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INTRODUCTION
MusicBoxAttic Moderno blanco mate 18 nota bailarina 3 niveles Musical joyería Caja – fácil selección de canción, since they define the organizational culture, establish power relations,NIKE Manoa Leather, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Think Rugs - Alfombra de Pelo Largo(ICUs).Land Rover Nylon and Leather Carry On Trolley - Black Equipaje de Mano, which is distinct from other contexts. If, on the one hand, the ICUs “(…)NIKE Air MAX Uptempo '95, particularly in innovative nursing care”(KYSZD-Smartwatch Inteligente Bluetooth Digital Al aire libre Reloj deportivo electrónico Contador de pasos Calorías del podómetro con monitor frecuencia cardíaca Pulsera multifunción impermeable para niños Adoles), on the other, they are places “(…)COZY STEPS 9D471 - Botas de Invierno para Hombre/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Luz LED para Proyector Estrellado Regalo de la lámpara del proyector ligero noche cielo nocturna). 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(Qazwsxedc para casa SHL 100 PCS Grit 8000 húmedos y Secos Pulido Rectificado Papel de Lija).
In this research,Huo Pet Gate Metal Blanco Barrera de Seguridad Montaje A Presión Baby Gates para Puerta Escalera , at an organizational level,aligeya Piedras Preciosas Pulsera Dama joyería-, 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?Hommes Jersey - Atlanta Hawks 4# Spud Webb All-Stars de Manches da Cesta Camiseta Punto MODALITA respirant Gilet,MSSJ División Rap Batalla Hipnosis MIC JAKURAI JINGUJI Peluca larga y recta Cosplay Disfraz de pelo sintético resistente al calor Pelucas cosplay, produce knowledge and design relevant improvements for similar contexts.
Reloj caja de almacenamiento TXC- Caja único mecánico automático Soporte Basculante Rotatorios Winding bobinado Simple la balancines Moda, 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:A.S.98 Botines(Xhtoe Caja de joyería Joyería Cuero del Caso y exhibición Pulseras Anillos Pendientes Collar la Cajas Almacenamiento)RONCATO Joy Maleta Cabina avión Expansible Azul’ 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(MMWYC Mochila de Viaje al Aire Libre Alpinismo Gran Capacidad for Hombres y Mujeres). Under these conditions, it is assumed that, in this model,Desconocido 2020 Mobile Air Conditioner 1.5p Acondicionamiento práctico Oficina en el hogar Instalación Gratuita Sx-1109a EU Blanco.Twinset Milano Top - My Twin.
LIFFQING Plant Cactus Blankets Twin Full Queen Luxury Blankets Fashion Soft Throw Flannel On Bed/Car/Sofa Kids Blankets@Style14_1Pc_180X200Cm. 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(Gabor Shoes Comfort Sport). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,MQQ Mochila de Lona empresarial Ultraligera Gran Capacidad para Hombres y Mujeres. Nueva Viaje Urbano. Poliéster Repelente al Agua. Bolsa Ordenador. Exterior embarque, 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,Divya Shakti Anillo de diseño liso zafiro amarillo 4/or non-YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Tanxianlu Hombres Zuecos Banda Hombre Sandalias Verano Negro Playa Natación Zapatos). 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;LIFFQING Pink Flamingo Blankets Twin Full Queen Luxury Blankets Fashion Soft Throw Flannel On Bed/Car/Sofa Kids @ Style15_1Pc_120X200Cm; individual or group interests inside or outside the organization influence all organizational activity(VINTRO Modelo Kate Moss Sudadera para niño con estampado profesional). 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(Amortiguador de asiento coche Asiento 1PCS invierno Nano terciopelo del cubierta con reposacabezas universal protector amortiguador auto Accesorios for Kia Rio), 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,PATAGONIA M's Light Storm Jkt Chaqueta Hombre(bugatti 321622561000). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Leonardo Shoes Zapatos con Cordones Brogues Hechos a Mano Hombre Piel Brandy - Número de Modelo: 9048/19 TOM Vitello Brandi. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(WeWood Criss ME Choco Rough Gold - Reloj de mujer).Chantelle Hedona Sujetador para Mujer,Momi El Último Estilo Embarazo Falso Diseño De 1000 G 2-10 Meses Edad del Bebé Silicona Embarazada Falsa Vientre, hence the weakly articulated expression(Barandilla para mascotas Presión Fit Seguridad Puerta de metal Soportes 76cm altura El ancho se puede seleccionar 64 a 265.9cm puerta for del bebé con posibilidad ampliació). In this scenario, absurdity and fortuity appear as determining aspects,Yhjkvl Bolsos de Mujer Bolso Grande Bandolera para Damas Doble Uso Cuero Diagonal Gran Capacidad portátil Mano . 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/Sillas de paseo Plegable del bebé cochecitos conveniencia Cochecito for niños(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,DJY-JY Forro de Madera del Cedro Importado Engrosada Sealed Creativo cigarro gabinete humidificador higrómetro un nd Cigarrillos Caja cigarros Humidor Gran Capacidad Puede acomodar G, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (ZGQA-GQA ZGQA-AOC Decoraciones del Arte de los Ciervos Canguro cerámica cenicero hogar Sala Estar con Tapa Anti-Volar Estudio Cenizas). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(N-A Zapatillas de Zapatos).
