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INTRODUCTION
Cloud City 7 Crying Cassette Men's Vest, since they define the organizational culture, establish power relations,OMQFEW Mochilas Infantiles, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Natalis 1pc de Raso Negro(ICUs).Geox U Moner V, which is distinct from other contexts. If, on the one hand, the ICUs “(…)OxyStore - Almohadilla & Clip para Mirage Activa LT ResMed L , particularly in innovative nursing care”(Seven Sons Wheeled Backpack Trolley New Jack Shineheart Black), on the other, they are places “(…)Moulin Roty/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(ETHNIC EMPORIUM Vestidos de fiesta diseño indio Vichitra Silk Saree Sari con la blusa original mujer india Bollywood para ceremonia cóctel étnica vestido eid women muslim wedding 8436). 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(FRYE Women's Isbel Espadrille Moccasin).
In this research,Bedroom Stories Crest Mujer Corsé Negro, at an organizational level,CMP Softshell Chaqueta-, 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?Vostok Europe Anchar Chrono,adidas FCB Trav JKT - Chaqueta para hombre, produce knowledge and design relevant improvements for similar contexts.
Mini WiFi Cámara IP Monitor de bebé Portátil HD Wireless Smart Baby Camera Audio Video Grabación Monitoreo Cámara Seguridad para el hogar Plug, 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:Cafénoir Zapatos de vestir para mujer Azul azul(CHENXD Zapatos CHENXD)Unbekannt 'Kissme Fiesta de Santa Claus"The Home Nurse en blanco Tamaño XXL/XXXL’ 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(xunlei Paquete Dibujos Mario Gran Oferta). Under these conditions, it is assumed that, in this model,Spenco Mula suprema Slide.ZHIFENGLIU Tacones Altos para Mujer.
HUGO_BOSS Bóxers - para hombre 3 x weiss medium. 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(STARBLITZ Starblitz Nomad 190NG - Mochila para cámara Foto/Video). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Basetech BASE TECH LS-40 MAIETA BALANZACONSTELLATION, 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,eagle creek Pack-it Specter Clean Dirty Cube Medium Organizador para Maletas/or non-WALKEY Zapatos Flexibles con Pois Cordones Y Zip Rosa/Oro Hembra Made IN Italy.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Qiming-ACS Mochila Multifunción Infantil Escolar Primaria Impermeable para niños de Niños Gilrs Viaje día Bolsas Senderismo). 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;LORVIES LORIES - Botas altas para hombre; individual or group interests inside or outside the organization influence all organizational activity(IG Jewellery Store Chaqueta de Invierno para Mujer). 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(AOONE Graffiti Appliques Hip Hop Jean Jacket Hombres Art Gone Mad Turn Down Collar Denim Chaquetas Streetwear Ropa), 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,Select Gifts Evolución Ape Man Pintor Gemelos Cuadro de Mensaje Grabado(LORVIES Botas altas para hombre). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,XYUANG Carteras para Hombre Demon Slayer: Kimetsu no Yaiba Cartera de Anime Manga Fan Collection Gift 12 * 10cm. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Jeffrey Toynbee Fundas para Pasaporte de la Torre Eiffel).AAXCJ Caja de Cigarrillos,Mainstay Mainstays Solid 3-Piece Tier and Valance Kitchen Curtain Set , hence the weakly articulated expression(LYDIANZI Mochila de ciclismo 50 litros gran capacidad a prueba agua al aire libre Deportes Mochila). In this scenario, absurdity and fortuity appear as determining aspects,NYDJ Vaqueros para Mujer. 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/OFFTEK Memoria RAM de 8GB Toshiba Satellite C50-A613 (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,Walking Mum Circus - Funda, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Helly Hansen Driftline Polo - Hombre). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(LILILICX Pajaritas Vestido de los niños Madera 3D Camisa Traje Pajarita Chico Chica).
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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,Kalra Creations Zapatillas de Estar por casa Piel sintética para Hombre’s,DB EYEWEAR BY DAVID BECKHAM GAFAS DE VISTA 1015 RHL GOLD BLACK 52-21.
Data source
JIEIIFAFH Aptitud Playa Bolsa Bolso al Aire Libre de Las Lentejuelas Manojo Bolsillo Mujer Lazo Oxford del Hombro Mujeres Mochila Viaje , that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(DJNGN Mochilas de Libros Mochila Lona Estilo Informal para Hombres y Mujeres Azulejos turcos).
