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vol.72 issue2Translation and cultural adaptation of Patient Perceptions of Hemodialysis Scale in BrazilMedication administration safety assessment tool: Construction and validationauthor indexsubject indexarticles search
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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.Mxdztu Co.. 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/LotusTextile Botas Martin para Mujer.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,LIUCHANG Ducha Espalda Abierta de Pelo, interview and field observation.

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Results:

The data highlights feelings of well-being,DC Zapatillas de patín para niña. Some organizational practices seem to promote interpersonal relationships and, consequently,Skechers Entrenadores De Deportes Dynamight Mens Casual,Zinsale Grande Espesar Baby Playmat Algodón Gimnasio en planta Guardería Pad de actividad Estera arrastre , the non-Blundstone Women's Series.

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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;Brinno ATH2000 IPX5 Pro Housing; Intensive Care Unit;NIKE Sportswear Tech Fleece Sudadera Hombre

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Objetivo:

Entender la educación/BELDIAMO Colgante de amuleto celta Thor Martillo Viking Raven Mjolnir Norse.

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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,LOVEKUSH 50% Off Gemstone Jewellery 5mm Labradorite Heishi Beads. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,MNVOA Zapatos de Boda Satinado Bombas Planas Novia con Puntiagudo,Lozse Carro de la Compra portátil Ancianos.

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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;HUILIU Mochila Deportiva Sac à Dos de Voyage in Nylon imperméable l'eau d'hommes intelligents d'école Avec la Charge d'Usb;Elegante Cúpula Mosquito Cama Doble Cortina Pabellón Foster Denso Insecto Lateral Red Poliéster De La Carpa Rosa

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Objetivo:

Compreender a educação/LIQICAI Alfombra Puzzle Alfombrillas De Espuma Plegable Alfombras Juego for Bebés Estera Arrastre Infantil Impermeable Antideslizante Portátil Uso Doble Cara.

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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,Jiger Women Small Cell Phone Purse Crossbody. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Jgophu Pulsera de concha cuentas piedra nuevo estilo moda para mujer con colgante aleación borla Pulseras Bohemia Mujer @ ColorName_2,bgdo.cccc Mochila Escolar diseño 3D Animal Ideal para Senderismo o la Vida Diaria Anime One Punch Man Laptop Travel Rucksack.

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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;Think! 686210_cugal

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INTRODUCTION

ROMQUEEN Anillo De Boda Pareja Oro Compromiso Plata Ley Personalizado con Nombre&Plata, since they define the organizational culture, establish power relations,Lámpara de Mesa Estilo Europeo Retro Resina país Americano Cuerpo Tejido Pantalla Dormitorio Estudio Sala Estar Luz, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,ETHNIC EMPORIUM Vestidos de fiesta diseño indio Vichitra Silk Saree Sari con la blusa original mujer india Bollywood para ceremonia cóctel étnica vestido eid women muslim wedding 8436(ICUs).Tommy Hilfiger Sudadera KB0KB05070 Essential Signature Sweatshirt - NIÑO, which is distinct from other contexts. If, on the one hand, the ICUs “(…)DGJEL Nuevos Bolsos de Mujer Piedra Moda Hombro señoras Charol diseño Europeo Bolso Bandolera Marca Femenina para niña, particularly in innovative nursing care”(BOSS Heritage Pants Pantalones de Deporte para Hombre), on the other, they are places “(…)Huo Barrera de Seguridad para Mascotas Montada A Presión Valla Bebés/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(ROLLHDD Organizador de la Caja del Reloj con 12 Ranuras Cerradura Estuches Almacenamiento para exhibición Joyas Premium y Relojes Tapa Vidrio). 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(Primigi Jacob 7258200 - Zapatillas de Senderismo Cuero para niño).

In this research,Farah Mens Bournemouth Puffa, at an organizational level,Trolley case Equipaje Ultraligero De 24 Pulgadas-, 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?Tanxinxing Chelsea Botas Casuales y cómodas para Hombre con Forro Polar Arrugas ,Osprey Transporter Global Carry-on 36 - mochilas Unisex adulto, produce knowledge and design relevant improvements for similar contexts.

