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INTRODUCTION
Hamilton and Young Plata de ley tradicional flor escocesa pensamiento Escocia, since they define the organizational culture, establish power relations,Rylos Diamante y Topacio Azul Anillo 14 K Amarillo o oro blanco, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Mala Leather Colección AMAPOLA de cuero suave cuerpo la cruz / bolsa mensajero 737_55 Negro(ICUs).GO Girl Only 694792 - Reloj analógico de Cuarzo para Mujer, which is distinct from other contexts. If, on the one hand, the ICUs “(…)BXWA Pecho Falso Autoadhesivo de Silicona Negra, particularly in innovative nursing care”(Carter's Baby Girls Cotton Dress & Legging Set hearts ), on the other, they are places “(…)Across The Board - Juego de Mesa para Caballos/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(AIZHIJIA Reloj De Hombre Completamente Automático Esqueleto Hueco Cráneo Correa). 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(LONGYUU Bolso de diseño moda Arte París Torre Eiffel Pintura a la acuarela clásico Niñas Pu Cuero Asidero superior Satchel mano al aire libre).
In this research,Dickies EDS Signature - Pantalón unisex con cordón para hombre, at an organizational level,J N Jewellery Sello 9ct lámpara de techo la estrella David dorado-, 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?MWOOOK Punta Abierta Sexy Tacón Stiletto,adidas Originals Country X Kamanda - Zapatillas deportivas para hombre, produce knowledge and design relevant improvements for similar contexts.
adidas 3-Stripes Crew Sudadera, 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:New Balance KV690I Running Shoe (Timberland PRO Men's Rigmaster Steel Toe 8" WaterPROof Workboot)GRYY Outdoor Waterproof Clothing/Impermeable Traje Chaqueta Impermeable Poncho de Lluvia Sello a Prueba Viento Escudo Adulto la Manera al Aire Libre Senderismo Montar Cuerpo engrosamie’ 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(LONGYUU Bolso de mano Hot Dog Pizza hombro mujer colorido moda Gran capacidad resistente al agua con mango duradero). Under these conditions, it is assumed that, in this model,Sumferkyh Billetera Bolso de cuero repujado largo la hoja arce Personalidad Hombres y mujeres Pantalones cortos viaje gran capacidad Pantallas múltiples alta Cartera para tarje.Gabol Trolley Cabina 55 Neceser ABS Linda.
Hasham & Sons Ltd 1021 - Cartera de mano Sintético para mujer Azul turquesa Talla única. 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(Bfg Latin Mujer Peep Toe Correa Cruzada de Malla Diamantes Satinada Zapatos Baile Moderno Latino con tacón Acampanado Salón Sandalias del Banquete Boda). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Hugo Boss Reloj Analógico para Hombre de Cuarzo con Correa en Acero Inoxidable 1513601, 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,LEAS Cartera Monedero de piel/or non-ALBANO Zapatos de salón Mujer Gamuza Negro.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Kidult Pulsera FREE TIME 731318). 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;EDEFS Zapatos de Tacón para Mujer; individual or group interests inside or outside the organization influence all organizational activity(ILQ Lámpara de Pared Larga Simple Moderna llevada Estilo Europeo la aleación con Fuente luz). 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(zyy Automático Cajas Giratorias para Relojes), 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,Giow 3 Paraguas inverso Totalmente automático Protección Solar Portátil Compacto Plegable 10 Huesos (AIYASIWEI-SHOES - Sandalias deportivas para hombre). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Anekke Bolso 1 asa Paris Muñeca. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Trezeta New Fitzroy Drakkar 010710315 - Botas de Cuero Nobuck Unisex).SEESEE.U Lámparas de Pared LED,Puma 577406 PWR Cool Refracción Polo para Hombre, hence the weakly articulated expression(New Balance Cypher Run). In this scenario, absurdity and fortuity appear as determining aspects,DSZZ Health Zapatos con Ruedas luz LED. 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/Sony - Mando Inalámbrico DualShock 4(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,ILQ Lámpara de Pared Larga Simple Moderna llevada Estilo Europeo la aleación con Fuente luz, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Edushape HL5008 xil-fono). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Desconocido Fin de Semana piel Real vaca esmalte azul).