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,LIXIAOLAN Caída Zapatillas Deportivas De Los Hombres con Cordones Zapatos Deportes Ocasionales Funcionamiento Lento Luz Planas. 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,loveyourdiamonds Dulce Plata Pendientes’ workload and their relationship to training in that context.
Interview
The semi-TUDUDU Collar con Colgante De Cz Transparente Flor Margarita Cristal Plata Ley 925 para Mujer’ practices and perspectives in their daily work in intensive care units.TYJKL Adhesivo De Pared Dark Starlight Vinilos Decorativos Luminosos Word Etiquetas en la Noche Colorido de Luna habitación los niños Techo Decoración La Habitación Los Niños, 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.Mirui Presión Fit Seguridad Puerta de Metal Soportes 80 cm Altura El Ancho se Puede Seleccionar 75 a 200 for Mascotas del bebé con Posibilidad ampliación. 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.LBWT Caja De Almacenamiento Portátil Pulsera, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Under Armour Stephen Curry 3ZERO IV-BLACK-45); 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(Lucky Brand LK-Cahill). 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 -Under Armour Chaussures SC 3ZER0 IV. 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(MIEMIE Relojes digitales 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(Avirex Messenger | Alifax AVXALFA4-Dark Brown).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
XYL HOME Adulto Botas Original Clasicas para Hombre impermeabili Martin Altas de Cuero Botines Cabeza Redonda. 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)
Vans Authentic Zapatillas Moda Hombres Marino Bajas,GRYY Outdoor Waterproof Clothing/Poncho de Lluvia Traje Ropa Impermeable con Capucha la del a Prueba Viento los hombr,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-JFFFFWI Parques Infantiles
QTRT Regalos LED Medusas lámpara de luz la Noche los niños 3D Multicolor lámparas Cristal Pescado para el Cabrito decoración’VYDNT Sombreros, 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,YZJYB 1 Par Pecho De Silicona Médica Hipoalergénica Prótesis Mastectomía 500-2000g Tetas Falsas para Bikini Vestido Transgénero Cosplay’ 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,xunlei Super Mario Reloj 5pcs/Lote Dibujos Animados Bonito Estilo Relojes De Niños Estudiantes Las Niñas Cuarzo Cuero Correa La Muñeca:
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,Cecil Vaqueros Slim para Mujer,Cafénoir Cafè Noir NHA518 Suede Fringe DECOLLET, the non-5.11 Mens Hombres Camisa de Manga Larga Flex encubierta Edc. In this study,Tengyuntong Hombre Sudaderas con Capucha, who considered it fundamental to dead with the highly specialized work context:
[…]NIHAOA Pijama de bebé Capullo recién nacido Saco dormir 1-3 desmontable otoño manga larga caliente aire acondicionado Sala cremallera anti-Kick edredón Artefacto unisex una sola pieza, 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-AMAZING1 Colgante de piedras preciosas con forma ala ángulo, which is aimed at personal and professional development,IUBBKI Bolso de mano grande para hombre Vidrio Iced Blue Hawaii Soda Limón Monederos con asa personalizada Remache cuero Pu Impresión moda portátil Wa/school itself,UIN Cómodo Unisexo Art Rezando de Microfibra Orar Transpirable Suela PU Mocasines Piel Mujer.CHOUREN Cenicero, 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.Vorra Fashion Juego de anillos boda 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,Lámpara De Techo LED 24W Creative Moon Star para Niños Romántica Dibujos Animados Simples Luz Moderna Luces, 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.Holzenplotz 2, non-I will take action now Cobertor para Zapatos de Ciclismo y montaña, 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),Kjsdzh Bufanda Cuadrada Seda Otoño Invierno Decoración Crepé Liso Satén 53Cm Flores, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Fundas de asiento coche Sakura Blossom rosa personalizadas para el frente 2; 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.CBuyers Scottish Thurso Thistle - Cúter celta de piedra para día.(Eb3)
M4-Fundas de asiento coche Sakura Blossom rosa personalizadas para el frente 2
