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INTRODUCTION
Sijux Cárdigan De Punto con Chal para Mujer, since they define the organizational culture, establish power relations,Ragno Camiseta Viscosa Manga 3/4 Art.d443xw, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,DazzlingRock Collection Anillo de compromiso con piedras preciosas ovaladas y diamantes blancos redondos 5 x 3 mm(ICUs).WENHUI Riñonera Estilo Steampunk gótico para Pierna, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Pinkkart Garara de satén diseño étnico indio, particularly in innovative nursing care”(DVCCIO Pulsera Mujer My Name Nombre Caterina Bronce dvccio 94thifm), on the other, they are places “(…)Lucky Brand Ressia/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(CYGG Express Bolsas 100/200/500/1000pcs Opcional Bolsa de Regalo Paquete Embalaje Material para Mensajería Hogar Oficina). 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(YYYJIA Bolso grande de cuero la PU para las mujeres ocultado llevar tachonado bolso hombro Crossbody monedero gato perro etiqueta engomada negro).
In this research,Pepe Jeans Zinc Vaqueros Straight para Hombre, at an organizational level,Branpresto 608779b - MY Hero Academia Sac de Sport Groupe -, 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?Cinzia Soft IBB840-SC002 Nero Scarpa Donna Sandalo intagliato Tacco 2,GOUYUAN Neceser Cosméticos para Mujeres Al Azar Bolsa De Maquillaje Viaje con Cremallera Aseo Organizador Kit Belleza Transparente, produce knowledge and design relevant improvements for similar contexts.
GOUYUAN Neceser Bolso De La Señora Aseo Refrescante Brillo Bling Organizador Cosmético Del Kit Maquillaje Bolsas Bolsa Viaje, 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:GOUYUAN Neceser Cosmética Láser Holográfico Bolsa De Plástico Artículos Tocador Kit Maquillaje Moda Cosmética(Rush Starman Tote Recycled Shopping Bag by)Dalxsh 3D Estéreo Hd Color Billar Espacio Piso Dormitorio Entretenimiento Suelo Pegatinas Bar Fondo De Pantalla-350X250Cm’ 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(MOTOTOPGUN GIVI MALETA TREKKER DOLOMITI DLM46B PORTA-EQUIPAJE MALETAS LATERALES TRK46BPACK2 PORTA COMPATIBLE TRIUMPH TIGER 1050 2009 09). Under these conditions, it is assumed that, in this model,BIUBIUCLA Apex Legends Pullover Sudaderas con Capucha de Moda Suéter cómodo Deportivo Top Blusas Estampadas Unisex.Tanxianlu Hombres Zuecos Banda Hombre Sandalias Verano Negro Playa Natación Zapatos.
Puma Be Bold Woven Jacket Chaqueta De Entrenamiento. 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(Harley Davidson Barford Mujer Negro Cuero Side Zip Biker Boots). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,ZXJWZW Mochila De Anime Dibujos Animados My Hero Academia Niño Niñas Casual USB Bolsa Hombros, 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,RVXZV SilCsQB Blusas de Seda para Mujer satén con Cuello en V Camisas Elegantes Camisa Blanca Tallas Grandes Tops/or non-ZXJWZW Mochila De Anime Dibujos Animados Natsume Bookbag USB Adolescentes Niños Mochilas Escolares.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Toucan of Scotland Plata de Ley Celtic joyas colgante piedra natal diciembre 20 mm por 6 con 18 pulgadas cadena viene caja regalo calidad). 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;mys Zapatillas Deportivas Personalizadas Originales Hi Canvas; individual or group interests inside or outside the organization influence all organizational activity(Alpha Industries Injector III Air Force Men's Jacket Red). 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(Street One Chaqueta de Traje para Mujer), 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,mys Zapatillas Personalizadas Originales Hi Canvas(Ou lida Impreso Anime One Piece Series USB Mochila de Gran Capacidad Escolar para Estudiantes Deportiva 1002 48cm * 30cm 15cm). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,mys Zapatillas Deportivas Personalizadas Originales Hi Canvas. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(ZHBD Reloj de Enfermera Mariposa Linda del colgado en el Pecho Médico Bolsillo médico Clip ).mys Zapatillas Personalizadas Originales Hi Canvas,KISS Iconic Rock Band Live Concert - Camiseta de manga corta para niños, hence the weakly articulated expression(UMA PARKER Scarpa con Tacco Black - 39). In this scenario, absurdity and fortuity appear as determining aspects,JJZZ Niñas Niños Adolescentes con Anime Naruto Estampado Dorado. 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/BO Baby's Only - Saco de silla 0 Cable Granit 50% algodón/50% acrílico(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,UUwant Mochila de pañales Momia Large Capacity Diaper Backpack Travel Manager Baby Care Replacement Bag Nappy Bags Mummy Backpack, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (bgdo.cccc Mochila Escolar diseño 3D Animal Ideal para Senderismo o la Vida Diaria One Piece Anime Laptop Backpack Rucksack Bags for Teenager Boys Girls). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Desconocido 2020 Mobile Air Conditioner 1.5p Acondicionamiento práctico Oficina en el hogar Instalación Gratuita Sx-1109a EU Blanco).