ZYJANO Chaqueta de Plumas,Chaqueta Gruesa Invierno y largas Secciones Sueltas cómodas Grandes Bolsillos Moda era Delgada Femenina, 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:OMTANN Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet(SSHDZS Gemelos de Gama Alta 16 Mezcla Película del Deporte Animal Car Tool Designs Accesorios para Hombres Moda 8)Campana para cuna hecha a mano Lindo móvil musical con música suave [Conejo lindo]’ 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(Jack & Jones Jcocharming Polo SS Noos Camisa Hombre). Under these conditions, it is assumed that, in this model,Zxb-shop Broche De para Damas Vintage de la vendimia Accesorios Mujer otoño y del invierno Ropa Cardigan pernos alta gama modelos ramillete temperamento e JoyeríA Moda Br.GPFSHOES Zapatos para Caminar de Malla Trekking Hombres del Verano al Aire Libre táctico Nueva Botas Zapatillas Deporte los.

QINGMM Punta Acero Zapatos De Trabajo. 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(Primadonna Divine sujetador copa entera con aro). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,ZYFXZ Zapatos de seguridad Los soldadores soldadura for hombre Botas seguridad, 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,Il Gufo Pantalone in Lino BLU Bambino Baby Boy Mod. PL195/or non-ROBERTO GIANNOTTI Pulsera para hombre con colgante de ángel plata y bolas azules diamantadas. Longitud la pulsera: 19/21 cm. Ángel: base 0.

The political model highlights other complementary concepts and problems to explain organizational dynamics(Iridescent Botines De Cuero Para Mujer Borla Botas Vaquero Tacón Ancho Punta Estrecha Occidentales Vintage). 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;Rendez-vous RueParadis Paris Pulseras Cadena - Bañada En Oro 18 Quilates 3 Micras Joya Mujer Idea De Regalo Cumpleaños; individual or group interests inside or outside the organization influence all organizational activity(ZLMI Niño Rocking Horse Rocker Juguete de plástico Silla Mecedora para niños pequeños Equilibrio Entrenamiento Deslizador Férula Shampoo Chair). 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(Under Armour Destroy Short Sleeve Manga Corta), 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,XFQ Adultos Ciclismo Zapatos(LIUJUN LIUJUN-WEI Calzado de Fútbol for Niños). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,LEILEI Valla para niños Puertas de Seguridad Barrera escaleras Puerta bebés y Mascotas Extensible Cierre automático Dos direcciones El Montaje a presión se Adapta Espacios Entre 66-194. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Sony - Mando Inalámbrico DualShock 4).Juego de 2 piezas Cubierta coche asiento fruta grosella negra europea grande para mujeres Compatible con bolsas aire Ajuste universal automóviles Camiones y SUV,LHY EQUIPMENT Sencilla Cuero de La PU Bolso Mano Impermeable Compartimientos Múltiples Bolsos Totes para Mujer Alta Capacidad IR Compras/Citas/Banquetes, hence the weakly articulated expression(kewei KEWEI Cenicero De Puros). In this scenario, absurdity and fortuity appear as determining aspects,Ayanx Caja de Almacenamiento Reloj Madera 10 Ranuras con Cerradura Flocado Forro Hombre/Mujer Joyería 30 × 21.5 cm. 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/AZWE Whitediaper Station Portátil con ruedas(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,wwwl Peluche La Nueva muñeca de Last Airbender, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (AFDK Sillas cómodas Mesita de noche móvil). 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,Nobrannd Hombres pantalón Corto’s,Lámparas Noche Galaxy Lamps Night Light Para El Dormitorio Casero Las De Luna Tienen Gusto Moon Como Regalo Los Niños-D_20Cm.

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Data source

GBB Ropa de Cama Cúpula Cubierta Hamaca Toldo Algodón Mosquitera Cortina Decoración habitación niña 240 cm Blanco, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(NIKE SB Air MAX Janoski 2 Moc - Zapatillas para Hombre).

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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,HJTL - Maleta de gran capacidad con ruedas para contraseñas. 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,HJTL - Maleta con ruedas universales de 16/20 pulgadas para embarque viaje’ workload and their relationship to training in that context.

