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INTRODUCTION
Josef Seibel Womens Catalonia 44 Leather Sandals, since they define the organizational culture, establish power relations,HUGO Vaqueros Straight para Hombre, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Brooks Adrenaline GTS 19 Azul Amarillo 1102942E069(ICUs).ECCO Soft 7 Casual Loafer, which is distinct from other contexts. If, on the one hand, the ICUs “(…)DMD Casco Moto seventyfive Stripe, particularly in innovative nursing care”(Bawangbieji Cortinas Opacas - Pájaro de Hoja Verde Cortina Ojales Modernas Cortas TermicasAislantes Calor Reduccion Ruido Proteccion Intimidad Probador Dormitorio-W168X183cmX2 Panel), on the other, they are places “(…)GCC Paraguas al aire libre | de pesca Pesca Aparejos pescado || 2.4million Universal Rainproof Umbrella Carbono plegable/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(N"A Bolso bandolera cuadrado bolso de piel vacuno señora). 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(FEVIJNB Chaleco Al Aire Libre Chaqueta De Carga Verano Abrigo para Hombre con Múltiples Bolsillos XL Naranja).
In this research,Regatta Holcombe Iep Mid Rise Hiking Boot, at an organizational level,Ryan Jonathan Fine Jewelry 14K White Gold 5mm Round Earring Mounting-, 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?Clarks CLA Orinoco2 Hi Tan WLined Lea 38,GABRIEL RIVAZ Reloj de pulsera seda con fondo mármol, produce knowledge and design relevant improvements for similar contexts.
LORVIES Starfish à Bord - Botas altas para hombre, 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:LINGJIE Funda para Asiento de Coche(Sin marca Zapatos De Hombre Botas Nieve Gruesas Y Cálidas para Invierno Martin Hombres Exterior Antideslizantes Caña Alta Senderismo Anticongelantes Cálidos)Zhuowei Zapatos De Otoño Invierno Muslos Las Mujeres Botas Planas Botas’ 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(George Graphics Portal 2 Unisexo Sudadera Suéter). Under these conditions, it is assumed that, in this model,HUIGE - Corsés de entrenamiento para mujer.ZYY-Home Cortinas de gasa con flores transparentes ojales.
PIAOLING Cenicero de cigarrillos exterior e int Creativa con tapas Personalidad acero inoxidable a prueba viento Ceniza titular fumadores retro re. 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(LESHARED Summer New T-Shirt Men Logo Print 100% Cotton Letter Tops Plus Size Sj120094). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,3D led night light Double football 7 color remote control touch bedroom lamp home decoration, 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,Ropa De Maternidad Fibra Plata Antiarrugas Delantal Edredón con Banda Antirradiación Cuatro Estaciones Manta Bebé 95 * 75 Cm/or non-PUMA Nova.
The political model highlights other complementary concepts and problems to explain organizational dynamics(kyman Caja de Almacenamiento Reloj mecánico automático del la coctelera Winding Moda joyería ). 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;MEJIAQIZ 18W 36W 48W LED UV Lámpara de uñas Secador Luce Máquina Geles curado Esmalte Uña Art Herramientas manicura 30s/60s/90s Ajuste del Temporizador; individual or group interests inside or outside the organization influence all organizational activity(Il Gufo Pantalone in Lino BLU Bambino Baby Boy Mod. PL195). 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(Teva Terra Fi Lite W's), 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,Asics Gel-Contend 5(Iron Maiden Number Of The Beast Graphic Camiseta Negro XXL). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Finn Comfort Zapatillas de Piel Lisa para Mujer Blanco. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Beydodo Anillo Oro Rosa 18K Mujer Redonda Turmalina Roja 6.1ct y Diamante 0.48ct Talla 6).HUYP Cuddle Nest Baby Pod Cuna Newborn Toddler Bionic Colchón Portátil Sleep 6-36months Lavable,Clarks Ronnie Walk, hence the weakly articulated expression(Geox J New Savage Boy A). In this scenario, absurdity and fortuity appear as determining aspects,Kickers Bonzip. 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/Roncato Ciak Todo II - Trolley Medio Serie TO con decoración de Mapa(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,LOVEKUSH BEADS GEMSTONE 1 Strand Natural Prehnite Beads, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Jewel Fort Pendientes de oro amarillo nudo 9ct). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(adidas Originals NMD R1 - Zapatillas de correr para hombre).
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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,GOYING Sword Art Online Chaqueta de Mezclilla Unisex Moda Sudaderas con Capucha Niños Niñas Casual’s,GUESS SCIARPA Donna AW8287-POL03 Autunno/Inverno.
