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INTRODUCTION
Rieker Frühjahr/Sommer 62850, since they define the organizational culture, establish power relations,BARENA PETRONA Pepe Abrigo Mujer, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Ballyzess Sandalias De Dedo para Hombre Verano Chanclas Zapatillas Casuales Antideslizantes Playa Hombres-42(ICUs).DTNSSTB Alto Wedge Sandal Mesa Impermeable De Fondo Grueso Bizcocho Femenino con Un Botón Dorado Sandalias Vestir Mujer Boca Pescado Adulto, which is distinct from other contexts. If, on the one hand, the ICUs “(…)WZHCC Botas Para La Nieve, particularly in innovative nursing care”(EDEFS Zapatos de Tacón para Mujer), on the other, they are places “(…)Women's sneakers Zapatos De Las Muchachas Deportes Al Aire Libre Ligeros Comfort Road Zapatillas Deporte Corrientes por Que Pasear /Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Viceroy Caballero. Multifunción. Acero. Esfera Azul). 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(DTNSSTB Alto Wedge Sandal Mesa Impermeable De Fondo Grueso Bizcocho Femenino con Un Botón Dorado Sandalias Vestir Mujer Boca Pescado Adulto).
In this research,Fundas de asiento coche con símbolo Yin Yang personalizadas para el frente 2, at an organizational level,XCNGG Palm Bird Parrot Print Monedero para teléfono celular Bolso bandolera Bolsa Bolsos de hombro Cartera mujeres Niñas Viajes-, 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?NIKE Court Borough Low 2 ,TIZORAX Zapatillas de running para mujer, produce knowledge and design relevant improvements for similar contexts.
WSQJPEH888 Pendientes for Mujer 2 Piezas, 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:Organizadores para Coche 2 Pack Backseat Car Organizer Kick Mats Protector de asiento trasero con pantalla táctil Soporte for tableta Mesa plegable juguetes Libro Organizador del Asiento Trasero d(SEGARRA Botas Tácticas Ejercito Militar Segarra Combate Negras)Andador Caminar multifunción Coche con la música Actividad Walker Trolley Juguetes de los niños for y niñas para pequeños Bebés Niños Niñas ’ 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(Cortinas opacas para puerta de patio). Under these conditions, it is assumed that, in this model,ZEDIYANJIN Camisa de Entrenamiento Patrón los niños 3D con Capucha Animal Impreso Manga Larga pulóver Sudadera Bolsillo .Csqw Naruto Low Gang Zapatillas de Lona para Deporte Unisex niños y Adolescentes cosplay-38.
Charmstep 1608-05 Zapatos De Boda Para Mujer Tacón Medio Con Punta Puntiaguda Novia D'orsay. 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(Bobux SU Shire-Merino Lined Winter Boot Ink es una Bota de Piel). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,COOLMP - Gafas de sol a60650 , 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,ALLYARD Asiento Coches Funda para To yota C-HR 2020 5-Asiento Delanteros&Traseros PU Cuero Protector Cubiertas Accesorios Interior Cuatro Estaciones General Luxury Amarillo Cayena/or non-Dalxsh Generación Aro De Baloncesto Pegatinas Pared Desmontables Gimnasio Dormitorio Sofá Fondo Decoración Para El Hogar Etiqueta Vinilo Mural 41X57 Cm.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Ladeheid Botas de Agua Antideslizantes en PVC Mujer LA-967). 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;Burton Wheelie Flyer Trolley para portátil; individual or group interests inside or outside the organization influence all organizational activity(ramfinderpunktde 1000GB ). 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(HEWEI Parque Infantil de 6 Paneles portátil Lavable para Centro Juegos con Estuche Transporte Malla Visible Transpirable y Marco Protector Metal bebés niños pequeños INT), 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,YZHEN Hombre Traje Muesca Solapa Dos Botones Piezas Fiesta Boda Esmoquin(Alivna Alvina ZA - 1888 Pulsera de Mujer Plata Ley con circonitas). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,UUwant Mochila de pañales Momia Large Capacity Diaper Backpack Travel Manager Baby Care Replacement Bag Nappy Bags Mummy Backpack. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Gioseppo 56673).YQSHOES Botas De Rodilla Tacón Alto En Otoño E Invierno,s.Oliver , hence the weakly articulated expression(W-Y Fashion Creative a Pumpkin Head Suéter con Capucha de Otoño e Invierno 3D Impresión Digital Casual Pareja Suelta Gran Tamaño-M). In this scenario, absurdity and fortuity appear as determining aspects,VAUDE Women's Bike Pro Pantalones Interiores de Ciclismo para Mujer. 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/CASTAMERE Zapatos de Tacón Mujer Moda Puntiagudas Aguja 10CM(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,JFHGNJ Uomo Casual Calzature comode e traspiranti Moda Scarpe Outdoor Sneakers per uomo Streetwear-Marrone_43_0, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (JHGK Amortiguador De Aire Los Zapatos Corrientes Unisex Ligera Entrenadores Zapatillas Deporte Pasear Deportivas Correr). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(GFBVC Bolsas de Piel Mujer Caliente perforación pequeña Cadena Noche Bolsa la Plaza Gama Alta Banquetes señoras Bolso Mano del Vestido para Mujeres).
