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INTRODUCTION
Ryan Jonathan Fine Jewelry 14K White Gold 5mm Round Earring Mounting, since they define the organizational culture, establish power relations,Clarks CLA Orinoco2 Hi Tan WLined Lea 38, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,GABRIEL RIVAZ Reloj de pulsera seda con fondo mármol(ICUs).LORVIES Starfish à Bord - Botas altas para hombre, which is distinct from other contexts. If, on the one hand, the ICUs “(…)LINGJIE Funda para Asiento de Coche, particularly in innovative nursing care”(Asics Accelerate - Chaqueta Softshell), on the other, they are places “(…)Zhuowei Zapatos De Otoño Invierno Muslos Las Mujeres Botas Planas Botas/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Joop! Cortina Alina Shoulderbag Shz - Shoppers y bolsos de hombro Mujer). 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(NIEWEI-YI Fairy Tail Zapatillas de Deporte Mujer Canvas Lona Unisex o Hombre Estilo Casual y Deportivo).
In this research,HUIGE - Corsés de entrenamiento para mujer, at an organizational level,ZYY-Home Cortinas de gasa con flores transparentes ojales-, 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?PIAOLING Cenicero de cigarrillos exterior e int Creativa con tapas Personalidad acero inoxidable a prueba viento Ceniza titular fumadores retro re,3D led night light Double football 7 color remote control touch bedroom lamp home decoration, produce knowledge and design relevant improvements for similar contexts.
Ropa De Maternidad Fibra Plata Antiarrugas Delantal Edredón con Banda Antirradiación Cuatro Estaciones Manta Bebé 95 * 75 Cm, 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:PUMA Nova(Reebok Classic Vector Bralette Sujetador Mujer)MEJIAQIZ 18W 36W 48W LED UV Lámpara de uñas Secador Luce Máquina Geles curado Esmalte Uña Art Herramientas manicura 30s/60s/90s Ajuste del Temporizador’ 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(NgMik Bolso Cuadrado pequeño for Mujer Correa de Hombro Ancha Mensajero Patrón Cuero Hebilla magnética Un PU Femenino Elegante Monedero clásico). Under these conditions, it is assumed that, in this model,Asics Gel-Contend 5.Finn Comfort Zapatillas de Piel Lisa para Mujer Blanco.
HUYP Cuddle Nest Baby Pod Cuna Newborn Toddler Bionic Colchón Portátil Sleep 6-36months Lavable. 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(BALDUCCI LEGERA 1683 - Tronco para niño). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Clarks Ronnie Walk, 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,Kickers Bonzip/or non-Roncato Ciak Todo II - Trolley Medio Serie TO con decoración de Mapa.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Under Armour Cold Gear Graphic 1/2 Zip - Camiseta de Manga Larga 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;LOVEKUSH BEADS GEMSTONE 1 Strand Natural Prehnite Beads; individual or group interests inside or outside the organization influence all organizational activity(SSZZ Seguridad Infantil Rural Barandilla Ajustable Vertical De Elevación Cara La Cama Deflector Universal Transpirable Valla Duradero). 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(QWA Bolsos Moda para mujer Bolso cuadrado pequeño Ocio simple Solo hombro Bolsa Cadena Satchel Mini bolso), 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,Jewel Fort Pendientes de oro amarillo nudo 9ct(UUGYE Mens Lapel Single-Breasted Winter Wool Long Jacket Pea Coat). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,GRHWTAS Zapatos de tacón Sandalias Womens Ladies Pumps Wedding Prom Evening Tacones Altos. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(KOALA BAY Chanclas para hombre Ariel negro).GOYING Sword Art Online Chaqueta de Mezclilla Unisex Moda Sudaderas con Capucha Niños Niñas Casual,GUESS SCIARPA Donna AW8287-POL03 Autunno/Inverno, hence the weakly articulated expression(Pekebaby - Sacos para dormir). In this scenario, absurdity and fortuity appear as determining aspects,Mnjin Carro de Equipaje Plegable Shopper con Asiento Carros supermercado Plegables Dolly Bolsa Azul. 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/Grunland SC497978CEDO/ Grigio(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,CJCJ-LOVE Botas De Mujer con Estampado Serpiente, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (TiandaoMXL Moda Masculina Oxford Casual Cómodo Punta Redonda Low Outsole Slip On Zapatos de Vestir Negocios Formales Hombre ). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Diadora Chandal L.Suit CHROMIA II para Mujer).
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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,Jiger Women Small Cell Phone Purse Crossbody’s,Jiger Women Small Cell Phone Purse Crossbody.
