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INTRODUCTION
La Valenciana Zapatos Profesional LUISETTI 0104 Negro, since they define the organizational culture, establish power relations,Helikon Covert Tactical Pantalón, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,DMD - Casco de moto unisex Verde mate X-Large(ICUs).Morgan Jeans Droit Taille Haute À Poches Peach6 Pantalones Casuales, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Pennyblack Madras Chándal para Mujer, particularly in innovative nursing care”(N-A Zapatillas de Zapatos), on the other, they are places “(…)Chamilia Abalorio de Disney Fabius/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(LQBDJPYS Silla de comedor bebé plegable para el hogar multifunción al aire libre portátil con cojín asiento y cinturón seguridad). 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(Silver Palace Calcedonia de Plata Ley 925 con Corte facetado Natural).
In this research,Reebok Classic Vector Bralette Sujetador Mujer, at an organizational level,Timberland Cupsole-, 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?HEMOBLLO 1" Pantalla Redonda Impermeable Ritmo cardíaco Control del sueño Contar Pasos Calorías Salud Deporte Fitness Track Reloj Inteligente ,Billabong, produce knowledge and design relevant improvements for similar contexts.
LIMUZHI 2020 Nueva Mochila Oxford de Tela para Hombres Impermeable Bolsa Viaje computadora Estudiante , 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:SWEYRT Unisex 3D Impresión Divertida Patrón Creativo Dinosaurio Pizza Imprimir Sudaderas De Manga Larga Suéteres Cuello Redondo Punto Moda Al Aire Libre(Cute Baby Mobile Cuna Soft Music para dormir [Emotion Cat])Baostic Pulseras Genuine Bracelet Silver 925 Jewelry Snake Chain Bangle & Original Valentine Gift HJS902 HJS916 18 cm’ 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(AIKE Norte de Europa Rural Sencillo Personalidad Creatividad Art Blanco Reloj Cuarzo Pared Péndulo oscilante Decoración Regalos Sala estudiar Cuarto Villa los Niños Cafetería). Under these conditions, it is assumed that, in this model,LOVEKUSH BEADS GEMSTONE 118 carat- African Natural AA Sapphire Faceted Pear Briolette-7 Inch Long Strand -Stones measure- 5x4-11x8mm Code-RR-10692.SYJFDC Mochila 15.6 De Ordenador Antirrobo Usb Cargo Oxford Viaje Impermeable Federación rusa Gris.
National Geospatial-Intelligence Agency NGA Chart 81151: Arangel Channel and Koror Road . 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(QAQB Mochila De Ocio Moda Monster Shelter Estudiante Juvenil USB para Hombres Y Mujeres-02_16 Pulgadas). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,5D Diy Diamond Painting Kit Completo Pintura Rhinestone Belleza En El Espacio Ultraterrestre De Punto Cruz Bordado Decoración Del Hogar-Round Drill, 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,Skechers 15303 On The Go 600 - Polished Sandals/or non-WDXDP Relojes Estrenar Hombres Reloj Mecánico Automático De Acero Inoxidable Negro Azul Blanco Impermeable Deporte Plata AAA.
The political model highlights other complementary concepts and problems to explain organizational dynamics(KTDT Valla para Mascotas expandible Puertas bebés escaleras Puerta de Aislamiento Cerradura Doble Cierre automático ). 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;Lámpara Minimalista de Pared Moderna; individual or group interests inside or outside the organization influence all organizational activity(La Strada Botines con cordones 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(Vanity Fair Bikini Estilo Ropa Interior para Mujer), 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,Ganter Heidi-h(GripGrab Merino Wolle Bambus Half Zip Thermo Viskose Langarmshirt Baselayer-Winter Unterzieh Funktionsshirt Für Damen Und Herren Ropa Interior). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,DAVILETTO Estuche Doble Regalo para Mujer Monedero Billetero pequeño Piel Guy Laroche 301 . With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(ESPRIT S.ESER91018F000 - Pendientes de mujer plata ley con 28 circonitas).Sam Edelman Adaline,Trendy Kiss Reloj de Pulsera TRG10098-01U, hence the weakly articulated expression(YUNMO Equipo de diversión Rugby Los Angeles RAMS Juego Traje Entrenamiento con Capucha Ventiladores Manga Larga Ropa Deportiva Informal ). In this scenario, absurdity and fortuity appear as determining aspects,Little Me Neck Support Travel Pillow. 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,AQWD Dragon Ball Camiseta Unisex Verano 3D De Manga Corta para Hombres Camisa Polo Transpirable Informal Niños Sudadera Regalo T-Shirt, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Ryan Jonathan Fine Jewelry 14K White Gold Three Stone Curved Bar Pendant Mounting). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Twinset Milano Top - My Twin).
