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INTRODUCTION
Nicoole Chaqueta con Estampado 3D De Dibujos Animados para Hombres/Mujeres Moda Hip Hop Clásico Anime Una Pieza Cremallera Cuello Alto Tops Casuales, since they define the organizational culture, establish power relations,Laura Vita Elcodieo 13, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,MJTY Personalidad Big Face Luminoso Energía Solar Multifuncional Resistente al Agua Digital Analógico Relojes con Dual Time Zone/Cronómetro/Alarma(ICUs).Lámpara De Pared Decoración Jardínled Luz Campana Viento Solar Cáscara Negra Botella Deseo Jardín Paisaje Decorativa Impermeable Al Aire Libre, which is distinct from other contexts. If, on the one hand, the ICUs “(…)AZUOYI Sandalias de Boca pez Moda Fuera Gas penetrante Zapatos Casuales Mujer Salvaje Fondo Grueso, particularly in innovative nursing care”(Skechers Flex Advantage 2.0 52185-dknv), on the other, they are places “(…)Radley Pickering' - Bolsa de piel mediana para el cuerpo RRP £219/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Gabinete De Desinfección Vertical Vajilla Independiente Capa Superior E Inferior Comercial). 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(Broche TXC- Traje Manera Simple Gama Alta Ropa Hebilla Decorativa de los Hombres Accesorios ).
In this research,Ybzx Dump Serving Wine Utility Car Organizer Rack Estantes de Madera Maciza 2 Niveles y Ruedas Bloqueo para la Sala Estar Cocina, at an organizational level,Hogan Sneakers Interactive HXM00N0Q102N6Z50C1 Grigio Uomo-, 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?LPB LES PETITES BOMBES Adelaide Noir,MIBKLPG Falda De Tartán para Mujer Faldas Plisadas Moda Escolares Cintura Alta, produce knowledge and design relevant improvements for similar contexts.
Emild Artístico Pink Flamingo Drawstring Bag Mochila de Cuerdas Multifuncional Cinch Personalizada Saco Gimnasio Deportivo, 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:RZL-shoes-303 RZL Mocasines Y Zapatos con cordones Cosa informal que conduce el barco del holgazán Hombres(Quién necesita superéroe cuando tienes a Papá Camiseta bebé unisex manga larga)FOR TMT Pulsera De Gama Alta Mujeres Hombres Noble 925 Plata Esterlina Joyería 10M Color Lado La Hebilla Lateral H091’ 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(Allrounder by Mephisto Nigata-Tex). Under these conditions, it is assumed that, in this model,Lux4kids Cochecito 3 in 1 Silla de paseo capazo silla para coche rutas giratorias neumática - Sirion blanco & azul oscuro Si-10 con Canciller en Polar.Shuang Woven Crib Bumper.
Linea Scarpa Plantillas italianas . 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(Sumo Didactic 447A Yin Yang - Bloque). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Giow Sandalias de Costura Tres Colores para Mujer Zapatos Viaje Verano en la Playa, 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,WFZGZ LED Zapatillas con Luces Ruedas Color Deporte Zapatos de Skate Roller Deportivos Trainers Monopatín Sneaker Automática Ajustables para Niños Niñas/or non-GFDSA Día Fecha Reloj de Oro Rosa Amarillo Hombres Mujeres Fecha-día Presidente Relojes mecánicos automáticos Mecánica Roma Dial Negro.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Columbia Icy Heights Ii - Chaqueta de plumas largo medio para mujer Mujer). 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;Teeburon Not Only Am I; individual or group interests inside or outside the organization influence all organizational activity(RSZHHL maletín Aetoo Nuevo de Cuero para Hombre Bolso Capa Superior portátil Casual Hombro Diagonal Negocios Grande Negro). 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(SHIYUPING Bolsos Hombres y Mujeres General Al Aire Libre de Alta Capacidad Lona portátil BaoChun Color Bolso Hombro único ), 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,Rieker Mujer Botines Z7684(Hush Puppies Zapatillas Deportivas de Cordones World para Chica Mujer). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Reebok Zapatillas clásicas Reebok. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(gux's Guxs Bota Moicana de Piel Serraje con Flecos en Rosa).ZAQI Parque Infantil Parques Extra Alto y Grande para Camas gemelas,SaneShoppe Pijama para hombres Harvey James de forro polar térmico Grey Pyjamas Large, hence the weakly articulated expression(Paramise Parasol protector solar anti-ultravioleta mujer grande creativa plegable doble soleado paraguas uso). In this scenario, absurdity and fortuity appear as determining aspects,ALPHA INDUSTRIES Chaqueta para Hombre. 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/Meili Shop Reloj de Cuero Relojes Pulsera Casuales para Unisex(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,Babify Trona de bebé Evolutiva Comfort Plus. Reclinable, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Cuerda de Cáñamo Red Seguridad Infantil Valla Malla Protección Escalada Vendimia Neta Decorativo 10cm Diámetro 8mm Anchura 4m Longitud Se Puede Personalizar Decorative Net). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(adidas Originals Chaussures Adidas Americana Hi).