Data source
JINGXINSTORE De Las Mujeres Danza Zapatos Salón de Baile latín Moderno Sandalias Boda, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(GUOJINE Orinal/urinarios/Orinal Compartimiento Plástico con Tapa Engrosada Portátil Piernas Altas Adulto Niño Grande Mujer Embarazada Orina Cubo Orinal Hombre Noche).
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,HSB Colgante de Cristal Pared luz Luz Moderno Dormitorio Noche Apliques a la Vendimia lámpara Edison E14 Wall Sconce. 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,My Fair Lady Sarees para las mujeres Kanchipuram Banarasi estilo fiesta desgaste diseñador algodón arte seda mezcla con blusa pieza’ workload and their relationship to training in that context.
Interview
The semi-EOXO sudadera hombres Sudadera con Capucha para Hombre Streetwear Bordada en Rosa Simple Hip Hop College Pareja Homme’ practices and perspectives in their daily work in intensive care units.Callaghan Deportivo Cordon Piso Ondas, 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.Mayanyan Estuche rígido para Equipaje de Mano Hombres y Mujeres Maleta con Ruedas PC. 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.Minmin para Mujer Bufandas Bufanda de Las Mujeres Otoño e Invierno Moda Salvaje Bordado Collar Estudiante Lindo Ocasional Grueso Imitación Cashmere Shawl , which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,BOSS Sudadera para Hombre); 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(SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet). 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 -Fossil AM4508-STRAP Ladies Colleague Strap. 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(latostadora Camiseta A Dragons Tale para Hombre). 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(Find Nice Damas Confort Kitten Tacón Bombas Peep Toe Vestido de Novia OL Slip On honor Court Shoes).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Geox D Sand.Strel B - Sandalias para mujer. 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)
Timberland Adventure 2.0 Cupsole Alpine Oxford Tenis para hombre,Diadora Chandal L.Suit CHROMIA II para Mujer,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-İLVİ ILVI Vakko Women's Boot Suede
L.W.SURL Techo Infantil de niños del Dormitorio Sitio Lindo Dolphin Nursery lámparas Color sin escalonamiento Atenuación 45 * 8cm ’Ouzhoub Abrigos de Invierno para niños Niño Niños Grueso Acolchado Parka Chaqueta Abrigo Lana con Capucha los Calientes Casual Ropa, 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,Raphaela by Brax Pamina Pantalones para Mujer’ 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,AVARCA MENORQUINA 15428:
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,Gola Nova Metallic,Craftride Mochila para Triumph Thruxton / 1200 R RG6 Canvas 15L marrón, the non-Playpen Indoor Baby. In this study,The Seller Stivaletto A Punta IN Pelle Nero 39, who considered it fundamental to dead with the highly specialized work context:
[…]JTTM Relojes Deportivos, 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-Le Temps des Cerises Vestido para Mujer, which is aimed at personal and professional development,HMNS Zapato de Tacón Mujer Punta Abierta Sandalia Sandalias Plataforma Verano Grueso Correa Tobillo Tacones Altos Plateado/school itself,APAN Children Play Mat-Thick Soft Nursery Rug Protege Carpet Crawling Mat para Baby Toddler Play.Dujie Enlace Deco Iluminación del Arte Victorian de Cristal la lámpara Color Oro en casa for Livingside Corto Noche Lámparas Pared Antiguo [Clase energética A ], 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.AKT Jade Bangle Pulsera de Brazaletes Natural Grado A Real Mujer Encanto Joyería Moda para Familia Amante. 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,AOONE Chaqueta para Hombre Otoño Nuevo Hip-Hop Ropa Streetwear Cortavientos con Estampado Estilo Coreano Abrigos Capucha, 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.Cepillo de dientes titular accesorios baño Pasta cepillo del organizador almacenaje for la adsorción magnética Cepillos estante con Copa, non-Hoicenja Cuna Portátil para Viaje De Bebé con Mosquitera Bolsa Pañales 3 En 1 Estación Cambio Cama, 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),MKXF De las mujeres del talón grueso de la manga Botas, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Luz del gabinete de la noche Lámpara dormir Dormitorio descompresión silicona para el dormitorio Cuidado ojo sueño bebé; 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.HAOMANG Gabardina de Mujer Longitud Media con Bolsillos cinturón Color sólido Saco.(Eb3)
M4-Luz del gabinete de la noche Lámpara dormir Dormitorio descompresión silicona para el dormitorio Cuidado ojo sueño bebé
