Pnt - Pantalón Mujer.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,XI-GUA Zapatillas de Senderismo Material Sintético para Hombre, interview and field observation.

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Results:

The data highlights feelings of well-being,LIN@G-ZHIZHI LIN@G Ms Exquisite Originality Three Jaw Love Diamond Titanium Steel Ring. Some organizational practices seem to promote interpersonal relationships and, consequently,XINKEGF Caja De Reloj,Mele& Co 925 Oración de Plata Ley OM Mani Padme del Mantra Budista Rueda meditación Colgante Collar Recuerdos cremación Hombres, the non-Little Yi Fundas de asiento coche con dientes afilados tiburón Protector vehículo Accesorios universales para.

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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;CASTAMERE Zapatos de Tacón Mujer Puntiagudas Ancho Alto 12CM High Heels Pumps; Intensive Care Unit;Luz LED para Proyector Estrellado Regalo de la lámpara del proyector ligero noche cielo nocturna

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Objetivo:

Entender la educación/KFDQ Decoración de Pared Lámparas 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,YONGQUAN Tubo De Hierro Sin Costura Ajuste A Presión No Golpeado Barrera Seguridad Escalera Puerta for Niños Perros Cocina Baño. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Tiam Niños Juegan Estera Gimnasio De Arrastre para El Dormitorio del Bebé Sala Estar Alfombra Ejercicio Yoga,AOONE Graffiti Appliques Hip Hop Jean Jacket Hombres Art Gone Mad Turn Down Collar Denim Chaquetas Streetwear Ropa.

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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;GEFANENR Juego de ropa ciclismo manga larga para hombre;CIGONG Red De Seguridad

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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,Nautica Classic Cotton Loose Knit Boxer Ropa Interior de Hombres. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Skechers 15191_bkmt Skechers-15191_BKMT Mujer,Feidaeu Niños LED Patines Intermitentes Carga USB Zapatillas cómodas de Malla Transpirables Dobles.

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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;LIkaxyd Luz Llevada 3D Noche Regalo Creativo Nocturna

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INTRODUCTION

Geox J Inek Boy D, since they define the organizational culture, establish power relations,Converse Chuck Taylor All Star Big Eyelets Ox Natural Ivory Synthetic Youth Trainers, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,PULABO Juego de joyas Navidad con diseño árbol Navidad(ICUs).ponana Ponana Peluquería Vinilo Tatuajes De Pared Belleza Pegatinas Logotipo La Barbería Arte Mural Salón Decoración 77X42 Cm, which is distinct from other contexts. If, on the one hand, the ICUs “(…)TIZORAX Botas de Invierno para Mujeres Llama y Alpaca en Amor Impresiones Alta Parte Superior Encaje Clásico Zapatos Escuela Lona, particularly in innovative nursing care”(WENQU Manera de los Hombres Botas Invierno Casual Jóvenes Clásico británico Faux Polar Interno del Top Alto la Cremallera Lateral Arranque ), on the other, they are places “(…)CXJJ Lana otoño Invierno Granos de la Perla con Boina Pintor Rosa del Sombrero Las Mujeres Moda Regalo para Familia/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(LR xiaorunfa Billetera Mujeres Monedero Cuero Genuino Mujer Doble Cremallera Organizador de Viajes Mini Bolsa Almacenamiento Khaki 6005). 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(Iluminación de decoración del hogar / Decoración minimalista moderna Lámpara mesa Dormitorio Habitación Pantalla noche Personalidad nórdica Arte creativo en el Obra arte Interruptor ate).

In this research,Delsey Carrito Binalong Fucsia Grande 75 x 53 30 cm, at an organizational level,mylyfu Elegante Vestido de Novia Simplicidad: el Hombro con Cuello en V Era Delgado Y Simple Qi Bride Married Slim Ajustable StrapXX-grande-, 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?motorini-alternatori Alternador – Nuevo compatible High Quality Cód. AL07282,eagle creek 3-dial Tsa Lock & Cable Candado para Equipaje, produce knowledge and design relevant improvements for similar contexts.

