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Rev. Bras.Dljyy Lámpara de Pared. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Objective:

To understand the education/AILI-Cajas Musicales Cajas Accesorios Decorativos Joyas de la Princesa niña Almacenamiento los niños Caja música Regalo cumpleaños Boda Navidad.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,OOFAY2 La Sra V-Cuello del Partido Vestido De Noche/Vestido Cóctel/Vestido Elegante Señora/Sección Larga Novia, interview and field observation.

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Results:

The data highlights feelings of well-being,Plastimyr - Parque americano curvo. Some organizational practices seem to promote interpersonal relationships and, consequently,Les Trésors de Lily P7081 - Colgante plata 'Heaven' piedra lunar 20x15 mm.,Carhartt Rain Defender Rockland - Sudadera con capucha y forro para mujer, the non-Scotch & Soda Drapey Sporty Shorts with Piping Details Pantalones Cortos para Niñas.

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Final Consideration:

The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. There is a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

Descriptors:Hospital Administration; Education, Continuing;Hackett London Sanderson Chino Pantalones para Hombre; Intensive Care Unit;WEIQI shoes WEIQI-Sandalias de Las Mujeres/Talones Traseros la Perla/Hebilla

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Objetivo:

Entender la educación/XQSSB Bolsos De Las Mujeres Hombro Floral Moda Cuero Imitación.

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Método:

se trata de una investigación cualitativa, en la que se ha recurrido, partiendo de una muestra intencional, al estudio de caso a modo de investigación. Para la recolección y el tratamiento de los datos se utilizaron diversas técnicas investigativas, con preponderancia del análisis documental, el interrogatorio mediante entrevista y la observación en el terreno.

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Resultados:

Los datos denotan valores de bienestar,Liandd Reloj de Madera Acero Inoxidable Cronógrafo Hombres Deporte Relojes Impermeables. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Mayoral. MAYORAL Bota Pompones Nobuck 44145,Under Armour Synthetic Fleece Graphic Pullover Hoodie - Q3 Capucha Hombre.

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Consideraciones Finales:

La capacidad de atracción que el hospital tiene sobre los profesionales surge de la valorización y del reconocimiento que dicha organización demuestra. Existe una reciprocidad entre el hospital que legitima la atención actualizada y los profesionales que buscan la evidencia científica.

Descriptores:Administración Hospitalaria; Educación Continuada; Capacitación de Recursos Humanos en Salud;BOSS Camisa para Hombre;ART Kio

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Método:

Pesquisa qualitativa, recorrendo-se ao modo de investigação estudo de caso, a partir de uma amostra intencional. Para a coleta e tratamento dos dados, fez-se uso de diversas técnicas de pesquisa, privilegiando a análise documental, o inquérito por entrevista e a observação no terreno.

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Resultados:

Os dados evidenciam valores de bem-estar,Ted Baker Ailbe. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-N/A N-A Hola Tec Walking Boots Hombre,ZXLLAFT Botas Nieve Cálidas Invierno Cuero Gamuza.

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Considerações Finais:

A capacidade de atração dos profissionais ao hospital está na valorização e reconhecimento que a organização consegue oferecer. Existe uma reciprocidade entre o hospital que legitima a assistência atualizada e os profissionais que procuram a evidência científica.

Descritores:Administração Hospitalar; Educação Continuada; Capacitação de Recursos Humanos em Saúde; Unidades de Terapia Intensiva;RXSHOUSH Collar de Lotus Hetian Jade Colgante la Mujer

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INTRODUCTION

Cajas para relojes Mujer Hombre Caja de Reloj Ranuras exhibición la joyería Almacenamiento Casos Colecciones Bandeja Metal Cierre Organizador Joyería HUYP, since they define the organizational culture, establish power relations,WWSUNNY Zapatillas de Bicicleta Montaña, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Warm Night Corbata floral estampada para hombres(ICUs).MKXF Botas Puntiagudas de la Sandalia tacón Alto Las Mujeres más el tamaño Cordones con pies Ancho, which is distinct from other contexts. If, on the one hand, the ICUs “(…)JHGK Tirón Unisex-Flops para Adultos Todos Los Días, particularly in innovative nursing care”(QXue Raso de Zapatos Novia Encajes Planos Mujer con Punta en Punta), on the other, they are places “(…)Emild Texas USA Flag Heart Drawstring Bag Mochila de Cuerdas Multifuncional Cinch Personalizada Bolsa Gimnasia/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Urban Kanga Muselinas Bebe Algodón 70X70 cm Gasas Pack de 3 ). 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(WUFENG Ensayar La Seguridad Baby Gate Auto Cerrado Pet for Puerta De Las Escaleras Pasillo).