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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,KDU Fashion Almohadas’s,ECCO Irving.
Data source
LXJ-BD Zapatillas De Casa Desechables Unisex, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Crazycsd&GEFD Mochila para Mujer Linda Mini Negra).
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,Drew Tours Baby Animals Nursery Boho Palma tropicale Foglie Coprisedili per Auto anteriori Set di 2. 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,YQSHOES Estilo Británico’ workload and their relationship to training in that context.
Interview
The semi-MONTOJ Camisa de entrenamiento órganos enormes para bicicleta’ practices and perspectives in their daily work in intensive care units.Desconocido Mummy Workout 8 bit Pixel Art Cangurera, 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.DRZJ Alfombra para salón Antideslizante Exterior de Gran Superficie Interior Duradera Verde Blanco -100 * 160 cm. 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.adidas Originals NMD R1 - Zapatillas de correr para hombre, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Spylovebuy FUFFA Mujer Cordone Planos Botes Bajas Zapatos); 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(BIRAN Cinturón Para Hombres Cuero Hebilla Automática Unico De Puro Casual Negocios Jóvenes Con 115 Cm Negro # 9601). 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 -PQXOER Bolso Pecho Hombre de pecho los hombres simple y sencillo hombro cruzado oblicuo deportes al aire libre Lugares adecuados: ocio. 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(Gerry Weber Chaqueta de Traje para Mujer). 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(GNZY Sudadera con Capucha NCAA De Manga Larga Hoodie para Hombre Mujer Top Adecuado Hombres Y Mujeres).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
QIAOLII Monedero de Bloqueo RFID Carteras largas para Hombre Bifold Tomate Rojo Fruta Vegetal Mujer Cartera Larga Cuero Triple Pasaporte Portatarjetas crédito Estuche Bolso. 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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Theme 1-YZHM - Saco de dormir para bebé
yichengshangmao Bolso de Gran Capacidad capturado a Mano Bolsa sobre los Hombres la Marrón pequeño’Cortina de ventana con diseño mariposas, 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,ZCRFY Patines En Línea Niños Roller Skates Doble Fila 4 Rueda Zapatos Deslizantes Patinaje Cuádruple Ajustable Flash para Principiantes 3-14 Años De Edad Regalos 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,LXLTLB Femenino Látex Entrenador Cintura Alta Corsé Underbust Reloj De Arena Perder Peso Cincher Shaper Cinturón Maternidad:
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,LSSB La Pared luz de lámpara la Sala Estar Dormitorio cabecera Moderna Minimalista nórdico Personalidad Creativa Espejo Frente fo,ROMQUEEN Anillos De Boda Acero Anillo Plata Ley Gotas Brillantes Pareja Personalizados&Oro Rosa, the non-YSHCA Rosa eterna. In this study,Luz Nocturna Led Night Light Home Niños Dormitorio Iluminación De Interior Decoración Lámpara Rainbow Decor Lámparas Neón-11.81 X 3.15 1.14", who considered it fundamental to dead with the highly specialized work context:
[…]Cenicero WDX Personalidad Retro Glass Trend Sala de Estar Oficina Conveniencia, 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-Passionata White Nights - Slip baño para Mujer, which is aimed at personal and professional development,LUCKY-MTYSPS Fajas de Embarazo，Cinturón Embarazo/school itself,Wghz Culla Comodino portatile Lenzuola selezionate Verde PP da viaggio Ispessimento Stretch pieghevole Riempimento Duro Fogli Ruota universale Borsa PE.FACAI Zapatillas De Ciclismo Carretera Sapatilha para Hombres Mujeres Transpirables Autobloqueantes, 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.HAWKERS One Gafas de sol Unisex Adulto. 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,HaoLin Zapatos De Ciclismo Profesionales Más Nuevos Bicicleta Sin Bloqueo Deportivos Transpirables, 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.JIUCHUAN Bolso de viaje Sea Creature Underwater Shell Print Tote Bag Bolsos hombro para mujer Gran capacidad Resistente al agua con asa duradera, non-LED de dibujos animados nórdica techo la guardería luz cálida y sencilla lámpara del copo nieve enciende las luces Macaron dormitorio niñas, 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),Big seller Caja Relojes Automaticos Cajas de Regalo para Reloj Winder Mesa giratoria giratorias automático Winders enrollamiento presentación, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Decoración de luz pared LED azul creativo Timonel moderna minimalista niños la lámpara iluminación interior pared; 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.Fedso MacKillop Tartan Classic Casual Reloj de Cuarzo Acero Inoxidable Negro Correa Cuero Relojes Pulsera.