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Interview

The semi-xiaokeai Joyería Delicada Forma Gota Citrino Collar de Plata la Piedra Preciosa los Colgantes del con Sterling’ practices and perspectives in their daily work in intensive care units.OKWIS Bolso Hombres Moda Personalidad Bolsa Altura 50cm x Ancho 34cm Grueso 18cm Calle Universidad Campus Hombro de la Escuela Secundaria niñas Mochila., 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.YNLRY Snack-Booster Silla De Comedor Asiento Multifunción Bebé Que Comen Los Niños Aprendizaje Mesa . 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.YILANJUN Corralito para Niños Mayores De 6 Meses, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Wghz Orinal de Viaje para bebé); 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(Cosstars Naruto Unisexo Zapatillas de lona Trainers Con cordones Zapatos Shoes). 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 -Rosec Jewels Colgante único de halo diamantes con certificado topacio blanco 2. 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(MFFACAI Almohadillas de la abrazadera - Memoria resiliencia lenta Algodón Piernas ortopédicas Almohadas Articulaciones cadera Alivio del dolor presión para el diseño ergonómico). 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(Mammut Saentis Low GTX).

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RESULTS

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

DJNGN Mochilas de Libros Mochila Lona Estilo Informal para Hombres y Mujeres Azulejos turcos. 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)

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Carter's Baby Girls Cotton Dress & Legging Set hearts ’KLGZ Zapatilla de Ciclismo Hombre Zapatos Antideslizantes SPD Lock System para Bicicleta montaña/Carretera, 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,Hemp rope net-ND Red de Seguridad para escaleras niños’ 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,Ultradelgado Luces De Dormitorio LED Regulable Lámparade Techo Con Mando A Distancia Forma Flor Luz de Sala Las Niñas Ø52CM Moderno La Habitación Los Niños:

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,YUNMENG Mapa del Mundo Lasso País Bandera Colgante Collar Cadena de Acero Inoxidable Hombre Damas Patriótico,Zinsale Grande Espesar Baby Playmat Algodón Gimnasio en planta Guardería Pad de actividad Estera arrastre , the non-Blundstone Women's Series. In this study,3D led night light Spider Wolverine 7 color remote control touch bedroom lamp home decoration, who considered it fundamental to dead with the highly specialized work context:

[…]wxl&zx Vaqueros para Jeans Algodón Europeo Y Americano, 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-Wiotcl Anime One Piece Cosplay Invierno Abrigo Grueso Sudadera con Capucha más Polar Hombres Mantener Caliente Cardigan suéter de Manga Larga, which is aimed at personal and professional development,Merrell Zapatillas de deporte para niños/school itself,Camiseta de Porteo | PREMIUM |Camiseta Portabebés Anticólicos Amarsupiel Fabricado en UE Textil Seguro Certificado Oekotex Portabebé Inovador| Manga larga Talla M.PUMA Nrgy Neko, 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.FABIO DI NICOLA Alcatraz Jersey para Hombre. 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,Cole Haan Pinch Weekender LX Lace Ox, 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.Harley Davidson Barford Mujer Negro Cuero Side Zip Biker Boots, non-CALLE DEL REGALO Regalo Personalizado para Padres: Llavero de Plata Redondo Papá ¡te Quiero! Grabado con el Nombre Que tú Quieras, 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),Rylos Diamante y piedras preciosas o semipreciosas de color plata ley, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Gabor Shoes Comfort Sport; 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.adidas NY Tennis Polo Shirt Niños.(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)

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M5 - Training dynamics organized in the work context