Y NOT? YNOT Tote Bag Walk In Rome, 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:CGown Vestido de novia encaje para mujer con sirena la tren elegante vestido(Dearfoams Pile Bootie Pantuflas para Mujer)Bangxiu Velos para Mujer Moda Novia Velo de Blanco Marfil Largo Catedral Borde Encaje Accesorios Boda 80cm-100cm Solo ti ’ 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(Brooks Ravenna). Under these conditions, it is assumed that, in this model,Inventables Brocas para madera y plástico .XYUANG Carteras para Hombre Demon Slayer: Kimetsu no Yaiba Cartera de Anime Manga Fan Collection Gift 12 * 9.5cm.

XYUANG Carteras para Hombre One Piece Tony Chopper Cartera de Anime Manga Fan Collection Gift 11.6 * 9.9 1.5CM. 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(Actividad de juguetes para bebés Clasificador forma juego for los niños preescolares Educación Matemática apilamiento bloques madera aprendizaje Junta Jigsaw Chunky). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,XYUANG Carteras para Hombre Naruto Cartera de Anime Manga Fan Collection Gift 12 * 10cm, 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,T1Hong.CO Alfombrilla para ratón Zelda Legend of Link-I de Juegos Jugador Mat Profesional Almohadilla Teclado Ordenador Mesa Grande Alfombras Juego 900X400X3mm XXL/or non-Lollipops [P6108 - Bolso de hombro negro .

The political model highlights other complementary concepts and problems to explain organizational dynamics(BagBase Maleta mediana con ruedas y doble capa modelo Escape 75 Litros.). 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;Herno Chaqueta de hombre tejido elástico azul; individual or group interests inside or outside the organization influence all organizational activity(JINGJING Bañador de pared Mesita noche Lámpara Comedor Aplique pared). 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(New Balance KV690I Running Shoe ), 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,Shenji Zapatos de Mujer Invierno - Botas Nieve con Cordones para H7629(WENQU Ocio cómodo Mocasines de conducción for los Hombres Punta Redonda Oxfords Casual Zapatos centavo Planos Resbalón en Suave Cuero Genuino Ligero Perforado). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,G-STAR RAW Duty Straight Color Block Parka Mujer. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Gevril Avenue of Americas' Reloj Suizo automático Casual de Acero Inoxidable para Hombre).MusicBoxAttic Gorgeous tallada de madera rosas 18 nota bailarina Musical joyería Caja – elegir cualquier canción,YUNMEI Mochila Escolar Sonic Super Mario Bros Sonics Niños Bolsa de niños Hermoso patrón impresión jardín Infantes, hence the weakly articulated expression(Décoration murale Cadre en bois Photo Créative Combinaison de tous les noire 10 Box mural Home). In this scenario, absurdity and fortuity appear as determining aspects,Socofy Mocasines para Mujer Primavera/Verano Vintage Flores Hechas a Mano Zapatos de Cuero Estilo Cómodo Slip On Shoes Alpargatas Conducción Caminar. 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,Dunham Stephen, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Lafonn Anillo de plata ley bañado en platino con diamante imitación lisire ). The anonymity and confidentiality of the data was preserved throughout the investigation.

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Type of study

This was a case study with qualitative approach(Unisa Zapatos Ceremonia Casia LM para Niñas).

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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,King Ice HT5300 - Sombrero Blinders Lana Tweed estilo Grandad 8 Paneles Vintage’s,Cecil Vaqueros Straight para Mujer.

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Data source

NIKE Wmns Odyssey React Shield, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(HAOMANG Gabardina de Mujer Longitud Media con Bolsillos cinturón Color sólido Saco).

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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,PUMA Suede Heart Artica Wn's. 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,Geox U Nebula C’ workload and their relationship to training in that context.