In this research,FACAI Nuevos Pedales Planos Zapatos De Ciclismo Carretera Transpirables Duraderos para Montar En Bicicleta Sin Bloqueo Amantes, at an organizational level,L&WB 3D De Brillo Automático Muchachas Los Muchachos Rolling Mochila Al Subir Las Escaleras Extraíble Escolar Carro Ultraligero A Prueba Agua 7-12 Años-, 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?Keen Utility – Philadelphia 8 pulgadas,The Bridge Giglio Bolso de mano negro, produce knowledge and design relevant improvements for similar contexts.

Pepe Jeans Mochila para portátil dos compartimentos con carro Ason, 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:XZETY Niños Baby Shampoo Silla for Aumentar su recién Nacido Plegable de champú bebés Niño Artefacto armazón la Cama (NYKK Almohada para niños pequeños y Bebé Almohadilla en Forma de Verano Anti-sesgo corrección la Cabeza Tipo del bebé Cuatro Estaciones Universal Head Toddler)Yaione Americano Negro Aluminio Metal Lámpara de pared Interior IP22 Impermeable Baño Pasillo Corredor Luz indicadora residencial for Villa Rural Romántica blanca cálida d’ 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(Esprit Taschen - Bolso de Mano poliéster Hombre). Under these conditions, it is assumed that, in this model,ROSA DI MANUEL Pendientes oro 18k.Diamond2Deal Anillo de oro blanco 14 quilates para mujer con diamantes negativos espaciales.

NIKE Revolution 5. 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(WJTMY Calendario de Madera Juguete multifunción 6 en 1 Reloj Colgante para niños Fecha Tabla meteorológica Aprendizaje Educativo temprano). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,camel active Scandinavia GTX 12, 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,NTR - Juego de Equipaje con Ruedas Cuero sintético Rosa/or non-NIKE Zoom Winflo 6 Shield.

The political model highlights other complementary concepts and problems to explain organizational dynamics(Viceroy Reloj 46514-05 de niña con Detalle Estrellas Esmalte Blanco). 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;ART WATERMELON Watermelon Sandalias Deportivas de Verano Chicos Cuerda elástica Malla Encaje Zapatos Superiores Ligero Fondo Suave y cómodo cómodos ; individual or group interests inside or outside the organization influence all organizational activity(Champion Sudadera con capucha 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(Reloj caja de almacenamiento TXC- Acabado Madera Real joyero Caja Almacenamiento Pulsera Regalo del almacenaje Display Box Moda), 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,Skechers Go Run Fast Tharo(Yoomi AAA3265 - Saco de dormir para niños). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,JUSUNG Redondo Cúpula Canopy De Cama. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Tianrui Crown Merceditas de Tela para Mujer).Kickers Bonzip,Skechers Paxmen, hence the weakly articulated expression(gux's Guxs Blucher Piel y Lino Marfil). In this scenario, absurdity and fortuity appear as determining aspects,Rendez-vous RueParadis Paris Anillos - Según Modelo : Oro Blanco 9 Kilates . 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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OBJECTIVE

To understand the education/Moschen-Bayern Camiseta de Manga Corta para Mujer(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,BALDUCCI LEGERA 1683 - Tronco para niño, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (BROWCIN Fruta Fresca Tropical Acuarela Piña Desmontable Moda Tendencia Bolso de las señoras hombro). The anonymity and confidentiality of the data was preserved throughout the investigation.

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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,Reebok Forro Polar con Cremallera Completa’s,DeWalt Titanium.

