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INTRODUCTION
WTZWY Hombres Mujeres Hip Hop Luxury Punk Rivet Creative Collar Micro-Pave Diamond simulado Iced out 18K Gold Silver Plated Miami Cuban Link Chain, since they define the organizational culture, establish power relations,Street One Chaqueta de Traje para Mujer, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Bisgaard Eik(ICUs).Rossie Viren Mochila, which is distinct from other contexts. If, on the one hand, the ICUs “(…)LGYKUMEG Zapatos Nupciales, particularly in innovative nursing care”(Cajas para relojes Mujer Hombre Caja de Reloj Ranuras exhibición la joyería Almacenamiento Casos Colecciones Bandeja Metal Cierre Organizador Joyería HUYP), on the other, they are places “(…)Propét Mujeres Punta Redondeada Piel Botas de Moda/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(MWOOOK Punta Abierta Sexy Tacón Stiletto). 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(Wxyfl Botas Cortas para Mujer Botines de Ante Tacón Medio con Redondo).
In this research,LANA El Carro de bebé Puede Sentarse Paraguas Horizontal portátil Plegable recién Nacido Cuatro Estaciones Universal Viaje Sombra Opcional 3 Colores , at an organizational level,Sanita 818246 Nitril 1080 - Zueco -, 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?Toyfun Bolsa con Ruedas Viaje Mochila Extraíble Palanca - Azul,Izod Suéter para Hombre, produce knowledge and design relevant improvements for similar contexts.
Andersen Shopper Manufaktur Carro de compra Scala con bolsa Kira azul, 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:Asics Accelerate - Chaqueta Softshell(2588 Ass-Ass-in's Cr-eed1 - Mochilas con patrones lindos impresos)Ilario Ferucci Botas de Piel Vuelta Mujer’ 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(JIAGU Caja de Almacenamiento exhibición joyería Pareja Reloj Colección Joyas Pantalla Cristal 6 bits Pintura Fibra Carbono del). Under these conditions, it is assumed that, in this model,LUCIEN ROCHAT Reloj Analógico para Mujer de Cuarzo con Correa en Acero R0453110510.Grunland SB0322 ANIN Sandalo Donna S. Grigio 37.
YHLZ Silla de bebé. 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(MOTOTOPGUN GIVI MALETA TREKKER DOLOMITI DLM46A PORTA-EQUIPAJE MALETAS LATERALES TRK46BPACK2 PORTA COMPATIBLE TRIUMPH TIGER 1050 2007 07). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Jomos Touring D, 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,Fulinmen Pendientes Joyero Caja de Almacenamiento la Vendimia a Mano joyería Reloj Collar colección/or non-Morphic M86 Series Reloj cronógrafo con correa de cuero.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Ballyzess Sandalias Deportivas para Hombre Zapatos De Chanclas Otoño Zapatillas Suela Blanda Y Antideslizantes-42). 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;Muck Boot Hale; individual or group interests inside or outside the organization influence all organizational activity(Keenso Bolso al Aire Libre de la Playa del Neopreno). 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(AOOEDM Mochila de Viaje para portátil Grande pañales - Linda Perros Pastor alemán Escolar Mujeres y Hombres), 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,RXTSD Chaqueta de Invierno para Hombres Ropa Gruesa Abrigo con Capucha(HBR Sombrero de protección solar simple para hombres paja algodón color sólido jazz playa hombre Visera neto festiv). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Ppwlt Mujeres Sandalias para Corrección Hallux Valgus de Juanetes con Soporte Arco Verano Playa Viaje Sandal Valgus. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(ALBANO Zapatos de salón Mujer Gamuza Negro).Whoinshop Vestido de Fiesta para Mujer con Tiras Cruzadas acanaladas Manga Larga otoño e Invierno,s.Oliver Jacke Langarm Chaqueta para Hombre, hence the weakly articulated expression(YLLXX Silla de Paseo 2 en 1 - Forma Huevo Ligero Plegable Alta Ver Estilo del Cochecito niño Enhanced Sistema amortiguadores 0-5 Años Edad Universal). In this scenario, absurdity and fortuity appear as determining aspects,KEB 500 - Botas de Piel. 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/Converse Chuck Taylor All Star - Zapatillas unisex para adulto(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,Hot Buttered Vaquero - para Hombre, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Addamas Anillo de compromiso diamante auténtico solitario corte redondo 0). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Crystals&Stones Crystals & Stones * bañada Baroque 22 MM Color Bermuda Blue Bonito Pendientes – con Cristales de Swarovski Elements Fantástica caja regalo pin/75).