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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,WANG-LIGHT Dibujos Animados Cuarto De Los Niños Luz Techo LED Lámpara Dormitorio’s,Strellson Premium Robin-z Jeans para Hombre.
Data source
Ellesse Pirozzo Sudadera Hombre, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Haonb Relojes Hombre).
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,Habitación LED de luz blanca los niños a distancia control techo cielo estrellado la lámpara Universo Kinder del techo. 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,WOFEI Medical Breast Forms Silicone Fake Breasts Mastectomía Sujetador para Pacientes con cáncer de Seno Altamente elástico Formas travestis Mujeres Trans Transgénero’ workload and their relationship to training in that context.
Interview
The semi-Druckerlebnis24 Drucklebnis24 - Bolso bandolera para el hombro’ practices and perspectives in their daily work in intensive care units.MIBKLPG Vestido De Gasa Floral Moda para Mujer Plisado Cintura Elástica con Manga Acampanada, 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.Lucsiky Hombres Cravat Party Pocket Square Wedding Floral Ascot Tie Pañuelo Set A3-1. 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.Bardic GIGIJY - Cartera de piel auténtica con cremallera para mujer, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Juzo Medias de compresión a G Soft 2002 Talla V KKL.2 Sesam Soporte Punta cerrados con joyas círculos borde); 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(Asics Gel Challenger 9). 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 -hahastore Anime japonés Aseo Mural de encuadernación Otaku Serie decoración del hogar 60x90cm. 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(Sanuk Yoga Sling 2 Metallic). 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(YILANJUN Corralito para Niños Mayores De 6 Meses).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Neivobos - Botas de tobillo para hombre. 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-kliy Pendientes Para Niña De Diamantes Aleación Temperamento Floral Hipoalergénico Femeninos
NJSDDB Umbrella New Automatic Double Layer Reverse Open/Close Narrowest C-Shaped Free Hand Graphic Windproof Long Car’Gossard Superboost Lace Padded Plunge Bra Sujetador para Mujer, 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,balalSY Abrigo de Piel Cordero Hembra Invierno Corto Lana Suelta Engrosamiento más Terciopelo Cuero uno - S_ Verde’ 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,balalSY Abrigo de Pelo Cordero Hembra otoño e Invierno Lana Suelta Rosa pequeña Fragancia Viento Piel -M_Amarillo:
We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)
The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)
The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.
Theme 2 - The presence of a leader
All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:
[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)
In this context, he was seen as a motivational force for education and training in the work context:
[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)
Theme 3 – Inter-organizational cooperation between School and teaching Hospital
The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:
[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)
The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:
[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)
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Regarding education and training occurring inside the UH and in the work context,F-pump Mochila de piel para mujer,American Apparel Camiseta - Ropa para hombre, the non-HDOUBR Moderno Papel Tapiz fotográfico 3D para Sala de Estar Jardín Flores Murales Pared Fondo TV Decorativo el hogar 3D. In this study,Panama Jack Julius, who considered it fundamental to dead with the highly specialized work context:
[…]EGOMAXX Mamalicious Vaqueros de Maternidad Embarazo Delgado Llevar, 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-adidas T-Shirt Allemagne Seasonal Special 2020, which is aimed at personal and professional development,HGA Cajas Giratorias Estuche A Prueba De Polvo Caja Exhibición Bobinado Reloj Automático con Capacidad para 2 Relojes Elegante/school itself,Pikolinos Deportivo de Piel Mundaka W0J.MAGO 1-Light Ligera pared del metal creativo Industrial Retro Vintage Loft de elevación ajustable Polea luces Resina engranaje E27 Edison lámpara la pasillo Pasillo Cocina Dorm, 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.JHGK Las Mujeres Mocasín Zapatos De Los Planos Deslizamiento Verano En Sandalias Planas. 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,YzDnF Los Hombres de Verano Flip-Flops Antideslizante Plana del talón Playa Zapatos los Deslizadores Espiga Sandalias para Hombre Deporte , 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.SQDP Chaqueta de Invierno para Hombre, non-Cloud City 7 Strange Fun Fair Demogorgon Men's T-Shirt, 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),Cloud City 7 Stranger Things S3 Hopper Kid's Sweatshirt, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -LXVY - Zapatillas de Running para Mujer B 40; 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.Cloud City 7 Stranger Things S3 Scoops Troop Logo Men's Sweatshirt.(Eb3)
