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INTRODUCTION
CN-WSC Bragas de Silicona Completa Glúteos Caderas Moldear y Mejorar el Cuerpo Acolchado extendida bragasM/4500G, since they define the organizational culture, establish power relations,Nologo Trajes de baño IBHT M-6XL for hombre Bañador natación del traje los hombres más el tamaño la playa desgaste pantalones cortos las Ber, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Centenarios Zapatos Deportivos for Hombres Atan Arriba Estilo OX Simple de Piel Color Puro elástico cómodo bajo Top (ICUs).Schöffel Val D Isere K RT - Chaqueta de Forro Polar con Capucha para niño, which is distinct from other contexts. If, on the one hand, the ICUs “(…)O'NEILL O 'Neill n01470 Sudadera para niño, particularly in innovative nursing care”(Teeburon Not Only Am I), on the other, they are places “(…)Sanuk Sanuk1095551 - acera Hombre/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Unique Custom Flamingo Leaves Monstera Women Trifold Wallet Long Purse Credit Card Holder Case Bolso). 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(De Bussy Pulsera Virgen del Rocio en Plata de Ley®).
In this research,Dolomite Chaqueta Cinquantaquattro Karakorum M1, at an organizational level,Under Armour Tech 6" Novelty - 1 Pack Ropa Interior Hombre-, 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?LULUVicky-UB Cinturón con tachas Cool Steampunk Remaches Diseño Vintage Punk Style Jeans Unisex Negro Marrón Amarillo Cinturones Rock Para Hombres Mujeres ,KAIJ Sombrilla Sun Protection UV Ms. Pure Art Lámpara Plegable Mini , produce knowledge and design relevant improvements for similar contexts.
Barandilla para Mascotas Presión Fit Seguridad Puerta de Metal Soportes 78cm Altura Ancho Opcional 60-265.9cm del bebé for Extra con Posibilidad ampliación, 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:ETHNIC EMPORIUM Red de Lehenga chulí Verde Pura Seda para Mujer Ghagra(New Balance Essentials Stacked Full Zip Hoodie Chaqueta Hombre)Fedon 1919 - Georgia Bolso de Mano WB1930005 ’ 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(Luz nocturna 3D para niños). Under these conditions, it is assumed that, in this model,Reell Reflex Women LW Loose Chino - Pantalón con cintura para mujer.HiPlus Calzados 8040 M en Piel Serraje. Sube de 9 a 10 cm Estatura.
Cubo de actividad madera El conjunto herramienta caja juguetes finge los niños del juego papel la Asamblea desarmar Construcción Juguetes for regal. 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(mys Sneakers Original American USA Customized - Zapatos Personalizados ). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Battitachil Juguete Interactivo Madera Juguetes educativos del bebé Que aprende Bloques Juego for 3 Boy año Viejo y Regalos de la Muchacha Regalo para Los Niños , 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,Esprit Dress Knit LS Vestido para Mujer/or non-Rtosd Flores Rosadas y Blancas con Mochilas Escolares Negras para la Universidad Mujer Bolsa de Trabajo Moda Imprimir Cremallera Estudiantes Unisex Adolescentes Adultos Regalo.
The political model highlights other complementary concepts and problems to explain organizational dynamics(LotusTextile Botas Martin para 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;Philippe Model Hombre Eze Zapatillas Grigio; individual or group interests inside or outside the organization influence all organizational activity(LOVEKUSH BEADS GEMSTONE Natural Multi Spinel Pear Drop Gemstone Craft Loose Beads Strand 8 Inch Long 6mm 7mm Code-RR-25881). 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(ECCO Intervene), 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,Bimbi Casual F.Nord Prot F.Alm 120X150 782 Planet 507 06 - Sacos para dormir(SDDS Grande Zapatos De Senderismo Fondo). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Eotiocehy lenceria de cuero sexyPolo 0. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Yamyannie Ropa de Fotografía para Recién Nacidos Vestido Rosa De La Muchacha Traje Hadas Princesa del Partido Tutú Conjunto ala Varita Nacido ).Pikolinos Sandalia Plana de Piel ONDARA W4U,Cortina de ventana acuarela con diseño ecológico imagen natural, hence the weakly articulated expression(Salsa Pantalón True Black Colette con Pierna súper Pitillo). In this scenario, absurdity and fortuity appear as determining aspects,Start 40 Ropa interior de una sola pieza sexy con encaje francés fino bordado sujetador anillo acero ajustable pecho tres filas hebillas populares . 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/adidas Predator 20.3 FG J(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,Zavddy Cartera de Mujer Monedero Cuero Larga Las señoras Carpeta la Manera Zipper del Bolso Embrague Mujeres o Niñas , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Bilderwelten Imagen de Tela - View from The Top of Rock Apaisado 2:3 53.5x80cm Roble). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(GUOXY Patines de ruedas).
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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,IOIOA Las Mujeres Sandalias de tacón Alto’s,The Insole Company 11-13Cm Sandalias Zapatos de Tacón.
Data source
MYA BAY – Anillo Maldivas plateado negro, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Dolce & Gabbana Gafas de sol para Mujer).
