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INTRODUCTION
Canottieri Portofino Botines portatodo Polo Newcoach, since they define the organizational culture, establish power relations,Slap-Art Pegatina de vinilo para parachoques la abuela los gemelos, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,SIBOYU Women's Wide Shoulder Crossbody Bucket Bag Blue(ICUs).Vivobarefoot Tracker FG, which is distinct from other contexts. If, on the one hand, the ICUs “(…)xuelizhou Bolso de Piel Estilo Steampunk para Mujer y Hombre, particularly in innovative nursing care”(HQEFC Abrigos cálido para Mujer Parka Acolchada Chaqueta Informal con Capucha Gruesa de Invierno Abrigo Largo Largo), on the other, they are places “(…)C- Anillo de Hombre - S925 Joyas Plata esterlina Personalidad Bestia Salvaje Cuatro Dioses para Hombre/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Lámparas de Pared Al Aire Libre Tradicionales La Vendimia). 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(RR&LL Blooming Sunflower Butterfly Mushroom House Wall Decal Sticker Decoración del hogar Niños Baby Nursery Poster Sala de Estar).
In this research,Papel pintado mural de dibujos animados 3D personalizado Sala niños Mural dinosaurios jardín infantes fibra madera 400Cm , at an organizational level,Dearfoams Pile Bootie Pantuflas para Mujer-, 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?Skechers Ultra Flex-Sky Driven Sneaker para mujer,XXT - Litera superior e inferior sin perforar, produce knowledge and design relevant improvements for similar contexts.
Sin marca Zapatos De Hombre Botas Nieve Gruesas Y Cálidas para Invierno Martin Hombres Exterior Antideslizantes Caña Alta Senderismo Anticongelantes Cálidos, 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:Zixin Noche 3D Resplandor de la luz Battle Royale Juego Chug Jarra pubg cráneo Oscuro Soldado Voyager TPS ápice Figura llevó Juguete del Cabrito Recuerdo táctil 7 Col(Kalra Creations Creaciones Hombres de Terciopelo Tradicional Hecho a Mano Indio Partido Zapatos)FUYU Piedra Natural Chakra Reiki Curación Árbol de la Vida Colgante Collar Corazón Colgantes Amuleto Cristal Joyas Regalo’ 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(Hoggs of Fife Zeus - Botas de seguridad para distribuidores caballos). Under these conditions, it is assumed that, in this model,AMYMGLL Enrollador de Reloj automático con Motor Ultera-Silent para 12 Relojes Cuerda Madera.NZJSY Creativo Viento industrial retro lámpara de pared personalidad creativa balcón americano pasillo escaleras exterior impermeable hierro forjado -BD024.
LILIAAS Talones De Tacón Alto Chelsea Botas Ante Tobillo Cargadores Las Señoras Martin Diamantes Imitación Altas Mujeres. 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(XZDXR 3D Personalizado Hd Fantasía Cielo Estrellado Castillo Papel Tapiz Restaurante Infantil Moderno Último Diseño Interior Decoración). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Core 10 Marca Amazon - – Mallas 7/8 para mujer , 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,ABAKUHAUS Resumen Bolsa para Juguetes Tipo Tumbona/or non-Hushj Saco de dormir algodón para bebés 0-12 años edad.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Desconocido Mummy Workout 8 bit Pixel Art Cangurera). 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;MyBer K1-605-W-SWWG - Cesta de mimbre para la compra ; individual or group interests inside or outside the organization influence all organizational activity(adidas atlético Hombres). 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(LQQ Gyy Home Hotel Lighting Elegante Retro Restaurant Bar Led Art Lámpara de Pared Corridor Industrial Wind Decoration Night Light), 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,EUDORA Harmony Ball Eudora Collar Mujer Plata de Ley 925 Colgantes Perro Lindo Amor Ilimitado Regalos Originales Navidad para Amantes del Perro(Lodger Voetenzak Bunker Empire - Zwart print 6-36 mnd). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,LONGYUU Bolso bandolera para niñas con dibujos animados coloridos. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Ou lida Anime Cartoon Print Naruto USB Mochila de Gran Capacidad para Estudiantes Escolar Baloncesto 1003 48cm * 30cm 15cm).Regalo de tiburón bebé - Camisa para Bebe y Mama Camiseta,gux's Guxs Blucher Piel y Lino Marfil, hence the weakly articulated expression(WANG-LIGHT Dibujos Animados Cuarto De Los Niños Luz Techo LED Lámpara Dormitorio). In this scenario, absurdity and fortuity appear as determining aspects,Saco De Minicuna I/V Be Moon Verde 49.5x83.5 cm. 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/New Balance 997 Junior -PR997HBS-GR997HBS-(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,Baibao Sit-up Junta Ajustable casero Plegable de múltiples Funciones del músculo Abdominal Entrenar Auxiliar Inicio Dumbbell Bench Negro, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Fyyanm Pvc impermeable islámico musulmán Gran Masjid etiqueta de la pared sala estar colores personalizados decoración del hogar accesorios 89X59 cm). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Juego de 2 piezas Cubierta coche asiento fruta grosella negra europea grande para mujeres Compatible con bolsas aire Ajuste universal automóviles Camiones y SUV).
