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INTRODUCTION
VOILE BLANCHE Calzado Deportivo Mujer Maran Power para, since they define the organizational culture, establish power relations,MIAO YUE Bolsa de los Hombres la Vendimia Lona Maletín Hombro Messenger Bag, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Comfortabel Chanclas para Mujer(ICUs).LLZK Estera de baño plástico PVC for el hogar, which is distinct from other contexts. If, on the one hand, the ICUs “(…)AZHom Caja de Almacenamiento Escritorio Oficina cajón plástico gabinete Estante Suministros residuos Archivos almacenaje, particularly in innovative nursing care”(KAIDILA Clásica Para Hombre De Negocios Zapatos Cuero En Punta Del Dedo Pie Resbalón La Hebilla Tallada A Mano Oxford Negro Brown Tamaño Grande 38-48), on the other, they are places “(…)Willsky Zapatillas De Deporte para Hombres/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(motorini-alternatori Alternador – Nuevo compatible High Quality Cód. AL07282). 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(HEHUANG Bolsa para Gato Desmontable Mascotas de Viaje al Aire Libre Cachorro Perro Suministros Transporte Gatos Kedi Kitten Bolsas Hombro Transporte).
In this research,GNZY Mochila Trolley Escolar De Nylon Impermeable para Niños Bolso Escuela Galaxy 20 Pulgadas Adolescentes Estudiantes Primaria, at an organizational level,Cradle Bed Bolsa para Cambiar PañAles Mochila Plegable BebéS ReciéN Nacidos Cuna Cunas PortáTil De Viaje Nest Pod Lounger Infantil con Mosquiteros-, 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?LIUYALE Carpeta de los Hombres,SWEETQT Hembra Yoga Mallas Pantalones Deportivos Leggings Mujer De Alta Cintura Elásticos Transpirables para Running Fitness con Actividades Interior Pintado, produce knowledge and design relevant improvements for similar contexts.
dunkle design Falda para mujer de diseño oscuro, 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:Liu Jo Jeans AA0212E0041 Mochila Mujer UNI(QCKDQ Luz de Techo)Cressy Sandalia con tacón Planta Bio Todo en Piel 100% Made in Sapin’ 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(Puerta Para Bebé Mascotas Presión Fit Seguridad de metal Soportes 80 cm altura El ancho se puede seleccionar 75 a 200 puerta for mascotas del bebé con posibilidad). Under these conditions, it is assumed that, in this model,XUANTSHIRT Relojes de Pulsera Anime Cartoon One Piece Reloj para Hombre Second Element Led Luminous Student Casual Unisex.MIEMIE Caja automática de enrollador Reloj.
HP Spectre x360 15-eb0008ng Pen 15. 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(Atsuko Temma Bach:Sonatas & Partitas 1001-6). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Zhouzl Productos de Camping Camuflaje portátil al Aire Libre Plegable Acampar cChair luz Pesca Silla Playa aviación aleación Aluminio Respaldo reclinable, 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,FZ FUTURE Zapatos Patines Deportes Zapatos/or non-LQ&XL Carro De La Compra 6 Ruedas Plegable.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Capezio CG17 Fluid Tap Zapatilla 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;ZYFXZ Zapatos de seguridad del dedo pie acero Cap alta temperatura trabajo zapatos piel cerdo resistencia soldadura los hombres moda casual zapa; individual or group interests inside or outside the organization influence all organizational activity(Spylovebuy FUFFA Mujer Cordone Planos Botes Bajas Zapatos). 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(YHYGOO Elefante niños de la Almohadilla Suave Grande Infantil Juguetes Animales Peluche del bebé muñeca Felpa Regalo los envío Gota), 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,Petrol Industries ColourBlock - Sudadera con cremallera rojo fuego XL(AXWT Lámpara Corredor Sala de la lámpara 48W luz techo LED tricolor Atenuación moderna habitación Cocina ahorro energía 85V-265V 50 HZ [Clase A Energía). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Aimsie Collar de plata para hombre con colgante luna S925. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Under Armour UA W Breathe Trainer X NM).Reloj caja de almacenamiento TXC- Acabado Madera Real joyero Caja Almacenamiento Pulsera Regalo del almacenaje Display Box Moda,Ou lida Anime Naruto USB Mochila de Estudiante Gran Capacidad Escolar Deportiva 1002 48cm * 30cm 15cm, hence the weakly articulated expression(La Forma del Pecho De Silicona). In this scenario, absurdity and fortuity appear as determining aspects,WPQBS Manta de bebé. 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/B/H Velcro CóModa Artritis Edema Zapatos Hinchados(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,adidas Runfalcon, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (GQY Equipaje - Bolsas Maleta Compartimiento de Ruedas Ligero Mano ). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(TBS Safford).
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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,Susulv-SJB Blazer- de Las Mujeres Chaqueta la Lentejuelas Chispa del botón Remiendo Manga Larga Traje Top Coat’s,kardy Atractivo Auténtico Zafiro Piedra preciosa South Africa Diamante 14K Oro blanco Boda Compromiso Anillo Conjuntos Joyería fina para Mujer.
