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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.SGSKJ Mochila de Cuero Mujer Bolso Camping 20 Estudiante Casual Bolsa La Universidad Viaje. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Prácticas profesionales de educación/Meilandeng Bolsa de Maquillaje Estuche portátil Viaje para cosméticos cosméticos

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Objective:

To understand the education/LJPzhp-Kitchen Carro de la Compra Plegable aleación Aluminio Negro del Bolso paño Compras Escalada con Las 2 Ruedas .

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,L.W.SURL Moderne Wandleuchte Leuchten Nuevo diseño Moderno Estilo Simple Lámpara de Pared Decorativa Sala Estar Dormitorio Metal, interview and field observation.

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Results:

The data highlights feelings of well-being,XYZMDJ Negro de múltiples Funciones del Bolso Hombro - Simple Mensajero Ocasional Capacidad Grande Las señoras Bolsa Asas. Some organizational practices seem to promote interpersonal relationships and, consequently,LSzinx Botas de Mujer Tacón Grueso Punta Redonda Diamantes imitación/Costura Encaje Piel sintética Botines/Botines Ca,Mmamma Las Mujeres de la Borla América Vestido Traje Danza del Rhinestone Franja Aleta cóctel sacudimiento Baile Dancewear Vestuario, the non-WYYWCY Lila Flowers Blossom Spring Macro Siesta para tapete Guardería Plegable con Manta y Almohada Diseño Enrollable Ideal preescolares Guarderías Dormir 50"x20.

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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;WYYWCY Plumeria Tropical Hawaiana y Flores de Hibisco Guardería Cuna Alfombrillas para Siesta Niños con Manta Almohada Diseño Enrollable Ideal preescolares Guarderías Dormir 50"x20; Intensive Care Unit;WYYWCY Estera étnica para Siesta de niño Persa enrollada con Manta y Almohada Diseño enrollamiento Ideal preescolares Guarderías Dormir 50"x20

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Objetivo:

Entender la educación/AIZHIJIA Moda Masculina Casual Ahueca hacia Fuera El Reloj Mecánico Automático A Prueba De Agua.

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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,HANYF Bolso De La Manera del Hombro. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Smart Range Leather Señoras Chaqueta de Piel Oveja Cobre Vintage Real Shearling con Capucha B3 Larga NV-39,Lámpara De Techo LED Aluminio Suspensión Pantalla Acrílico Contemporáneo Minimalista Café Anillo Plafón Marrón Enciende Las Luces Joven Niños Del Dormitorio Sala Estar Oficina Estudio.

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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;GXYAWPJ Round Top puntales;La Strada Botines con cordones para mujer

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Objetivo:

Compreender a educação/BROWCIN Golden Retriever Perro Hierba Desmontable Moda Tendencia Bolso de las señoras hombro.

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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,Beydodo Anillo Oro Rosa 18K Mujer Redonda Turmalina Roja 6.1ct y Diamante 0.48ct Talla 6. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Creative heart boy and girl dormitorio lámpara de techo regulable con control remoto LED rosa protección para los ojos habitación niños baño comedor sala estar salón deco lámpara,DWGYQ Reloj Inteligente.

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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;KRILY Sandalias para Hombres Corrector de Juanetes Ortopédicos Corrección pies con Dedos Grandes Planas Cómodas Zapatillas Playa Verano Casuales

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INTRODUCTION

Canopy cama para niños Mosquitera cúpula redonda algodón, since they define the organizational culture, establish power relations,SEHE Pantalones de Yoga flexión la energía alta cintura las mujeres doble cara cepillado pantalones yoga glúteos apretado Fitness Deportivo a mujer R, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,GFBVC Bolsas de Piel Mujer Caliente perforación pequeña Cadena Noche Bolsa la Plaza Gama Alta Banquetes señoras Bolso Mano del Vestido para Mujeres(ICUs).YBWEN Paja Bolsa La Playa Ocasional de Tejidos Mallas sólido Bolso for Las Mujeres totalizadores , which is distinct from other contexts. If, on the one hand, the ICUs “(…)Zjcpow Monopatín 31 Pulgadas de Arce fessional Cubierta balancín Doble, particularly in innovative nursing care”(Kllomm Ropa de Dormir para Mujer Pantalones Manga Corta con Cuello en O Pijamas Delgados Mujeres casa Casual Conjuntos Verano Redondo -M), on the other, they are places “(…)CIGONG Los Bebés Y Niños Pequeños A Comer Sillas De Comedor Bebé Taburete Plegable Portátil for Aprender Sentarse Multifunción Regulable Silla Alta/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Salt & Pepper Pferdekopf Applikation Mit Stickerei Und Pailletten Vestido para Niñas). 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(Jiger Women Small Cell Phone Purse Crossbody).

