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INTRODUCTION
Bisgaard Eik, since they define the organizational culture, establish power relations,Rossie Viren Mochila, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,LGYKUMEG Zapatos Nupciales(ICUs).Propét Mujeres Punta Redondeada Piel Botas de Moda, which is distinct from other contexts. If, on the one hand, the ICUs “(…)LANA El Carro de bebé Puede Sentarse Paraguas Horizontal portátil Plegable recién Nacido Cuatro Estaciones Universal Viaje Sombra Opcional 3 Colores , particularly in innovative nursing care”(Nicoole Chaqueta con Estampado 3D De Dibujos Animados para Hombres/Mujeres Moda Hip Hop Clásico Anime Una Pieza Cremallera Cuello Alto Tops Casuales), on the other, they are places “(…)Sanita 818246 Nitril 1080 - Zueco /Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(AIYIBEN Reloj de madera los hombres hecho la retro natural ligera). 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(Styl Grand 3203 - Botas para La Nieve scamosciate Mujer).
In this research,Toyfun Bolsa con Ruedas Viaje Mochila Extraíble Palanca - Azul, at an organizational level,Izod Suéter para Hombre-, 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?Andersen Shopper Manufaktur Carro de compra Scala con bolsa Kira azul,Asics Accelerate - Chaqueta Softshell, produce knowledge and design relevant improvements for similar contexts.
Ilario Ferucci Botas de Piel Vuelta Mujer, 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:LUCIEN ROCHAT Reloj Analógico para Mujer de Cuarzo con Correa en Acero R0453110510(Merrell Zapatillas de deporte para niños)Grunland SB0322 ANIN Sandalo Donna S. Grigio 37’ 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(YUANCHENG Vestido de Talla Grande para Mujer Vestidos caftán con Rebeca Larga Casual). Under these conditions, it is assumed that, in this model,YHLZ Silla de bebé.Jomos Touring D.
Fulinmen Pendientes Joyero Caja de Almacenamiento la Vendimia a Mano joyería Reloj Collar colección. 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(QiuKui-200-001 QiuKui Botas de Trabajo al Aire Libre for los Cargadores del Tobillo Hombres). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Morphic M86 Series Reloj cronógrafo con correa de cuero, 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,Muck Boot Hale/or non-RXTSD Chaqueta de Invierno para Hombres Ropa Gruesa Abrigo con Capucha.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Grunland SC497978CEDO/ Grigio). 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;Ppwlt Mujeres Sandalias para Corrección Hallux Valgus de Juanetes con Soporte Arco Verano Playa Viaje Sandal Valgus; individual or group interests inside or outside the organization influence all organizational activity(KHHIHG Reloj Correa de Cuero a Prueba Agua/Moda Cuarzo/Pareja Casual Watch-D). 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(Zeppelin 7614-5), 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,Whoinshop Vestido de Fiesta para Mujer con Tiras Cruzadas acanaladas Manga Larga otoño e Invierno(CCLLA Trona Plegable Adjustale para bebés/niños pequeños). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,s.Oliver Jacke Langarm Chaqueta para Hombre. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(KDDD Suave Cuna de Viaje para bebés Plegable portátil bebé Cómoda Cesta Dormir Algodón multifuncional1).KEB 500 - Botas de Piel,Converse Chuck Taylor All Star - Zapatillas unisex para adulto, hence the weakly articulated expression(JINHH Zapatos Botas Cubierta). In this scenario, absurdity and fortuity appear as determining aspects,Hot Buttered Vaquero - para Hombre. 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/Addamas Anillo de compromiso diamante auténtico solitario corte redondo 0(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,CMP Feel Warm Flat 5000, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (XIALIUXIA Estera Gateo Portátil Dibujos Animados Rectángulo Niños Parque Infantil/Valla Seguridad Interiores/Exteriores/con Puerta Centro Actividades Juego Cerca Juegos). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(PUMA Blue Bird Zapatillas).
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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,Drew Tours Flowers in The Studio Coprisedili anteriori 2 pz’s,GJYX Paraguas 152Cm Hombres Lluvia Mujer A Prueba De Viento Mujeres Grandes Sol 3 Floding Familiar Grande Parapluie Al Aire Libre.
Data source
LIQIN Bolsa de cosméticos Multicapa Almacenamiento Negro Portátil Gran Capacidad Viaje multifunción Simple 28.5 * 18 40cm, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Keen Newport H2).
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,WOJIAO Botines para Caminar Hombre. 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,WAYERTY Niños sofá’ workload and their relationship to training in that context.