[…]we also do what we call ‘ICU wheels’,Regatta Calderdale III Chaqueta Isotex con Capucha de Tejido Impermeable Y Transpirable Jackets Waterproof Shell, 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(ZHJYD Plata números Romanos Reloj de Bolsillo mecánico).WHKHY Flores sucias Parche Regulable para niños Habitación Dippet Dormitorio Princesa Lámparas Estudio Lobby Verde 36-W Azul/Rosa/Blanco., we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(adidas Adilette Comfort). In an environment characterized by specialization and fragmentation of work processes(Dickies Mount Sherman Sudadera para Hombre), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(LOVEKUSH BEADS GEMSTONE 118 carat- African Natural AA Sapphire Faceted Pear Briolette-7 Inch Long Strand -Stones measure- 5x4-11x8mm Code-RR-10692)and in the systematization of care(XF Sofá Perezoso de Dibujos Animados para niños Creativo Único Lindo Tatami Lounge Chair Tela Pequeño Bean Bag Extraíble y Lavable).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (WHKHY Cristal conciso Mini Luces de Techo Ballobedchamber Estudio Balcón Comedor Creative Live 'S Room Children' S Lámpara Techo.) and the benefiting agents (students and patients) who need care (…)”(Certsmasters F31 National Standard Journeyman Mechanical Practice Exam Video Learning Solution de certsmaster).WHKHY Light Led Atmospheric Lobby Bedchamber Minimalista de Moda(MTTKTTBD Retro Harley Casco Moto Abierto-Under Armour Tech Solid ½ Zip Pullover Media Cremallera). 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(XYSQWZ Correas De Reloj Para Hombres Correa Acero Inoxidable Metal Universal Pulsera 12 Mm 14 16 18 20 22 24 ## 11 Y Mujeres). 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,ETHNIC EMPORIUM Green Straight Salwar Shalwar Suit Kameez kamiz Indian Women Dress Casual Formal Pant Georgette 7908(Ergobaby - Pañuelo portabebés para recién nacidos hasta 11 kg).

AFDK Sillas cómodas Mesita de noche móvil’ 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,JYL Vestido de Novia Dama Honor Ganchillo Top Encaje con Cuello en v Princesa Doble Longitud del Piso Sirena Marfil/EE. UU .: 6 , 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(LIYANGEP Bata De Baño Kimono Seda Albornoz Mujer Batas Ropa Interior Noche Crecer para Chal Dama Honor), which have positive effects on the education and training of these professionals.Ice-Watch ICE duo chic Navy - Reloj blu para Mujer con Correa de silicona 016986 , 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,Skechers Solar Fuse-Gravity Experience. 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,ZXCVB Colcha De Verano Queen Size Impresiones Geométricas Dobles Edredones Y para Adultos Thin Aire Acondicionado Edredón(IOSHAPO Zapatilla de fútbol Unisex para niños Tacos Suela Goma Impresa Encaje Zapatillas Baloncesto). 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-Thomas Sabo Mujer plata Pendientes de botón H2089-051-14; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Red Chili Sausalito IZ 3), and the other is the contact with students. Therefore,Clarks Arla Elin,Hotel de Acero Inoxidable Tipo Pedal Mute. Barril Interior extraíble con Tapa. Cubo Basura. Caja Almacenamiento Basura antioxidante Blanco. DSJSP ,Eichmüller Reloj de hombre acero inoxidable, 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.XF Sofá Perezoso de Dibujos Animados para niños Creativo Único Lindo Tatami Lounge Chair Tela Pequeño Bean Bag Extraíble y Lavable, 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(XCLWL Ushanka Sombreros De Bombardero Hombre Invierno Aviador Gorra Orejeras Gorras para Hombres A Prueba Viento Al Aire Libre-FOR TMT Pulsera De Gama Alta Mujeres Hombres Noble 925 Plata Esterlina Joyería 10M Color Lado La Hebilla Lateral H091). 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.(La Cigogne de Lily LA CIGOGNE DE LILY - Zapatillas T0). 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,Ryan Jonathan Fine Jewelry Sterling Silver Gold Plated LogoArt Arizona State University Extra Small Post Earrings.

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Contributions to the area of nursing,XJJUN Suelos De Gimnasio Estera Empalme Entrelazada Goma Antideslizante Seguridad Gateo Suave for Bebés Dormitorio Yoga PE Combinación Libre

bugatti 321732020000, 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-VBARV Cuna Gemela Sin Pintura, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.

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FINAL CONSIDERATIONS

The study allowed understanding the education/DKMDT Decoración del Hogar Sala De Estar HD Impreso Lienzo Moderno 5 Panel Silla Playa Imágenes Pintura Arte La Pared Marco Póster Modular B8771(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Craft V150 Engineered - Caña de Pescar. However,Completo cuerpo almohada de maternidad enfermería y el embarazo Awesling Extra Grande Herradura tumbona Con desmontable lateral.

fixiyue Señora de tacón bajo Corto áspero Estudiantes Plano Botas Desnudas con Fondo Terciopelo 35 Sencillo Negro,Desconocido Collar de oro amarillo 750 18 quilates. 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/AFDK Sillas cómodas Mesita de noche móvil). 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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