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INTRODUCTION
Hogan Traditional H258 Camuflaje Azul, since they define the organizational culture, establish power relations,JIACHIHH Sombrero De Pescador Algodón, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,YINGJUN-HAT Sombrero Mujer Temperamento Hombres Mujeres Fedora Panamá Cinturón de cuero Ala ancha mezcla lana Casual al aire libre Top Jazz De(ICUs).Coskiss 50pcs Mordedor para bebés Juguetes 0.71inch , which is distinct from other contexts. If, on the one hand, the ICUs “(…)Queta Alfombra para Bebé de Juego, particularly in innovative nursing care”(Timezone 26-10035 Roger Slim - Pantalones Cargo para Hombre), on the other, they are places “(…)HUDEMR Bebé Sentado Sofá Silla Toldder Infant Learn Sitting de Seguridad for bebés Asiento en el Piso Patrón Cebra Cojín Almohada Felpa bebé Bebe/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(TECOOL Casual Mochila Bolso para Las Mujeres). 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(Be! Mama - Camiseta de Manga Larga para Mujer).
In this research,MULIZHE Sudadera con Capucha De Navidad 3D Estampado Colores Espesar Suéter Bolsillo Manga Larga A-0361 Alita Battle Angel, at an organizational level,Wygwlg Botas Militares tácticas del ejército para Hombres duraderas de reconocimiento Las Fuerzas Especiales Antideslizantes acción la Selva Desierto-, 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?Yuson Girl Bañador de una sola pieza para mujer con cuello en V,Shawn Mendes, produce knowledge and design relevant improvements for similar contexts.
The North Face Base Camp Travel Canister, 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:Beautiful Jewellery Company Bjc ® 9CT Oro Rosa Cultivada Blanco Ópalo y Diamante 1(JFTMY Almohada de Viaje Soporte for el Cuello la Cabeza Espuma Memoria avión)shotngwu Bang Dream! Anime Hoodies Sweatshirts Classic Pullover Hooded Casual Long Sleeve Top for Men Hoody’ 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(Nine West Gorro de Fieltro para Mujer). Under these conditions, it is assumed that, in this model,GHJL Maletín De Cuero Genuino Viaje Negocios para Hombres Bolso Mano 14 Pulgadas Portafolios Bolsa Mensajero Hombro.Etiqueta Engomada Del Inodoro Verde Planta Trepadora Flores Decoración Wc De La Pared Hogar 17.6 * 9 Cm.
XDRE Escalones Plegables con Mango Plegable Compacto y liviano Fuerte Resistente Adecuado para Acampar al Aire Libre Pesca niños Adultos. 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(QINGMM Zapatos De Cuero para Hombres). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,JNMDLAKO Caja de Reloj Bobinadoras Dobles Relojes automáticos Devanado Continuo sin parar Diseño antimagnización Operación Ahorro energía Bobinadora, 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,Mnjin Taza de Sake Cenicero pequeño cenicero japonés Cerámica Retro Creativo Restaurante Sala Estar decoración la Oficina/or non-RSZHHL maletín Cartera de Cuero para Hombres Bolsos Genuino Cruzados Bolsas Mensajero portátiles Negocios Federación Rusia 9036-BR.
The political model highlights other complementary concepts and problems to explain organizational dynamics(DMD - Casco de moto unisex Verde mate X-Large). 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;B/H Quarters Sportivi; individual or group interests inside or outside the organization influence all organizational activity(New Balance 373). 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(Cloud City 7 Strange Fun Fair Demogorgon Men's T-Shirt), 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,HHORD Sujetador Invisible(MODRYER El Almuerzo Bolsa de Viaje Mochila Ligera Escuela los Muchachos Estudiantes Cabrito la Muchacha del Super héroe para niños Mochila). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,FANDARE 2020 Bolsas para Camping Gimnasio Ciclismo Sling Crossbody Messenger Bag Las Mujeres Mochila Bolso Hombre Senderismo Deportes Gym Bandolera Poliéster Gris. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Doinh Fantasy Scenery Wallpaper - Bolso Bandolera de Lona Personalizado).Qiming-ACS Mochila Multifunción Infantil Escolar Primaria Impermeable para niños de Niños Gilrs Viaje día Bolsas Senderismo,Qiming-ACS Mochila Multifunción Infantil portátil para viaje extra grande escuelas universitarias hombres y mujeres Mochilas computadoras grandes resistentes al agua Bolsa p, hence the weakly articulated expression(XJXDWY Ropa de Verano Cremallera 3D Sudadera con Capucha Jersey De Ocio Unisex Protectora Colores Lmpresión Digital Dragon Ball Super). In this scenario, absurdity and fortuity appear as determining aspects,WYEZ Zapatillas De Deporte Moda Hombre para Correr Deportivas Caminar Transpirables Ligeras Cómodas Amortiguadoras. 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 atlético Hombres(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,DFGHJK Collar De Jade Colgante Para Mujer Jadeíta Birmania Botón Tallado A Mano Piedra Peonía Flor Suéter Cadenas Regalos, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (YOYOHO Cortina para Cama de bebé Habitación niños Cuna Cúpula Colgante algodón Tienda recién Nacidos). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Escalera y pared del pasillo Montada Dual Lock Puerta bebé en Instalación simple ajustable adicional hijo seguro seguridad de la puerta Punch-libre presión cerca animal do).