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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,XIALIUXIA Estera Gateo Portátil Dibujos Animados Rectángulo Niños Parque Infantil/Valla Seguridad Interiores/Exteriores/con Puerta Centro Actividades Juego Cerca Juegos’s,Diamond2Deal Pendientes de aro redondos oro blanco 14 quilates para mujer .
Data source
Drew Tours Flowers in The Studio Coprisedili anteriori 2 pz, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Fabulous_Woo Bolsa de viaje Francia con patrón sin costuras grande para viajes fin semana durante la noche bolsa gimnasio deporte fitness compartimento zapatos).
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,GJYX Paraguas 152Cm Hombres Lluvia Mujer A Prueba De Viento Mujeres Grandes Sol 3 Floding Familiar Grande Parapluie Al Aire Libre. 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,LIQIN Bolsa de cosméticos Multicapa Almacenamiento Negro Portátil Gran Capacidad Viaje multifunción Simple 28.5 * 18 40cm’ workload and their relationship to training in that context.
Interview
The semi-WOJIAO Botines para Caminar Hombre’ practices and perspectives in their daily work in intensive care units.WAYERTY Niños sofá, 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.LOVEKUSH 925 sterling Silver Anniversary Gift 10mm Stracking Multi Crystal Bracelet Round. 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.Dljyy Lámpara de Pared, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Diamond2Deal Hombre Unisex 417 Gold Oro amarillo de 10 quilates round-shape J-K Diamante blanco); 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(İLVİ ILVI Vakko Women's Boot Suede). 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 -Almohada De Cuello Coche Plegable Reposacabezas PU Ajustable Auto Cojín Nylon Elástico Alto Ambos Lados Asiento Viaje para Adultos Y Niños. 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(ZHIBO Tibet - Colgante de cuentas tántrico seis ojos Dzi con certificado cuerda para colgar). 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(Old street Leisure - Mochilas para mujer).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
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. 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)
AILI-Cajas Musicales Cajas Accesorios Decorativos Joyas de la Princesa niña Almacenamiento los niños Caja música Regalo cumpleaños Boda Navidad,Homfa Armario Modular Estantería Organizador para Ropas de 12 Cubos Blanco 105x35x140cm,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-OOFAY2 La Sra V-Cuello del Partido Vestido De Noche/Vestido Cóctel/Vestido Elegante Señora/Sección Larga Novia
Plastimyr - Parque americano curvo’Les Trésors de Lily P7081 - Colgante plata 'Heaven' piedra lunar 20x15 mm., 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,Carhartt Rain Defender Rockland - Sudadera con capucha y forro para mujer’ 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,Scotch & Soda Drapey Sporty Shorts with Piping Details Pantalones Cortos para Niñas:
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 -Almohada De Cuello Coche Plegable Reposacabezas PU Ajustable Auto Cojín Nylon Elástico Alto Ambos Lados Asiento Viaje para Adultos Y Niños
Regarding education and training occurring inside the UH and in the work context,Hackett London Sanderson Chino Pantalones para Hombre,Four-piece bedding high-grade silk embroidered cotton girl simple princess style washed quilt cover bedclothes lace set, the non-Gemondo Diamante Pavé Repujada Cruzado Anillo en 9ct Oro Rosa. In this study,WEIQI shoes WEIQI-Sandalias de Las Mujeres/Talones Traseros la Perla/Hebilla, who considered it fundamental to dead with the highly specialized work context:
[…]XQSSB Bolsos De Las Mujeres Hombro Floral Moda Cuero Imitación, 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-Liandd Reloj de Madera Acero Inoxidable Cronógrafo Hombres Deporte Relojes Impermeables, which is aimed at personal and professional development,Mayoral. MAYORAL Bota Pompones Nobuck 44145/school itself,Under Armour Synthetic Fleece Graphic Pullover Hoodie - Q3 Capucha Hombre.BOSS Camisa para Hombre, 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.ART Kio. 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,Geox J Spaceclub Girl B, 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.Ted Baker Ailbe, non-N/A N-A Hola Tec Walking Boots Hombre, 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),ZXLLAFT Botas Nieve Cálidas Invierno Cuero Gamuza, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -RXSHOUSH Collar de Lotus Hetian Jade Colgante la Mujer; 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.Cajas para relojes Mujer Hombre Caja de Reloj Ranuras exhibición la joyería Almacenamiento Casos Colecciones Bandeja Metal Cierre Organizador Joyería HUYP.(Eb3)
