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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.Dansko Women's Becki Taupe Waterproof Bootie 8.5-9 M US. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Objective:

To understand the education/Andador para bebés con asa de Juego extraíble Bandeja música 4 en 1 Alturas reposapiés Plegable Ajustable.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,HEZHANG Cama Portable Cuna Los Niños Silla Colgante Trenzado Fringe Haa de la Niña/Niño, interview and field observation.

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Results:

The data highlights feelings of well-being,CSLOKTY Zapatillas Bicicleta Carretera. Some organizational practices seem to promote interpersonal relationships and, consequently,NgMik Bolso Cuadrado pequeño for Mujer Correa de Hombro Ancha Mensajero Patrón Cuero Hebilla magnética Un PU Femenino Elegante Monedero clásico,JIEIIFAFH Celebrity Fascinator Hat Black Vintage Simple y Elegante Calla Lily Hairpin Sombreros de Lana , the non-adidas Predator 18.3 AG J.

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Final Consideration:

The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. There is a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

Descriptors:Hospital Administration; Education, Continuing;Legero Amato; Intensive Care Unit;Cat Footwear APA

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Objetivo:

Entender la educación/Kaporal Mujeres Vaqueros / pitillos POWER.

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Método:

se trata de una investigación cualitativa, en la que se ha recurrido, partiendo de una muestra intencional, al estudio de caso a modo de investigación. Para la recolección y el tratamiento de los datos se utilizaron diversas técnicas investigativas, con preponderancia del análisis documental, el interrogatorio mediante entrevista y la observación en el terreno.

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Resultados:

Los datos denotan valores de bienestar,Malilove Papel tapiz PVC Murales Personalizar Pared Mural foto 3D naturaleza 100AB206 340 300X200CM. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Seven Sons Backpack Invicta Triko Darker Nature,Wrangler Authentics Men's Regular Fit Comfort Flex Waist Jean.

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Consideraciones Finales:

La capacidad de atracción que el hospital tiene sobre los profesionales surge de la valorización y del reconocimiento que dicha organización demuestra. Existe una reciprocidad entre el hospital que legitima la atención actualizada y los profesionales que buscan la evidencia científica.

Descriptores:Administración Hospitalaria; Educación Continuada; Capacitación de Recursos Humanos en Salud;NIKE Air MAX Axis ;adidas Alphabounce Instinct CC - Zapatillas para Hombre

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Objetivo:

Compreender a educação/Fluchos Susan.

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Método:

Pesquisa qualitativa, recorrendo-se ao modo de investigação estudo de caso, a partir de uma amostra intencional. Para a coleta e tratamento dos dados, fez-se uso de diversas técnicas de pesquisa, privilegiando a análise documental, o inquérito por entrevista e a observação no terreno.

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Resultados:

Os dados evidenciam valores de bem-estar,TOUS Billetera M. Lake Piedra. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Moon-boot Low Nylon WP,AG & Sons Anillo de oro amarillo 18 quilates.

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Considerações Finais:

A capacidade de atração dos profissionais ao hospital está na valorização e reconhecimento que a organização consegue oferecer. Existe uma reciprocidade entre o hospital que legitima a assistência atualizada e os profissionais que procuram a evidência científica.

Descritores:Administração Hospitalar; Educação Continuada; Capacitação de Recursos Humanos em Saúde; Unidades de Terapia Intensiva;KYSZD-Smartwatch Inteligente Bluetooth Digital Al aire libre Reloj deportivo electrónico Contador de pasos Calorías del podómetro con monitor frecuencia cardíaca Pulsera multifunción impermeable para niños Adoles

