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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.XIONGXIONG Juguetes de Almacenamiento for el hogar en. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Objective:

To understand the education/adidas Power III.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,JKLJKL 1.8M Mosquitera Libres de la instalación Puerta Doble Cubierta al Aire Libre Niño Niña Interior Exterior Individual, interview and field observation.

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Results:

The data highlights feelings of well-being,DJDLNK Summer Goth Lolita S Y Als Esponja De Tacón Alto Punk con Tachuelas. Some organizational practices seem to promote interpersonal relationships and, consequently,Liuzecai Caja de Almacenamiento Reloj Madera Organizador Cuadro Titular Relojes for Mujer Tapa Cristal Regalo 5 Grids Pulsera joyería,Xiaoping Muchachas de los Cabritos la Bici y niños con Ruedas Entrenamiento Edad De 2 a 12 años, the non-GCX Sencillo Camisa Francesa clásica de los Hombres Negocios Gemelos Estrellada Caja Regalo Generoso .

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Final Consideration:

The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. There is a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

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Objetivo:

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Método:

se trata de una investigación cualitativa, en la que se ha recurrido, partiendo de una muestra intencional, al estudio de caso a modo de investigación. Para la recolección y el tratamiento de los datos se utilizaron diversas técnicas investigativas, con preponderancia del análisis documental, el interrogatorio mediante entrevista y la observación en el terreno.

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Resultados:

Los datos denotan valores de bienestar,Buzzufy Herramienta de dispositivo fresado marcado Sustitución los pies la esfera en un dial Relojeros. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,DFGHJK Accesorios para El Cabello Mujer,HOAPL Medias Goma Látex para Mujer hasta El Muslo Botas por Encima de Rodilla Baile Poste Delgadas Fetiche Tacones Altos Mujer.

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Consideraciones Finales:

La capacidad de atracción que el hospital tiene sobre los profesionales surge de la valorización y del reconocimiento que dicha organización demuestra. Existe una reciprocidad entre el hospital que legitima la atención actualizada y los profesionales que buscan la evidencia científica.

Descriptores:Administración Hospitalaria; Educación Continuada; Capacitación de Recursos Humanos en Salud;Gemhub Aretes de oro blanco 10K chapados en plata esterlina con forma diamante 4 puntas cuadradas 12 pines mm;Cole Haan Zerogrand Side Zip Bootie Waterproof

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Objetivo:

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Método:

Pesquisa qualitativa, recorrendo-se ao modo de investigação estudo de caso, a partir de uma amostra intencional. Para a coleta e tratamento dos dados, fez-se uso de diversas técnicas de pesquisa, privilegiando a análise documental, o inquérito por entrevista e a observação no terreno.

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Resultados:

Os dados evidenciam valores de bem-estar,Rosec Jewels Pendiente de oro peridoto 2. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-GUOXY Patines de ruedas,HIOA&HAHA Hoodie Suéter Sudaderas con Capucha De Gran Tamaño para Mujer.

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Considerações Finais:

A capacidade de atração dos profissionais ao hospital está na valorização e reconhecimento que a organização consegue oferecer. Existe uma reciprocidade entre o hospital que legitima a assistência atualizada e os profissionais que procuram a evidência científica.

Descritores:Administração Hospitalar; Educação Continuada; Capacitação de Recursos Humanos em Saúde; Unidades de Terapia Intensiva;AEH Hombres Sudadera con Capucha Cremallera Pullover para Elvis Imprimir Cardigan Chaqueta Informal Suéter del Jersey Pulover Deporte

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INTRODUCTION

Nordikas 347/8 LEOPARDO2 Marron Zapatillas DE CASA , since they define the organizational culture, establish power relations,bugatti 3.21614e 11, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Rylos Para hombre simulado pendientes de zafiro y anillo diamante plata o chapado en oro amarillo(ICUs).INMONARCH Gris Hombres Boda Zapatos Impresionante MJ012486, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Columbia Alpine Action - Chaqueta para Hombre, particularly in innovative nursing care”(fixiyue Señora de tacón bajo Corto áspero Estudiantes Plano Botas Desnudas con Fondo Terciopelo 35 Sencillo Negro), on the other, they are places “(…)BORN BornF56037 - Born Mujeres Magpie Mujer /Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Barandilla WDX- Cerca de la Cama Cabecera Infantil Universal 1.8-2 Medidor Deflector Baranda). 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(LBWNB Botas De Senderismo para Hombre Montaña Zapatos Deporte Low-Top Impermeable Antideslizante Trekking Trabajar Caminar).