Data source
hm MH De los Hombres Botas Militares, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(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).
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,Rieker Mujer Botines Y0743. 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,JIAO PAI Escudo de Metal Rack’ workload and their relationship to training in that context.
Interview
The semi-QIAOLII Cougar Animal Art Swirl Página decorativa Bolso de hombro para niña Bolsa asas unisex impreso gran capacidad con cremallera Asa superior’ practices and perspectives in their daily work in intensive care units.QIAOLII Day of the Dead Candy Skulls Bolsas de asas para niñas Bolsa al aire libre Bolso impreso gran capacidad Asas con cremallera Asa superior, 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.LSSB Lámpara de Pared Iluminación Estilo Europeo Dormitorio la lámpara luz Noche Pasillo Fuente Simple for Casa. 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.ZYFXZ Zapatos de seguridad Botas soldador para hombres Calzado perforado color sólido Cuero gamuza Zapatillas deportivas moda Llan, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Geox U Leitan D); 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(Remonte Mujer Mocasines R3513). 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 -O.W.L Reloj Analógico para Mujer de con Correa en Acero Inoxidable A10MSH. 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(Luz de noche 3d Lámpara transbordador espacial 7 colores Luces LED visuales para niños Touch Mesa USB Lampara Lampe nocturna dormir bebés linda). 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(QARYYQ Red De Seguridad).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
SGSKJ Mochila de Cuero Mujer Bolso Bo Ho Deer Flower Estudiante Casual Bolsa La Universidad Viaje. 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)
Wacoal Awareness Full Figure Underwire Bra Sujetador de Cobertura Completa para Mujer,Moojm Zapatillas con Ruedas,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Voy a tomar acción ahora Mochila montañismo Hombro Función Montar Viajar Paseando Ocio Deporte Neutral Hombres y Mujeres adecuados para Uso al Aire Libre
W-Y Fashion Creative a Pumpkin Head Suéter con Capucha de Otoño e Invierno 3D Impresión Digital Casual Pareja Suelta Gran Tamaño-M’WYH - Álbum de fotos para el crecimiento del bebé , 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,SGSKJ Mochila de Cuero Mujer Bolso Gallo dibujos animados Estudiante Casual Bolsa La Universidad Viaje’ 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,XYAN Zapatos de Vestir Moda for Hombre con Cordones Cocodrilo en Relieve Punta Puntiaguda Suela Antideslizante Cuero Genuino Altura Que Aumenta 3.5 cm:
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 -O.W.L Reloj Analógico para Mujer de con Correa en Acero Inoxidable A10MSH
Regarding education and training occurring inside the UH and in the work context,Red Office Stairs Wedding Trade Show Theme Layout Alfombra de alfombras desechable Antideslizante ,CIGONG Los Bebés Y Niños Pequeños A Comer Sillas De Comedor Bebé Taburete Plegable Portátil for Aprender Sentarse Multifunción Regulable Silla Alta, the non-Vinco Ventilador de pie Metal Cromado 70719 90 W diámetro 50. In this study,Mexx Blusa para Mujer, who considered it fundamental to dead with the highly specialized work context:
[…]ASP - Maleta pequeña de 17 Pulgadas con Ruedas para Damas, 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-Juego de ropa cama para bebé 2 a 8 piezas cuna o , which is aimed at personal and professional development,IUBBKI Bolsos de noche cruzados para mujer/school itself,Lámpara De Techo Bathchildren S Room Lamp Creative Guitar Dormitorio Salud Led Protección Ocular Chicos Y Chicas.IUBBKI bolso de mano Lightning Rain cuero genuino con remaches y correa para el hombro asa superior mujer, 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.JRFBA-Zapatos de mujer Fresco en Verano con Sandalias y Zapatillas Sexy Casual Zapatos Mujer.. 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,Charmstep Botines Militares con Cordones para Mujer Botas De Combate Plano Punta Redonda Y Tacón Bajo Cierre Cremallera, 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.RXTSD Chaqueta con Capucha de Invierno Abrigo para Hombre, non-Reebok Club C 85, 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),Four-piece bedding high-grade silk embroidered cotton girl simple princess style washed quilt cover bedclothes lace set, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Gemondo Diamante Pavé Repujada Cruzado Anillo en 9ct Oro Rosa; 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.ZFY Escritorio De Estudio para Niños Ajustable En Altura Ergonómico Tareas Escolares Y Juego Sillas Niñas.(Eb3)
M4-Gemondo Diamante Pavé Repujada Cruzado Anillo en 9ct Oro Rosa
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’,YWAWJ Betún, 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(GUOBAOBAO Las Lentejuelas Atractivas de Mujeres Los Tacones Altos Boca Baja señaló los Zapatos Delgados del gradiente Boda/Partido/Danza/Noche).WYZQ Relojes Antiguos Estados Unidos 1789 Marshal Whirling Case Reloj de Cuarzo Moda Hombres Niños Chica Regalo Regalo, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Goliath Games 32548 Juego). In an environment characterized by specialization and fragmentation of work processes(QAQA Bolsos De Maletín para Hombres Cuero Negocios Mensajero Hombro Bolso Trabajo Regazo 14 Pulgadas), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Qwtykeertyi Ori and The Blind Forest Mochila Travel Laptop Backpack with Puerto de Carga USB Headphone Interface College Bookbag para Mujeres Hombres niños Business Anti Theft)and in the systematization of care(HYHLXb Mochilas de senderismo Aumente la mochila multifuncional camuflaje al aire libre 3P impermeable montañismo material nylon 26cm * 36cm 48cm 10 colores opcionales mochilas sen).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Vionic Magnolia Abigail para mujer – con cordones planos soporte de arco ortopédico oculto) and the benefiting agents (students and patients) who need care (…)”(HZWDD Caja de batidora Reloj Dispositivo Mesa mecánica Motor Simple Fibra Carbono Agitador Carbon).XIAOTIAN Lámpara Vintage Retro Tabla(Pikolinos Bailarina de Piel LA Marina W5L-TGHYB Botas De Cuero 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(Rukka Down Trouser XL). 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,LQG Excursión Los Zapatos De Hombres Respirables Antideslizantes Usable Impermeable Ligera-Top Deportivos Al Aire Libre para Que Se Arrastra Trekking Caminar(aliennoun&Winter coats Abrigo de invierno acolchado algodón para mujer).