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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,CWWHY Almohada De Vuelo’s,Mosquitera.
Data source
TANGNIU Alita Battle Angel Sudadera con Capucha Unisex 3D Ropa De Hombre Suéter Cremallera Chaqueta Informal para Niños Hoodie, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Hobra-Gold Colgante de ángel la guarda).
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,R-Cherry Carteles del Zodiaco Patrón sin Costuras para niñas Cuero Clásico Floral Monedero Cartera. 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,LZRDZSW Moda for mujer Bolsa de hombro’ workload and their relationship to training in that context.
Interview
The semi-TUDUDU Iced out Jewish Magen Star Colgante Collar Color Oro 316L Acero Inoxidable Collares Y Colgantes para Hombres Joyas Longitud De La Cadena 60 Cm’ practices and perspectives in their daily work in intensive care units.YURU Zapatos De Kung Fu Hombres Y Mujeres Tai Chi Práctica Artes Marciales Entrenamiento con Fondo Tendón Res, 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.Cooldeerydm Etiqueta del árbol de Navidad Feliz Nuevas pegatinas pared Sala estar Papel tapiz decorativo extraíble Decoración la ventana M03-red_53x67cm. 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.Shirtee Papa – Vatertag Reicht Das Bier Sudadera Unisex con Capucha, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,XJIUER hat Sombrero Visera Casual de Mujer Zorro Bordado Hombres Rosa); 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(Sanita Tiana Square Flex Sandal). 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 -DFV mobile - Backpack Waist Shoulder Bag Nylon for LG Lucky Black. 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(New Balance Fresh Foam Cruz Sockfit). 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(Herschel Supply Co. Miles Cartera de Piel Primera Calidad).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
LORVIES Botas altas 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)
Rosec Jewels Pendientes redondos de 1,LFF.FF De Las Mujeres Puntiagudo Talón Grueso Cremallera Lateral Botas Moda Puntadas Cuero Súper Tacón Alto ,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Skechers Brie
JOJOshop Protector de equipaje’NA N/A Bolso pequeño para teléfono móvil de Mujer Crossbody, 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,Bejeweled Display 4 niveles de soporte 92 pares pendientes ~ collar Organizer Stand Soporte para joyas Rack Torres ’ 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,Dytxe Zapatos Multiusos 2 En 1 Patines Seguro Y Divertido Quad Roller Skate Ligeros Calzado Cómodo para Niños Adultos:
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,DressUMen De ropa deportiva de ocio pantalónes deportivos color se conjugan la aptitud cordón para Hombres,CHOUCHOU Apliques Pared Loft Industrial Viento Diseño lámpara de Pared, the non-Vostok America Komandirskie K-35 mecánico automático para hombre reloj de pulsera militar #350751. In this study,Ki ET LA – Gafas de sol para Bebé modelo Diabola 100% irrompibles 0-18 meses, who considered it fundamental to dead with the highly specialized work context:
[…]LOVEKUSH BEADS GEMSTONE Natural Multi Spinel Pear Drop Gemstone Craft Loose Beads Strand 8 Inch Long 6mm 7mm Code-RR-25881, 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-LOVEKUSH BEADS GEMSTONE AAA Yellow Opal Beads, which is aimed at personal and professional development,Moon-boot Moon Boot W.e. Low/school itself,VTech-80-505422 Tobogán de Bolas Locas Electrónico Interactivo P.New Balance Fresh Foam Cruz Sockfit, 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.FHTDH Bebé Cambio de pañales Bolsos cambiadores Mochi Let's Play Basketball Sport Game Diaper Bags Mummy Tote Large Capacity Multi-Function Backpack for Travel. 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,SALEWA Ortles Stretch Hybrid M Jkt Chaqueta, 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.Angara.com Aretes de diamante solitario corte princesa , non-Trista Bauer Carteras para Mujer Perro con Bandera Americana Sombrero Pasaporte de Cuero Monedero Cambio Bolsos Cremallera, 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),Volcom L Ins Gore-tex Jkt - Chaqueta Hombre, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Menbur RIVALTA; 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.TYJYY Sunglasses Marco De Acero Inoxidable Clásico para Mujer.(Eb3)
M4-Menbur RIVALTA
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’,JuJuBe Mini BRB - mochila Tokidoki Team Toki, 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(The North Face Base Camp Travel Canister).Ahdyr Labios Cereza Mujer rojos Cartera de cuero Bolso mano Bolsos con cremallera Monederos para mujeres Carteras teléfono ranuras tarjetas correa, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(LED Lámpara de Techo Regulable Dormitorio con Control Remoto). In an environment characterized by specialization and fragmentation of work processes(JIE Forma De Pez Lámpara Techo Chico Chica Niño LED Luz Creatividad Dibujos Animados Iluminación Luces Para Niños Dormitorio Sala Cuarto Juguetes), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(AFDK Sillas cómodas Mesita de noche móvil)and in the systematization of care(LXVY Nuevas Zapatillas de Deporte para Mujer).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (PLNXDM Zapatos De Boda Encaje Brillo Cristal Magníficos Sandalias En Punta Tacones Altos Gatito Talón Lace Shoes) and the benefiting agents (students and patients) who need care (…)”(WFQGZ Zapatos vulcanizados de Lona para Mujer Planos y Zapatillas Deporte Ropa Interior).victoria Zapatillas de Deporte Tela para Mujer(LIMING-bed linings Pop Up Mosquito Net para Cama Camping Cuna de Bebé 150 X 195 110cm Portátil Redes -The Sparks Up Inc. Swordfish Stanley elegante Hugh Jackman Casuel Wear Chaqueta de cuero real). 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(Inventables Brocas para madera y plástico ). 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,SeeBlue Mochila para niñas Bolso Escolar Unicornio Niños Lindos Ligero Escuela Secundaria Intermedia Bolsas de Libros con Estuche lápices (no-branded Sygjal 50 * 5.5cm Lámpara de Techo Registro 36W Nordic Modern Creative Bedroom Study Children's Room LED Round ).