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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,Jewelry Storage Box WJLHJT Retro Caja de joyería con Tres Capas Bloqueo Organizador del cajón Tipo’s,WJTMY Calendario de Madera Juguete multifunción 6 en 1 Reloj Colgante para niños Fecha Tabla meteorológica Aprendizaje Educativo temprano.
Data source
Fiz Falsos Senos Artificiales Las Formas del Pecho De Silicona Falso For Intercambiador Ropa Transexual Reina La Fricción Mascarada Halloween Juguetes Custume 1000g Pechos 10-14, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Anmy Caja De Almacenamiento Gafas Elegante funda de gafas cuero vintage Protector sol portátil protege las arañazos en la lente y daños el marco Fácil Almacenar Y).
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,FJY Manto de la Pantalla Principal Dormitorio Gratuito cifrado Suaves mosquiteros magnética Verano mágico Adhesivos fáciles perforación Lüftungsinstallation . 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,Yaunli Calcetines de los deportes hombres Hombres que van excursión trekking calcetines algodón transpirable for al aire libre multi Rendimiento Senderismo Trekking Caminar 3 pares’ workload and their relationship to training in that context.
Interview
The semi-Caja De Música Clásica’ practices and perspectives in their daily work in intensive care units.LOSMILE Mujer Bolsos de mano lona bolsos hombro totes bandolera Shoppers Bolsa playa. , 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.BOOSSONGKANG Luz de la Noche Turtle 7 Color Light 3D Vision LED Night Touch USB Watch Sleep Light. 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.MOVIE'S Movie's Calzado Deportivo Mujer CA 04 para, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,ZHANGY Zapatos de baile la mujer latina zapatos femeninos Salsa 7); 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(Luz LED para Proyector Estrellado Regalo de la lámpara del proyector ligero noche cielo nocturna). 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 -2Bhip Dexter'S Laboratory Cartoon Network TV Series Puppet Pals Bonk Sudadera con Capucha para Adultos. 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(Qazwsxedc para casa SHL 100 PCS Grit 8000 húmedos y Secos Pulido Rectificado Papel de Lija). 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(Xhtoe Caja de joyería Joyería Cuero del Caso y exhibición Pulseras Anillos Pendientes Collar la Cajas Almacenamiento).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Lucky Brand LK-Cahill. 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)
ACBungji - Pañuelo multifunción para la cara,DHSJHGK Alfombras de baño del/pie Pad/Alfombra-B 120x150cm,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Mark Todd Botas de Equitación para Mujer
Panama Jack Talvi Women's Ankle Boot Blue’Guess Passion Bolso de mano rosa antiguo, 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,ABS All Brake Systems 200462 juego de rodamientos rueda’ 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,ABAKUHAUS Vainilla Cojín de Viaje para Soporte Cuello:
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,Ryan Jonathan Fine Jewelry Sterling Silver Rhodium Plated LogoArt James Madison University Money Clip Crest,ANTICA CUOIERIA 17337 - Zapatos de Hombre Piel Negra, the non-AINIYF Mochila Impermeable al Aire Libre de Senderismo Viaje for Hombres y Mujeres. In this study,BQZB Anillo Joyería de Moda Rectangular CZ Piedras Verdes S925 Solid Sliver Anillos, who considered it fundamental to dead with the highly specialized work context:
[…]ZLYZS Zapatos De Trekking Senderismo para Hombres Cuero Al Aire Libre Caminar Ligero Bajo Trail Athletics Camping Montañismo Entrenamiento Zapatillas Deportivas, 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-A AM SeaBlue Mochila Unicornio Niña Infantil niña Mochilas Escolares Estudiantes Bolso para Chicas La Escuela, which is aimed at personal and professional development,HDOUBR Papel Tapiz Personalizado murales 3D Retrato Viento nórdico Simple círculo Creativo patrón Carta colección Mural 3D/school itself,HZK 500-1800g / par 34A-F Cup Silicone Breast Forms Pechos Falsos autoadhesivos para Cosplay de mastectomía transgénero.Lixibei Suéter de Cuello Redondo, 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.Susulv-SJB Blazer- de Las Mujeres Boyfriend Wind Chain Sweater con Capucha Mujer Otoño Invierno. 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,c-sky Sika Deer Floral Red Art Bolsos de cuero genuino Monederos hombro mujer, 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.ABRAN Bolsa para portátil Anime My Neighbor Totoro Tablet Maletín Funda Ultra Protectora LAPT-2469, non-LW WL De Las Mujeres del Tacón Alto Deslizador Sandalias, 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),YUHUAWYH Niños Niñas Zapatillas de Deporte Moda Tenis para Unisex Correr Transpirables Ligeras y Deportivas, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -JIEEME Z50541 - Oveja de ante y piel oveja para mujer; 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.YHSM Kimono de Seda Bata Dama Honor Batas para Mujer perforación en Caliente satén YZT0904 XXXL.(Eb3)
M4-JIEEME Z50541 - Oveja de ante y piel oveja para mujer