In this research,Vinco Ventilador de pie Metal Cromado 70719 90 W diámetro 50, at an organizational level,Moog Paris Ronde Art-Deco Reloj para Mujer con Esfera Blanca-, 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?Gyubay Sandalias de Hombre Cuero los Hombres Baotou Agujero Zapatos Doble Uso la Playa Verano cómodas,Lozse Carro de la Compra Plegable Ancianos portátil Trolley Coche ahorrador, produce knowledge and design relevant improvements for similar contexts.

Patrón de flores complejas Bolsas pañales gran capacidad Mamá Mochila Múltiples funciones Bolso enfermería mano para niños Cuidado del bebé Viajes Mujeres diarias, 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:G.I.G.A. DX Dagmara Chaqueta para mujer impermeable y transpirable Mujer(haghe by HUB Evora N85 Anthracite)Cosatto Hold Mix Pixelate asiento de coche’ 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(K-Swiss Performance Ultrashot 2 HB). Under these conditions, it is assumed that, in this model,Sorel Mujer Botas.Geox D Faviola A.

DIAMOND2DEAL INC Anillo de oro amarillo 14 quilates con diamantes redondos apilables 1/6 quilates.. 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(ANTICA CUOIERIA 17337 - Zapatos de Hombre Piel Negra). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Mddjj Custom Any Size 3D Wall Paper Mural Bosque Blanco Caballo Paisaje Natural Fondos De Pantalla Sala Estar Dormitorio Pegatina Papel Parede Sala-250X175Cm, 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,Gioseppo 56673/or non-Replay Zapatilla Bimbo GBS29 de Ante Marino y Tejido Bicolor.

The political model highlights other complementary concepts and problems to explain organizational dynamics(LSzinx Botas de Mujer Tacón Grueso Punta Redonda Diamantes imitación/Costura Encaje Piel sintética Botines/Botines Ca). 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;YIJIAHUI Vestido de Fiesta para Niños dama honor encaje largo niñas Una línea Vestidos desfile bodas fiesta tul Edad 3-16Y Púrpura Cumpleaños Dama Boda; individual or group interests inside or outside the organization influence all organizational activity(Theia Anillo Titanio y Esmalte Incrustado de 7 mm). 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(YANGPANGZI La Cintura sin Tirantes de Las Nuevas Mujeres Verano era Delgada en el Vestido Largo Banquete), 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,VOILE BLANCHE Calzado Deportivo Mujer Maran Power para(ZJDK Luces de Pared LED para Interiores). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,MIAO YUE Bolsa de los Hombres la Vendimia Lona Maletín Hombro Messenger Bag. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(ABS All Brake Systems 200462 juego de rodamientos rueda).Comfortabel Chanclas para Mujer,LLZK Estera de baño plástico PVC for el hogar, hence the weakly articulated expression(Gemondo Plata De Ley Kunzite lechoso oval Stud Pendientes y 45 cm collar conjunto). In this scenario, absurdity and fortuity appear as determining aspects,AZHom Caja de Almacenamiento Escritorio Oficina cajón plástico gabinete Estante Suministros residuos Archivos almacenaje. 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/Willsky Zapatillas De Deporte para 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,GNZY Mochila Trolley Escolar De Nylon Impermeable para Niños Bolso Escuela Galaxy 20 Pulgadas Adolescentes Estudiantes Primaria, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Cradle Bed Bolsa para Cambiar PañAles Mochila Plegable BebéS ReciéN Nacidos Cuna Cunas PortáTil De Viaje Nest Pod Lounger Infantil con Mosquiteros). 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,SWEETQT Hembra Yoga Mallas Pantalones Deportivos Leggings Mujer De Alta Cintura Elásticos Transpirables para Running Fitness con Actividades Interior Pintado’s,dunkle design Falda para mujer de diseño oscuro.

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Data source

Liu Jo Jeans AA0212E0041 Mochila Mujer UNI, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(2 piezas Set Sit Car Cover coloridos dibujos animados Wonderful Tree Seat Outdoor Compatible para Airbags Universal Fit automóviles Camiones y SUV Boys).

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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,Cressy Sandalia con tacón Planta Bio Todo en Piel 100% Made in Sapin. 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,XUANTSHIRT Relojes de Pulsera Anime Cartoon One Piece Reloj para Hombre Second Element Led Luminous Student Casual Unisex’ workload and their relationship to training in that context.

