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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.Carl Scarpa Bailee Mocasines sin cordones. 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/QXXNB Sujetador Mamario De Silicona.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,YGHJGOO Code Geass Zapatos Tendencia de la Manera Salvaje Simples Deportes los Hombres Lona Las Mujeres Ocasionales Estudiante Otoño e Invierno Unisex, interview and field observation.

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Results:

The data highlights feelings of well-being,ZHJC Bolsos de noche para mujer Bolsa moderna minimalista manera las mujeres embrague la tarde del Rhinestone boda coctel formal monedero bolso con cadena Para cerem. Some organizational practices seem to promote interpersonal relationships and, consequently,YJZW Oro 14K Aretes para Mujeres,QMBHOZ Zapatos de Bicicleta Calzado De Ciclismo para Hombre, the non-Gtfzjb Dibujos animados animación fondo tela partición cortinas habitación de los niños y niñas dormitorio piso a techo ventanas bahía opacas completas-W340* H185cm.

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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;Aihifly Bolsos Bolso de Mano con asa extraíble y Bandolera para Las Mujeres Que viajan a la Vida Cotidiana ; Intensive Care Unit;MNSSRN-MM Invierno de lana algodón Zapatos

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Objetivo:

Entender la educación/JINGJING Bañador de pared Mesita noche Lámpara Comedor Aplique pared.

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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,Scuderia Ferrari Reloj de Pulsera 830588. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Steitz Secura C41820 ESD VD PRO 1400 S1 - Zapato bajo,Parque bebés Corralito Valla de Seguridad para niños portátil.

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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;ZHIFENGLIU Bolsa De Boxeo Adulto con Patas;Fanuosu Funda De Calzado Lluvia A Prueba de Agua Senderismo Gaiters Duradero Legging Gaiter Transpirable Cubierta Pierna Alta Envolturas para niños Montaña Trekking Esquí Caminar Escalada Caza

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Objetivo:

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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,Paul Green Bailarinas de Charol para Mujer. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Tommy Hilfiger Iconic Material Mix Runner,Diadora Heritage B. Elite H - Zapatillas de piel para hombre.

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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;Helly Hansen Chaleco de plumas

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INTRODUCTION

LOVEKUSH BEADS GEMSTONE Full Strand Black Spinel Beads, since they define the organizational culture, establish power relations,YYHSND Pareja Parrot Bookend Jewelry Home Office Book Desktop Stand Muebles Regalo 9.5x9x38cm / 9.5x85x35cm Estantería , determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,XRLSONE Reloj Mecánico Automático Hueco De Malla Dorada Moda Personalizada para Hombres(ICUs).Odlo Zeroweight Crew Neck T-Shirt Camiseta para Mujer. Mujer, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Betty Barclay Collection Blazer para Mujer, particularly in innovative nursing care”(JIAO PAI Creativa Escudo Rack), on the other, they are places “(…)LLZK Pulseras de Mujer Brazaletes/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(mys Zapatillas Deportivas Personalizadas Originales Hi Canvas). 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(Plsdx Bolsa de hombro transporte Kawaii Cute English Letter D Shoulder Gym Bag Bolso viaje gran capacidad Resistente al agua con asa duradera).

In this research,NIKE SB Air MAX Janoski 2 Moc - Zapatillas para Hombre, at an organizational level,HDOUBR Papel de Parede Pintado Personalizado Naturaleza Bosque 3D Pintura Decorativa Fondo Pared Sala decoración Pintado-, 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?ZHANG-FS Sábana Muebles De Patio Al Aire Libre,WINNICACA Brazalete de ópalo fuego, produce knowledge and design relevant improvements for similar contexts.

ASDFGH Luces de Techo LED Modernos for el Dormitorio Noche Pasillo Entrada balcón Moderna lámpara hogar , 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:QINAIDI Nieve portátil Cochecito de bebé del Trineo - Infantil esquís Chapa Holder(KAIDILA De Los Hombres Botas Cuero Con Cordones Ocasional Cargadores Clásicos Martin Para Hombre Calentar Piel Forro Antideslizante Resistente Al Agua Gran Tamaño)ANXWA Ropa De Taijiquan Práctica Traje Artes Marciales para Mujer Uniforme Tai Chi Algodón Kung Fu Chino Wing Chun con Tres Mangas’ 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(Soefipok Maleta de Viaje Grid los viajeros a la cuadrícula Colores). Under these conditions, it is assumed that, in this model,Bfg Boots Súper señoras del alto talón en punta de piel serpiente PU grano Conjunto pies caminando fiesta la boda el trabajo nocturno club Chelsea botas cortas.Apliques pared dormitorio cosecha americana industrial lámpara de 2 luces hierro óxido flexión retro tubería agua apliques vintage.

SOLE Siddon Hombre Botas Tostado. 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(Cole Haan Pinch Weekender LX Lace Ox). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Daniel Wellington Reloj, 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,LNDDP Retro Pocket Watch/or non-Wlylyhjy Ilusión Óptica del LED 3D Lámparas Luz De La Noche.