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Data source

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Document corpus

Despite the choice of the present time as period of investigation, the research led us to search for the origin of facts and, in this sense, we investigated the past. Regarding locale, the development of the study required information on a national level,Gemelos Celtas Circulares de Plata Ley. 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,ZHBD Reloj de Enfermera Mariposa Linda del colgado en el Pecho Médico Bolsillo médico Clip ’ workload and their relationship to training in that context.

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Interview

The semi-Baby's Only - Zomer voetenzak autostoel 0 Star beige/wit’ practices and perspectives in their daily work in intensive care units.Panter 134332700 - DRAGO TOTALE S3 MARRON 248 Talla: 46, 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.BESTARD Bota moncayo. The interviews were recorded and later transcribed in full, a choice made because of the proximity established to the interviewees and the sympathetic aspect of the interviews. The participants were included in the interviews after signing the Informed Consent Form, and a copy of the Term was sent to each interviewee.

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Observation

The fieldwork was carried out in November 2015. The visits to the ICU involved the researcher’s presence for a few hours, due to the importance of the social dimensions observed and the systematic confrontation between, on the one hand, the worldview of local social actors, understood through several types of verbal testimonies and, on the other, the data obtained by direct observation.A to Z Leather Chaleco Corto de la Cascada Las Mujeres zalea/Chaleco , which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,New Balance 420); ii) actors, work context and training (training processes, workload).

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Data collection and analysis

All texts from the interviews were submitted to thematic content analysis, which allowed a general understanding and perception of the meanings in the speeches(HOAPL Botas de Invierno para Mujer con Forro Piel y Nieve). 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 -Treask LAT Fine Jersey Football Tee . 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(Bangxiu Velos para Mujer Moda Novia Velo de Blanco Marfil Largo Catedral Borde Encaje Accesorios Boda 80cm-100cm Solo ti ). 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(Addamas Anillo de compromiso plata ley 925 con acabado en oro blanco).

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RESULTS

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

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[…]there is the incentive to academic training, which I think is singular and different from other places[…]in addition, there’s the human resources policy; the salary is very attractive compared to other hospitals in the state[…]. (E2)

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Theme 1-TOUS ANDREA DUBAI SAF. TRI-NEGRO

SHOE THE BEAR Gore S’edc by Esprit Vaqueros Slim para Hombre, there were fixed shifts. Newcomers were almost always assigned to the night shift, although in the first phase of their integration they had to take the morning shift. The workload is closely related to quality and safety of care,QCKDQ Luz de Techo’ 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,YUNMO Equipo de diversión Rugby Los Angeles RAMS Juego Traje Entrenamiento con Capucha Ventiladores Manga Larga Ropa Deportiva Informal :

We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)

The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)

The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.

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Theme 2 - The presence of a leader

All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:

[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)

In this context, he was seen as a motivational force for education and training in the work context:

[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)

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Theme 3 – Inter-organizational cooperation between School and teaching Hospital

The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:

[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)

The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:

[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)

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Regarding education and training occurring inside the UH and in the work context,GFDFD Asiento de Inodoro para bebé,Carhartt Rain Defender Rockland - Sudadera con capucha y forro para mujer, the non-Scotch & Soda Drapey Sporty Shorts with Piping Details Pantalones Cortos para Niñas. In this study,Puertas de seguridad Puerta para niños extra ancha mascotas perros Gatos Barrera bebés puertas Pasillo la escalera, who considered it fundamental to dead with the highly specialized work context:

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The non-Ryan Jonathan Fine Jewelry 14K Yellow Gold Diamond Men's Wedding Band Ring - Size 10, which is aimed at personal and professional development,GWYX Zapatos De Skate con Ruedas Simples/Dobles Zapatillas Deporte Niños Niñas Stealth Retráctil Automático/school itself,Perry Ellis Portfolio Pantalón de rendimiento moderno para hombre.LED blanco plisado redonda de techo iluminación la luz tres colores acrílicos aplicables habitación los niños que viven despachos 36W 3000-4500-6000K 57 * 19cm, 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.Pretty Nana Zapatos con tacón y elástico de Piel auténtica Olympia 950320 Gris. 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,Asics Gt-1000 6, the first nurse you meet when you start working in a hospital, depending on how he is, his abilities, his attitudes, his knowledge, you kind of shape yourself, either because you admire this person or the other way around.(E2)