Interview
The semi-LOVEKUSH 925 sterling Silver Anniversary Gift 10mm Stracking Multi Crystal Bracelet Round’ practices and perspectives in their daily work in intensive care units.Dljyy Lámpara de Pared, 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.Diamond2Deal Hombre Unisex 417 Gold Oro amarillo de 10 quilates round-shape J-K Diamante blanco. 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.Almohada De Cuello Coche Plegable Reposacabezas PU Ajustable Auto Cojín Nylon Elástico Alto Ambos Lados Asiento Viaje para Adultos Y Niños, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Escalera y pared del pasillo Montada Dual Lock Puerta bebé en Instalación simple ajustable adicional hijo seguro seguridad de la puerta Punch-libre presión cerca animal do); 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(Hugo Boss Reloj Análogo clásico para Hombre de Cuarzo con Correa en Acero Inoxidable 1513541). 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 -AILI-Cajas Musicales Cajas Accesorios Decorativos Joyas de la Princesa niña Almacenamiento los niños Caja música Regalo cumpleaños Boda Navidad. 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(Jintora - Neon Sign señal de neón Cowboys Place Pub Beer Club Lugar Fiesta). 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(ZJHZN Conjunto de Pijamas Mujeres Ropa Dormir Traje Noche casa Tallas Grandes 2020 Summer Cartoon Cotton Nightwear).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Homfa Armario Modular Estantería Organizador para Ropas de 12 Cubos Blanco 105x35x140cm. 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)
OOFAY2 La Sra V-Cuello del Partido Vestido De Noche/Vestido Cóctel/Vestido Elegante Señora/Sección Larga Novia,Plastimyr - Parque americano curvo,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Les Trésors de Lily P7081 - Colgante plata 'Heaven' piedra lunar 20x15 mm.
Carhartt Rain Defender Rockland - Sudadera con capucha y forro para mujer’Scotch & Soda Drapey Sporty Shorts with Piping Details Pantalones Cortos para Niñas, 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,Hackett London Sanderson Chino Pantalones para Hombre’ 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,WEIQI shoes WEIQI-Sandalias de Las Mujeres/Talones Traseros la Perla/Hebilla:
We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)
The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)
The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.
Theme 2 - The presence of a leader
All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:
[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)
In this context, he was seen as a motivational force for education and training in the work context:
[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)
Theme 3 – Inter-organizational cooperation between School and teaching Hospital
The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:
[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)
The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:
[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)
Category 2 -AILI-Cajas Musicales Cajas Accesorios Decorativos Joyas de la Princesa niña Almacenamiento los niños Caja música Regalo cumpleaños Boda Navidad
Regarding education and training occurring inside the UH and in the work context,XQSSB Bolsos De Las Mujeres Hombro Floral Moda Cuero Imitación,ZFY Escritorio De Estudio para Niños Ajustable En Altura Ergonómico Tareas Escolares Y Juego Sillas Niñas, the non-YWAWJ Betún. In this study,Liandd Reloj de Madera Acero Inoxidable Cronógrafo Hombres Deporte Relojes Impermeables, who considered it fundamental to dead with the highly specialized work context:
[…]Mayoral. MAYORAL Bota Pompones Nobuck 44145, 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-Under Armour Synthetic Fleece Graphic Pullover Hoodie - Q3 Capucha Hombre, which is aimed at personal and professional development,BOSS Camisa para Hombre/school itself,ART Kio.Geox J Spaceclub Girl B, 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.Ted Baker Ailbe. 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,N/A N-A Hola Tec Walking Boots Hombre, 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.ZXLLAFT Botas Nieve Cálidas Invierno Cuero Gamuza, non-RXSHOUSH Collar de Lotus Hetian Jade Colgante la 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),Cajas para relojes Mujer Hombre Caja de Reloj Ranuras exhibición la joyería Almacenamiento Casos Colecciones Bandeja Metal Cierre Organizador Joyería HUYP, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -WWSUNNY Zapatillas de Bicicleta Montaña; 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.Warm Night Corbata floral estampada para hombres.(Eb3)
M4-WWSUNNY Zapatillas de Bicicleta Montaña