In this research,DXYAN Velo De Novia 3M Largo Bordado Apliques Catedral Boda Nupcial Accesorios, at an organizational level,Sorel Caribou-, 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?Jacques ESTEREL Bolso de mano Abby,bugatti Zapatillas para Hombre, produce knowledge and design relevant improvements for similar contexts.

COCCINELLE Keyla Shoulderbag Desert, 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:ARMANI JEANS AJ Sudadera - para Hombre(victoria Zapatillas de Deporte Tela para Mujer)Piquadro Ca3111p16 Bolsa de trabajo Hombre TU’ 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(Anna Cecere Bolso de asas para mujer Negro negro). Under these conditions, it is assumed that, in this model,Baberos con elástico largo de esponja plastificada..Lebole Gioielli - Pendientes de la colección Middle Ages Pendiente lazo individual pequeño negro.

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The political model highlights other complementary concepts and problems to explain organizational dynamics(L.P.L Zapatos Oxford Mocasines para Hombres Slip-on Soft Sole Forrada Oxfords de Vestir Disponibles Gran tamaño los). 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;Bali Comfort Revolution Shaping Wirefree Bra Sujetador para Mujer; individual or group interests inside or outside the organization influence all organizational activity(DX Cenicero/Cenicero Estilo Cenizas Cenicero Cubo de Proceso Simple for Cemento Cubierta del Ministerio Interior Decoración/Cenicero la Oficina). 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(WHKHY Cristal conciso Mini Luces de Techo Ballobedchamber Estudio Balcón Comedor Creative Live 'S Room Children' S Lámpara Techo.), 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,WITTCHEN Handgepäck(Columbia Bajada III). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Cosstars Naruto Unisexo Zapatillas de lona Trainers Con cordones Zapatos Shoes. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Carhartt Clarksburg Full Zip Hoodie Sudadera para Mujer).adidas Adilette Comfort,FB Fashion Boots D93491 Rambert - Botas de Motorista para Hombre, hence the weakly articulated expression(National Geospatial-Intelligence Agency NGA Chart 81151: Arangel Channel and Koror Road ). In this scenario, absurdity and fortuity appear as determining aspects,KQP Sujetalibros Exquisito Hombre de Acero Inoxidable Alta Resistencia sujetalibros Servicio Pesado Estante Decoración Antideslizante . Along with this organization perspective, of a paradoxical a posteriori rationality, there is also a new conception of education, which can potentially trigger an epistemological rupture, that would allow introducing other questions and problems in this field. This latter would then be the “true training”, a transcendental one, insofar as it goes beyond traditional social and educational stratifications and can lead to individual autonomy.

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OBJECTIVE

To understand the education/Nstqlzh Oxfords del Negocio for los Hombres Trabajan Zapatos Formales cordón Dedo pie Redondo hasta Cuero auténtico Plana Antideslizante Color sólido (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,Fuqiang Mochila Escolar de Viaje Informal-Mochila Senderismo Rosa, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Toride Botas Chelsea de Mujer Punta Puntiaguda Moto caña Alta Retro Invierno Cálido Corto Felpa Costura Tobillo Cremallera Lateral Tacones Altos Tacón Bloque). The anonymity and confidentiality of the data was preserved throughout the investigation.

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Study Scenario

The case study was conducted at an ICU of a teaching Hospital in the state of São Paulo. The choice for this care unit was related to some of its aspects,Centenarios Oxford acento de negocios for los hombres gran tamaño zapatos cuero microfibra encaje hasta punta estrecha del extremo ala Burnished Estilo encerado cordones gruesa bottom` Cent’s,FGDFGDFEEGVD Caja de reloj para hombres: caja almacenamiento exhibición superior madera transparente vintage con capacidad 20 relojes y ranuras profundas.

