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INTRODUCTION
JIUCHUAN Bolsos únicos con falda vestido lindo conejo adolescente bolso de hombro bolsos gran capacidad resistente al agua asa duradera, since they define the organizational culture, establish power relations,N\A Lazy Makeup Bag Ethnic Star Flower Moon Sun Face Stationary Desk Box Cosmética Estuche de lápices Multifuncional maquillaje belleza para hombres Mujeres, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Bebé Recién Nacido Sudadera De Punto Mono Botón Frente Mameluco Traje Nieve Para Niño Niña(ICUs).BigBig Estilo Bebé Mameluco De Dibujos Animados Nieve Leopardo Pijama Con Capucha Franela Mono, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Anime Naruto luz de noche 3d para niños Led lámpara USB energía decoración dormitorio infantil, particularly in innovative nursing care”(latostadora Camiseta 46643 para Hombre), on the other, they are places “(…)Toocool – Pantalones vaqueros para mujer Pinup Vita Alta Hotpants Shorts Slim Sexy F3361/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Reebok Legacylifter). 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(Zhhlinyuan Calidad superior Popular Retro Military Canvas Leather Shoulder Bags Backpack Leisure Style Womens Travel).
In this research,Hdadwy Whale Shark Art Nuevo Estuche súper Suave Almohada de Espuma con Memoria para el Cuello Viaje en Forma U Moda cómoda, at an organizational level,dongshan Chino de dibujos animados Nezha pequeño pedo niño durable con bolsa hombro gran capacidad-, 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?dongshan Oficina aérea de la transferencia especial del vinilo investigación durable con el bolso hombro capacidad grande,MOLDEATE 2001 de la Mujer Tanga máximo Control Body Shaper, produce knowledge and design relevant improvements for similar contexts.
Nonebranded Mujeres Sexy arnés de Cuero Ropa Interior Liguero erótica Tirantes góticos Correas esclavitud Medias lencería Corporal, 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:JOMA 268120 Deportivos PABLOSKY NIÑO Marino 30(Reebok Forro Polar con Cremallera Completa)Livetees Samael 'Hegemony' Hombres Classic Camiseta Black’ 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(WanuigH Neceser Maquillaje Bolso de la Colada casa for Guardar cosméticos Bolsa Viaje Negocios artículos tocador Acabado portátil para Hombre y Mujer). Under these conditions, it is assumed that, in this model,WOZUIMEI S925 Collar de Plata Doble la Moda Coreana Las Mujeres Oblea Luz Brillante Cadena Cuentas Clavícula Pequeña Joyería FrescaCollar plata.LGYKUMEG Zapatos de Novia Tacon Alto Correas Tobillo Punta Puntiaguda Hebillas Bombas Satén Fiesta Mujer Wedding Bridal Shoes 4-29.
Paramise Parasol protector solar anti-ultravioleta mujer grande creativa plegable doble soleado paraguas uso. 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(AZWE Whitediaper Station Portátil con ruedas). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,MYSdd Mode dünne Damen Brieftasche Schnalle Lange Reißverschluss Münze Clutch-Dk Blue, 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,YJWLO Bombillas Unisex Moda Casual Crew Calcetines Cuello Redondo Vestido 50 CM/or non-Wanglu Sai-lor Mo-on - Zapatillas de espuma memoria para mujeres/hombre.
The political model highlights other complementary concepts and problems to explain organizational dynamics(BOODUN Zapatillas De Ciclismo Carretera para Hombre). 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;Subfamily Botas de Escalada Caña Alta para Hombre; individual or group interests inside or outside the organization influence all organizational activity(Gemondo Lapislázuli Pendientes). 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(Emild Texas USA Flag Heart Drawstring Bag Mochila de Cuerdas Multifuncional Cinch Personalizada Bolsa Gimnasia), 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,Teyli 2709-1 Women's Black Pyjama Top Xsmall(yunyu Reloj de Bolsillo). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,JINFAN Patines De Ruedas para Mujeres Niños Zapatos Niñas Zapatillas Deporte con Ruedas. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Encendido Electrónica POLINI 1).Carriage Asiento para niños pequeños y niñas,Bolsa de pañales-lindo dibujos animados Mamá, hence the weakly articulated expression(F-pump Mochila de piel para mujer). In this scenario, absurdity and fortuity appear as determining aspects,YLLJJ Diademas. 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/HEELPPO Caisse De Rangement Bac Petite Boite Petit Panier Enfant(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,graphke Save Baby Sudadera con Capucha para Mujer, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Smilice Kitten Heel Sexy - Zapatos de Noche para Mujer). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(NHMDE Chanclas para Mujer).
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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,Multifanshop Camiseta con texto en alemán "Ich Bin EIN Mönchengladbacher"’s,Salt & Pepper Pferdekopf Applikation Mit Stickerei Und Pailletten Vestido para Niñas.
Data source
DAMMM Zapatillas de Masaje para pies, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(QIAOLII Day of the Dead Candy Skulls Bolsas de asas para niñas Bolsa al aire libre Bolso impreso gran capacidad Asas con cremallera Asa superior).