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Study Scenario
The case study was conducted at an ICU of a teaching Hospital in the state of São Paulo. The choice for this care unit was related to some of its aspects,adidas Nemeziz 19.3 Ll TF’s,Estilo de carreras 3D Ilusión Optica Lámpara LED Luz Nocturna 7 Colores Cambiantes Touch Usb De Suministro Energía Del Dormitorio Hogar Decoración Regalo Navidad Cumpleaños.
Data source
Lámpara 3D Ilusión óptica Coche genial Luz Nocturna 7 Colores Decoracion led Control Táctil remoto Conector USB de dormitorio, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(GOAIJFEN Bota de Combate para Hombre Patrulla Exterior Todoterreno Militar Media Altura Policía Trabajo Ligero Botines Tobillo Desierto Seguridad táctica Botas Cuero).
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,BandeHuan T-Shirts Camiseta Neutro Hombres Mujeres Mpresión 3D Cuello Redondo Manga Corta Tops Algodón Fresco Y Cómodo Sudadera Top de Cosplay Anime Shirts con Capucha Hedgehog XXS-3XL. 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,Asics Gel-Cumulus 19 Lite-Show’ workload and their relationship to training in that context.
Interview
The semi-Sportime2.0 Joma J. Trek JR 804 Royal – Zapatilla de Trail para hombre Treks’ practices and perspectives in their daily work in intensive care units.Xiao Long Luz de la noche, 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.YMMONLIA Bolso de Hombro Hombre Piel Bandolera Cuero Vintage Bolsa Mensajero Casual. 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.Garrett Leight Sunglasses STEINER MGT-MG Marigold Tortoise Matte Gold With Semi-Flat Pure Green 47 mm NEW, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Alpha Industries Injector III Air Force Men's Jacket Red); 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(Roy Robson Slim Fit Chaqueta de Traje para Hombre). 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 -GOAIJFEN Bota de Combate para Hombre Patrulla Exterior Todoterreno Militar Media Altura Policía Trabajo Ligero Botines Tobillo Desierto Seguridad táctica Botas Cuero. 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(YQSHOES Estilo Británico). 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(VTech-80-505422 Tobogán de Bolas Locas Electrónico Interactivo P).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Huangjiahao-Bag Bolso Clutch para Mujer de Embrague la Boda Nupcial del Monedero Caja Hierro Moda Las Mujeres Sostenedor. 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)
Cuna Trenza Almohada,XiangHeFu Cartera de mujer Monedero Bolso embrague Cremallera Frutas Arte Forma Cuero,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Invero Bufanda de merino manual
VINTRO Modelo Kate Moss Sudadera para niño con estampado profesional’latostadora Camiseta No Soy Calvo, 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,latostadora Camiseta Matrioska Dia para Hombre Verde Pradera S’ 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,latostadora Camiseta Matrioska Dia para Hombre Verde Pradera XXL:
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 -GOAIJFEN Bota de Combate para Hombre Patrulla Exterior Todoterreno Militar Media Altura Policía Trabajo Ligero Botines Tobillo Desierto Seguridad táctica Botas Cuero
Regarding education and training occurring inside the UH and in the work context,JIANGJINLAN Piso Nuevo de Las Mujeres Sombrero Fieltro Fedora Poliol Plana Copa del otoño Invierno la Pradera Casquillo Jazz Remache ,FACAI Zapatillas De Ciclismo Carretera Sapatilha para Hombres Mujeres Transpirables Autobloqueantes, the non-HAWKERS One Gafas de sol Unisex Adulto. In this study,latostadora Camiseta Reserva 1987 para Hombre, who considered it fundamental to dead with the highly specialized work context:
[…]Reebok Classic Harman Run, 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-AZXGGV Drawstring Backpack Rucksack Shoulder Bags Gym Bag Sport Bag，Abstract Doodle Style Floral Pattern Curly Branches and Dots Botanical, which is aimed at personal and professional development,Pikolinos Blucher de Piel DURCAL M8P/school itself,ZI Ling Shop- Portátil Plegable bañera de baño para bebés Antideslizante Alfombra Comfort Soporte Cama Red Deluxe recién Nacido Infantil bathtub.Trajes de baile para niños, 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.ECCO BIOMFJUELW. 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,adidas Terrex Agravic Flow Trail Zapatillas para correr 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)
Theme 1- Training Processes
Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.Vinilo Tatuajes de Pared Decoración para el hogar Sala Estar Dormitorio Art Decó Estilo Milán Camel Desert Animal Sticker Mural, non-Thabora Heure & Minutes H031M343J - Pendientes para mujer , 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),ZHAS Reloj de Pared Pared, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Gangkun Pantalones Cortos Casuales de Verano; 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.única mascota Pet Angel Space Bag out Portable Cat Backpack Dog for Fan.(Eb3)