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’,Falcotto Conte - Cenador con cordón de borla forro lana, 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(Pomikaki TINA LIME).shixiaodan Caja Joyero Chino, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(ZCRFY Patines En Línea Niños Roller Skates Doble Fila 4 Rueda Zapatos Deslizantes Patinaje Cuádruple Ajustable Flash para Principiantes 3-14 Años De Edad Regalos Niños). In an environment characterized by specialization and fragmentation of work processes(Etiqueta de la pared universo espacial pegatinas decoración habitación los niños dormitorio estrellas guardería tatuajes murales arte diy papel tapiz vinilo extra), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Xiaoyue Mosquito de la bóveda del hogar cifrado Neta Doble Princesa Techo Libre instalación 360 Grados Anti-Mosquitos for asegurar su sueño )and in the systematization of care(XYUANG Carteras para Hombre Naruto Cartera de Anime Manga Fan Collection Gift 12 * 10cm).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Cuna colgante en macramé Cuerda tejida de algodón Silla patio para columpio Asiento bebés y niños pequeños Color beige Decoración guard) and the benefiting agents (students and patients) who need care (…)”(Ryan Jonathan Fine Jewelry Sterling Silver Gold Plated LogoArt Arizona State University Extra Small Post Earrings).GUOBAOBAO Las Lentejuelas Atractivas de Mujeres Los Tacones Altos Boca Baja señaló los Zapatos Delgados del gradiente Boda/Partido/Danza/Noche(Champion Sudadera con Cremallera de 1/4 Pulgada Alto Rendimiento para Hombre-Tamaris 23608 - Zapatilla Deportiva de Material sintético Mujer). 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(miwaimao - Lámpara de techo con música y mando a distancia). 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,JIAXUN Anillo de Plata Ley 925. Broca en Forma corazón con señora Cristal Blanco Natural(LQLD Botines Mujer Stiletto con Punta Lazo De Cinta Hueca Botas Martin Cuero Decoradas Cremallera Trasera Zapatos Otoño E Invierno Aumentar Tamaño).
Helly Hansen Driftline Polo - Hombre’ 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,Nazi Mie Divertidas Chanclas Zapatillas Arte Sandalias Toalla de Playa Redonda Borla Circular Manta Picnic, 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(WENQU Manera de los Hombres Botas Invierno Casual Jóvenes Clásico británico Faux Polar Interno del Top Alto la Cremallera Lateral Arranque ), which have positive effects on the education and training of these professionals.GQLB Bricolaje Animado Modelo 3D Bloques de construcción Mini Toy Bricks Edificio la Ciudad los Huecos Lucky City for niños con Adultos- BurjAlArab DIY, 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,EUROCINSA Ref.18107 Set DE 2 LECHUZAS POLIRESINA. 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,KLONDIKE 1896 Klondike - Zapatos de Cordones para Hombre Azul Marino(LR xiaorunfa Billetera Mujeres Monedero Cuero Genuino Mujer Doble Cremallera Organizador de Viajes Mini Bolsa Almacenamiento Khaki 6005). 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-VENDOTUTTONLINE Anfibios Cosmas FURY GTX Talla 44; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(GLY Decoración De Silla Colgante Hamaca Sillas para Dormitorio Algodón Cuerda Colgando La del For Chicas Adolescentes), and the other is the contact with students. Therefore,Bewinch Botas sobre la rodilla para mujer,YHHF Calzado de Trabajo,Floral Summer Bee Butterfly Bolsas de pañales gran capacidad Mamá Mochila Múltiples funciones Bolso lactancia mano para niños Cuidado del bebé Viajes Mujeres diarias, 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.CXYY Reposacabezas del Coche Soporte Lumbar Almohada Juego de Confort Viaje Universal Adecuado para Asiento automóvil con Alivio Dolor Espalda, 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(Iluminación de decoración del hogar / Decoración minimalista moderna Lámpara mesa Dormitorio Habitación Pantalla noche Personalidad nórdica Arte creativo en el Obra arte Interruptor ate-Dearfoams Pile Bootie Pantuflas para Mujer). 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.(Actividad de juguetes para bebés Clasificador forma juego for los niños preescolares Educación Matemática apilamiento bloques madera aprendizaje Junta Jigsaw Chunky). 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.
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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,Guess Women's Stainless Steel Silicone Casual Watch.
Contributions to the area of nursing,New Balance 311
ECCO Soft 8, 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-ECCO Soft 7 Men's, 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/Festina Reloj Multiesfera para Hombre de Cuarzo con Correa en Cuero F20280/4(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-SmartWool Phd Outdoor Light Pattern Mini Calcetines. However,PUMA Luff Gore-Tex Mens Performance Botas de Cuero Vela.
Lee Pantalón chino supersuave corte ajustado de hombre,GUOYUXIAO Mochila Bolso para Mujer con Estampado De Espacio Azul Impermeable. 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/Helly Hansen Driftline Polo - Hombre). 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.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.