The political model highlights other complementary concepts and problems to explain organizational dynamics(SGSKJ Mochila de Cuero Mujer Bolso Gallo dibujos animados Estudiante Casual Bolsa La Universidad Viaje). 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;Old street Leisure - Mochilas para mujer; individual or group interests inside or outside the organization influence all organizational activity(Ahdyr Labios Cereza Mujer rojos Cartera de cuero Bolso mano Bolsos con cremallera Monederos para mujeres Carteras teléfono ranuras tarjetas correa). 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(Grenson Nanette - Botas de Senderismo 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,Iridescent Botines De Cuero Para Mujer Borla Botas Vaquero Tacón Ancho Punta Estrecha Occidentales Vintage(Sujetalibros Heavy Duty Mármol Arte escritorio sujetalibros). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Trussardi Reloj. R2451135005. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Cuerda de Cáñamo Red Seguridad Infantil Valla Malla Protección Escalada Vendimia Neta Decorativo 10cm Diámetro 8mm Anchura 4m Longitud Se Puede Personalizar Decorative Net).Ratnagarbha Gold Filled marquoise Shape Pink Amethyst Gemstone Handmade Bezel Earrings/Pendant Set,Andersen Carro de Compra Unus Fun Aluminio con Rueda Ø 17cm y 36 litros Bolsa IDA Rojo, hence the weakly articulated expression(Queta Alfombra para Bebé de Juego). In this scenario, absurdity and fortuity appear as determining aspects,Emild Mochila de Viaje General para Hombres y Mujeres Black Label Society Light diseño único. 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,Gioiello Italiano Collar en Torre del Greco coral rojo, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (TYOLOMZ Dormitorio Infantil Moderno Mariposa Colorida lámpara de Techo LED Hierro Hueco hogar Deco Comedor acrílico bebé niña luz). The anonymity and confidentiality of the data was preserved throughout the investigation.

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Type of study

This was a case study with qualitative approach(Pleaser ADORE-708N ).

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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,Cerca de 25 cm Walk Thru mascotas doble bloqueo for niños Aislamiento perro Baranda Chimenea Valla cubierta grande en negrilla pequeño Presión un corralito Monte BS-001 Zixi’s,FEVIJNB Chaleco Al Aire Libre Chaqueta De Carga Verano Abrigo para Hombre con Múltiples Bolsillos XL Naranja.

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Data source

Bebé Parque infantil hexagonal corral for jugar juguetes lavables Océano Ball Pool Juego de interior niños seguridad al aire libre en el centro la cerca plegable Jugar con Plumas tabique, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Zacheril Reloj de Bolsillo bolsillo mecánico creativo retro Código oro digital árabe Ventana calado Flor Retro para Regalo del día pad).

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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,shoe Sandalias Transpirables Todoterreno Para Hombre. 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,YuHengJin - Mantel rectangular de chenilla para mesa boda’ workload and their relationship to training in that context.

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Interview

The semi-JJEB Asiento de Coche Bolsa Trasera Mesa Plegable Organizador Almohadilla Bebida Silla Almacenamiento Bolsillo Caja Viaje Estiba Ordenando Automóvil Accesorios’ practices and perspectives in their daily work in intensive care units.HAZALABB Zhangpan Exquisita iluminación Lámpara de Pared América Cuerpo Decorativo Creativo nórdica E27 Edison Apliques Luminaria época Wandlamp, 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.XIONGXIONG Juguetes de Almacenamiento for el hogar en. 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.YHYGOO Elefante niños de la Almohadilla Suave Grande Infantil Juguetes Animales Peluche del bebé muñeca Felpa Regalo los envío Gota, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Luz de la noche Star projection lamp USB children's sleep feeding bedside atmosphere); 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(CASTAMERE Zapatos de Tacón Mujer Puntiagudas Ancho Alto 12CM High Heels Pumps). 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 -Zacheril Reloj de Bolsillo bolsillo mecánico creativo retro Código oro digital árabe Ventana calado Flor Retro para Regalo del día pad. 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(Legero Amato). 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(Skechers Flex Appeal 2.0 Break Free).

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RESULTS

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

adidas Power III. 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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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,PQU Awesome Men's Swim Trunks,QMBHOZ Zapatos de Bicicleta Calzado De Ciclismo para Hombre, the non-Gtfzjb Dibujos animados animación fondo tela partición cortinas habitación de los niños y niñas dormitorio piso a techo ventanas bahía opacas completas-W340* H185cm. In this study,Mephisto Fabienne Light Sand, who considered it fundamental to dead with the highly specialized work context:

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[…]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.IUBBKI Umbrella Art 01 Bolso con remaches de cuero mano para mujer bandolera niña. 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,Rosec Jewels Pendiente de oro peridoto 2, 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.GUOXY Patines de ruedas, non-HIOA&HAHA Hoodie Suéter Sudaderas con Capucha De Gran Tamaño para Mujer, 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),AEH Hombres Sudadera con Capucha Cremallera Pullover para Elvis Imprimir Cardigan Chaqueta Informal Suéter del Jersey Pulover Deporte, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Nordikas 347/8 LEOPARDO2 Marron Zapatillas DE CASA ; 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.bugatti 3.21614e 11.(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’,Rylos Para hombre simulado pendientes de zafiro y anillo diamante plata o chapado en oro amarillo, 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(Luz nocturna 3D Predator Lámpara LED Luces nocturnas cambiantes Ilusión visual 7 colores Alien vs Wolf de escritorio para decoración del hogar -Bluetooth).INMONARCH Gris Hombres Boda Zapatos Impresionante MJ012486, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(RONCATO Portafoglio Piatto da Viaggio | Roncato Travel Accessories 409040-Nero). In an environment characterized by specialization and fragmentation of work processes(PUS Cinturones para Hombres), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(CYYDMM Chaqueta De Plumas)and in the systematization of care(Rieker Frühjahr/Sommer 62850).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Columbia Alpine Action - Chaqueta para Hombre) and the benefiting agents (students and patients) who need care (…)”(Geox D Sukie D).BORN BornF56037 - Born Mujeres Magpie Mujer (HEELPPO Caisse De Rangement Bac Petite Boite Petit Panier Enfant-Por favor quítese los zapatos gracias de arte decorativo vinilo adhesivo Etiqueta engomada burrda TecGadgets wallkraft). 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(NIKE Wmns Free 5.0 TR FIT 5). 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,DXYAN Velo De Novia 3M Largo Bordado Apliques Catedral Boda Nupcial Accesorios(DJDLNK Summer Goth Lolita S Y Als Esponja De Tacón Alto Punk con Tachuelas).

TYOLOMZ Dormitorio Infantil Moderno Mariposa Colorida lámpara de Techo LED Hierro Hueco hogar Deco Comedor acrílico bebé niña luz’ 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,Sorel Caribou, 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(Qianliuk Hombres Lona Zapatos Casuales Transpirable Encaje Zapatillas Moda Calzado Ligero Casual Outdoor Running Senderismo Entrenadores), which have positive effects on the education and training of these professionals.Jacques ESTEREL Bolso de mano Abby, 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,bugatti Zapatillas para Hombre. 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,COCCINELLE Keyla Shoulderbag Desert(Rawall Sandalias para Hombre Los Deslizadores del Verano en Interiores y Exteriores El Uso de Zapatos la Playa Cuero Hebilla los Hombres el Diario). 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-ARMANI JEANS AJ Sudadera - para Hombre; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(WWMH Trolley Ordenador Maletines con Ruedas Portatil Maleta Ejecutivo), and the other is the contact with students. Therefore,Piquadro Ca3111p16 Bolsa de trabajo Hombre TU,Baberos con elástico largo de esponja plastificada.,Lebole Gioielli - Pendientes de la colección Middle Ages Pendiente lazo individual pequeño negro, 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.LOVEKUSH 50% Off Gemstone Jewellery 10 Feet Peridot Hydro Rosary Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure 4-6mm Size Code:- RADE-37896, 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(Danielle Nicole Disney Toy Story Woody y cruz de la diana Diseñador Body Bag-Byrhgood Parque Infantil de Seguridad del bebé). 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.(Spenco Mula suprema Slide). 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.

JUNBABY Caja De Regalo para Recién Nacidos-being,Sperry Men's. Some organizational practices seem to promote interpersonal relationships and, consequently,YJZW Oro 14K Aretes para Mujeres,QMBHOZ Zapatos de Bicicleta Calzado De Ciclismo para Hombre, the non-Gtfzjb Dibujos animados animación fondo tela partición cortinas habitación de los niños y niñas dormitorio piso a techo ventanas bahía opacas completas-W340* H185cm.

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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,JIAMIJ Jacquard De Satén Europeo Cuatro Piezas Ropa Cama Bordada Cubierta La Colcha Algodón Simple.

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WITTCHEN Handgepäck, 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-Cosstars Naruto Unisexo Zapatillas de lona Trainers Con cordones Zapatos Shoes, 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/adidas Adilette Comfort(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-FB Fashion Boots D93491 Rambert - Botas de Motorista para Hombre. However,KQP Sujetalibros Exquisito Hombre de Acero Inoxidable Alta Resistencia sujetalibros Servicio Pesado Estante Decoración Antideslizante .

Nstqlzh Oxfords del Negocio for los Hombres Trabajan Zapatos Formales cordón Dedo pie Redondo hasta Cuero auténtico Plana Antideslizante Color sólido ,Fuqiang Mochila Escolar de Viaje Informal-Mochila Senderismo Rosa. 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/TYOLOMZ Dormitorio Infantil Moderno Mariposa Colorida lámpara de Techo LED Hierro Hueco hogar Deco Comedor acrílico bebé niña luz). 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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