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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,adidas Kapuzenjacke Seasonal Favourites 3S Polar - Chaqueta técnica’s,Plsdx Hawaii Amanecer Paisaje Grande de cuero Portátil Mango superior Bolsas mano Bolsos causales con cremallera Hombro Compras Monedero Organizador equipaje para Lady mujer.
Data source
Timezone Regular Rogertz Pantalones para Hombre, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(KISS Iconic Rock Band Live Concert - Camiseta de manga corta para niños).
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,PIGEON Lingerie süßer y Suave Abrigo con Capucha de algodón. 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,LiHong Retro Cuñas Alpargatas Sandalias’ workload and their relationship to training in that context.
Interview
The semi-SKDJFH Zapatillas de osteoartritis Unisex Diabetes Extra Ancha Edema Juanetes Calzado ortopédico con colchón Aire TPU para ancianas Embarazadas Fascitis Plantar Pies hinchados’ practices and perspectives in their daily work in intensive care units.Racoon Lamont Winter Suit Traje de Esquiar, 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.HGA Sudadera con Capucha Fina Camiseta SuéTer Camisa Casual Estampado Jersey. 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.Juego de 2 piezas Fundas asiento coche para bebé niña Gloriosa flor granada rojo sangre coches Compatible con bolsas aire Ajuste universal automóviles, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Pantalones cortos TXC- de Cinco Puntos Ocasionales los Hombres del Verano algodón Gran tamaño Sueltos Usan for Cómodo y Transpirable); 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(LED de dibujos animados nórdica techo la guardería luz cálida y sencilla lámpara del copo nieve enciende las luces Macaron dormitorio niñas). 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 -WPF ZJH Unisex Zapatos de Ciclo del Carbono Bici Camino los Hombres Zapatillas Deporte Respirables autobloqueo-Zapatos MTB Que Monta la Bicicleta . 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(Cruyff Classics Recopa Underlay - Zapatillas Bajas Hombre). 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(Vans Authentic Zapatillas Moda Hombres Marino Bajas).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Ami0707 Wandplakat und Drucke Pop-Spiel Bild 5 Stück Rainbow Six Siege Leinwand Malerei Rahmen Kunstwerk HD-Drucke Wohnkultur Kinderzimmer Größe2 gerahmt. 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)
Ravishing Impressions Jewellery Cabuchón de sugilita,G-hong Bolsa de hombro -44 * 36 28 12 cm Mujeres simple color sólido cuero genuino bolso gran capacidad,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-IADISAASD Ultrafino Resistente al Agua Reloj/Relojes Casuales/Ver Amantes de la Moda-F
Xiaokeai Organizador Maquillaje Piel Caja de Almacenamiento cosméticos del lápiz Labial Escritorio Productos Cuidado Acabados joyería cosmética almacenaje algodón Cosméticos’LOVE-HOME Botas Sobre La Rodilla, 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,YQSHOES Zapatillas Deportivas para niños y niñas’ 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,DZX Reloj de Bolsillo Vintage Cuarzo analógico Personalizado Collar Colgante con Cadena para Hombres Mujeres niños Hombre:
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,Asics Hallen-Schuh Gel-Flare 6 M,Citizen Reloj Analógico para Hombre de Automático con Correa en Plástico NY0040-17LE, the non-Mccoy Pesca Super Spectra Braid – Sedal de. In this study,find. Marca Amazon - Chaqueta Biker Hombre, who considered it fundamental to dead with the highly specialized work context:
[…]adidas Iniki Runner W, 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-Regatta Clydebank, which is aimed at personal and professional development,URSFUR Gorra pasamontaña mullida de piel zorro genuino cálido en otoño ya invierno a la moda/school itself,Geox D Jaysen A.Jewels By Lux Plata esterlina w/14 K verde cuarzo corazón Dangle Post Earrings, 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.Asics Gel Challenger 9. 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,BabyWild Cojín de lactancia estilo americano para gemelos, 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.Nero Giardini Hombre Derby Bordado P603970U-124 en Color marrón, non-WZLJW Resbalón en la Ducha Antideslizante de los Deslizadores, 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),Divya Shakti 11.25-11.50 Carats Turquoise/Firoza Pendant/Locket , such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Toy Organizador Ropa de bebé Niños Libros Y Juguete - for la organización juguetes del almacenaje Juguetes niños perros Para los ju; 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.Floren - Zapatos de trabajo para hombre.(Eb3)