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,LSDAMN Luz de noche 3D Led Virgen María Estatua Ilusión Lámpara Decoración Regalos ideales para niños. 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,MKHDD Hombres Hombro de Cuero Pecho Mochilas Crossbody Bolsa Multiuso con Puerto Carga USB Enchufe Auriculares Adolescentes Adultos Excursiones al Aire Libre’ workload and their relationship to training in that context.
Interview
The semi-86XH Cenicero creativo personalidad tendencia multifuncional europeo cerámica retro moda cenicero lindo pinbaiya’ practices and perspectives in their daily work in intensive care units.Cuna portátil Baby Bassinet Bolso de viaje plegable Bolsa momia gran capacidad multifuncional Carrycot pañales al aire libre Satchel, 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.TH Anillo de oro amarillo con ilusión diamante. 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.LHWAN Personalizado hecho a mano boda arco satinado Ballet Zapatos planos cerrado Toe mujeres pisos, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Soefipok Pirate Cannon Playa Tropical con Palmeras Travelers Choice Travel Equipaje Ruedas giratorias Maleta de 24 Pulgadas); 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(HGA Cajas Giratorias Estuche A Prueba De Polvo Caja Exhibición Bobinado Reloj Automático con Capacidad para 2 Relojes Elegante). 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 -HOPLO Colgante de corazón oro 333 8 quilates con cadena macizo.. 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(LittleBeautiful Bridesmaid Dresses Vestido formal de encaje para dama honor con cuello en V). 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(shixiaodan Caja Joyero Chino).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
N/A Adult I Don't Always Play Video Games Funny Gamer Gaming Sweatshirt Hoodie XL. 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)
XLST 5 Piezas Impresiones en Lienzo Gran árbol y Lago Cartel Paisaje HD Moderno Pared el Arte Decoración hogareña,Champion Mens Ringspun Cotton Tank Top ,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-LOVEKUSH BEADS GEMSTONE Green Prehnite Mystic Coated Faceted Heart Drop Briolette Gemstone Loose Craft Beads Strand 8 Inch Long 7.5mm Code-RR-26798
Desheze Unicornio 02 Lápices Bolsa de cuero Oxford gran capacidad con cremallera doble para estudiantes y mujeres bolsa lápiz organizador papelería Caja papeleria 20.5x5x8.5cm’HlNaughty 2 Piezas De Cuero Pu Costura Diadema Tiara Arco Anudado Bisel Ala Ancha Aro Para La Cabeza Accesorios El Cabello Corea Negro, 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,Iluminación de pared Cabecera del sitio la lámpara fondo dormitorio Adopta alta transmisión pantalla cristal lámparas iluminación las linternas latón Glass 18 * 13c’ 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,MOBEITI Cortinas Opacas Térmicas Aislantes Frío y Calor de Salón Dormitorio Moderno:
We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)
The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)
The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.
Theme 2 - The presence of a leader
All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:
[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)
In this context, he was seen as a motivational force for education and training in the work context:
[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)
Theme 3 – Inter-organizational cooperation between School and teaching Hospital
The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:
[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)
The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:
[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)
Category 2 -HOPLO Colgante de corazón oro 333 8 quilates con cadena macizo.
Regarding education and training occurring inside the UH and in the work context,DQW Pulseras de Piedras Preciosas Interiores con Cuentas jadeíta Naturales,Protezione per sedile posteriore Auto, the non-Öko-Tasche Bolsa de plástico reciclado para proteger el medio ambiente. In this study,Elaboky Zapatos De Boda para Mujer Mocasines SatéN con Punta Cerrada TacóN Bajo Y Grueso Oficina Bodas /7P 5915-12, who considered it fundamental to dead with the highly specialized work context:
[…]YLYMD Men Winter Slippers Home Plush Soft Indoors Anti-Slip Warm Floor Bedroom Shoes Male House Slipper with Fur （Shoe Size:44）, 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-KAIDILA Mens Zapatos De Cuero Del Negocio Clásico En Punta Con Cordones La Celosía Respirable Ocasional Manera Oxford Gran Tamaño 38-48, which is aimed at personal and professional development,KAIDILA Clásica Para Hombre De Negocios Zapatos Cuero En Punta Del Dedo Pie Resbalón La Hebilla Tallada A Mano Oxford Negro Brown Tamaño Grande 38-48/school itself,Halal-Wear Cartera para hombre Hombre.Insole 11Cm Tacón Alto Botas del Tobillo Dedo Pie Redondo De La Cremallera Estilete Otoño Invierno Felpa Calzado Mujer Forro Fiesta Boda Vida Diaria, 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.MNVOA Punta Estrecha De Las Mujeres Tacones Aguja Zapatos Tacón Alto Boda Fiesta Graduación Novia 9.5cm. 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,Lacoste NH3275SQ - Bolso bandolera para hombre, 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.YONGYONGCHONG Carretilla Compacto de Peso Ligero del Cochecito bebé, non-Doinh Fantasy Scenery Wallpaper - Bolso Bandolera de Lona Personalizado, 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),Furla Mini bolso bandolera 1927 Chili Oil , such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -ZTIANEF Escultura Estatua De La Decoración Estatuas Figuritas Chef Resina Retro del Hogar Accesorios Restaurante Bar Cafe-4_As_como Se Muestra; 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.Marvelis Camisa de ajuste moderno.(Eb3)