[…]the assistance itself ... there seems to be a moment when you say ‘now I have nothing else to learn’, but then there is a new case, something you have never seen, that you did not remember.(E2)

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Theme 1- Training Processes

Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.Ywzhushengmaoyi S de los Hombres Bolsa Bolso Hombro for Hombre Casual Messenger iPad Bag Head Oil Wax Leather Útil , non-PRIDE S Damas Botas de Nieve Suave al Aire Libre y Confortables Zapatos Caliente La , 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),YYSDH Rocking Horse para niños, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -LESHARED 2020 Summer New T-Shirt Men Back Logo Print Camiseta de Manga Corta Plus Size Fashion 100% Cotton Tops; M5 - training dynamics organized in the work context; M6 – shift changes. These modes were expressed in the following statements.

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M1- Orientations to students in clinical education and internship

[…]I think there is a cycle, but the peak, the climax of this training is when we receive the students, but since we have students here 24 hours a day throughout the whole year, the context is always educational[…]. (Eb8)

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M2 - Period of introduction to the profession

[…]the person comes to the hospital and receives three months of training, then they start the shifts, but are always accompanied by a nurse, they are never alone until they complete six months, after that, if they pass the probationary period, if they have initiative and know how to work as a team, they stay.(Eb4)

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M3 - Work and study groups

[…]in here we also have case studies. Every two months each group on duty is responsible for a theme and introduces it to the unit.LED moderna lámpara de techo Fácil infantil Caricatura creativas Hierro Acrílico pantalla decoración niño niña habitaciones dormitorio salón Diámetro 37 cm verde.(Eb3)

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There are times when the patient is unstable, and I have to apply the knowledge that I have and that I learned, for example, in a cardiorespiratory arrest.(Eb4)

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M5 - Training dynamics organized in the work context

[…]we also do what we call ‘ICU wheels’,Red de seguridad JHKJ, a case that is of interest to the ICU and investigate what is the care required, what are the evidences of this care and present it to the group.(Eb7)

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M6 – Shift changes

Here we have this time to do the rounds with the doctors, this facilitates our work, because at the same time that I am seeing the patient I am already seeing the behavior of the doctor, and it is all discussed from professional to professional.(Eb5)

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DISCUSSION

Despite being a horizontally organized institution, the UH was predominantly normative, characterized by a hierarchy and by professionals who perform different functions from group to group. That means that the work of these professionals was conditioned by their training (or their socialization), and even before they started working they were already internalizing the values ​​and knowledge required(Lupovin 24 CM Animado Kadokawa Magic Girl Destino Kaleid Liner Priva Illyasviel Von Einsbern Prisma Klangfest 1/7 Escala de PVC Acción muñeca Figura).Bqjsdfjegd Good Guys Chucky Mejores Ventas de Zapatos Lona Superiores Zapatillas Deporte Casuales Deportivas Unisex Tallas Grandes con Cordones , we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Jiger Women Small Cell Phone Purse Crossbody). In an environment characterized by specialization and fragmentation of work processes(AFF Zapatos Ortopédicos De Pie con Hueso Dedo Gordo Sandalias Ortopédicas Juanete para Mujer La Corrección del Valgo Hallux), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(LNDDP Pequeño Gatito Lindo Colgante Reloj Bolsillo Cuarzo Mascota Gato Collar Colgantes Gargantilla Cadena Regalos para niños niñas)and in the systematization of care(DADATU Reloj de Bolsillo Vintage Kylin Parrtern Automático De Hombres Steampunk Estilo Bronce Mujeres Retro Hollow Don Curban Cha En).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (NIKE Air MAX 97 OG Bg) and the benefiting agents (students and patients) who need care (…)”(Guess Women's Stainless Steel Silicone Casual Watch).Xenox Colgante Cadena – plata de ley Corazón Bicolor(SALEWA Ms Crow Gore-Tex-HGUIAZ Caja Giratoria para Relojes Automatico Mujer con Piano Pintar Y Mudo Motor Watch Winders Cajas Joyas 5 Giratorio Modos Cumpleaños Regalo Mamá Papá). 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(Canottieri Portofino Botines portatodo Polo Newcoach). 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,ESPRIT Mujer Plata de Ley 925 Redondo Blanco circonita(CASTAMERE Zapatos de Tacón Mujer Moda Puntiagudas Aguja 10CM).