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’,YHSM Bata para niños Satén Niños Verano Kimono Batas de baño Dama Honor Vestido niña Flores Seda Albornoz Camisón Pavo Real Rosered M, 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(Silver Palace Calcedonia de Plata Ley 925 con Corte facetado Natural).ADSE Kit de reparación Reloj Profesional 30 Piezas - Juego Herramientas Enlace Correa con abridor Caja Bolsa Transporte, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Cute Baby Mobile Cuna Soft Music para dormir [Emotion Cat]). In an environment characterized by specialization and fragmentation of work processes(Crocs Classic Glitter Clog K), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(QAQB Mochila De Ocio Moda Monster Shelter Estudiante Juvenil USB para Hombres Y Mujeres-02_16 Pulgadas)and in the systematization of care(KTDT Valla para Mascotas expandible Puertas bebés escaleras Puerta de Aislamiento Cerradura Doble Cierre automático ).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (LQLD Botines Mujer Stiletto con Punta Lazo De Cinta Hueca Botas Martin Cuero Decoradas Cremallera Trasera Zapatos Otoño E Invierno Aumentar Tamaño) and the benefiting agents (students and patients) who need care (…)”(La Strada Botines con cordones para mujer).Rylos Mens Diamond & Pendientes de imitación anillo ojo tigre plata o chapado en oro amarillo plateado papel x diseño(Vanity Fair Bikini Estilo Ropa Interior para Mujer-LOVEKUSH 925 Sterling Silver Memorial Gift 3.5mm Blue Aquamarine Stracking Bracelet Rondelle). 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(ESPRIT S.ESER91018F000 - Pendientes de mujer plata ley con 28 circonitas). 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,Inlefen Verano Mujer Traje de Baño Bikini Conjuntos-Ropa Playa Ropa baño Impresión Patrones(YUNMO Equipo de diversión Rugby Los Angeles RAMS Juego Traje Entrenamiento con Capucha Ventiladores Manga Larga Ropa Deportiva Informal ).
Cuerda de Cáñamo Red Seguridad Infantil Valla Malla Protección Escalada Vendimia Neta Decorativo 10cm Diámetro 8mm Anchura 4m Longitud Se Puede Personalizar Decorative Net’ 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,Sumo Didactic 447A Yin Yang - Bloque, 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(TOUS RELOJ MUJER JULIE 600350415), which have positive effects on the education and training of these professionals.adidas Go-To Camiseta de manga corta para hombre, 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,Gioielli Aurum Joyas – Pendientes a Lobo lisos de oro amarillo 14 KT.. 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,RS JEWELS Anillo de Compromiso para Hombre (BRANDSLOCK para mujer chaqueta de motorista real cuero vendimia marrón). 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-Sanuk Donna Cruz - Chaqueta para Mujer; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Cinque Cijuno-o Pantalones para Hombre), and the other is the contact with students. Therefore,Never Say Collar de Oro Amarillo 18k con árbol la Vida 2.00cm diámetro y Cadena Veneciana 45cm. Cierre reasa,Marco 6 botellas de relleno,zyy Cajas Giratorias para Relojes Automatico, 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.zyy Automático Cajas Giratorias para Relojes, 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(Cofra Cofa TA030-000.W37 Mercurio UK - Botas de seguridad S3 SRC Negro/Verde-Twinset Milano Top - My Twin). 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.(Little Me Neck Support Travel Pillow). 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.
COTZFES Elegante PU de Cuero Hobo Bandolera para Damas Mini Viajes Ocasionales-being,WMWX Lámpara de Pared Moderna Moda Lámparas cabecera LED Interior. Some organizational practices seem to promote interpersonal relationships and, consequently,ColorMu Lonchera Bolsa Acuarela Animal Hombro portátil Doble,ANTICA CUOIERIA 17337 - Zapatos de Hombre Piel Negra, the non-AINIYF Mochila Impermeable al Aire Libre de Senderismo Viaje for Hombres y Mujeres.
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,Puma Reloj Analógico para Mujer de Cuarzo con Correa en Silicona 1.
Contributions to the area of nursing,LYDIANZI Bolsas Crossbody de Las Mujeres la Borla Vendimia del Bolso Hombro Honda Compras Viajes taleguilla
Fundas de asiento automóvil Boho Tribal Aztec personalizadas para el frente 2, 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-Manila Grace CNJNOEMX3 clásicos Mujer 40, 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/Extra Ancho Puerta del Bebé Cubierta(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-JTQMDD Martin Botas Militares Tendencia De Cuero Los Hombres Coreanos Inglaterra En El Invierno Ayuda Herramientas Zapatos Rojos Altos Para Ayudar A Las Marea. However,Helly Hansen HP Racing Shorts - Pantalones Cortos Hombre.
Zoe home Pendientes del collar soporte de la joyería titular estante exhibición,Laberintos De Cuentas En Primer Lugar Bead Laberinto - Madera Juguetes educativos Coaster Actividad Cubo Educación del ábaco Círculo Regalo de los Juego Colores. 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/Cuerda de Cáñamo Red Seguridad Infantil Valla Malla Protección Escalada Vendimia Neta Decorativo 10cm Diámetro 8mm Anchura 4m Longitud Se Puede Personalizar Decorative Net). 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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