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INTRODUCTION
YCCC Barra Antideslizante Toallero Inodoro Pasamanos Bañera Escaleras Baño Mango de Ducha Reposabrazos Agarre Barandillas estables, since they define the organizational culture, establish power relations,Raelf Moderna y simple del LED Lámpara de piso, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,MOMIN Sandalias para Hombre Casuales for hombre del dedo pie zapatos caminar Clorse playa de agua deporte al aire libre las sandalias Deporte Senderismo (ICUs).QINGQING Lámpara de Dragon Ball Broly Super Saiyan artículos Bricolaje luz la Noche LED for los niños Juguetes Luces, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Caballito de Madera Niños Y Niñas Juguetes De Jardín Infantes Silla Mecedora for El Hogar Debe Tener Un Caballo En Interiores , particularly in innovative nursing care”(Shoes Sandalias de cuero para hombres), on the other, they are places “(…)Ballyzess Sandalias Deportivas para Hombre Zapatos De Chanclas Otoño Zapatillas Suela Blanda Y Antideslizantes-42/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(NTR Bag 20/22/24/28 Pulgadas Estuche Travel Spinner Password Equipaje Mujer Maleta con Ruedas). 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(LILILICX Pajaritas Vestido de los niños Madera 3D Camisa Traje Pajarita Chico Chica).
In this research,GVC Flamingo minimalismo Acuarela Abstracta Lienzo nórdico Cuadro decoración del hogar Arte de Pared DIY póster impresión Fondo Sala Estar, at an organizational level,NOSSON Enrollador De Reloj Madera con Rotación Automática para Relojes Automáticos Caja Almacenamiento Individual Presentación 2 0-, 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?AFDK Cubos de la funeraria,Moderna LED Plafón Regulable con Mando A Distancia Techo Luces Cuarto De Los Niños 32W Iluminación Lámpara, produce knowledge and design relevant improvements for similar contexts.
haghe by HUB Evora N85 Anthracite, 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:L@YC Las mujeres cerradas del dedo pie cruzados lazos hebilla comodidad talón boda zapatos puntiagudos encaje nupcial(SW Watches Relojes Militares De Cuarzo para Hombre con Deportivos Tup Band )DGYAXIN Cuero de Mujer Bolsos DiseñO Color SóLido Bandoleras’ 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(Reebok Ridgerider Trail 3.0). Under these conditions, it is assumed that, in this model,heqianqian Relojes de Bolsillo Reloj Romano Tallado Hueco Gran Cubierta mecánica maquinaria clásica para Hombres Mujeres .ZXF Velo 4 Metros Una Capa De Tul Largo Novia Encaje Nuevo Blanco Marfil M con El Peine Velos 400cm.
HGGH Lámpara de pared LED colores nido abeja Quantum hexágono con la sensible al tacto for el dormitorio sala estar escalera Loft bricolaje decoración luz noche. 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(Doors Mosquitera Ventana para Ventanas Mosquiteros Mosquiteras de Ventanas). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,FHQCU Mochila para Hombre, 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,Usable con Capucha Manta para Adultos - De Gran Tamaño Caliente Suave Acogedora Sherpa Bolsillo Grande/or non-IUBBKI bolso de mano rosa Piggy cuero genuino con remaches y correa hombro asa superior para mujer.
The political model highlights other complementary concepts and problems to explain organizational dynamics(DJNGN Mochilas de Libros Mochila Lona Estilo Informal para Hombres y Mujeres Azulejos turcos). 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;LQLD Botines De Tacón para Mujer Botas Martin Puntiagudas; individual or group interests inside or outside the organization influence all organizational activity(Thomas Sabo Pulsera de Mujer). 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(Buonarotti Botin Antelina BORLAS - Niñas), 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,ZHTY Bronce Full Hunter Niños 3D Quartz Fob Reloj de Bolsillo Números Romanos Dial Collar Colgante niños Decorar(LFDJNZ Chaleco Hombres Casual Multibolsillos fotografía Viaje IN8587 M como Imagen). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Fluchos New Professional. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(yichengshangmao Bolso de Gran Capacidad capturado a Mano Bolsa sobre los Hombres la Marrón pequeño).Stiga Football Game World Champs England/Germany Black Juego de fútbol Mesa,Pleaser ADORE-708N , hence the weakly articulated expression(Lucky Brand LK-Cahill). In this scenario, absurdity and fortuity appear as determining aspects,adidas Crestwood Waterproof. 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/Asics Gelsaga - Zapatillas de Running para Hombre(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,ETHNIC EMPORIUM Black Seda India Bollywood Punjabi Salwar Shalwar Patiyala Pantalones Patiala Tradicional Kameez Kamiz Vestido Mujer Señoras Chica hochzet 2808, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Huoo Bebé Barandilla de La Cama Guardia Seguro Extra Alto Plegable Baby Sleep Protection Rail ). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Juguete del Caballo de oscilación la Felpa sólido Asiento Madera bebé los niños Bebé año Regalo Música con Xuan - Worth Having).