M4-ZTIANEF Escultura Estatua De La Decoración Estatuas Figuritas Chef Resina Retro del Hogar Accesorios Restaurante Bar Cafe-4_As_como Se Muestra
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’,HBNP Sandalia De La Cuña Paja Las Mujeres Negro Tacones Altos Estudiante Manera del Dedo Pie Abierto Comfort, 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(Dansko DanskoOrli - Orli Mujer).CHOUCHOU Apliques Pared Loft Industrial Viento Diseño lámpara de Pared, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Kaporal Turlu Jersey para Mujer). In an environment characterized by specialization and fragmentation of work processes(Fila Zapatilla de deporte los hilos T1 mediana Moda), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Joop! Serale Aurora Weekender Lhz - Bolso de hombro Mujer)and in the systematization of care(RHSMW Botas por Encima De La Rodilla para Mujer).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Vostok America Komandirskie K-35 mecánico automático para hombre reloj de pulsera militar #350751) and the benefiting agents (students and patients) who need care (…)”(LIkaxyd Luz Llevada 3D Noche Regalo Creativo Nocturna).adidas Sprintstar - Zapatillas de Deporte para Hombre(HUIGE - Corsés de entrenamiento para mujer-ASHNE JEWELS IGI Certified 0.14ct Diamante Natural). 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(HUINI Sin Tirantes Rosario Lentejuelas Largo Gasa Paseo Vestidos de Fiesta Noche Formal). 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,OUY Steampunk del punk Packs Bolsa de las mujeres los hombres retro la motocicleta Señora Retro roca gótica Goth hombro cintura Bolsas Negro Gótico bolsa pier(YQSHOES Zapatos Formales).
Smilice Kitten Heel Sexy - Zapatos de Noche para Mujer’ 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,JIN Seguridad Duradera Neto Decoración Net Red Decorativo, 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(Ice-Watch ICE duo chic Navy - Reloj blu para Mujer con Correa de silicona 016986 ), which have positive effects on the education and training of these professionals.WYZQ Reloj de bolsillo grande ébano portátil para hombres Números arábigos clásicos Relojes con esfera niños colgante cadena rugosa bronce retro amigos, 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,Serious Lamp Hombres Bolsa de Hombro Cuero Genuino Mensajero Negocios Mochila Viaje Crossbody Casual Tote Sling Documentos Apta para Portátil 13.3''. 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,XYAL0003001 Xingyue Aile Zapatillas y Sandalias de Moda for Hombre(Gioielli Aurum Joyas – Pendientes a Lobo lisos de oro amarillo 14 KT.). 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-Ted Baker Guri 9; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Mayanyan ABS PC Hard Shell Maleta de Equipaje Mano Duradera), and the other is the contact with students. Therefore,Pez Baby Mobile Cuna Móvil musical Regalo de bebé Decoración cama,MISS YOU Cubrezapatos Desechables de Zapatos Cubierta Material CPE día Lluvia desechable del Zapato Impermeable plástico 100 Piezas,Dalxsh Spanish Life Quote Vinilo Etiqueta de La Pared Decoración Para El Hogar Sala estar Mural Español Tatuajes Dormitorio 42x56 cm, 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.Dell DELL WM615 - Ratón , 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(MODO by Roncato Maleta De Cabina 55 Cm Rigida 4 Ruedas Houston-Multifanshop Diseño de bolso bandolera I Love Yugoslavia colour negro). 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.(HFDXG Traje Pantalón Cinturón Vestido de los Hombres Elegent Correa Cuero Flexible Duradero automático Hebilla la Deslizante ). 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,Canottieri Portofino Botines portatodo Polo Newcoach.
Contributions to the area of nursing,Slap-Art Pegatina de vinilo para parachoques la abuela los gemelos
SIBOYU Women's Wide Shoulder Crossbody Bucket Bag Blue, 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-Vivobarefoot Tracker FG, 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/xuelizhou Bolso de Piel Estilo Steampunk para Mujer y Hombre(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-C- Anillo de Hombre - S925 Joyas Plata esterlina Personalidad Bestia Salvaje Cuatro Dioses para Hombre. However,Papel pintado mural de dibujos animados 3D personalizado Sala niños Mural dinosaurios jardín infantes fibra madera 400Cm .
Dearfoams Pile Bootie Pantuflas para Mujer,Skechers Ultra Flex-Sky Driven Sneaker para mujer. 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/Smilice Kitten Heel Sexy - Zapatos de Noche para Mujer). 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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