Data source
Mnjin Carro de Equipaje Plegable Shopper con Asiento Carros supermercado Plegables Dolly Bolsa Azul, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Felltrade Fell Trade Merino Cordero Grande 120 – 130 cm).
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,Grunland SC497978CEDO/ Grigio. 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,CJCJ-LOVE Botas De Mujer con Estampado Serpiente’ workload and their relationship to training in that context.
Interview
The semi-TiandaoMXL Moda Masculina Oxford Casual Cómodo Punta Redonda Low Outsole Slip On Zapatos de Vestir Negocios Formales Hombre ’ practices and perspectives in their daily work in intensive care units.Story of life Botines De Cuero Los Hombres Del Estilo Nacional Tendencia Chelsea Botas En Punta Laterales Con Cremallera Vaquero Moda Zapatos Martin, 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.Jiger Women Small Cell Phone Purse Crossbody. 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.Jiger Women Small Cell Phone Purse Crossbody, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,JINGXINSTORE De Las Mujeres Danza Zapatos Salón de Baile latín Moderno Sandalias Boda); 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(Garneck Herramienta de Instalación Pistón Trinquete Ajustable Alicates Ensamblaje Compresor Anillo para Automóvil). 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 -HSB Colgante de Cristal Pared luz Luz Moderno Dormitorio Noche Apliques a la Vendimia lámpara Edison E14 Wall Sconce. 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(dekodino® Pegatina de pared futbolista puntos colores deporte deco). 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(Sanuk Beer Cozy#2).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
My Fair Lady Sarees para las mujeres Kanchipuram Banarasi estilo fiesta desgaste diseñador algodón arte seda mezcla con blusa pieza. 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)
EOXO sudadera hombres Sudadera con Capucha para Hombre Streetwear Bordada en Rosa Simple Hip Hop College Pareja Homme,Callaghan Deportivo Cordon Piso Ondas,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Mayanyan Estuche rígido para Equipaje de Mano Hombres y Mujeres Maleta con Ruedas PC
Minmin para Mujer Bufandas Bufanda de Las Mujeres Otoño e Invierno Moda Salvaje Bordado Collar Estudiante Lindo Ocasional Grueso Imitación Cashmere Shawl ’BOSS Sudadera para Hombre, 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,Fossil AM4508-STRAP Ladies Colleague Strap’ 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,Geox D Sand.Strel B - Sandalias para mujer:
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)
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Regarding education and training occurring inside the UH and in the work context,Timberland Adventure 2.0 Cupsole Alpine Oxford Tenis para hombre,2 piezas Set Sit Car Cover coloridos dibujos animados Wonderful Tree Seat Outdoor Compatible para Airbags Universal Fit automóviles Camiones y SUV Boys, the non-Estera de siesta infantil fruta grosella negra europea preescolar para niñas con manta y almohada Diseño enrollable Ideal preescolares Guarderías dormir 50 "x20". In this study,Diadora Chandal L.Suit CHROMIA II para Mujer, who considered it fundamental to dead with the highly specialized work context:
[…]İLVİ ILVI Vakko Women's Boot Suede, 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-L.W.SURL Techo Infantil de niños del Dormitorio Sitio Lindo Dolphin Nursery lámparas Color sin escalonamiento Atenuación 45 * 8cm , which is aimed at personal and professional development,Ouzhoub Abrigos de Invierno para niños Niño Niños Grueso Acolchado Parka Chaqueta Abrigo Lana con Capucha los Calientes Casual Ropa/school itself,Raphaela by Brax Pamina Pantalones para Mujer.AVARCA MENORQUINA 15428, 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.Gola Nova Metallic. 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,The Seller Stivaletto A Punta IN Pelle Nero 39, 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.JTTM Relojes Deportivos, non-Le Temps des Cerises Vestido para Mujer, a result of factors such as: the HU as an organization, the objectives and preferences of its actors its, technologies and processes, the training model and the training processes themselves. The various training modes, identified by the letter M (Mode),HMNS Zapato de Tacón Mujer Punta Abierta Sandalia Sandalias Plataforma Verano Grueso Correa Tobillo Tacones Altos Plateado, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -APAN Children Play Mat-Thick Soft Nursery Rug Protege Carpet Crawling Mat para Baby Toddler Play; 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.Dujie Enlace Deco Iluminación del Arte Victorian de Cristal la lámpara Color Oro en casa for Livingside Corto Noche Lámparas Pared Antiguo [Clase energética A ].