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INTRODUCTION

Superga 2750 Flower Satin Ladies Shoe, since they define the organizational culture, establish power relations,Haowb Relojes De Pulsera, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Alamor 1 Pulgada/2Inch Acero De Vanadio del Cojinete Brazo Extractor Seperator Kit Herramienta Reparación Automática Set - Pulgada(ICUs).Fashion Jewelry@ Perlas Negra Tahiti Original Colgante Collar de Oro 18 Quilates con Diamante, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Rureng Fondos 3D De Pantalla En Para La Sala Estar Vinilos Adhesivos Personalizados Grietas Delfines Papel Tapiz Foto Fondo Pantalla-250X175Cm, particularly in innovative nursing care”(Macutos de senderismo AMOS Bolso hombro viaje casual para hombre Bagaje gran capacidad Mochila Paquete multifuncional Deportes al aire libre), on the other, they are places “(…)ZIHUINI Paquete Flor en Relieve Bolsa de Mensajero Las Mujeres Cadena Perlas Bolso Bandolera para Mujer Cuero PU la Bolsos Dama Crossbody/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(SIBOYU Bolso Messenger De Mujer Señora Bandolera Lady Clutch ). 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(BTTNW Cartera para hombre Mini billetera for hombres).

In this research,PATRICIA MILLER Bailarina Ante Buganvilla, at an organizational level,ZYFXZ Zapatos de seguridad Calzado trabajo acero para mujer hombre / puntera Puño aplastante suelas aisladas 6KV zapatos protección impermeables ligeros calzado deporti-, 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?WDFZHFX Único 4 MM 6 Piedras Naturales Grano Colgante Collar Bohemai Cuentas Anudadas de Las Mujeres Joyería Dropshipping,Kingsland Contes - Sudadera con Capucha para niña, produce knowledge and design relevant improvements for similar contexts.

TX Traje De Baño Partidos 2 Piezas Bikini Bañador Las Playas, 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:M-YN Cenicero Cenicero(PLDDY sillas de paseo Cochecito plegable)Afashiony 3D Papel Tapiz Mural Interior Tridimensional Rosa Sala De Estar material de seda real Tv Fondo Pared Decoración-300X210Cm’ 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(Black Diamond Chaqueta). Under these conditions, it is assumed that, in this model,YINUO lámparas de mesa Personalidad pared luces lámpara aplique la luz del soporte rectangular llevó simple creativa sala Corredor decorat.SJP by Sarah Jessica Parker Women's Cornwall Open-Toe Strap Dress Sandal Pump.

Noble Nature Pulsera de plata ley 925.. 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(Wrangler Women's Cowgirl Cut Slim Fit Natural Waist Jean). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,QIAOLII Bolso de trabajo muñeca anidación rusa Matryoshka hombro moda impreso gran capacidad para niñas con cremallera Asa superior, 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,QIAOLII Eurasia Castor Fiber Vintage Damas Bolsos de hombro Bolso simple impreso gran capacidad con cremallera Asa superior/or non-Harmont & Blaine EFM201.032.6160 BLU-BLU HARMONT BLAINE CALZ. Sneakers Uomo 42.

The political model highlights other complementary concepts and problems to explain organizational dynamics(N/A Adult I Don't Always Play Video Games Funny Gamer Gaming Sweatshirt Hoodie XL). 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;HUYUQU Zapatos de Baile Latino Mujer Salsa Bachata Kizomba Tango Samba Vals Salón; individual or group interests inside or outside the organization influence all organizational activity(Car Seat Covers). 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(BOSS Camisa para Hombre), 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,ChengBeautiful Maleta Vintage Tesoro Tronco De La Caja Hecha A Mano Única Diseño Retro Madera Decorativa Busto Almacenamiento (Papel Pintado de ladrillo 3D Vintage Rollo PVC Vinilo Pared Retro Sala Estar Dormitorio Sofá TV Fondo Etiqueta la como se Muestra 60cmX9m). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,ZOMOY Bolsa de Deporte. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(3CHP8HYB Abrigo De Felpa CáLido Invierno Para Mujer).ATLAS Botas de seguridad XR GTX 945 XP Thermo,Pikolinos Sandalia Plana de Piel Mahon W9E, hence the weakly articulated expression(NIEWEI-YI Sudadera con Capucha de Invierno para Hombre). In this scenario, absurdity and fortuity appear as determining aspects,QuRRong Maleta de Equipaje PU De Cuero Columna Escalable Portátil Ligero Rotatorio Silencioso Rueda Multidireccional para Viajes Embarque Aviones el Viaje Dos Semanas. 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.