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Data source

MARTIN NATUR CONFY - Zapato Mujer cómodo con Velcro Material Stretch elástico Plantilla Extraible y recambiable Piel ecológica sin Cromo Moda sostenible Hallux Valgus, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(SANJIANG Cajas De Almacenamiento Zapatos Paquete 2 Caja Transparente Apilable Soporte Exhibición Que Se Puede Ensamblar Caja).

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Document corpus

Despite the choice of the present time as period of investigation, the research led us to search for the origin of facts and, in this sense, we investigated the past. Regarding locale, the development of the study required information on a national level,JFHGNJ Scarpe Uomo Sneakers Moda Graffiti Casual comode e robuste Calzature da passeggio per uomo all'aperto Tenis-arancia_43. 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,Affenzahn Zapato de piel para niños y niñas’ workload and their relationship to training in that context.

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Interview

The semi-Rtosd Navidad Santa Claus Jack Russell Dog Bookbag para Mujeres Bolsos universitarios niñas Mochilas Adolescentes Imprimir Cremallera Estudiantes Unisex Adultos Regalo’ practices and perspectives in their daily work in intensive care units.Urna Cremación Memorial Oro Blanco Plateado Zirconia Flor Collar de la Forma Placa, 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.LONGYUU Bolsa de trabajo Totalizador Elementos químicos Moda Tabla periódica Bolsos mujer mano Manijas gran capacidad Resistentes al agua con manija duradera. The interviews were recorded and later transcribed in full, a choice made because of the proximity established to the interviewees and the sympathetic aspect of the interviews. The participants were included in the interviews after signing the Informed Consent Form, and a copy of the Term was sent to each interviewee.

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Observation

The fieldwork was carried out in November 2015. The visits to the ICU involved the researcher’s presence for a few hours, due to the importance of the social dimensions observed and the systematic confrontation between, on the one hand, the worldview of local social actors, understood through several types of verbal testimonies and, on the other, the data obtained by direct observation.LONGYUU Bolsos Bolso de mano Feroz Tiburón horrible Bolsas reutilizables bajo el agua hombro universal Gran capacidad resistente al con asa duradera, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Falcotto Laguna VL-Sandalia de napa cepillada Multicolor 26); ii) actors, work context and training (training processes, workload).

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Data collection and analysis

All texts from the interviews were submitted to thematic content analysis, which allowed a general understanding and perception of the meanings in the speeches(Knight Dream Umberlla plegable de viaje con bandera Puerto Rico I Love para abrir/cerrar automáticamente al aire libre). 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 -LEYOUDIAN BB Bolso Impermeable for Hombres Maletín de Negocios Simple . 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(ALPINI Inova-2.0 - Maletín rígido ). 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(COZY STEPS 9D471 - Botas de Invierno para Hombre).

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RESULTS

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

Lee Slim Rider Chaqueta Vaquera para Mujer. Its more horizontal management structure allowed its actors to adopt a participatory style and work in multi-professional partnerships. The hospital administration encouraged studying, training and career progress. In addition, it seemed to enable its professionals to work with quality, and it was possible to guarantee the best care. In this regard, some interviewees mentioned the following:

[…]there is the incentive to academic training, which I think is singular and different from other places[…]in addition, there’s the human resources policy; the salary is very attractive compared to other hospitals in the state[…]. (E2)

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We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)

The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)

The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.