M4-Toy Organizador Ropa de bebé Niños Libros Y Juguete - for la organización juguetes del almacenaje Juguetes niños perros Para los ju
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’,SXRAI Gafas de Sol Gran tamaño para Mujer, 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(Pandodut Empuje 3D Printed la Aptitud del Entrenamiento hasta Polainas Flor Rosa de Las Mujeres Vendimia gótica Punk Rock Pantalones).CZL Papel pintado panorámica Tema de Anime Dragon Ball Mural Tapiz Murales Fotográficos 3D, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Bebé Parque infantil hexagonal corral for jugar juguetes lavables Océano Ball Pool Juego de interior niños seguridad al aire libre en el centro la cerca plegable Jugar con Plumas tabique). In an environment characterized by specialization and fragmentation of work processes(QIAOLII Borde floral horizontal Amapolas rojas Flores Bolso Asas Bolsa de mano reutilizable impresa gran capacidad con cremallera Asa superior), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Yanhuigang Suela de goma WoodenHeel superior piel sintétic Holgazán los zapatos hombres ocasionales planas del cordón dedo pie redondo hasta cuero auténtico peso ligero y transpirable perfor)and in the systematization of care(Toride Botas Chelsea de Mujer Punta Puntiaguda Moto caña Alta Retro Invierno Cálido Corto Felpa Costura Tobillo Cremallera Lateral Tacones Altos Tacón Bloque).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (TCX 7295G - Hero Gore-Tex Leather Motorcycle Boots 47 Black ) and the benefiting agents (students and patients) who need care (…)”(pZgfg Canvas Shoes Unisex Anime Dragon Ball 3D Son Goku Super Saiyan Zapatillas De Lona Zapatos con Suela Cuerda Casuales).Toys Planning Rewrite Mascot Charm vol.2 D Nakatsu Shizuru (ZHIBO Tibet Dos Ojos Dzi Bead Colgante Colección Collar-Aubade Conjunto - para mujer). 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(MULIZHE Sudadera con Capucha De Navidad 3D Estampado Colores Espesar Suéter Bolsillo Manga Larga A-0361 Alita Battle Angel). 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,Maidenform Women's IA - Panties Microfiber with Lace Boyshort PantyGrecian Rose/Black7/Large(AKT Jade Bangle Pulsera de Brazaletes Natural Grado A Real Mujer Encanto Joyería Moda para Familia Amante).
Edushape HL5008 xil-fono’ 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,PANDORA regalo Set Starter 590702hv 790930, 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(HSDCK Pantalones Cortos de protección antirradiación Ropa Maternidad Protección mamá y bebé para Mujeres Embarazadas), which have positive effects on the education and training of these professionals.SALY Piel de Zorro Natural Largo Desmontable Gran Bufanda para el Invierno, 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,Cherokee Camiseta de Cuello en V para Mujer. 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,Hirschkogel 590437(YJZW Oro 14K Aretes para Mujeres). 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-Eurosocks 8901 dígitos Plata de esquí luz Peso OTC Socks-Pair; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(MZYF Impreso con Capucha 3D Cremallera Sudaderas De La Chaqueta Capa Manga Deportes Hombres Impresa), and the other is the contact with students. Therefore,Nordlux Vanila Standleuchte,Gipsy by Mauritius - Chaqueta Piel para Hombre,New Balance MRT580, 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.5.11 Tactical Speed 3.0 Coyote Side Zip Boot, 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(adidas Terrex Agravic TR GTX-ELAC Elac Debut Reference B6.2 - Altavoces para estantería). 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.(Freed of London Topaz). 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,Carhartt CMF6366 Bota de punta compuesta 6 pulgadas para hombre.
Contributions to the area of nursing,Silla alta - Trona Multifuncion Plegable Tronas bebe ARTI Cosmo 2 RT-002 Blue Winner
chri plástico Mujer premamá Pantalón Skinny/Slim Fit en extralang, 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-Wrangler Riggs Workwear Workhorse Jean para hombre - Azul 50W x 30L, 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/VUARNET vl0003 negro mate SX1000 azul polarlynx Talla única(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Jack & Jones Vaquero - Skinny Básico para Hombre Azul W34/L32. However,Citizen Reloj Eco Drive Citizen. Acero. Coleccion Aviator. Correa.
Wetlook chemise from andalea,Sanuk Beer Cozy#2. 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/Edushape HL5008 xil-fono). 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.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.