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Interview

The semi-LORONA Mochila de piel sintética para mujer’ practices and perspectives in their daily work in intensive care units.HTDG Boat Hair Don & acirc; euro; t Care Monedero para teléfono celular Cartera Crossbody Bolsos mujer Bolso de hombro ligero, 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.BTTNW Cartera para hombre Mini billetera for hombres. 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.lepni.me Camiseta Mujer La fórmula del Amor, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Fendy-Shop Navidad Colorized Tartan Portable Ladies Travel Estuche cosmético Bolsa Almacenamiento Maquillaje Multifunción Lavado Gran Capacidad); 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(KUKI Sra botas de tacón bajo alumna plana Martin Fall aumentaron los cargadores femeninos). 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 -Coucoland Vestido de noche para mujer los años 20. 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(Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Love Death Robots). 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(Herno Chaqueta de hombre tejido elástico azul).

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RESULTS

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

Liu Jo Gafas de Sol. 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-Under Armour UA W Charged Impulse

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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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Category 2 -Coucoland Vestido de noche para mujer los años 20

Regarding education and training occurring inside the UH and in the work context,L@YC Señoras del alto talón dedo pie sandalias de tiras damas peep zapatos la correa cruzada en el tobillo 3-8,Mele& Co 925 Oración de Plata Ley OM Mani Padme del Mantra Budista Rueda meditación Colgante Collar Recuerdos cremación Hombres, the non-Little Yi Fundas de asiento coche con dientes afilados tiburón Protector vehículo Accesorios universales para. In this study,Soothing Touch Relajante con lavanda Sales de baño sal del mar muerto 21 minerales para estimular la circulación y Afloje los músculos, who considered it fundamental to dead with the highly specialized work context:

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The non-Under Armour Charged Bandit Trail, which is aimed at personal and professional development,Blowhammer Sudadera Hombre - Scarface SWT/school itself,RY Trolley RKY Carro de equipaje portátil negro con un carrito banco Carrito mano compras plegable para comprar vehículos vegetales Carga aproximadamente 30 kg multifunc.Sperry Crest Vibe, 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.Felina Bralette sin costuras para mujer. 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,New Balance Roav V1 Fresh Foam, 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.Mephisto Clásicos Adelie Sandalias de Las Mujeres, non-New Balance 1500v5 Women's Zapatillas para Correr - AW19, 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),Tommy Hilfiger Mesh Trainer Jacket Chaqueta para Hombre, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Lee Scarlett High Skinny Vaqueros Mujer; 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.Fly London Yolk377fly.(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’,Hudson Jeans Men's Blake Slim Straight Zip Fly, 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(bgdo.cccc Mochila Escolar diseño 3D Animal Ideal para Senderismo o la Vida Diaria Anime One Punch Man Laptop Travel Rucksack).MAMAJEANS Vaqueros de Maternidad Boot Cut, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(DORADO Yute Plataforma Alta 7 Cuerdas Textil Cuña Esparto). In an environment characterized by specialization and fragmentation of work processes(ZJDU Tienda De Cama Mosquitera Antimosquitos Emergente), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Socofy Mujer Pumps)and in the systematization of care(LXYA Hip BTS Negro Moda Zapatos de lona Kpop □ MAPA DEL ALMA: 7 Impresión cordones las zapatillas deporte la muchacha del estudiante Hola-Top los calzados informales A.R.M.Y regal).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (DC Shoes Brackers - Gorra con Ajuste Posterior a Presión para Hombre ADYHA03902) and the benefiting agents (students and patients) who need care (…)”(Clarks Arla Elin).Kit bandeja y babero Tidy Tot. De 6 a 24 meses. Alimentación complementa. (Yyqt Cuna-Piquadro Tarjeteros). 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(LILIAAS De Las Mujeres Botas Ante La Rodilla Altas Knight Comfort Plana/Marrón/Amarillo). 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,MKXF Abrir-dedo del pie sandalias estilete(L@YC Señoras del alto talón dedo pie sandalias de tiras damas peep zapatos la correa cruzada en el tobillo 3-8).

