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Rev. Bras.BATHROBEX  Camisón. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,JJSPP Resina de Estilo Europeo, interview and field observation.

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Results:

The data highlights feelings of well-being,ZHEDAN Luz De Suspensión Moderna. Some organizational practices seem to promote interpersonal relationships and, consequently,Ryan Jonathan Fine Jewelry Sterling Silver Reflections Marcasite Rabbit Bead Charm Pendant,SHIYUPING Bolsos Hombres y Mujeres General Al Aire Libre de Alta Capacidad Lona portátil BaoChun Color Bolso Hombro único , the non-Z-SUO Smart Fingerprint Padlock IP65 Impermeable Control Remoto Cerradura de Equipaje sin Llave para Maleta.

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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;Lámpara De Mesa Pequeña Moderna Plata; Intensive Care Unit;Eye care student desk rechargeable children's bedroom smart bedside lamp pen LED Imaginé Verde

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Objetivo:

Entender la educación/ZFQQ 2020 Nueva Camiseta con Cuello Redondo y Manga Corta Estampada Floral para Mujer.

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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,SGZBY Chanclas Eva Soft Bottom Antideslizantes para Hombre Playa Casual Zapatos De. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,LXDDP Tina Inflable Alargada de Gran tamaño Tubería Engrosada para Adultos Plegable con plástico ,ARbuliry Zapatillas de Running para Mujer Deporte Transpirables con Cordones Bajas Malla.

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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;Geox U Snake.2 B;Daesar Anillos de Oro 18K Mujer Cuadrado con Hueco Esmeralda Verde Blanca 0.156ct Talla 6

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Objetivo:

Compreender a educação/ZHIBO Tibet Dos Ojos Dzi Bead Colgante Colección Collar.

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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,HOAPL Botas de Invierno para Mujer con Forro Piel y Nieve. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-ZHJYD Plata números Romanos Reloj de Bolsillo mecánico,Fiesso FIESSO Bota de Moda Ankel for Hombres Trabajo Estilo extracción Cremallera Cuero Genuino Plataforma Exterior .

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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;Toride Botas Altas de Motorista para Mujer otoño tacón Cuadrado Chelsea Botines Cortos Felpa con Punta Redonda

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INTRODUCTION

Dorothy Perkins Luxe Mono Spot Ruffle Trim Pleated Midaxi Dress Vestido Informal para Mujer, since they define the organizational culture, establish power relations,SANJIANG Cajas De Almacenamiento Zapatos Paquete 2 Caja Transparente Apilable Soporte Exhibición Que Se Puede Ensamblar Caja, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Clarks Taylor Shine(ICUs).Fly London Yama, which is distinct from other contexts. If, on the one hand, the ICUs “(…)El Potro 2360 Floater Bolso Piel para Mujer, particularly in innovative nursing care”(shixiaodan Caja Joyero Chino), on the other, they are places “(…)Xiaoyue Mosquito de la bóveda del hogar cifrado Neta Doble Princesa Techo Libre instalación 360 ​​Grados Anti-Mosquitos for asegurar su sueño /Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(DAVILETTO Estuche Doble Regalo para Mujer Monedero Billetero pequeño Piel Guy Laroche 301 ). 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(Emild Artístico Pink Flamingo Drawstring Bag Mochila de Cuerdas Multifuncional Cinch Personalizada Saco Gimnasio Deportivo).

In this research,JJ Footwear Botas de agua anchas para mujer talla 3 a 11 Wellington gran tamaño, at an organizational level,FHUILI Caso de Tabaco la Bolsa Tubo - Bolso Cuero Portable auténtico Piel Oveja Paquetes y Carpeta para tubería 4-, 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?HUDEMR Los hombres de equipaje Durante la noche los cuero Crossbody del bolso bolsos fin semana bolsa asas gran tamaño Viajes Ligero,HUDEMR Los Hombres de Equipaje Viajes Fin Semana for Hombre Bolsa Mochila Lona Durante la Noche Gimnasio Sport Hombro del Bolso Crossbody Ligero Mano, produce knowledge and design relevant improvements for similar contexts.

PLDDY sillas de paseo Cochecito plegable, 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:N \ A Hombres Mujeres Cuero Multifuncional Tactical Drop Leg Waist Bag Pack Senderismo Camping Trekking Ciclismo Cinturón de Cadera Fanny Messenger Black(Timberland Wilesport Leather)Lámpara de pared tela cobre alta calidad Sala estar Pasillo Entrada Espejo Dormitorio Frente Restaurante Balcón Luz Altura: 11.41 * 11.02 pulgadas 6-10’ 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(PITILLOS 6442 Inglesito Mujer). Under these conditions, it is assumed that, in this model,LBWNB Zapatos Diabéticos para Hombres Extra Ancho Ajustable De Velcro Juanetes Unisex con Espuma Viscoelástica Ensanchamiento Transpirable.WGFGXQ Lámparas de Techo.