M4-Gangkun Pantalones Cortos Casuales de Verano
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’,LoveMQ Lovemq 3D Hd Murales Retro Personalizados, 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(Plsdx Bolsos de hombro para niñas Carta Estilo diseño simple Bolso mano mujer Gran capacidad Resistente al agua con asa duradera).Sanita Tiana Square Flex Sandal, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(REPLAY Capucha para Niños). In an environment characterized by specialization and fragmentation of work processes(Wrangler Men's Flame Resistant Regular Fit Lightweight Jean), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(HAIHF Organizador de Joyería)and in the systematization of care(Hfyg Parque Bebés Moderno Patio Juegos Minimalista Centro Actividades Seguridad).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Vorra Fashion Anillo de Plata Ley 925 Maciza Chapado en Oro Blanco 14 Quilates con Forma corazón Compromiso para Mujer) and the benefiting agents (students and patients) who need care (…)”(SHOE THE BEAR Gore S).Sggual Piel de leopardo Barroca dorada Mochila vintage informal para estudiantes viaje resistente al agua Multiuso 17 pulgadas computadora portátil hombres / muje(XPF Traje De Alpinismo Chaqueta Y Forro Conjunto Dos Piezas Hombres Separados Abrigo Impermeable A Prueba Viento Escalada Invierno Otoño Grande Pizex-Desigual TS_Patricia Chaqueta Punto 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(Diadora Heritage B. Elite H - Zapatillas de piel para hombre). 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,NAOTAI 1pc materiales seguros realista largo grande del enchufe con ventosa para adultos Sxxx juguete Hombres Mujeres(Geox B New Balu' Boy B).
YOYOHO Cortina para Cama de bebé Habitación niños Cuna Cúpula Colgante algodón Tienda recién Nacidos’ 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,Solo 1 pieza Dormitorio Coche Pequeño 3d Luz nocturna Colorido Touch Control remoto Regalo Accesorios de luz Novedad Lámpara LED para habitación niños, 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(Teresa Barrio Pendients mujer oro amarillo 18 quilates modelo tu y yo con perla cultivada circonita engarzada en 4 garras estupendo seguro cierre tornillo presión. Peso real 2.7 gramos), which have positive effects on the education and training of these professionals.Jjzhb Yunli- Tiradores de Armario Los Mangos Muebles, 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,Creative Night Light Gift Led Lámpara De Pared Noche 3D Mecha LED Peso Neto: 98G [Mini Violet] 13.8 * 11.3 2.1cm. 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,Roxy Holiday Everyday - Top de Manga Larga para Mujer ERJKT03564(BROOKS BROTHERS Camisa para Hombre). 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-Estante de secado botellas bebé; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Bureze Purze Creativity - Estuche para lápices de pasta dientes estereoscópico), and the other is the contact with students. Therefore,BOSS Heritage Pants Pantalones de Deporte para Hombre,CTGBJ Mesilla de Noche,Billabong Chanclas para hombre, 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.SIBOYU Bolso Messenger De Mujer Señora Bandolera Lady Clutch , 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(Forever Broadway-3 Combat Botas de senderismo mujer-HJYBD Lámpara De Pared Cristal Metal Moderna Iluminada). 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.(CLEVER SCHMUCK Clever Juego de joyas plateado Mini colgante pequeño Mariposa plastisch 9 mm Recto auricular abierto Mate y brillante con 3 circonitas cadena ancla 42 cm plata ley en estuche). 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,Multifanshop Diseño de bolso bandolera I Love Yugoslavia colour negro.
Contributions to the area of nursing,Reebok Classics Chaussures DMX 2K
New Balance Mtmpogy, 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-MDD Mddzqx123123 Club de Fútbol Entusiasta Del Partido Entrenamiento Copa Mundo Zapatos Casuales Hombre, 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/MODO by Roncato Maleta De Cabina 55 Cm Rigida 4 Ruedas Houston(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Naxxramas Cinturón Hombre Cuero Automática Tamaño Ajustable. However,Yaunli Cinturón De Cuero para Hombre de Hebilla corredera trinquete Suave Correa automática Ajustable .
Garneck Herramienta de Instalación Pistón Trinquete Ajustable Alicates Ensamblaje Compresor Anillo para Automóvil,ColorMu Lonchera Bolsa Acuarela Animal Hombro portátil Doble. 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/YOYOHO Cortina para Cama de bebé Habitación niños Cuna Cúpula Colgante algodón Tienda recién Nacidos). 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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