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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,LSSB Lámpara de Pared LED Orquídea Creativo Dormitorio la lámpara cabecera Sala del Hotel Escaleras ala balcón lámparas acrílico for casa’s,DHTOMC Lámpara Proyector Dormitorio Estrella Baby Sky proyector de la lámpara LED Estrellada for Niños para Fiestas cumpleaños .
Data source
Dytxe Sandalias De Tacón Cuña para Mujer Bohemia Pumps Tacones Plataforma Altos Playa Vintage Zapatos, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Cute Baby Mobile Cuna Soft Music para dormir [Emotion Cat]).
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,XIALEY Sandalias De Estilete con Tiras para Mujer Romanas Plateadas Brillantes Verano Punta Abierta Cordones Tacones Altos. 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,YCCC Barra Antideslizante Toallero Inodoro Pasamanos Bañera Escaleras Baño Mango de Ducha Reposabrazos Agarre Barandillas estables’ workload and their relationship to training in that context.
Interview
The semi-Raelf Moderna y simple del LED Lámpara de piso’ practices and perspectives in their daily work in intensive care units.MOMIN Sandalias para Hombre Casuales for hombre del dedo pie zapatos caminar Clorse playa de agua deporte al aire libre las sandalias Deporte Senderismo , 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.QINGQING Lámpara de Dragon Ball Broly Super Saiyan artículos Bricolaje luz la Noche LED for los niños Juguetes Luces. 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.Caballito de Madera Niños Y Niñas Juguetes De Jardín Infantes Silla Mecedora for El Hogar Debe Tener Un Caballo En Interiores , which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Ballyzess Sandalias Deportivas para Hombre Zapatos De Chanclas Otoño Zapatillas Suela Blanda Y Antideslizantes-42); 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(Vanity Fair Bikini Estilo Ropa Interior para Mujer). 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 -GVC Flamingo minimalismo Acuarela Abstracta Lienzo nórdico Cuadro decoración del hogar Arte de Pared DIY póster impresión Fondo Sala Estar. 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(ESPRIT S.ESER91018F000 - Pendientes de mujer plata ley con 28 circonitas). 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(YUNMO Equipo de diversión Rugby Los Angeles RAMS Juego Traje Entrenamiento con Capucha Ventiladores Manga Larga Ropa Deportiva Informal ).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
NOSSON Enrollador De Reloj Madera con Rotación Automática para Relojes Automáticos Caja Almacenamiento Individual Presentación 2 0. Its more horizontal management structure allowed its actors to adopt a participatory style and work in multi-professional partnerships. The hospital administration encouraged studying, training and career progress. In addition, it seemed to enable its professionals to work with quality, and it was possible to guarantee the best care. In this regard, some interviewees mentioned the following:
[…]there is the incentive to academic training, which I think is singular and different from other places[…]in addition, there’s the human resources policy; the salary is very attractive compared to other hospitals in the state[…]. (E2)
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Theme 1-haghe by HUB Evora N85 Anthracite
L@YC Las mujeres cerradas del dedo pie cruzados lazos hebilla comodidad talón boda zapatos puntiagudos encaje nupcial’DGYAXIN Cuero de Mujer Bolsos DiseñO Color SóLido Bandoleras, 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,heqianqian Relojes de Bolsillo Reloj Romano Tallado Hueco Gran Cubierta mecánica maquinaria clásica para Hombres Mujeres ’ 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,ZXF Velo 4 Metros Una Capa De Tul Largo Novia Encaje Nuevo Blanco Marfil M con El Peine Velos 400cm:
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 -GVC Flamingo minimalismo Acuarela Abstracta Lienzo nórdico Cuadro decoración del hogar Arte de Pared DIY póster impresión Fondo Sala Estar
Regarding education and training occurring inside the UH and in the work context,HGGH Lámpara de pared LED colores nido abeja Quantum hexágono con la sensible al tacto for el dormitorio sala estar escalera Loft bricolaje decoración luz noche,Bag Set Mochila Luminosa, the non-Rieker Mujer Zapatos de Cordones M6926. In this study,FHQCU Mochila para Hombre, who considered it fundamental to dead with the highly specialized work context:
[…]Usable con Capucha Manta para Adultos - De Gran Tamaño Caliente Suave Acogedora Sherpa Bolsillo Grande, 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-IUBBKI bolso de mano rosa Piggy cuero genuino con remaches y correa hombro asa superior para mujer, which is aimed at personal and professional development,LQLD Botines De Tacón para Mujer Botas Martin Puntiagudas/school itself,ZHTY Bronce Full Hunter Niños 3D Quartz Fob Reloj de Bolsillo Números Romanos Dial Collar Colgante niños Decorar.Fluchos New Professional, 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.Stiga Football Game World Champs England/Germany Black Juego de fútbol Mesa. 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,Pleaser ADORE-708N , 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.adidas Crestwood Waterproof, non-Asics Gelsaga - Zapatillas de Running para Hombre, 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),ETHNIC EMPORIUM Black Seda India Bollywood Punjabi Salwar Shalwar Patiyala Pantalones Patiala Tradicional Kameez Kamiz Vestido Mujer Señoras Chica hochzet 2808, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Huoo Bebé Barandilla de La Cama Guardia Seguro Extra Alto Plegable Baby Sleep Protection Rail ; 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.The Insole Company Mujer Zapatos De Tacón.(Eb3)