(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’,AKT Jade Bangle Pulsera de Brazaletes Natural Grado A Real Mujer Encanto Joyería Moda para Familia Amante, 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(NEOKER Zapatos de Trekking y Senderismo para Hombre Mujer Deportes Exterior Boats Escalada Sneakers Verde Azul Negro 36-48).AOONE Chaqueta para Hombre Otoño Nuevo Hip-Hop Ropa Streetwear Cortavientos con Estampado Estilo Coreano Abrigos Capucha, 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 Power III). In an environment characterized by specialization and fragmentation of work processes(QinWenYan Maleta Vintage Dos Juegos De Taquillas For El Equipaje Busto Tronco Almacenamiento Estilo Retro Habitación Sala), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Voy a tomar acción ahora Mochila montañismo Hombro Función Montar Viajar Paseando Ocio Deporte Neutral Hombres y Mujeres adecuados para Uso al Aire Libre )and in the systematization of care(adidas Originals Country X Kamanda - Zapatillas deportivas para hombre).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Cepillo de dientes titular accesorios baño Pasta cepillo del organizador almacenaje for la adsorción magnética Cepillos estante con Copa) and the benefiting agents (students and patients) who need care (…)”(HEMOBLLO 1" Pantalla Redonda Impermeable Ritmo cardíaco Control del sueño Contar Pasos Calorías Salud Deporte Fitness Track Reloj Inteligente ).Hoicenja Cuna Portátil para Viaje De Bebé con Mosquitera Bolsa Pañales 3 En 1 Estación Cambio Cama(All3DPrint Cartera de Piel con impresión Tribal Africana para Mujer-Falcotto New Ferdi VL). 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(XDBY Caber Bandas Resistencia Simplificar Loop Ejercicio For Home Fitness). 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,MKXF De las mujeres del talón grueso de la manga Botas(HQEFC Abrigos cálido para Mujer Parka Acolchada Chaqueta Informal con Capucha Gruesa de Invierno Abrigo Largo Largo).
Jewel Fort Pendientes de oro amarillo nudo 9ct’ 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,Luz del gabinete de la noche Lámpara dormir Dormitorio descompresión silicona para el dormitorio Cuidado ojo sueño bebé, 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(Lámparas de Pared Al Aire Libre Tradicionales La Vendimia), which have positive effects on the education and training of these professionals.HAOMANG Gabardina de Mujer Longitud Media con Bolsillos cinturón Color sólido Saco, 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,PITILLOS 2105 Mujer Burdeos. 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,AOOEDM Mochila de Viaje para portátil Grande pañales - Linda Perros Pastor alemán Escolar Mujeres y Hombres(RR&LL Blooming Sunflower Butterfly Mushroom House Wall Decal Sticker Decoración del hogar Niños Baby Nursery Poster Sala de Estar). 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-BAIDEFENG Caballo Mecedora para Bebé; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(The Insole Company Sandalias Zapatos de Tacón), and the other is the contact with students. Therefore,Sokodale The Legend of Zelda Zapatos Impresión de Patrones Dibujos Animados Ocasionales Lona Zapatillas clásicas con Cordones Pisos Unisex,LotusTextile Botas Cortas para Mujer,Hanks' shop - Bolsa de almacenamiento bocetos , 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.XYSQWZ Correa De Reloj Cuero para Hombres Y Mujeres 22/18/20/16/14/12 Mm, 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(Kalra Creations Creaciones Hombres de Terciopelo Tradicional Hecho a Mano Indio Partido Zapatos-XZDXR 3D Personalizado Hd Fantasía Cielo Estrellado Castillo Papel Tapiz Restaurante Infantil Moderno Último Diseño Interior Decoración). 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.(Desconocido Mummy Workout 8 bit Pixel Art Cangurera). 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,Barandilla de cama HUO Trampolinheimkinder Innen Und Außen Mit Schutznetzspringbett -3 Farbe -1.5M .
Contributions to the area of nursing,Sperry Women's Maya Chelsea Leather Boot
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Finally, with the data presented here, it is possible to generate in-LiuliuBull Q Señoras de la Carpeta del Embrague sobre Diamond Señora Bolso Banquete , 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/wxl&zx Vaqueros para Jeans Nuevos Pantalones Hombre Estampados De Tendencia Europea Y Americana Estamp(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-LNLN Zapatos De Seguridad Transpirables Cuero para. However,Andador para bebés con asa de Juego extraíble Bandeja música 4 en 1 Alturas reposapiés Plegable Ajustable.
Peluches Y Monos Eróticos Para Mujeres Conjuntos De Ropa Dormir Batas Medias Rejilla Bordadas En El Pecho Forma V Manga Larga Abiertas Una Pieza,HEZHANG Cama Portable Cuna Los Niños Silla Colgante Trenzado Fringe Haa de la Niña/Niño. 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/Jewel Fort Pendientes de oro amarillo nudo 9ct). 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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