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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,KEKEK IYSYGWUY-YM0CW-BD024-2_Warm_White_’s,NTR Bag 20/22/24/28 Pulgadas Estuche Travel Spinner Password Equipaje Mujer Maleta con Ruedas.
Data source
TTZY 24 29 Pulgadas Equipaje con Ruedas 20 de Mano Bolsa Trolley Spinner Cremallera Marco Aluminio Estuche Viaje Juego Pequeño, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(KAIJ Sombrilla Sun Protection UV Ms. Pure Art Lámpara Plegable Mini ).
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,Moxuan Store Reloj de pulsera madera para 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,Schiesser Multipack 2pack Baby Anzug Beutel Pijama’ workload and their relationship to training in that context.
Interview
The semi-Living Kitzbühel Pantoffel Unifarben Mit Fuã bett’ practices and perspectives in their daily work in intensive care units.Pepe Jeans Dutchman Chaqueta para Niños, 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.BRANDSLOCK para Hombre Chaqueta de Motorista Cuero Genuino Estilo Casual Elegante. 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.YUANN Mocasines planos casuales para hombres, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Columbia); 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(Smoky Mountain Boots Boys' Snake Print Cowboy Boot Round Toe). 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 -Albert - Zapatillas Bajas para niño. 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(A AM SeaBlue Mochila Unicornio Niña Infantil niña Mochilas Escolares Estudiantes Bolso para Chicas La Escuela). 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(Mandarina Duck Ball Tracolla - Shoppers y bolsos de hombro Mujer).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Zhuowei Las Mujeres Del Otoño Y El Invierno Botas De Goma Eje Con Tacón Bloque Muelen Perfil Básico Suela Los Zapatos E Alto Negro. 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)
DFGSDFB Buena 925 Plata esterlina Chispeante cz Bolos Colgantes encantos Originales Pulsera fabricación de Joyas,LMFZD Clásico Nuevo Cronógrafo para Hombre Cronómetro Zafiro Caja De Diamantes Helada Completa Oro Rosa Plata Todo Negro Reloj Deportivo Cuero Límite,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Fyftwh Lámpara de Techo Sala la lámpara LED luz Dibujos Animados niños Dormitorio Luz Ligero Las Muchachas Boy iluminación
LINPAN Carrito de la Compra El Modelo 6 Ruedas con Bolsa Desmontable y Plegable diseño Impreso Impermeable Tela Oxford Funcional eficiente’Diamond2Deal Pendientes redondos de oro blanco 14 quilates para mujer, 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,Versace Bolso con bandolera desmontable Jeans Couture color rojo - negro ’ 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,TRE CHIODI 69490 scarpa allacciata VINTAGE calzatura uomo shoes men:
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 -Albert - Zapatillas Bajas para niño
Regarding education and training occurring inside the UH and in the work context,Merrell Barkley Chukka,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, the non-LIFFQING Pink Flamingo Blankets Twin Full Queen Luxury Blankets Fashion Soft Throw Flannel On Bed/Car/Sofa Kids @ Style15_1Pc_120X200Cm. In this study,Silvian Heach Sucupira Bañador para Mujer, who considered it fundamental to dead with the highly specialized work context:
[…]MSR FreeLite 3 Green V2 Tiendas de campaña, 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-MichaelaX-Fashion-Trade Vaquero - recto Básico para hombre Beige, which is aimed at personal and professional development,Dr. Martens 2976 Boot Alyson W/Zips Chelsea Black/school itself,Asics Training Crew .GINA LAURA Steppjacke, 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.LEIGAGA 3Pcs / Set Ball Charm Cobre Bead Macrame Pulseras Hombres Hecho a Mano Long Tube y brazaletes para Mujeres. 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,TFTREE Bolsa ligera con ruedas, 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.Wenhu Juego de Cama algodón del cordón Seda imitar Blanco Azul Ropa Funda Nórdica Hoja Lino Conjunto, non-ER-Hoesing Zapatos diseño italiano y Bolsas a Juego estilo Nigeria Bolsa conjunto decorado con diamantes imitación, 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),Educación Juegos para Niños Actividad aprendices Cubo circuito de carreras los niños Mini coches estacionamiento Rampa Track Racer for pequeños juguetes Lot-Race - más 2 años, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -New Balance Synact Women's Zapatillas para Correr - SS20; 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.etnies Scout.(Eb3)
M4-New Balance Synact Women's Zapatillas para Correr - SS20