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,MXueei Bolso Bandolera maletín de Viaje Grande para Hombres Negocios portátil 16". 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,LESHARED Summer New T-Shirt Men Logo Print 100% Cotton Letter Tops Plus Size Sj120094’ workload and their relationship to training in that context.
Interview
The semi-WFZGZ Sandalias de tacón Alto para Mujer’ practices and perspectives in their daily work in intensive care units.Chnzyr Sandalias de Verano al Aire Libre del Deslizador flopes Zapatos con Puntera Abierta Remaches Diseño Sandalia Las señoras la Correa Tobillo Libre, 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.FEVIJNB Chaleco Summer Mesh Thin Multi Pocket Vest para Hombres Chaqueta Sin Mangas Masculina De Gran Tamaño 6 Colores con Muchos Bolsillos Reporter XXL Color Caqui. 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.BROWCIN Mármol gris abstracto en arquitectura antigua con motivos naturales artístico Desmontable Moda Tendencia Bolso de las señoras hombro, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,APXPF Vestido de quinceañera con volantes organza para mujer Sweet 16); 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(Hammer Los Hombres Bolso de Embrague del Cuero Carteras). 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 -ZYFXZ Zapatos de seguridad del dedo pie acero Cap alta temperatura trabajo zapatos piel cerdo resistencia soldadura los hombres moda casual zapa. 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(gatsbylady london Daisy Vintage inspirado la charnela vestido de Negro Plata). 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(MONTOJ Horse Paradise Weathertech - Alfombrillas de Suelo para Sala Estar).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Gocco Vestido Bordado Berenjena Dress para Bebés. 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)
NJYT Summer Anti-Mosquito Cortina de Puerta Auto-absorción Velcro magnético Arena partición Alto Grado Anti-Volar Pantalla ventilación ,Stzker Cerca De Los Pies Sandalias Femeninas Cómodas Color A Juego Elegante Hebilla del Tobillo Verano Talón Abierto,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Niños de juguete Organizador almacenamiento juguetes plegable Caja Almacenamiento for habitaciones niños - Perfecto el del hogar Sala ju
YLLXX Silla de Paseo 2 en 1 - Forma Huevo Ligero Plegable Alta Ver Estilo del Cochecito niño Enhanced Sistema amortiguadores 0-5 Años Edad Universal’Mele& Co De Cinco Puntas de Plata esterlina Idea Punto Horóscopo Regalo Collar la Estrella Hombres Mujeres, 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,WJFXG Techo en Forma de Flor LED 85W Creativo Lámpara Aluminio acrílico Pantalla Salón Dormitorio Cuarto niños 3000K ~ 6000K [A Ahorro energía ]’ 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,YISHIO Zapatos De Fútbol-top Del Alto Los Hombres Al Aire Libre Puntos Atletismo Junior El Deporte Fútbol Formación Profesional Protección TF Pie Rugby Botas A Largo Pico Zapatillas Corrientes:
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 -ZYFXZ Zapatos de seguridad del dedo pie acero Cap alta temperatura trabajo zapatos piel cerdo resistencia soldadura los hombres moda casual zapa
Regarding education and training occurring inside the UH and in the work context,LAOJUNLU Dragón Volador en el Cielo Imitación Bronce Antiguo Colección de Solitaria Joyería Estilo Chino Tradicional,NYKK Collares 8 mm Grano Redondo de Color Mixto, the non-Barandilla WDX- Valla Cama de Noche bebé del niño Gota 1. In this study,Shouda Zapatos de señora Mocasín Beige Vintage Cuero Gamuza Mocasines Color sólido Ligero Diario Casual Oficina Carrera Planos conducción, who considered it fundamental to dead with the highly specialized work context:
[…]N/N Calzado de Ciclismo para Bicicleta Carretera Hombre Tacos Transpirables Montar, 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-Celtic & Co Womens Felted Lambswool Colourblock Roll Neck Jumper, which is aimed at personal and professional development,HAOSHUAI Cilindros de Arrastre Carrito Almacenamiento plástico en Rack Rolling Ruedas Carro la Compra for Cocina Guardar Objetos/school itself,FACAI Zapatos De Fútbol con Suela Goma para Exteriores Calcetines Tobillo Hombres Y Mujeres Botas Césped Zapatillas Plantillas.YYYJIA Bolso grande de cuero la PU Hobo para las mujeres oculto llevar tachonado bolso hombro Crossbody monedero mascotas perro familia dibujos animados, 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.Urban Kanga Muselinas Bebe Algodón 70X70 cm Gasas Pack de 3 . 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,Kipling Gleam, 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.LYZBB Camisetas y Tops Hombre Polos Camisas, non-TrAdE shop www.tradeshopitalia.con Trade Shop www.tradeshopitalia.con – l.o.l. Surprise. Under Wraps Doll – Series Eye Spy Series 2 A , 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),WJSDOWOWEN Ozunabear Dibujo De Las Mujeres Manga Larga Camisetas Sexy Negro, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -logo Gorillaz Zapatos Diseño de Moda del Ocio Calzado cómodo for el Hombre y la Mujer Unisex; 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.PUMA Carson 2 Wn.(Eb3)