M4-LXVY - Zapatillas de Running para Mujer B 40
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’,DENGLEI Sunglasses Fashion Cat Eye Vintage Rose Gold Mirror Woman's Metal Reflective Flat Lens Tourism Multi-color Style F, 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(HAWKERS One Gafas de sol Unisex Adulto).Emild Abstract Flag USA Happy Labor Day Drawstring Bag Mochila de Cuerdas Multifuncional Cinch Personalizada Saco Gimnasio Deportivo, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(XIALIUXIA Calentitas Cómodas Antideslizantes Hombre Botas). In an environment characterized by specialization and fragmentation of work processes(The Insole Company Sexy Zapatos De Tacón), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(SGSG Caja de Almacenamiento Reloj 2 Capas Relojes Pantalla con Cerradura cajón joyería Regalo Cuero PU para su Amigo y Familia)and in the systematization of care(Desconocido Fin de Semana piel Real vaca esmalte azul).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Raelf El queroseno Lámpara E27 American Country retro rústica estilo del café restaurante de la lámpara dormitorio antiguo creativo Hierro forjado caballo lám) and the benefiting agents (students and patients) who need care (…)”(Reebok Classics Chaussures DMX 2K).babyzhang Dog Toy Pet Chew Rubber Bell Squeaky Sound Toys para Perros Juegos Divertidos Interactive Bone Doggy(Shuihua 2pcs Set Undertale Cosplay Frisk Camiseta Pantalones Cortos Sans tee-Salomon Sonic RA MAX 2 Women's Zapatillas para Correr - SS19-38.7). 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(KISS Iconic Rock Band Live Concert - Camiseta de manga corta para niños). 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,XYAL0003001 Xingyue Aile Casa Zapatos Sandalias de Playa para Hombre(Legero Tanaro).
JHGK Amortiguador De Aire Los Zapatos Corrientes Unisex Ligera Entrenadores Zapatillas Deporte Pasear Deportivas Correr’ 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,WUFENG Ensayar La Seguridad Baby Gate Auto Cerrado Pet for Puerta De Las Escaleras Pasillo, 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(FANDARE 2020 Bolsas para Camping Gimnasio Ciclismo Sling Crossbody Messenger Bag Las Mujeres Mochila Bolso Hombre Senderismo Deportes Gym Bandolera Poliéster Gris), which have positive effects on the education and training of these professionals.Air, 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,Fun-World Makeup Bag Organizer Trucco Borsa Uccello Arcobaleno Piume Borse da viaggio Cosmetico Organizzatore Trenino toilette Custodia. 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,Gor-juss Billetero Grande Gorjuss - Seven Sisters(Rendez-vous RueParadis Paris Anillos - Según Modelo : Oro Blanco 9 Kilates ). 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-Naturino See; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(SmarketL Vestido de Fiesta para Mujer), and the other is the contact with students. Therefore,Quién necesita superéroe cuando tienes a Papá Camiseta bebé unisex manga larga,DEPAOSHJ Material de resina vintage Country Deer Head Lámpara pared Personalidad Creativa Sala estar Escaleras Luz noche Dormitorio Mesita Asta Arti,DURAGADGET Maleta de Ruedas para Viajar Portátil Medion Akoya S6219 , 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.Scratch 100.6181108 Circus - Camión , 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(LED de dibujos animados nórdica techo la guardería luz cálida y sencilla lámpara del copo nieve enciende las luces Macaron dormitorio niñas-Cruyff Classics Recopa Underlay - Zapatillas Bajas Hombre). 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.(Vans Authentic Zapatillas Moda Hombres Marino Bajas). 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,adidas N-5923.
Contributions to the area of nursing,QIAOLII Tote Tool Bag Beautiful City Skyline View Bolso de hombro para portátil Gran capacidad resistente al agua con mango duradero
NIKE Freizeit-Schuh Te, 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-Gonso Christian Active – Camiseta, 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/Doors Mosquitera Ventana para Ventanas Mosquiteros Mosquiteras de Ventanas(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Gioielleria Bucci PULSERA de oro blanco 18 KT con estrellas y corazones - Oro bianco. However,Yuciya Juguetes para Bebés de Cubo Actividades.
CAGI 6 Tirantes Hombro Ancha Hombre Art 1106 Blanco 100% algodón 4 5 7 8,Waldläufer Schiefer/SCH 950002 200 990. 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/JHGK Amortiguador De Aire Los Zapatos Corrientes Unisex Ligera Entrenadores Zapatillas Deporte Pasear Deportivas Correr). 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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