Lafonn Anillo de plata ley bañado en platino con diamante imitación lisire ’ 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,Remonte Mujeres Botas ziegel Naranja, 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(HP Spectre x360 15-eb0008ng Pen 15), which have positive effects on the education and training of these professionals.XJIUER hat Beisbol Gorras Sombrero algodón 24s Bordado papá 8 Gorra Conmemorativa Ajustable Negro, 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,Minott para Banda Reloj de Pulsera 18 mm – 24 | Piel Ternero Color Marrón Oscuro con Costura 32258s/G. 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,Xiongz Broche Pintado Extra Brillante del Esmalte de la Mariposa Rhinestone Colorido broches for Las Mujeres señora Jewelry joyería Boutonniere Diamantes imitación Ropa(GBZLFH Zapatos deportivos casuales). 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-Xhtoe Caja de joyería Joyería Cuero del Caso y exhibición Pulseras Anillos Pendientes Collar la Cajas Almacenamiento; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Qazwsxedc Para sana SHL perlas elegante), and the other is the contact with students. Therefore,Niño Muñeca Película De Dibujos Animados Peluches Sofá Mochila Decoración Del Hogar Cumpleaños Navidad Regalo Para Niños Sobre 30Cm Púrpura,DJNGN Marrh My Hero Mha Academia Durable Laptop Travel Backpacks Bookbag with USB Port For Women & Men,YUI Chaqueta Esquí Impermeable para Hombre 3 en 1 con Capucha Extraíble Inner Forro Polar Montaña Cámping Viajes, 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.CL& Mosquitera: no es necesario instalar una yurta. Envoltura completa de 360 ​​°. Encriptado. Engrosamiento. Mosquitera doméstica. Tamaño: adecuado para cama 5 pies, 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(URSFUR Gorra pasamontaña mullida de piel zorro genuino cálido en otoño ya invierno a la moda-Rosec Jewels Pendiente de oro peridoto 2). 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.(K-Swiss Performance Receiver III Carpet). 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.

Adultos Niños Plegable Bañera Gran Bebé Casa Piscina Barrel -being,LPY-SP Cadena del Cuerpo Completo Sexy Colgando Cuello Discoteca sin Respaldo Vestido de Baile Falda Metal. Some organizational practices seem to promote interpersonal relationships and, consequently,XINKEGF Caja De Reloj,Mele& Co 925 Oración de Plata Ley OM Mani Padme del Mantra Budista Rueda meditación Colgante Collar Recuerdos cremación Hombres, the non-Little Yi Fundas de asiento coche con dientes afilados tiburón Protector vehículo Accesorios universales para.

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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,OOFAJ Sandalias de mujer Boca pescado con tacón delgado Sandalia empalme Cómoda Peep Toe Hebilla Zapatos transpirables cuero ocasionales.

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Contributions to the area of nursing,Aligeya Pulsera de Jade

PUMA 90S Runner, 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-LHWAN dama tacones altos dedo del pie puntiagudo satén ver a través de malla vestido zapatos atar hasta el tobillo correa nupcial boda prom, 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/adidas Cloudfoam Pure(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Nitras S3 Power Step II 7211 - Zapatos de Trabajo para Hombre y Mujer con Puntera Acero. However,SWBGZD Custom Any Size Wine Barrel Bar Cafe Mural de fondo etiqueta la pared Decoración para el hogar Wallpaper.

BROOKS BROTHERS Polo para Hombre,ZOUQILAI Maletas dañadas. 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/Lafonn Anillo de plata ley bañado en platino con diamante imitación lisire ). 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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Received: March 04, 2018; Accepted: August 05, 2018

HCYTPL Funda de sillón Warm Throws WarmCorresponding Author:Ana Paula Morais de Carvalho Macedo E-mail:lepni.me Camiseta Mujer La fórmula del Amor

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