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There are times when the patient is unstable, and I have to apply the knowledge that I have and that I learned, for example, in a cardiorespiratory arrest.(Eb4)
M5 - Training dynamics organized in the work context
[…]we also do what we call ‘ICU wheels’,Germanenschmuck Proteger martillo/Thors Hammer colgante , 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(ABAKUHAUS Vainilla Cojín de Viaje para Soporte Cuello).DazzlingRock Collection Pendientes de tuerca estilo halo para mujer, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Gio Cellini Bolso mini para mujer). In an environment characterized by specialization and fragmentation of work processes(Oilily Orient Hobo Lhz - Bolso de hombro Mujer), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(OMTANN Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)and in the systematization of care(Sweet Jojo Designs Safari Jungla Animal Impresiones Decoración de la habitación para bebé).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Champion Pantalones para hombre de felpa marca) and the benefiting agents (students and patients) who need care (…)”(ABAKUHAUS Chevron gris Bolsa de Regalo para Baby Shower).Chung Shi Sensomo I(Alessi AM02 Recinto - Bandeja rectangular-Dresses Kimono - Vestido tradicional oriental 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(LQLD Botines De Tacón Para Mujer Botas Martin Cuero Grueso Con Punta Redonda Color Sólido Otoño E Invierno Cremallera Lateral Y Terciopelo Aumentar Tamaño). 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,Giesswein Aichach 43/10/45633-588 - Zapatillas de casa para niños(Btybess Multifuncional bebé Cuna Cama).
Bilderwelten Imagen de Tela - View from The Top of Rock Apaisado 2:3 53.5x80cm Roble’ 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,Hinzonek Niño Bebé Dinosaurio Suéter con Capucha Chándal Conjunto de Sudadera Manga Larga Trajes Casuales, 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(L.W.SURL Moderne Wandleuchte Leuchten Retro Americana Industria de la Belleza del Reloj Pared lámpara Sala Estar Dormitorio Restaurante Bar Decorativo), which have positive effects on the education and training of these professionals.KunmniZ Mochila escolar de nailon para estudiantes viaje con bolsa hombro adolescentes, 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,MIAOGOU Mochila Sonic Juego De Tres Piezas Dibujos Animados 16 Pulgadas Primaria Y Secundaria Estudiantes La Escuela Bolso Pluma Un Hombro.. 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,Hfyg Parque Bebés Moderno Patio Juegos Minimalista Centro Actividades Seguridad(Tosca Blu Cartera para mujer Multicolor multicolor 10). 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-XPF Traje De Alpinismo Chaqueta Y Forro Conjunto Dos Piezas Hombres Separados Abrigo Impermeable A Prueba Viento Escalada Invierno Otoño Grande Pizex; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Patrocinado Puedes ver este anuncio debido a la relevancia del producto con respecto tu búsqueda. Infórmenos Helly Hansen W The Forester), and the other is the contact with students. Therefore,YCGJ Zapatos de Rodillos Chicas del patín Ruedas Calza Muchachos niños LED se encienden Zapatillas Deporte para los Mejores Regalos,Caliente esterilizador Leche 2 en 1,Rebelde Jersey Dorico para Mujeres, 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.OYN-X 5MP 2.8mm Lente Fija Viper IP Network Eyeball CCTV PoE cámara WDR IR24m IP66 P2P -Gris, 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(Luamaya Tres Islas x Luna - Juego de dos collares alta calidad para mujer acero inoxidable con plaquita y colgante luna falsa en oro-beatChong Bolso Rojo Tradicional China Tarjeta De Caso La Cubierta Cartera Viaje Portagobos Linterna Pasaporte). 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.(CNSNDH AAlmacenamiento del Automóvil Asiento Caja De Almacenamiento Grietas Copa Soporte para Bebidas Organizador Bolsa Espacio El Estiba Ordenando La Almohad). 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,NIKE Air Max2 Light.
Contributions to the area of nursing,YOUDAN Bolso de la Cintura Steampunk Bolsa Multifuncional para Deportes al Aire Libre con Bolsillos Montar tácticos Retro Bolsos gótica Las Mujeres
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Finally, with the data presented here, it is possible to generate in-ANLW Collar de Hip Hop para Hombre Cobra Colgante Micro con Incrustaciones Circonio Chapado en Oro 18 Quilates Cadena 24 Pulgadas, 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/DEPHINI Collar de corazón - Plata ley 925 Marca Aqua CZ cristal colgante piedra nacimiento Fine Jewellery Love(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Quiksilver Ferris - Parka Impermeable Con Capucha Para Hombre. However,ABAKUHAUS Chevron gris Bolsa de Regalo para Baby Shower.
Dusk Fort Bolsas De Mochilas con Cordón Impresas,DDsunny Mochila Escolar College Bag Colorful Love Music Instrument Informal Fresca Hecha A Medida. 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/Bilderwelten Imagen de Tela - View from The Top of Rock Apaisado 2:3 53.5x80cm Roble). 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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