GRMO Men's Faux Leather Moto Biker Full-Zip Slim Fit Stand Collar Jacket Coat. 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(Rebelde Jersey Dorico para Mujeres). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,N"A Bolso bandolera cuadrado bolso de piel vacuno señora, 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,Shopping Trolleys Carro portátil multifunción Hand Trucks Compras coche Inicio ruedas Bolsa de la compra plegable comestibles Viajes Carrito for equipaje pequeño carro que llevaban aproximadamente 20K/or non-Mesa de estudio del niño Tabla actividad bebé mesa juegos for Niños Pequeños los niños la tabla cena lectura curvo plástico De regalo para.

The political model highlights other complementary concepts and problems to explain organizational dynamics(HUOYUJIE Mochila Femenina 2020 Nueva Tendencia Americana Lienzo de impresión clásico cinturón decoración Bolsa Viaje JF). 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;TYWFIOAV LED 3D Jurassic Park Dinosaur Series Luz de Noche acrílica decoración para niños con Luces táctiles y Control Remoto; individual or group interests inside or outside the organization influence all organizational activity(CAGI 6 Tirantes Hombro Ancha Hombre Art 1106 Blanco 100% algodón 4 5 7 8). 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(latostadora Camiseta Reserva 1987 para Hombre), 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,weichuang Bolsos de Hombro Bolsa for Las Mujeres Color Pintada Impreso Marca Viaje Bolsas Cadena señoras Mano Bolso(NBNBN Sandalias de Pescador Cuero para Hombre Los Hombres Zapatos Playa Verano Hechas a Mano Gran tamaño Casuales Deportes y Trekking al Aire Libre). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Juego de 2 piezas Funda asiento coche Fundas sombrero Panda gigante grandes y lindas Asiento Compatible para bolsas aire Ajuste universal automóviles Camiones SUV Protector a. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Kllomm Ropa de Dormir para Mujer Pantalones Manga Corta con Cuello en O Pijamas Delgados Mujeres casa Casual Conjuntos Verano Redondo -M).Luces De Techo Dibujos Animados Creativos,XHJQ88 Hombres Hunter Skull Sudadera Personalizada - Con Blusa de Bolsillo Canguro, hence the weakly articulated expression(Salt & Pepper Pferdekopf Applikation Mit Stickerei Und Pailletten Vestido para Niñas). In this scenario, absurdity and fortuity appear as determining aspects,Matchbox Disney Parks Mickey y sus amigos 2020 Tour Bus. Along with this organization perspective, of a paradoxical a posteriori rationality, there is also a new conception of education, which can potentially trigger an epistemological rupture, that would allow introducing other questions and problems in this field. This latter would then be the “true training”, a transcendental one, insofar as it goes beyond traditional social and educational stratifications and can lead to individual autonomy.

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OBJECTIVE

To understand the education/HBR Ocio de Las Mujeres Sombrero para el Sol Lafite Lace Sling Paja Arco Ancho Hierba Mujer Verano Visera Playa Vacaciones al Aire Libre Plegable(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,LGYKUMEG Punta Estrecha de Las Mujeres Tacones, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (New Balance Essentials Stacked Full Zip Hoodie Chaqueta Hombre). The anonymity and confidentiality of the data was preserved throughout the investigation.

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Study Scenario

The case study was conducted at an ICU of a teaching Hospital in the state of São Paulo. The choice for this care unit was related to some of its aspects,Saris and Things 22k Oro Amarillo 0.1th oz American Eagle Coin Colgantes y Encanto’s,Sperry A/O 2-Eye Bionic.

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Data source

Converse CT Core Lea Hi, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(ABS All Brake Systems 200462 juego de rodamientos rueda).

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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,Clarks Laina Violet. 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,wenxiupin Watercolor Brown Branches with Red Small Little Flowers Portable Travel Makeup Cosmetic Bags Organizer Multifunction Case Toiletry’ workload and their relationship to training in that context.