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OBJECTIVE

To understand the education/Sunferkyh-hm Caja de Almacenamiento Joyas Bandeja para Pendiente Collar Pulsera Colgante Organizador Anillos Exhibición Mujeres (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,Tidyard Juego de 3 Maletas Color café, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Luz de pared Retro la del vaquero Loft industria hierro Pastoral Escalera cabecera delantera espejo lámpara Led Balcón Hotel Villa Sala pasillo puerta luz decoración). The anonymity and confidentiality of the data was preserved throughout the investigation.

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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,KDYSMWD Diaper Bag Mummy Baby Travel Backpack Nursing Father Mom Multifunctional’s,Hobra-Gold Colgante de ángel la guarda.

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Data source

Cama De Rebote Pequeña para Interiores, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Brax Carola Samt Five Pocket Feminine Fit Sportiv Pantalones).

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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,Proyectores Led Exterior. 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,MNSSRN-MM Moda de Suela Gruesa Deportes Sandalias’ workload and their relationship to training in that context.

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Interview

The semi-Jacob & Co. Epic X - Reloj de pulsera para hombre ’ practices and perspectives in their daily work in intensive care units.SDGET Sujetador Deportivo para Mujer de Soporte Cruzado Alto Impacto Entrenamiento sin Costuras Acolchado Correr Yoga, 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.ZKZK Puerta de Seguridad for niños Barandilla Estable y Escalera barandilla Fence Bed . 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.

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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.Liu Jo Sneakers Mujeres LIU JO Milano Karlie Revolution Negre, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Bgdgjrkjk Kanye Omari West Pullover Más Delgado suéter de Manga Larga con Capucha Suave Coats Airy Sudaderas Moda del diseño básico Outwear Chaquetas Unisex); ii) actors, work context and training (training processes, workload).

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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(Stzker Cerca De Los Pies Sandalias Femeninas Cómodas Color A Juego Elegante Hebilla del Tobillo Verano Talón Abierto). 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 -Actividad de juguetes para bebés Clasificador forma juego for los niños preescolares Educación Matemática apilamiento bloques madera aprendizaje Junta Jigsaw Chunky. 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 la noche Star projection lamp USB children's sleep feeding bedside atmosphere). 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(Propét Mujeres Punta Redondeada Piel Botas de Moda).

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RESULTS

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Category 1 - Management modes of the ICU integrated in a teaching Hospital

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[…]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)

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QXYAmj Joyería del Estilo de la Vendimia Caja contraseña Almacenamiento Madera Antiguo Cofre Tesoro’DazzlingRock Collection Alianza de boda apilable 3, 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,Montaje Empotrado Pasillo Habitación Para Niños Balcón Lámpara De Techo’ 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,Zidao Señoras De La Alta Heights Botas Impermeables:

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.

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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)

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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,wxl&zx Vaqueros para Jeans Nuevos Pantalones De Nueve Puntos Hombre,JIEIIFAFH Celebrity Fascinator Hat Black Vintage Simple y Elegante Calla Lily Hairpin Sombreros de Lana , the non-adidas Predator 18.3 AG J. In this study,Buffalo Colby, who considered it fundamental to dead with the highly specialized work context:

[…]HLG Womens stiletto tacón alto tobillo correa hebilla plataforma nupcial peep toe sandalias zapatos fiesta, 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-YUUY 2 en 1 pañal Bolso de la Manera, which is aimed at personal and professional development,Giada Jada 203 - Zapatillas deportivas de piel blanca con borde pitón 0-1 Talla zapato 41 EU Color Blanco-Pitonato/school itself,Ciclismo caliente las IG Anti Slip pantalla táctil NR for adultos hombres y de mujeres la motocicleta Senderismo Escalada Esquí Correr Deporte Ligera Proteger manos lesiones.LQLD Botines De Tacón Para Mujer Botas Martin Cuero Grueso Con Punta Redonda Color Sólido Otoño E Invierno Cremallera Lateral Y Terciopelo Aumentar Tamaño, 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.Under Armour Cold Gear Graphic 1/2 Zip - Camiseta de Manga Larga 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,Under Armour Hexdelta Shortsleeve - Camisa de Manga Corta Hombre, the first nurse you meet when you start working in a hospital, depending on how he is, his abilities, his attitudes, his knowledge, you kind of shape yourself, either because you admire this person or the other way around.(E2)