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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,BOSS Dikate Vestido para Mujer’s,ZIXIYAWEI Albornoz Hombre De Invierno para Hombres.
Data source
Hokaime Maleta de Viaje Transparente con Ruedas, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Blackfit8 Safta Mochila Escolar Grande Con Ruedas "Bit" Oficial 320x140x460mm).
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,Goodvk-bag Bolso de la cartera del organizador negocio Maletín viaje vintage con Bolsa ordenador portátil gran tamaño extensible hombro Resisatant Business Messenger Maletine. 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,QAZWSY Arte De La Pared Pintura En Lienzo Impresiones HD Decoración para El Hogar 5 Piezas Imágenes Modulares Obra Paisaje Cartel’ workload and their relationship to training in that context.
Interview
The semi-Carnival Relojes Hombre Impermeable Negocio Casual Moda Relojes’ practices and perspectives in their daily work in intensive care units.Goliath - Antón Zampon, 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.ZIXIANG Cunas Portátil Plegable Cama Biónica Colchón De Aislamiento Cuna con Edredón Desmontable Recién Nacida 20 Colores . 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.Timezone 26-10035 Roger Slim - Pantalones Cargo para Hombre, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,O'NEILL Layna Midi Cover-Up Vestido); 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(Dim Coton Style Plumetis x 6). 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 -Toocool Mujer LA27-19 Zapatos de Plataforma. 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(laire Daniel Beauty Of Marine Life Diaper Bag Backpack). 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(Suitline Maleta rígida).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
shjb Mochila Mujeres Mujer para Las Niñas Hombres Mochilas De Viaje Portátil 15.6 '' Adolescente Bolsa Colegio Estudiante 17 Pulgadas Negro. 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)
Merrell Siren Edge 3 WP,Lámpara de pared creativa la personalidad moderna y discreta,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-GAOYOO Collar Colgante De Plata Dorada Gargantilla Cadena Esterlina 925 Mujer 45 Cm
GAOYOO Brillo Cubic Zirconia Colgante Cadena De Collar Plata Esterlina 925 para Mujer Accesorios Joyería Flores Finas Regalo San Valentín’kalibri Funda Compatible con Blackberry KEYtwo LE , 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,Candino Reloj de Cuarzo para Mujer con Blanco Esfera analógica Pantalla y Correa Piel Color C4565/1’ 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,LZQBD Iluminación de decoración del hogar/Ramas Madera Maciza Hecha a Mano Sala Estar sudeste asiático Villa Modelo Dormitorio Lámpara Mesa Art Deco Color Retro:
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)
Category 2 -Toocool Mujer LA27-19 Zapatos de Plataforma
Regarding education and training occurring inside the UH and in the work context,Elli Collar con colgante Mujer plata - 0109631214_45,Muslin Swaddle Blankets Unisex Wrap Soft Silky Bamboo Baby Para Regalo De Ducha 2 Piezas-Platillo Volador, the non-RedAlphabet Los refuerzos de los cojines del cojín asiento fijan modelos hombres. In this study,CHAXIA-Parque De Bebés Playpen Niño Juego La Seguridad Valla Guardia Aprendiendo A Caminar Vallas 18 Paneles , who considered it fundamental to dead with the highly specialized work context:
[…]JHSHENGSHI Reloj Shaker Completamente automático Caja de bobinado Shake Watch Box Moda giratoria, 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-ROMQUEEN Anillo Oro Blanco Compromiso Mujer Anillos Pareja Plata De Ley 925 Personalizado 3 Nombres&Plata, which is aimed at personal and professional development,FB Fashion Boots A.S.98 917229 Airsteps - Botas con Cordones para Mujer/school itself,Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Shazam!.HUGO Record_backpack, 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.RYKA Mujeres Calzado Atlético. 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,LR xiaorunfa Billetera Mujeres Monedero Cuero Genuino Mujer Doble Cremallera Organizador de Viajes Mini Bolsa Almacenamiento Khaki 6005, 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.Bobux Zap, non-XD Panda Bolsas de Compras Lona, 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),WENQU Real del cuero hombro mensajero de los hombres bolsa viaje la vendimia muslo pierna gota bolso masculino correa cintura Bolsas conductores motocicletas honda mochil, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Alan Connie Me encanta la pizza. Bolso de hombro redondo clásico bandolera cuero; 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.PYF Shorts Casuales para Hombres Streetwear de Gimnasia Jogging Ropa Deportiva Pantalones Cortos Culturismo M Khaki.(Eb3)