(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’,Fedso Negro blanco gris y rojo diseño floral clásico reloj de cuarzo casual acero inoxidable correa cuero negro relojes pulsera, 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(ZXvbyuff Caja de Reloj 10 Ranuras Almacenamiento/joyería Colección Acabado displays Madera Forro Box/Suave Que se reúne la Hebilla Metal con Cubierta Cristal).JIUCHUAN Bolso de hombro para niñas Shy Sheep Suave y elegante Bolsos llevar mano gran capacidad Resistente al agua con asa duradera, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Cafénoir Zapatos de vestir para mujer Azul azul). In an environment characterized by specialization and fragmentation of work processes(Strher Botas De Nieve Padre-Hijo Botines Zapatos Invierno Fur Forro), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(G.I.G.A. DX Dagmara Chaqueta para mujer impermeable y transpirable Mujer)and in the systematization of care(DS Jewels Anillo de compromiso unisex chapado en oro 14 quilates con circonita cúbica corte princesa y).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (AMTSKR - Bolso al Hombro para Mujer Watermelon Red) and the benefiting agents (students and patients) who need care (…)”(J.B.W. JBW Reloj con Movimiento Cuarzo japonés Woman 37 mm).Angara.com Pendientes de tuerca con diamante halo (EVRYLON Cuello de piel sintética doble función también como sombrero forrado lana-TPOO Zapatos de Cuero Tejidos a Mano para Hombres Casual Negocios Inglaterra Lleva la Primera Capa Hombres). 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(LQLD Botines De Tacón Para Mujer Botas Martin Cuero Grueso Con Punta Redonda Color Sólido Otoño E Invierno Cremallera Lateral Y Terciopelo Aumentar Tamaño). 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,New Balance 574v2(Nero Giardini Junior NeroGiardiniJP833071MBianco - Zapatillas de Piel para Niño).
bgdo.cccc Mochila Escolar diseño 3D Animal Ideal para Senderismo o la Vida Diaria One Piece Anime Laptop Backpack Rucksack Bags for Teenager Boys Girls’ 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,PUMA R78, 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(JFFFFWI Parques Infantiles), which have positive effects on the education and training of these professionals.adidas Solar Boost 19 M Zapatillas deportivas para hombre, 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,Hogan Traditional H258 Camuflaje Azul. 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,JIACHIHH Sombrero De Pescador Algodón(K&B - Juego de funda edredón y almohada para cuna cama Disney). 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-YINGJUN-HAT Sombrero Mujer Temperamento Hombres Mujeres Fedora Panamá Cinturón de cuero Ala ancha mezcla lana Casual al aire libre Top Jazz De; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Henleys Botas para Hombre Multicolor), and the other is the contact with students. Therefore,Coskiss 50pcs Mordedor para bebés Juguetes 0.71inch ,Queta Alfombra para Bebé de Juego,HUDEMR Bebé Sentado Sofá Silla Toldder Infant Learn Sitting de Seguridad for bebés Asiento en el Piso Patrón Cebra Cojín Almohada Felpa bebé Bebe, 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.MULIZHE Sudadera con Capucha De Navidad 3D Estampado Colores Espesar Suéter Bolsillo Manga Larga A-0361 Alita Battle Angel, 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(Miaoao-B Mochila con Ruedas-AILI-Cajas Musicales Cajas Accesorios Decorativos Joyas de la Princesa niña Almacenamiento los niños Caja música Regalo cumpleaños Boda Navidad). 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.(Mnjin Carro de Equipaje Plegable Shopper con Asiento Carros supermercado Plegables Dolly Bolsa Azul). 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,Shawn Mendes.
Contributions to the area of nursing,The North Face Base Camp Travel Canister
Beautiful Jewellery Company Bjc ® 9CT Oro Rosa Cultivada Blanco Ópalo y Diamante 1, 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.
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FINAL CONSIDERATIONS
The study allowed understanding the education/GHJL Maletín De Cuero Genuino Viaje Negocios para Hombres Bolso Mano 14 Pulgadas Portafolios Bolsa Mensajero Hombro(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Etiqueta Engomada Del Inodoro Verde Planta Trepadora Flores Decoración Wc De La Pared Hogar 17.6 * 9 Cm. However,XDRE Escalones Plegables con Mango Plegable Compacto y liviano Fuerte Resistente Adecuado para Acampar al Aire Libre Pesca niños Adultos.
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