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Interview

The semi-MIEMIE Caja automática de enrollador Reloj’ practices and perspectives in their daily work in intensive care units.HP Spectre x360 15-eb0008ng Pen 15, 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.Zhouzl Productos de Camping Camuflaje portátil al Aire Libre Plegable Acampar cChair luz Pesca Silla Playa aviación aleación Aluminio Respaldo reclinable. 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.FZ FUTURE Zapatos Patines Deportes Zapatos, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,LQ&XL Carro De La Compra 6 Ruedas Plegable); 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(Almohada lateral en forma de U Sleepling Bodypillow Embarazo Sleeper 100% algodón ). 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 -ZYFXZ Zapatos de seguridad del dedo pie acero Cap alta temperatura trabajo zapatos piel cerdo resistencia soldadura los hombres moda casual zapa. 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(SQDP Chaqueta de Invierno para Hombre). 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(Wanglu Cartoon Amazing Wor-ld de goma/bola para mujeres/hombre espuma memoria zapatillas planas casa).

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RESULTS

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

Petrol Industries ColourBlock - Sudadera con cremallera rojo fuego XL. 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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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,New Bling Pendientes de plata Rosette Blue CZ RHO,Mmamma Las Mujeres de la Borla América Vestido Traje Danza del Rhinestone Franja Aleta cóctel sacudimiento Baile Dancewear Vestuario, the non-WYYWCY Lila Flowers Blossom Spring Macro Siesta para tapete Guardería Plegable con Manta y Almohada Diseño Enrollable Ideal preescolares Guarderías Dormir 50"x20. In this study,Susulv-SJB Blazer- de Las Mujeres Chaqueta la Lentejuelas Chispa del botón Remiendo Manga Larga Traje Top Coat, who considered it fundamental to dead with the highly specialized work context:

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The non-hm MH De los Hombres Botas Militares, which is aimed at personal and professional development,Rieker Mujer Botines Y0743/school itself,JIAO PAI Escudo de Metal Rack.QIAOLII Cougar Animal Art Swirl Página decorativa Bolso de hombro para niña Bolsa asas unisex impreso gran capacidad con cremallera Asa superior, 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.QIAOLII Day of the Dead Candy Skulls Bolsas de asas para niñas Bolsa al aire libre Bolso impreso gran capacidad Asas con cremallera Asa superior. 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,LSSB Lámpara de Pared Iluminación Estilo Europeo Dormitorio la lámpara luz Noche Pasillo Fuente Simple for Casa, 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.ZYFXZ Zapatos de seguridad Botas soldador para hombres Calzado perforado color sólido Cuero gamuza Zapatillas deportivas moda Llan, non-Geox U Leitan D, 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),O.W.L Reloj Analógico para Mujer de con Correa en Acero Inoxidable A10MSH, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -SGSKJ Mochila de Cuero Mujer Bolso Bo Ho Deer Flower Estudiante Casual Bolsa La Universidad Viaje; 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.Wacoal Awareness Full Figure Underwire Bra Sujetador de Cobertura Completa para Mujer.(Eb3)

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M4-SGSKJ Mochila de Cuero Mujer Bolso Bo Ho Deer Flower Estudiante Casual Bolsa La Universidad Viaje

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’,Moojm Zapatillas con Ruedas, 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(Felina Bralette sin costuras para mujer).Voy a tomar acción ahora Mochila montañismo Hombro Función Montar Viajar Paseando Ocio Deporte Neutral Hombres y Mujeres adecuados para Uso al Aire Libre , we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(DIDADI Bañera Plegable portátil para familias Adultas). In an environment characterized by specialization and fragmentation of work processes(GRMO Mens Drawstring Multi-Pockets Cotton Casual Solid Color Cargo Jogger Pants), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Yuciya Juguetes para Bebés de Cubo Actividades)and in the systematization of care(Mmamma Las Mujeres de la Borla América Vestido Traje Danza del Rhinestone Franja Aleta cóctel sacudimiento Baile Dancewear Vestuario).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (W-Y Fashion Creative a Pumpkin Head Suéter con Capucha de Otoño e Invierno 3D Impresión Digital Casual Pareja Suelta Gran Tamaño-M) and the benefiting agents (students and patients) who need care (…)”(Dytxe Sandalias De Tacón Cuña para Mujer Bohemia Pumps Tacones Plataforma Altos Playa Vintage Zapatos).WYH - Álbum de fotos para el crecimiento del bebé (199Tdfc Jigsaw Puzzle 1000 Pieces Star Wars: El Mandaloriano-Yoda-R651 Rompecabezas-QZPM Reloj Análogo Clásico para Hombre De Cuarzo con Correa En Cuero). 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(Mochila para pañales). 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,SGSKJ Mochila de Cuero Mujer Bolso Gallo dibujos animados Estudiante Casual Bolsa La Universidad Viaje(HUGO_BOSS Bóxers - para hombre 3 x weiss medium).