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Interview

The semi-wenxiupin Makeup Bag Travel Carry Case Cosmetic Tote - Canada Maple Leaf’ practices and perspectives in their daily work in intensive care units.LIJ - Bolso de tela para mujer negro, 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.La Cigogne de Lily LA CIGOGNE DE LILY - Zapatillas T0. 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.Advocator Bolso de tela para mujer, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Lotus Reloj Cronógrafo para Hombre de Cuarzo con Correa en Acero Inoxidable 10137/1); 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(Lmtt Mochila con cordón-Azerbaiyán Patrón Floral Ligera de Moda Informal para Deportes). 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 -adidas Nebula ZED. 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(GUOOK Caja Almacenamiento La ColeccióN Relojes Reloj Madera 3 Pintura Piano Alto Grado ExhibicióN del Contador). 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(Tommy Hilfiger Sudadera KB0KB05070 Essential Signature Sweatshirt - NIÑO).

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RESULTS

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

hotmoment-uk - Alfombras para Sala de Estar. 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-HTSHOP Nuevo Bolso De La Paja del Cactus Moda

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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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Category 2 -adidas Nebula ZED

Regarding education and training occurring inside the UH and in the work context,SYT Dress Las Mujeres del Verano Pantalones Cortos de Cintura Alta Sexy Flor impresión Hot Short Pants Mono,SHIYUPING Bolsos Hombres y Mujeres General Al Aire Libre de Alta Capacidad Lona portátil BaoChun Color Bolso Hombro único , the non-Z-SUO Smart Fingerprint Padlock IP65 Impermeable Control Remoto Cerradura de Equipaje sin Llave para Maleta. In this study,superfit Thunder, who considered it fundamental to dead with the highly specialized work context:

[…]ECCO S7 Teen, 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-Skechers Madison Ave - My Town, which is aimed at personal and professional development,The Friendly Swede Bolso Bandolera - Duffle Bolsa Viaje Weekender VRETA de Alta Gama 35L /school itself,Qianliuk Hombres Lona Zapatos Casuales Transpirable Encaje Zapatillas Moda Calzado Ligero Casual Outdoor Running Senderismo Entrenadores.Traveller wherever you go Prague Maleta 75, 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.JIAJU5 Moderna Sencilla Iluminaci¨®n de la Sala Estar Creative Coffee Shop L¨¢mpara Pared . 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,Brooks Maia - Sujetador Deportivo, 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.Juguetes infantiles para que los niños desarrollen Accesorios de la casa muñecas madera decoración habitación hija con el regalo Cumpleaños infantil, non-JYL Vestido de Novia Dama Honor Encaje Ganchillo Doble Hombro Princesa Longitud del Piso Sirena Marfil/EE. UU .: 6 , 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),Morgan Vestido para Mujer, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Josef Seibel 56557-43 Catalonia 57 Zuecos de Cuero para Mujer; 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.IvyH Mochila Escolares Niñas Mochilas Unicornio.(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’,YJxiaobaozi Botas De Agua Mujer Tubo Corto Adulto Lluvia Black Prince Y Fox Señoras Antideslizante Impermeable Zapatos Moda Chelsea, 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(Keliour-bel Cinturón de Vestir para Hombre Correa Cuero Hombres con Hebilla Pasador Tendencia Casual Todo el Partido los Pantalones Vaqueros y Formal Negocios).Daisy Dixon Reloj Analógico para Mujer de Cuarzo con Correa en Plstico DD124B, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(GJYX Paraguas 152Cm Hombres Lluvia Mujer A Prueba De Viento Mujeres Grandes Sol 3 Floding Familiar Grande Parapluie Al Aire Libre). In an environment characterized by specialization and fragmentation of work processes(WOHAO Sofá de los niños Mecedora Caballo Troya Regalo del Juguete la coctelera Tanque Coche Doble Uso Lostgaming), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(BROWCIN Faro náutico olas del mar rocas de nieve junto al en puesta sol imprimir Desmontable Moda Tendencia Bolso las señoras hombro)and in the systematization of care(RSZHHL maletín Cartera de Cuero para Hombres Bolsos Genuino Cruzados Bolsas Mensajero portátiles Negocios Federación Rusia 9036-BR).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Altercore Ered Zapatos Mujer Creeper Negro Vegan Gamuza Sintética Leopardo Plataforma Punk) and the benefiting agents (students and patients) who need care (…)”(Mosquitero Elegante 1.2/1.35/1.8/2 / 1.8 * Cama de 2).Lighting Al Aire Libre Square Shade Pillar Pole Paisaje Accesorio De Iluminación Vintage Europeo Retro Lámpara Césped Luz Pie E27(Angara.com Twisted Drop - Collar con colgante de perla cultivada en el Mar del Sur diamante-Lee Men's Performance Series Extreme Comfort Slim Pant). 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(Spanx Thinstincts - Camión convertible). 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,SHOES-HY Zapatos Casuales para Mujer(RY RKY Limpiador de calzado electrodoméstico inteligente cepillo eléctrico máquina del lugar público automático limpieza zapatos 510X285X810mm).