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’,TIANQIZ Mira enrollador para automático Reloj Automático Doble Winder Hogar del Motor Rotativo Winding Watch Caja De 4 Relojes Caso Exhibición Rotatorio Box, 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(Dearfoams Pile Bootie Pantuflas para Mujer).ZYJANO Chaqueta de Plumas, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Actividad de juguetes para bebés Clasificador forma juego for los niños preescolares Educación Matemática apilamiento bloques madera aprendizaje Junta Jigsaw Chunky). In an environment characterized by specialization and fragmentation of work processes(HDOUBR Papel Tapiz fotográfico Personalizado 3D estéreo Calidez romántica Castillo Griego TV Telón de Fondo Dormitorio Sala Estar Oficina Café Mural-b), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(BagBase Maleta mediana con ruedas y doble capa modelo Escape 75 Litros.)and in the systematization of care(JINGJING Bañador de pared Mesita noche Lámpara Comedor Aplique pared).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (LILIAAS Imitación De Las Mujeres del Ante Los Cargadores Tobillo Posterior Cremallera En Tacones Altos Otoño Invierno Cálido 6 Cm Tacón Alto Botas Mujeres) and the benefiting agents (students and patients) who need care (…)”(New Balance KV690I Running Shoe ).NINE WEST Marcelie Tote Black 1 One Size(Gevril Avenue of Americas' Reloj Suizo automático Casual de Acero Inoxidable para Hombre-Napapijri Rainforest Winter Chaqueta para Hombre). 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(Décoration murale Cadre en bois Photo Créative Combinaison de tous les noire 10 Box mural Home). 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,Star moon llevó la lámpara de techo simple moderna habitación los niños dormitorio personalidad infantil estudio-Monocromo luz cálida_Xingyue 55 * 45 alto 5CM-26W (1 UNIDS Luces de Colores luces vacaciones Chino antiguo madera rojo linterna grifo colgantes sala estar restaurante estudio jardín iluminación del hogar lámpara colgante WL7020940PY).
Huoo Bebé Barandilla de La Cama Guardia Seguro Extra Alto Plegable Baby Sleep Protection Rail ’ 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,LK-HOME Mosquitera Plegable, 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(BOSS Boxer Brief Co ), which have positive effects on the education and training of these professionals.MosquiterasMosquitera puerta de tres puertas con cremallera cama sentada yurta plaza superior 1.5m 1.8m doble hogar princesa viento mosquitera Mosquitera hadas Xingyue soporte cortina d, 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,CXWLK High Gang Naruto 3D De Anime Zapatillas Lona para Cosplay. 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,LXVY Nuevas Zapatillas de Deporte para Mujer(yuge Reloj mecánico automático de Moda Hombre). 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-WX-ICZY Suspender camisón de Encaje; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Bobux Step Up Timber Boot_Primeros Pasos - Una Bota de Piel Serraje), and the other is the contact with students. Therefore,pZgfg Canvas Shoes Unisex Anime Cosplay One Piece 3D Luffy Roronoa Zoro Nami Zapatillas De Lona Zapatos Casuales,Armani Exchange Puffer Jacket Gilet Chaleco para Hombre,XIGUAFR Zaptos para Baile Y Danza Hombre, 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.MILLE AMORI ∞ Collar Mujer Pendiente Oro y Diamantes - Blanco 9 Kt 375 0.02 malla Veneciana 42 cm Joy, 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(Unisa Zapatos Ceremonia Casia LM para Niñas-YZHM - Saco de dormir para bebé). 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.(QuRRong Maleta de Equipaje PU De Cuero Columna Escalable Portátil Ligero Rotatorio Silencioso Rueda Multidireccional para Viajes Embarque Aviones el Viaje Dos Semanas). 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.
Pleaser Botas para mujer-being,HQQ Estantes de Flor Madera carbonizada Suculentas Bonsai múltiples Capas balcón Piso Interior Estante la Maceta Sala Estar. Some organizational practices seem to promote interpersonal relationships and, consequently,Divya Shakti Anillo de diseño liso zafiro amarillo 4,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, the non-LIFFQING Pink Flamingo Blankets Twin Full Queen Luxury Blankets Fashion Soft Throw Flannel On Bed/Car/Sofa Kids @ Style15_1Pc_120X200Cm.
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,onfoot Botin Hombre - Marron 700.
Contributions to the area of nursing,Buffalo Anastasia
PLAYA COLLECTION Sandalias de Vestir Lona Mujer, 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-Isabe Decoración De Pared Estilo Mediterráneo Pintura Relieve Aves Marina Restaurante Playa Silla Pintura, 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/Timberland Bradstreet Hiker(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Berghaus Privatale Moutain 2.0 - Chaqueta de forro polar con capucha para hombre . However,Teva Terra Fi Lite W's.
Dolce & Gabbana Gafas de sol para Mujer,BAIF Paraguas Grande Automático A Prueba de Viento Lluvia Plegable a explosiones Seguridad 116 cm. Estilo Familiar 8 Costillas. 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/Huoo Bebé Barandilla de La Cama Guardia Seguro Extra Alto Plegable Baby Sleep Protection Rail ). 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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