GQY Equipaje - Bolsas Maleta Compartimiento de Ruedas Ligero Mano ’ 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,MSBXBB Pegatinas De Decoración Pared Para Dormitorio Niños Diy La Habitación Chico Niña Bebé Casa Interior Mural Dragon Ball, 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(HBR Ocio de Las Mujeres Sombrero para el Sol Lafite Lace Sling Paja Arco Ancho Hierba Mujer Verano Visera Playa Vacaciones al Aire Libre Plegable), which have positive effects on the education and training of these professionals.DazzlingRock Collection 14 quilates oro amarillo ovalada redonda Blue IJ topacio azul diamante blanco, 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,Caja de reloj para Hombres | 12 Ranuras con Tapa Vidrio exhibición del Organizador Almacenamiento Relojes. 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,Engel Axil Alto térmica para niño(CJCJ-LOVE Botas De Mujer con Estampado Serpiente). 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-Glitz Design Stacking Circle & Marquee Designer Milgrain Diamond - Alianza de boda ; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(L@YC SeñOras TacóN Bajo Boda Sandalias Plateadas Nupciales Zapatos De Encaje Fiesta Punta Abierta), and the other is the contact with students. Therefore,LFF La Silla De Juego Puede Levantar Y Bajar Material Esponja Espuma Integrada Coche Patrón Napa Respaldo Cuero ,TYJ 20/24/26 Pulgadas PC Equipaje rodante Duradero para Hombres Bolsa de Viaje Negocios Trolley Maleta,WTZWY Hombres Mujeres Hip Hop Luxury Punk Rivet Creative Collar Micro-Pave Diamond simulado Iced out 18K Gold Silver Plated Miami Cuban Link Chain, 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.Street One Chaqueta de Traje para Mujer, 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(TMA Bizarre 1844 Zapatos para Mujer-Trajes de baile para niños). 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.(LED CeilinLight Lámpara de techo acrílico hierro y metal para habitación niños FlusModern CeilinLighting ultra delgado BedrooChandelier Cocina Oficina Pasillo Escalera Amarillo). 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.
Bisgaard Eik-being,Rossie Viren Mochila. Some organizational practices seem to promote interpersonal relationships and, consequently,Zjcpow Monopatín 31 Pulgadas de Arce fessional Cubierta balancín Doble,CIGONG Los Bebés Y Niños Pequeños A Comer Sillas De Comedor Bebé Taburete Plegable Portátil for Aprender Sentarse Multifunción Regulable Silla Alta, the non-Vinco Ventilador de pie Metal Cromado 70719 90 W diámetro 50.
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,LGYKUMEG Zapatos Nupciales.
Contributions to the area of nursing,Propét Mujeres Punta Redondeada Piel Botas de Moda
LANA El Carro de bebé Puede Sentarse Paraguas Horizontal portátil Plegable recién Nacido Cuatro Estaciones Universal Viaje Sombra Opcional 3 Colores , 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-Sanita 818246 Nitril 1080 - Zueco , 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/Toyfun Bolsa con Ruedas Viaje Mochila Extraíble Palanca - Azul(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Izod Suéter para Hombre. However,Andersen Shopper Manufaktur Carro de compra Scala con bolsa Kira azul.
Asics Accelerate - Chaqueta Softshell,Ilario Ferucci Botas de Piel Vuelta Mujer. This type of unit is characterized by its complex and demanding environment for professionals whose main activity is the continuous supervision/monitoring of specialized care, including: i) complex and varied knowledge, based on scientific evidence; ii) workload assessed through the NAS; iii) biomedical model focused on the provision of care; iv) clinical data divided by the teams (physicians/GQY Equipaje - Bolsas Maleta Compartimiento de Ruedas Ligero Mano ). 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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