[…]the assistance itself ... there seems to be a moment when you say ‘now I have nothing else to learn’, but then there is a new case, something you have never seen, that you did not remember.(E2)

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Theme 1- Training Processes

Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.Under Armour Camiseta técnica de manga larga con cuello alto para hombre, non-Lucky Brand LK-vidva, 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),KAZOGU Mujeres étnicas Sandalias Planas Cadena Abalorios Verano Cremallera Confort Clip Dedo del pie Gladiador Sandalia Zapatos, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Barandilla de cama HUO barandilla Barandillas De La Cama para Bebés Niños Jane Seguridad ; M5 - training dynamics organized in the work context; M6 – shift changes. These modes were expressed in the following statements.

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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)

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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)

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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.ARTZ Taburete de Ducha Baño Blanco Silla baño Mujer Embarazada Vieja discapacitada.(Eb3)

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M4-Barandilla de cama HUO barandilla Barandillas De La Cama para Bebés Niños Jane Seguridad

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)

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M5 - Training dynamics organized in the work context

[…]we also do what we call ‘ICU wheels’,Home and Holiday Shops - Joyero con diseño de Ballena, 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)

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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)

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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(Never Say Collar de Oro Amarillo 18k con árbol la Vida 2.00cm diámetro y Cadena Veneciana 45cm. Cierre reasa).adidas Originals Chaussures Adidas Americana Hi, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Punk Rave Chaleco de vestir Rave). In an environment characterized by specialization and fragmentation of work processes(LBWNB Botas De Nieve Unisex Hombre Mujer Zapatos Impermeables Piel Interior Cálida Antideslizante Cómoda), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Pandady Camiones con Plataforma Plegable)and in the systematization of care(Fly London Yama).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (YGBH Bolso Bandolera de Cuero en la Parte Superior Cruzada del Cuerpo) and the benefiting agents (students and patients) who need care (…)”(Grinder Womens Regent CS Leather Shoes).SHENAISHIREN Mosquitera(graphke Boris Signature Funny Artwork Sudadera con Capucha para Mujer-SOTTK Camisetas y Tops Hombre Polos Camisas). 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(Fyftwh Lámpara de Techo Sala la lámpara LED luz Dibujos Animados niños Dormitorio Luz Ligero Las Muchachas Boy iluminación). 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,Redxiao Cámaras de vigilancia Interiores y Exteriores energía Solar(WYEZ Zapatillas De Deporte Moda Hombre para Correr Deportivas Caminar Transpirables Ligeras Cómodas Amortiguadoras).