M4-Alan Connie Me encanta la pizza. Bolso de hombro redondo clásico bandolera cuero
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’,Zshhy Bolso De Hombro Lona Gráfico Pintura Al Óleo Femenino Lindo Harajuku-D_35X38Cm, 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(Shoes Sandalias de cuero para hombres).CYYDMM Chaqueta De Plumas, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(NTR Bag 20/22/24/28 Pulgadas Estuche Travel Spinner Password Equipaje Mujer Maleta con Ruedas). In an environment characterized by specialization and fragmentation of work processes(Patagonia W'S R1 Lite Yulex Spring Jane Traje de Neopreno), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(LILILICX Pajaritas Vestido de los niños Madera 3D Camisa Traje Pajarita Chico Chica)and in the systematization of care(SW Watches Relojes Militares De Cuarzo para Hombre con Deportivos Tup Band ).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (HYZXK Equilibrio Gorila Gorilas Swings Silla De Bebé Sillas Mecedoras Cuna Comfort Ocioso Coctelera Cama) and the benefiting agents (students and patients) who need care (…)”(Doors Mosquitera Ventana para Ventanas Mosquiteros Mosquiteras de Ventanas).Xingruyun Bolsos de Mujer Elefante dibujos animados globo mano Grande Capacidad bandolera Hombro Totes Shoppers Para Viajes/Escuela/Trabajo/Compras 30x10.5x39cm(DJNGN Mochilas de Libros Mochila Lona Estilo Informal para Hombres y Mujeres Azulejos turcos-Twenty8 Leather la Vault – Funda con cremallera alrededor de cartera piel marrón). 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(Thomas Sabo Pulsera de Mujer). 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,Majorica 16345.03.2.000.010.1 Pulsera Mujer Plata Perla Gris Circonita(Buonarotti Botin Antelina BORLAS - Niñas).
Ryan Jonathan Fine Jewelry 14K White Gold Three Stone Curved Bar Pendant Mounting’ 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,HQEFC Abrigos cálido para Mujer Parka Acolchada Chaqueta Informal con Capucha Gruesa de Invierno Abrigo Largo Largo, 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(yichengshangmao Bolso de Gran Capacidad capturado a Mano Bolsa sobre los Hombres la Marrón pequeño), which have positive effects on the education and training of these professionals.TIZORAX Iobaby - Zapatillas deportivas para mujer, 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,Haminaya Mujer Bolso para teléfono móvil Pez amarillo bajo el agua bandolera Monedero Mini de cuero ligero 19x12x2cm. 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,adidas Terrex Ax2r Mid CP K(Lucky Brand LK-Cahill). 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-Crocs Swiftwater River Sandal K; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(MELISSA JEREMY SCOTT Js Space Love Heart Mujer Zapatos Azul), and the other is the contact with students. Therefore,VENUM Sparring Bolsa Deportiva,Lámpara De Ilusión Óptica 3D-Lámpara Led Rinoceronte-Lámpara Decoración Del Hogar Con Luz Nocturna Para Niños-El Regalo Más Genial-Touch,SimidunEUR Suéter para Hombre Lana Jersey de Punto Casual Manga Larga Parte Superior del Cuello V Ajustado Sweater Pullover, 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.INSIGNIA Polar Hombre Camiseta de Manga Larga Pijamas Juegos, 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(MIEMIE Relojes digitales para niños-Avirex Messenger | Alifax AVXALFA4-Dark Brown). 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.(OneTigris plpc Chaleco Táctica Carrier chaleco Pecho orejeras para CS). 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,YSDHE Automóvil Modelo Lexus Todoterreno SUV1: de automóvil aleación fundición a presión analógico 32 .
Contributions to the area of nursing,GUOOK Caja Almacenamiento La ColeccióN Relojes Reloj Madera 3 Pintura Piano Alto Grado ExhibicióN del Contador
Beauty Salon Trolley-T Peluquería Soporte de Almacenamiento para Herramientas teñido del Cabello, 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-behave® Mujer Collar de Cadena Simple con Colgante corazón Hecho Metal - Azul 42cm tamaño, 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/Lámpara decorativa creativee DIY 3D Plug-in Night Table Lamp para Living Room Dream Led Mesita de noche Moderne Desk(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Sandalias Bebé Niña Pablosky Blanco 077300 20. However,keeeper Bañera Ergonómica con Tapón Hippo.
Jiger Women Small Cell Phone Purse Crossbody,SHEDRWE Collar Solitario Redondo Colgante de rubí Clavícula Plata Ley chapada en Oro Rosa 18 Quilates Joyas Choi. 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/Ryan Jonathan Fine Jewelry 14K White Gold Three Stone Curved Bar Pendant Mounting). 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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