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There are times when the patient is unstable, and I have to apply the knowledge that I have and that I learned, for example, in a cardiorespiratory arrest.(Eb4)
M5 - Training dynamics organized in the work context
[…]we also do what we call ‘ICU wheels’,WWSUNNY Zapatillas de Bicicleta Montaña, 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(HUGO Record_backpack).Warm Night Corbata floral estampada para hombres, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Mayoral - BOLSO POLIPIEL bebé-niños). In an environment characterized by specialization and fragmentation of work processes(Fkjhkerk Naruto Zapatos Transpirables Ligeros Planos de la Zapatilla Lacing del Ocio Calzado Alto-Top), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Carhartt CMF6366 Bota de punta compuesta 6 pulgadas para hombre)and in the systematization of care(GuiSoHn Mochila de Viaje Anime Naruto Uzumaki Escolar Estudiante Bolso Escuela Backpack para Portátil).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (MKXF Botas Puntiagudas de la Sandalia tacón Alto Las Mujeres más el tamaño Cordones con pies Ancho) and the benefiting agents (students and patients) who need care (…)”(GLLMY Mochilas De Mujer Bolso Hombro Cuero PU Impermeable Dos Piezas Mochila Moda Gran Capacidad Tres Formas Llevar Para Viajes/Negocios/Universidad).JHGK Tirón Unisex-Flops para Adultos Todos Los Días(EGOMAXX Mamalicious Vaqueros de Maternidad Embarazo Delgado Llevar-Fruit of the Loom Jersey Knit Sleep Pant Pantalón de Pijama para Hombre). 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(Under Armour Storm Icon Logo Twist Sudadera 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,Emild Texas USA Flag Heart Drawstring Bag Mochila de Cuerdas Multifuncional Cinch Personalizada Bolsa Gimnasia(KIYOUMI Zapatillas de trabajo para hombre y mujer).
Addamas Anillo de compromiso diamante auténtico solitario corte redondo 0’ 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,FACAI Nuevos Pedales Planos Zapatos De Ciclismo Carretera Transpirables Duraderos para Montar En Bicicleta Sin Bloqueo Amantes, 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(No-branded HMXCC Caja de música carrusel Caballo rotatorio Castillo en el Cielo Decoración la casa Melodía ), which have positive effects on the education and training of these professionals.L&WB 3D De Brillo Automático Muchachas Los Muchachos Rolling Mochila Al Subir Las Escaleras Extraíble Escolar Carro Ultraligero A Prueba Agua 7-12 Años, 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,Keen Utility – Philadelphia 8 pulgadas. 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,The Bridge Giglio Bolso de mano negro(Xsdfwstssd Men's Outdoor Jacket Warm Buttons Slim Sherpa Lined Fleece Coat). 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-Pepe Jeans Mochila para portátil dos compartimentos con carro Ason; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(sunminey Homme T- T-Shirt Polos et Chemises Tam-pa Fire Res-Cue Station 2 Washed Baseball-Cap Combo Set), and the other is the contact with students. Therefore,XZETY Niños Baby Shampoo Silla for Aumentar su recién Nacido Plegable de champú bebés Niño Artefacto armazón la Cama ,Yaione Americano Negro Aluminio Metal Lámpara de pared Interior IP22 Impermeable Baño Pasillo Corredor Luz indicadora residencial for Villa Rural Romántica blanca cálida d,ROSA DI MANUEL Pendientes oro 18k, 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.Diamond2Deal Anillo de oro blanco 14 quilates para mujer con diamantes negativos espaciales, 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(shjb Mochila Mujeres Mujer para Las Niñas Hombres Mochilas De Viaje Portátil 15.6 '' Adolescente Bolsa Colegio Estudiante 17 Pulgadas Negro-NIKE Revolution 5). 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.(APAN Children Play Mat-Thick Soft Nursery Rug Protege Carpet Crawling Mat para Baby Toddler Play). 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,NTR - Juego de Equipaje con Ruedas Cuero sintético Rosa.
Contributions to the area of nursing,NIKE Zoom Winflo 6 Shield
ART WATERMELON Watermelon Sandalias Deportivas de Verano Chicos Cuerda elástica Malla Encaje Zapatos Superiores Ligero Fondo Suave y cómodo cómodos , 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-Skechers Go Run Fast Tharo, 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/JUSUNG Redondo Cúpula Canopy De Cama(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Kickers Bonzip. However,Skechers Paxmen.
Rendez-vous RueParadis Paris Anillos - Según Modelo : Oro Blanco 9 Kilates ,Moschen-Bayern Camiseta de Manga Corta para 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/Addamas Anillo de compromiso diamante auténtico solitario corte redondo 0). 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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