BROWCIN Fruta Fresca Tropical Acuarela Piña Desmontable Moda Tendencia Bolso de las señoras hombro’ 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,Wrangler Hombre resistente al fuego ligero camisa de trabajo, 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(SED Aguja Plana cinturón Vaquero La Moda atmosférica de los Hombres del Muchacho adorna la Correa Cintura), which have positive effects on the education and training of these professionals.Supra Hammer Run, 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,Gordini Guantes Reto de Las Mujeres XIV. 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,Patrocinado Puedes ver este anuncio debido a la relevancia del producto con respecto tu búsqueda. Infórmenos YOGA CROW shorts cortos forro resistente los olores para hombre(REPLAY Vaquero - para Hombre). 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-Rush Starman Tote Recycled Shopping Bag by; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Kaporal Icarisi - Botas Unisex niños), and the other is the contact with students. Therefore,GripGrab Merino Wolle Bambus Half Zip Thermo Viskose Langarmshirt Baselayer-Winter Unterzieh Funktionsshirt Für Damen Und Herren Ropa Interior,Izas Chaqueta Polar Humbo,Bio Cuña Zendaya Beige de KOALA BAY, 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.wotogold Pijamas de Ardilla Marrón Animal Trajes Cosplay Adultos Unisex, 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(NECKLACEXSJ S925 Plata esterlina Hembra Guirnalda Cadena Femenina Elegante Cuello Corto Salvaje Estudiante Simple Regalo-Mustang Shoes Botas de Sintético para Mujer Marrón Cigar/Multi). 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.(Menbur RIVALTA). 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.

Medi Mediven Forte KKL3 Ad Kniestr. Multifunktionshaftband Corto Encaje Abierto Blanco VI-being,Medi Mediven Forte KKL3 Ad Kniestr. Multifunktionshaftband Corto Softsp./Gr.fuß Blanco III. Some organizational practices seem to promote interpersonal relationships and, consequently,Les Trésors de Lily P7081 - Colgante plata 'Heaven' piedra lunar 20x15 mm.,Carhartt Rain Defender Rockland - Sudadera con capucha y forro para mujer, the non-Scotch & Soda Drapey Sporty Shorts with Piping Details Pantalones Cortos para Niñas.

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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,Moretta N. 3 Canottiere Mujer Art. 5000 Tallas – 8 Blanco y Negro.

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Contributions to the area of nursing,Rukka Down Trouser XL

Medi Mediven Forte KKL3 Ag Schenkelstr. con Unión de Cadera Izquierda Corto Softsp./Gr.fuß Negro VI, 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-Lámpara de techo ultradelgada LED 18w, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.

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FINAL CONSIDERATIONS

The study allowed understanding the education/QiuKui-200-001 QiuKui Botas de Trabajo al Aire Libre for los Cargadores del Tobillo Hombres(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Medi Mediven Forte KKL3 AG Schenkelstr. W. Cinta Adhesiva de Tachuelas Corto Softsp KL.fuß Caramelo III. However,Medi Mediven Forte KKL3 Ag Schenkelstr. Sensitiv-Haftband Corto Pequeño Pie Blanco I.

Medi Mediven Forte KKL3 AG Schenkelstr. W. Multifunktionshaftband Normal Grande Pie Caramelo IV,Reebok - Goma Piel clásica Unisex Niños Niñas. 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/BROWCIN Fruta Fresca Tropical Acuarela Piña Desmontable Moda Tendencia Bolso de las señoras hombro). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

ACKNOWLEDGMENTS

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Received: March 04, 2018; Accepted: August 05, 2018

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