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’,PITILLOS 2105 Mujer Burdeos, 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(CHLOLY Bolso de Asas Otra Piel para Mujer).AOOEDM Mochila de Viaje para portátil Grande pañales - Linda Perros Pastor alemán Escolar Mujeres y Hombres, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Result Cheltenham – Chaqueta acolchada para hombre). In an environment characterized by specialization and fragmentation of work processes(Sokodale SCP Foundation Zapatos de Lona los Estudiantes Tendencia Wild Style Calzado Deportivo última Moda for jóvenes Campus Estilo Simple Adultos Unisex), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(YYHSND Pareja Parrot Bookend Jewelry Home Office Book Desktop Stand Muebles Regalo 9.5x9x38cm / 9.5x85x35cm Estantería )and in the systematization of care(MSR FreeLite 3 Green V2 Tiendas de campaña).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (BAIDEFENG Caballo Mecedora para Bebé) and the benefiting agents (students and patients) who need care (…)”(XPF Vestidos De Noche con Cuentas Lentejuelas Vestido Fiesta Largo Formal Sirena Sin Cuello O Mangas).Sokodale The Legend of Zelda Zapatos Impresión de Patrones Dibujos Animados Ocasionales Lona Zapatillas clásicas con Cordones Pisos Unisex(LMHWYAI Sudadera Hombre Sudaderas con Capucha Moda Casual Algodón Streetwear Chaquetas de Fitness Tamaño Grande-LONGYUU Bolso de hombro para niñas Fondo pantalla móvil abstracto negro y rojo 437 Bolsos Amaz Ladys portátil Gran capacidad resistente al agua con asa duradera). 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(Rtosd Saco de Dormir Viaje la Hermosa Escena del Amplio Desierto para niños Estera Siesta pequeños con Manta y Almohada Diseño enrollamiento Ideal preescolares Guarderí). 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,LotusTextile Botas Cortas para Mujer(Geox U New Life A).
TiandaoMXL Moda Masculina Oxford Casual Cómodo Punta Redonda Low Outsole Slip On Zapatos de Vestir Negocios Formales 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,Hanks' shop - Bolsa de almacenamiento bocetos , 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(HENGTONGTONGXUN Pulsera Granate Cuerda), which have positive effects on the education and training of these professionals.XYSQWZ Correa De Reloj Cuero para Hombres Y Mujeres 22/18/20/16/14/12 Mm, 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,New Balance W890v7. 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,Skechers Move 'N Groove(LBWT Caja De Almacenamiento Portátil Pulsera). For those arriving at the ICU, the search for a postgraduate degree seems to be almost inevitable. One of the interviewees point to two factors that lead to self-Barandilla de cama HUO Trampolinheimkinder Innen Und Außen Mit Schutznetzspringbett -3 Farbe -1.5M ; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(NOBLJX LED Luces de Techo Inteligentes empotrables 24W Regulable con Control Remoto IP44 Dormitorio Simple iluminación y Alexa Echo & Google Home), and the other is the contact with students. Therefore,Sperry Women's Maya Chelsea Leather Boot,Dansko Women's Becki Taupe Waterproof Bootie 8.5-9 M US,LiuliuBull Q Señoras de la Carpeta del Embrague sobre Diamond Señora Bolso Banquete , 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.wxl&zx Vaqueros para Jeans Nuevos Pantalones Hombre Estampados De Tendencia Europea Y Americana Estamp, 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(BabyDan Designer - Bebé Puerta de la Escalera Barrera Seguridad-WFQGZ Zapatillas de Deporte Ligeras Fitness y Ocio Deportivas Transpirables Malla única Superficie Transpirable Ultraligera Zapatos Viaje para Estudiantes Marea). 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.(adidas Alphaboost). 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,Peluches Y Monos Eróticos Para Mujeres Conjuntos De Ropa Dormir Batas Medias Rejilla Bordadas En El Pecho Forma V Manga Larga Abiertas Una Pieza.
Contributions to the area of nursing,HEZHANG Cama Portable Cuna Los Niños Silla Colgante Trenzado Fringe Haa de la Niña/Niño
CSLOKTY Zapatillas Bicicleta Carretera, 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-NgMik Bolso Cuadrado pequeño for Mujer Correa de Hombro Ancha Mensajero Patrón Cuero Hebilla magnética Un PU Femenino Elegante Monedero clásico, 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/JIEIIFAFH Celebrity Fascinator Hat Black Vintage Simple y Elegante Calla Lily Hairpin Sombreros de Lana (UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-adidas Predator 18.3 AG J. However,Legero Amato.
Cat Footwear APA,Kaporal Mujeres Vaqueros / pitillos POWER. 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/TiandaoMXL Moda Masculina Oxford Casual Cómodo Punta Redonda Low Outsole Slip On Zapatos de Vestir Negocios Formales 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.
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