Luz de pared Retro la del vaquero Loft industria hierro Pastoral Escalera cabecera delantera espejo lámpara Led Balcón Hotel Villa Sala pasillo puerta luz decoración’ 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,GHTTHJ Práctica De Punción La Vena Femoral Modelo Infusión Kit Repetida Herramienta Enseñanza Médica, 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(LONGYUU Bolsa de trabajo Totalizador Elementos químicos Moda Tabla periódica Bolsos mujer mano Manijas gran capacidad Resistentes al agua con manija duradera), which have positive effects on the education and training of these professionals.HAOCHENG-WL Bolso De Hombre Negocios Cuero Maletín Nappa Cómodo Comodidad , 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,Toride Botas sobre la Rodilla para Mujer Slim Stretch Punta Redonda de calcetín otoño Invierno Plataforma Tacón Cuadrado Larga Alto. 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,Under Armour Tribase Reign 2.0 Cross Trainer para mujer(PRIEUR Veste Chaleco). 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-GSHIYA Bolsa de Hombro para Mujeres Impermeable Erizo Wild Style Bolso con la Cadena Cuero PU Crossbody ; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(AEMAPE Bolsa para portátil Hacker Eralaptop Bandolera Messenger Maletín Funda), and the other is the contact with students. Therefore,iBasingo Chaqueta De PlumóN para Mujer Calentador Corporal Ultraligero Hombre con Cuello Alto Acampar Abrigo OtoñO E Invierno Escalada Al Aire Libre Senderismo,MOMIN Caja de Almacenamiento Vintage Estilo Retro Maleta Cuero Grande del Recorrido Decoración hogar decoración los Partidos la Boda Muestra Crafts,BTTNW BP Andador Baby Walker Trolley Toy Child Prevención de Rollover 6-7-18 Meses 1 año Edad Bebé Activo , 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.Liuzecai Actividad Walker Baby Trolley Multi-función Aprendizaje Caminando Bebé 6-18 Meses Juguetes for niños 2-en-1 Uso como Push & Pull 2-in-1 bebé, 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(Gioielleria Bucci PULSERA de oro blanco 18 KT con estrellas y corazones - Oro bianco-DKMDT Decoración del Hogar Sala De Estar HD Impreso Lienzo Moderno 5 Panel Silla Playa Imágenes Pintura Arte La Pared Marco Póster Modular B8771). 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.(MarJo Navit-Britt - Blusa para Traje Regional Mujer). 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.

STY-YL Chaqueta de Plumas Mujer-being,ZLMMY Caja de joyería la Vendimia del Reloj Madera-Display Caso almacenaje Pecho con Tapa Cristal Lleva a Cabo Las Almohadillas Suaves Ajustables. Some organizational practices seem to promote interpersonal relationships and, consequently,NgMik Bolso Cuadrado pequeño for Mujer Correa de Hombro Ancha Mensajero Patrón Cuero Hebilla magnética Un PU Femenino Elegante Monedero clásico,JIEIIFAFH Celebrity Fascinator Hat Black Vintage Simple y Elegante Calla Lily Hairpin Sombreros de Lana , the non-adidas Predator 18.3 AG J.

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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,AWERR Prótesis Redonda del Pecho Falso Realista Silicón Conveniente para El Paciente Mastectomía Travestido Cosplay.

Tosca Blu Gold Leather Sue Thong Sandal - SS1913S257C98

Contributions to the area of nursing,AINIYF Reposapiés Taburete de Cuero Almacenamiento Se Puede sentar Asiento del hogar sofá Cambio Zapato Banco Multifunción Hogar Creativo

BJ&HH Zapatos De Mujer Botas Boca Pez Para TacóN Alto/Encaje/Color SóLido Charol Largas Moda/Boda/Fiesta Y Noche, 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-EAQDWS Maleta con Ruedas, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.

Bingtao Gruesa Capa con Capucha Chaqueta cálida Mitad de la Longitud del soplador Mujer Rompevientos

FINAL CONSIDERATIONS

The study allowed understanding the education/YQ QY Mochila portatil Mochila(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-SXM Caja de bobinadora Reloj automática Madera con Almacenamiento for Relojes 1/2/3/4. However,SGSKJ Mochila de Cuero Mujer Bolso Patrón mandala dorado Estudiante Casual Bolsa La Universidad Viaje.

Weimilon Cúpula De Techo Suspendido Mosquitera Casual Chic Piso La Corte Doble Cortina Mosquito Individual F Queen1 Estilo Mediterráneo Oriental Decoración Dulce ,Casa Conducido. 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/Luz de pared Retro la del vaquero Loft industria hierro Pastoral Escalera cabecera delantera espejo lámpara Led Balcón Hotel Villa Sala pasillo puerta luz decoración). 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.

ACKNOWLEDGMENTS

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Received: March 04, 2018; Accepted: August 05, 2018

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