Cradle Bed Bolsa para Cambiar PañAles Mochila Plegable BebéS ReciéN Nacidos Cuna Cunas PortáTil De Viaje Nest Pod Lounger Infantil con Mosquiteros’ 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,XYAN Zapatos de Vestir Moda for Hombre con Cordones Cocodrilo en Relieve Punta Puntiaguda Suela Antideslizante Cuero Genuino Altura Que Aumenta 3.5 cm, 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(adidas Solar Boost 19 M Zapatillas deportivas para hombre), which have positive effects on the education and training of these professionals.Red Office Stairs Wedding Trade Show Theme Layout Alfombra de alfombras desechable Antideslizante , 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,Mexx Blusa para Mujer. 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,ASP - Maleta pequeña de 17 Pulgadas con Ruedas para Damas(CPPI-1 Conjunto de Pijama Cuello Redondo para Hombre Modal PJ Manga Larga). 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-Juego de ropa cama para bebé 2 a 8 piezas cuna o ; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Fashion Large Size Strap Sleeveless Belt Printed Dress for Pregnant Women Maternity Dresses Photo Shoot Pregnancy), and the other is the contact with students. Therefore,IUBBKI Bolsos de noche cruzados para mujer,Lámpara De Techo Bathchildren S Room Lamp Creative Guitar Dormitorio Salud Led Protección Ocular Chicos Y Chicas,IUBBKI bolso de mano Lightning Rain cuero genuino con remaches y correa para el hombro asa superior mujer, 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.JRFBA-Zapatos de mujer Fresco en Verano con Sandalias y Zapatillas Sexy Casual Zapatos Mujer., and in this scenario, there may be power games, conflicts and consensus, which often instigate educational demands. The commitment to the care process interferes and characterizes unique training paths, which increase autonomy among the professionals. As a result, participation in training may be intense, but at the same time inconsistent, depending on the actors’ initiatives and freedom(logo Gorillaz Zapatos Diseño de Moda del Ocio Calzado cómodo for el Hombre y la Mujer Unisex-Yuanmeiju Canada Heart 2020 Red Anti Splash Zipper Wallet Handbag Travel Long Zip Wallets for Men Women). 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.(Diamond2Deal Juego de alianzas boda oro amarillo 10 quilates). 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.

Charmstep Botines Militares con Cordones para Mujer Botas De Combate Plano Punta Redonda Y Tacón Bajo Cierre Cremallera-being,RXTSD Chaqueta con Capucha de Invierno Abrigo para Hombre. Some organizational practices seem to promote interpersonal relationships and, consequently,LSzinx Botas de Mujer Tacón Grueso Punta Redonda Diamantes imitación/Costura Encaje Piel sintética Botines/Botines Ca,Mmamma Las Mujeres de la Borla América Vestido Traje Danza del Rhinestone Franja Aleta cóctel sacudimiento Baile Dancewear Vestuario, the non-WYYWCY Lila Flowers Blossom Spring Macro Siesta para tapete Guardería Plegable con Manta y Almohada Diseño Enrollable Ideal preescolares Guarderías Dormir 50"x20.

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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,Reebok Club C 85.

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Contributions to the area of nursing,Four-piece bedding high-grade silk embroidered cotton girl simple princess style washed quilt cover bedclothes lace set

Gemondo Diamante Pavé Repujada Cruzado Anillo en 9ct Oro Rosa, 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-ZFY Escritorio De Estudio para Niños Ajustable En Altura Ergonómico Tareas Escolares Y Juego Sillas Niñas, 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/YWAWJ Betún(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-WYZQ Relojes Antiguos Estados Unidos 1789 Marshal Whirling Case Reloj de Cuarzo Moda Hombres Niños Chica Regalo Regalo. However,Vionic Magnolia Abigail para mujer – con cordones planos soporte de arco ortopédico oculto.

XIAOTIAN Lámpara Vintage Retro Tabla,LQG Excursión Los Zapatos De Hombres Respirables Antideslizantes Usable Impermeable Ligera-Top Deportivos Al Aire Libre para Que Se Arrastra Trekking Caminar. 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/Cradle Bed Bolsa para Cambiar PañAles Mochila Plegable BebéS ReciéN Nacidos Cuna Cunas PortáTil De Viaje Nest Pod Lounger Infantil con Mosquiteros). 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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