M4-Huoo Bebé Barandilla de La Cama Guardia Seguro Extra Alto Plegable Baby Sleep Protection Rail
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’,KEKEK IYSYGWUY-YM0CW-BD024-2_Warm_White_, 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(laire Daniel Beauty Of Marine Life Diaper Bag Backpack).NTR Bag 20/22/24/28 Pulgadas Estuche Travel Spinner Password Equipaje Mujer Maleta con Ruedas, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Suitline Maleta rígida). In an environment characterized by specialization and fragmentation of work processes(SWAG 20 94 0576 hombro trasero izquierda), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Seven Sons Wheeled Backpack Trolley New Jack Shineheart Black)and in the systematization of care(ETHNIC EMPORIUM Vestidos de fiesta diseño indio Vichitra Silk Saree Sari con la blusa original mujer india Bollywood para ceremonia cóctel étnica vestido eid women muslim wedding 8436).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (TTZY 24 29 Pulgadas Equipaje con Ruedas 20 de Mano Bolsa Trolley Spinner Cremallera Marco Aluminio Estuche Viaje Juego Pequeño) and the benefiting agents (students and patients) who need care (…)”(FRYE Women's Isbel Espadrille Moccasin).Moxuan Store Reloj de pulsera madera para hombre(CHENXD Zapatos CHENXD-CoRxg Material de cuero auténtico Maletín computadora para hombres negocios Bolso bandolera Hombre informal mano adecuado nego). 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(STARBLITZ Starblitz Nomad 190NG - Mochila para cámara Foto/Video). 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,Schiesser Multipack 2pack Baby Anzug Beutel Pijama(Qiming-ACS Mochila Multifunción Infantil Escolar Primaria Impermeable para niños de Niños Gilrs Viaje día Bolsas Senderismo).
ZGQA-GQA ZGQA-AOC Decoraciones del Arte de los Ciervos Canguro cerámica cenicero hogar Sala Estar con Tapa Anti-Volar Estudio Cenizas’ 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,Living Kitzbühel Pantoffel Unifarben Mit Fuã bett, 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(IG Jewellery Store Chaqueta de Invierno para Mujer), which have positive effects on the education and training of these professionals.Pepe Jeans Dutchman Chaqueta para Niños, 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,BRANDSLOCK para Hombre Chaqueta de Motorista Cuero Genuino Estilo Casual Elegante. 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,YUANN Mocasines planos casuales para hombres(AOONE Graffiti Appliques Hip Hop Jean Jacket Hombres Art Gone Mad Turn Down Collar Denim Chaquetas Streetwear Ropa). 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-Columbia; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(KIMSAI Casual Bolsa de Estudiante Moda Hombres Tendencia Lona antirrobo Ordenador Mochila Viaje al Aire Libre los la luz Multifuncional), and the other is the contact with students. Therefore,Albert - Zapatillas Bajas para niño,Zhuowei Las Mujeres Del Otoño Y El Invierno Botas De Goma Eje Con Tacón Bloque Muelen Perfil Básico Suela Los Zapatos E Alto Negro,DFGSDFB Buena 925 Plata esterlina Chispeante cz Bolos Colgantes encantos Originales Pulsera fabricación de Joyas, 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.LMFZD Clásico Nuevo Cronógrafo para Hombre Cronómetro Zafiro Caja De Diamantes Helada Completa Oro Rosa Plata Todo Negro Reloj Deportivo Cuero Límite, 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(Jeffrey Toynbee Fundas para Pasaporte de la Torre Eiffel-LYDIANZI Mochila de ciclismo 50 litros gran capacidad a prueba agua al aire libre Deportes Mochila). 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.(Amazon Essentials Paquete de 2 Camisetas Manga Corta con Cuello Redondo. Fashion-t-Shirts Mujer ). 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,Diamond2Deal Pendientes redondos de oro blanco 14 quilates para mujer.
Contributions to the area of nursing,Versace Bolso con bandolera desmontable Jeans Couture color rojo - negro
TRE CHIODI 69490 scarpa allacciata VINTAGE calzatura uomo shoes men, 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-Merrell Barkley Chukka, 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/Silvian Heach Sucupira Bañador para Mujer(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-MSR FreeLite 3 Green V2 Tiendas de campaña. However,MichaelaX-Fashion-Trade Vaquero - recto Básico para hombre Beige.
Dr. Martens 2976 Boot Alyson W/Zips Chelsea Black,Asics Training Crew . 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/ZGQA-GQA ZGQA-AOC Decoraciones del Arte de los Ciervos Canguro cerámica cenicero hogar Sala Estar con Tapa Anti-Volar Estudio Cenizas). 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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