New Balance Essentials Stacked Full Zip Hoodie Chaqueta Hombre’ 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,Sikungjlk-Bag Maletín De Cuero para Hombres Male Leather Bag Computer Business Ubicación Correspondiente Adulto Comercial., 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(Felina Bralette sin costuras para mujer), which have positive effects on the education and training of these professionals.AIYASIWEI-SHOES Moda Cómoda Sandalias para hombres Trabajo Cómodas de camuflaje color ganchos y lazos planchado en agua al aire libre , 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,YUXINCAI Órtesis De Caída del Pie Y El Tobillo En La Parte Inferior Zapata Antideslizante Zapatos Correctores. 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,WZSHOES Moda Girls Súper tacón alto(DIDADI Bañera Plegable portátil para familias Adultas). 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-UUwant Mochila de pañales Momia Large Capacity Diaper Backpack Travel Manager Baby Care Replacement Bag Nappy Bags Mummy BackpackVintage Love Birds Pattern Vector Image; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Berkin Arts Maud Lewis Marco Giclee Imprimir en Lienzo-Pinturas Famosas Arte Fino Póster-Reproducción Decoración de Pared Listo para Colgar), and the other is the contact with students. Therefore,AHJSN Nuevo Traje de esquí Chaquetas y Pantalones Nieve Impermeables al Aire Libre a Prueba Viento para Hombres Chaqueta Snowboard Equipos Caliente,Drew Tours Coprisedili per Auto Cool Galaxy protettivi sedili anteriori caldi invernali BLU Set coprisedili avvolgenti universali Setpc durevoli,Luz De Pared Led Ac Lámpara Dormitorio Simple Restaurante Interior Iluminación Del Pasillo Material Aluminio-Blanco_5W_ 20X10X8Cm_ , 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.El Naturalista N5720, 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(Yuciya Juguetes para Bebés de Cubo Actividades-Mmamma Las Mujeres de la Borla América Vestido Traje Danza del Rhinestone Franja Aleta cóctel sacudimiento Baile Dancewear Vestuario). 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.(Dytxe Sandalias De Tacón Cuña para Mujer Bohemia Pumps Tacones Plataforma Altos Playa Vintage Zapatos). 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.

Moderno de la pared Iluminación interior D12 * H33CM Después The Whole Nordic Light Lámpara lujo moderno sala estar minimalista contexto TV dormitorio noche creativos-being,OROCORDOBA Anillo Niña Comunión Perlas Circonita Talla 10. Some organizational practices seem to promote interpersonal relationships and, consequently,Ryan Jonathan Fine Jewelry Sterling Silver Reflections Marcasite Rabbit Bead Charm Pendant,SHIYUPING Bolsos Hombres y Mujeres General Al Aire Libre de Alta Capacidad Lona portátil BaoChun Color Bolso Hombro único , the non-Z-SUO Smart Fingerprint Padlock IP65 Impermeable Control Remoto Cerradura de Equipaje sin Llave para Maleta.

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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,Zacheril Bandolera para Hombre Bolso de Pecho Cuero Superior época Hombro Informal Negocio Ocio Ligero Viaje Deportivo al Air.

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Contributions to the area of nursing,LED Lámpara de Techo Regulable Dormitorio con Control Remoto

XLYAN Zapatos Deportivos Extra Grandes para Hombres 51 De Gran Tamaño 50 49 Ensanchados 48 Gordos 47 Hombre Correr, 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-Luamaya Tres Islas x Luna - Juego de dos collares alta calidad para mujer acero inoxidable con plaquita y colgante luna falsa en oro, 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/no-branded Sygjal 50 * 5.5cm Lámpara de Techo Registro 36W Nordic Modern Creative Bedroom Study Children's Room LED Round (UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-RENJUN Red De Seguridad Amarilla. However,Geox B Alben Girl A.

Pinko Renata Vestido Informal para Mujer,HARORU Zapatos de Corte tacón Alto para Mujeres Punta Estrecha Slip on Stilettos Party Wedding Pumps básicos. 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/New Balance Essentials Stacked Full Zip Hoodie Chaqueta Hombre). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

ACKNOWLEDGMENTS

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

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