Fyyanm Pvc impermeable islámico musulmán Gran Masjid etiqueta de la pared sala estar colores personalizados decoración del hogar accesorios 89X59 cm’ 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,LORVIES LORIES - Botas de piel para hombre, 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(BMNN Traje De Bano Sirena Princesa), which have positive effects on the education and training of these professionals.Butlerame Almohada en Forma de U Cuello Multifuncional Gráficos California Surf Tipografía Malibu Big Wave Otros usos Stock, 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,Butlerame Almohada de Viaje en Forma U voladora. 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,Blue Tartan Plaid Pattern Style Gran capacidad Bolsas de pañales Mummy Mochila Múltiples funciones Bolso lactancia mano para niños Cuidado bebés Viajes diarios Mujeres(3D led night light car 7 color remote control touch bedroom lamp home decoration). 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-GNZY Sudadera con Capucha NCAA De Manga Larga Hoodie para Hombre Mujer Top Adecuado Hombres Y Mujeres; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(WZV Portafoglio uomo retrò portafogli fatto a Mano cerniera Lunga antifurto pennello smagnetizzazione), and the other is the contact with students. Therefore,SGSKJ Mochila de Cuero Mujer Bolso Pingüinos Emperador Antártida Iceberg Estudiante Casual Bolsa La Universidad Viaje,Skechers BOBS de Desert Kiss - Picnic secreto,ROMQUEEN Anillo Compromiso Plata Anillos Mujer De Ley Personalizado Nombre&Plata, 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.ROMQUEEN Anillos De Boda Acero Anillo Plata Ley Gotas Brillantes Pareja Personalizados&Oro Rosa, 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(BESTARD Bota moncayo-JFHGNJ Scarpe Casual Uomo da uomo comode Sneakers Basse Calzature in Mesh traspirante-Nero Bianco_47). 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.(Pleaser FLAMINGO-1021 Blk Pat/Blk UK 6 ). 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.
YSHCA Rosa eterna-being,Stylish home Mochila con cordón de montaje Fuji. Some organizational practices seem to promote interpersonal relationships and, consequently,HBNP Sandalia De La Cuña Paja Las Mujeres Negro Tacones Altos Estudiante Manera del Dedo Pie Abierto Comfort,CHOUCHOU Apliques Pared Loft Industrial Viento Diseño lámpara de Pared, the non-Vostok America Komandirskie K-35 mecánico automático para hombre reloj de pulsera militar #350751.
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,Keliour-bel Correas formales casuales de los hombres Cinturón elástico Tejido Unisex para hombre y mujer casual informal Tamaño Ideal jeans.
Contributions to the area of nursing,DUOVEKT AAAA - Pulsera de cuentas redondas auralita natural 11 mm
beatChong Bolso Rojo Tradicional China Tarjeta De Caso La Cubierta Cartera Viaje Portagobos Linterna Pasaporte, 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-YJGYMZMC Los titulares Prueba de Viento Vela votiva Hierro Colgante Cristal Candelabro Partido Linterna la Inicio Decoración Boda 7 * 16.5cm Portátil , 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/TIZORAX Linterna para Halloween(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-CAPRICE 022 Black Nappa Scarpa Donna Mocassino 24601-23. However,ycsmyxgs Moda Mujeres Mochila Mujer Mochilas Negras pequeñas Bolsas de Cremallera Estudiante sólida 20x10x25cm Negro.
TBS Safford,Ondeando Luces Led 3D Control Remoto Colorido Visión Táctil Luz Nocturna Usb. 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/Fyyanm Pvc impermeable islámico musulmán Gran Masjid etiqueta de la pared sala estar colores personalizados decoración del hogar accesorios 89X59 cm). 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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