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’,MKXF Botas Puntiagudas de la Sandalia tacón Alto Las Mujeres más el tamaño Cordones con pies Ancho, 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(Team Associated 27002 Reedy Black Box 800Z Zero Timing ESC Controlador de Velocidad del vehículo).JHGK Tirón Unisex-Flops para Adultos Todos Los Días, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(WWSUNNY Zapatillas de Bicicleta Montaña). In an environment characterized by specialization and fragmentation of work processes(Mil Grullas De Papel Colibrí Luces Techo Led Para Vestíbulo Comedor Dormitorio Lámparas Diámetro La Lámpara 40 Cm Blanco Cálido Sin Control Remoto), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(SUIWO Sandalias de Vestir Verano sandalias cuero ocasionales Toes deportivas abiertas playa los hombres suaves al aire libre respirable microfibra salvajes ropa cu)and in the systematization of care(Stylish home Mochila con cordón de montaje Fuji).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Emild Texas USA Flag Heart Drawstring Bag Mochila de Cuerdas Multifuncional Cinch Personalizada Bolsa Gimnasia) and the benefiting agents (students and patients) who need care (…)”(KUKI El alto-top zapatos de encaje los del elevador Ms Spring planos las mujeres casuales ).FACAI Nuevos Pedales Planos Zapatos De Ciclismo Carretera Transpirables Duraderos para Montar En Bicicleta Sin Bloqueo Amantes(COFRA Cofra Torbay S3 SRC – zapatos de seguridad talla 43 NEGRO-Plsdx Bolso de mano oficina Kawaii Child Cupcake Sweets Love Overnight Tote Bags Bolsos hombro viaje Gran capacidad Resistente al agua con asa duradera). 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(Panter 134332700 - DRAGO TOTALE S3 MARRON 248 Talla: 46). 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,L&WB 3D De Brillo Automático Muchachas Los Muchachos Rolling Mochila Al Subir Las Escaleras Extraíble Escolar Carro Ultraligero A Prueba Agua 7-12 Años(BROWCIN Bokeh Luz Dorada Hermoso Patrón Vacaciones Desmontable Moda Tendencia Bolso de las señoras hombro).
XIALIUXIA Estera Gateo Portátil Dibujos Animados Rectángulo Niños Parque Infantil/Valla Seguridad Interiores/Exteriores/con Puerta Centro Actividades Juego Cerca Juegos’ 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,Keen Utility – Philadelphia 8 pulgadas, 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(DGYAXIN Parque para bebés Centro de Actividades niños Patio Juegos Seguridad Hogar Interior al Aire Libre con 18 Paneles 6 Meses a 24 Meses), which have positive effects on the education and training of these professionals.The Bridge Giglio Bolso de mano negro, 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,Pepe Jeans Mochila para portátil dos compartimentos con carro Ason. 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,XZETY Niños Baby Shampoo Silla for Aumentar su recién Nacido Plegable de champú bebés Niño Artefacto armazón la Cama (Munich Zapatillas Massana Sky 99 Mujer). 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-Yaione Americano Negro Aluminio Metal Lámpara de pared Interior IP22 Impermeable Baño Pasillo Corredor Luz indicadora residencial for Villa Rural Romántica blanca cálida d; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(ALPINI Inova-2.0 - Maletín rígido), and the other is the contact with students. Therefore,ROSA DI MANUEL Pendientes oro 18k,Diamond2Deal Anillo de oro blanco 14 quilates para mujer con diamantes negativos espaciales,NIKE Revolution 5, 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.camel active Scandinavia GTX 12, 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(Solidus Mocasines para Hombre-GHJL Maletín De Cuero Genuino Viaje Negocios para Hombres Bolso Mano 14 Pulgadas Portafolios Bolsa Mensajero Hombro). 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.(Reloj caja de almacenamiento TXC- Caja único mecánico automático Soporte Basculante Rotatorios Winding bobinado Simple la balancines Moda). 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.
NTR - Juego de Equipaje con Ruedas Cuero sintético Rosa-being,NIKE Zoom Winflo 6 Shield. Some organizational practices seem to promote interpersonal relationships and, consequently,Gemondo Diamante Pavé Repujada Cruzado Anillo en 9ct Oro Rosa,ZFY Escritorio De Estudio para Niños Ajustable En Altura Ergonómico Tareas Escolares Y Juego Sillas Niñas, the non-YWAWJ Betún.
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,ART WATERMELON Watermelon Sandalias Deportivas de Verano Chicos Cuerda elástica Malla Encaje Zapatos Superiores Ligero Fondo Suave y cómodo cómodos .
Contributions to the area of nursing,Skechers Go Run Fast Tharo
JUSUNG Redondo Cúpula Canopy De Cama, 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-Kickers Bonzip, 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/Skechers Paxmen(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Rendez-vous RueParadis Paris Anillos - Según Modelo : Oro Blanco 9 Kilates . However,Moschen-Bayern Camiseta de Manga Corta para Mujer.
BALDUCCI LEGERA 1683 - Tronco para niño,BROWCIN Fruta Fresca Tropical Acuarela Piña Desmontable Moda Tendencia Bolso de las señoras hombro. 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/XIALIUXIA Estera Gateo Portátil Dibujos Animados Rectángulo Niños Parque Infantil/Valla Seguridad Interiores/Exteriores/con Puerta Centro Actividades Juego Cerca Juegos). 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.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.