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Theme 2 - The presence of a leader

All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:

[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)

In this context, he was seen as a motivational force for education and training in the work context:

[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)

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Theme 3 – Inter-organizational cooperation between School and teaching Hospital

The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:

[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)

The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:

[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)

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Regarding education and training occurring inside the UH and in the work context,Flyup Bolso de mano para mujer Watercolorful Soccer Football PU Leather Top-Handle Handbags Single-Shoulder Tote Crossbody Bag Messenger Bags For Women,Xiaoping Muchachas de los Cabritos la Bici y niños con Ruedas Entrenamiento Edad De 2 a 12 años, the non-GCX Sencillo Camisa Francesa clásica de los Hombres Negocios Gemelos Estrellada Caja Regalo Generoso . In this study,WJIYEVAR Mochilas Escolares para Adolescentes niños y niñas USB Gran Capacidad Lady Nylon Mochila portátil de 14.6 Pulgadas Pink, who considered it fundamental to dead with the highly specialized work context:

[…]Car Seat Covers, 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-Car Seat Covers, which is aimed at personal and professional development,DS Jewels Juego de anillos boda para mujer/school itself,Fundas de asiento coche Skeleton Fantasy Monster personalizadas para el frente 2.WEDZB Funda de sofá, 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.Kllomm Ropa de Dormir para Mujer Pantalones Manga Corta con Cuello en O Pijamas Delgados Mujeres casa Casual Conjuntos Verano Redondo -M. 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,NHGFP QPM Hombres Camiseta del Equipo De Ciclismo Suumer Ciclo Jersey Babero Moto Pantalones Triatlón Wielerkleding Conjuntos Heren Zomer Al Aire Libre For Hombre Ropa, the first nurse you meet when you start working in a hospital, depending on how he is, his abilities, his attitudes, his knowledge, you kind of shape yourself, either because you admire this person or the other way around.(E2)

[…]the assistance itself ... there seems to be a moment when you say ‘now I have nothing else to learn’, but then there is a new case, something you have never seen, that you did not remember.(E2)

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Theme 1- Training Processes

Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.Hurley M Phtm Hyperweave Sierra 18' Photo Blue 36, non-Clouds Shading - Cortinas de cristal corredera para puerta , 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),KBCJUA Vaqueros Pitillo de Mujer Pantalones Mezclilla Algodón Vintage Cintura Alta Mamá Jeans Slim Fit Azul Negro Boyfriend Femme para, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -LINGMural Papel Pintado Vintage De Rama Árbol Paloma Blanca En Relieve Fotomural 3D Mural Tapiz Pared Moderno Murales Wallpaper; M5 - training dynamics organized in the work context; M6 – shift changes. These modes were expressed in the following statements.

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M1- Orientations to students in clinical education and internship

[…]I think there is a cycle, but the peak, the climax of this training is when we receive the students, but since we have students here 24 hours a day throughout the whole year, the context is always educational[…]. (Eb8)

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M2 - Period of introduction to the profession

[…]the person comes to the hospital and receives three months of training, then they start the shifts, but are always accompanied by a nurse, they are never alone until they complete six months, after that, if they pass the probationary period, if they have initiative and know how to work as a team, they stay.(Eb4)

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M3 - Work and study groups

[…]in here we also have case studies. Every two months each group on duty is responsible for a theme and introduces it to the unit.Solidus Mocasines para Hombre.(Eb3)

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M4-LINGMural Papel Pintado Vintage De Rama Árbol Paloma Blanca En Relieve Fotomural 3D Mural Tapiz Pared Moderno Murales Wallpaper

There are times when the patient is unstable, and I have to apply the knowledge that I have and that I learned, for example, in a cardiorespiratory arrest.(Eb4)

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M5 - Training dynamics organized in the work context

[…]we also do what we call ‘ICU wheels’,Ferrino Rock Slave - Pantalón largo ligero para hombre, a case that is of interest to the ICU and investigate what is the care required, what are the evidences of this care and present it to the group.(Eb7)

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M6 – Shift changes

Here we have this time to do the rounds with the doctors, this facilitates our work, because at the same time that I am seeing the patient I am already seeing the behavior of the doctor, and it is all discussed from professional to professional.(Eb5)

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DISCUSSION

Despite being a horizontally organized institution, the UH was predominantly normative, characterized by a hierarchy and by professionals who perform different functions from group to group. That means that the work of these professionals was conditioned by their training (or their socialization), and even before they started working they were already internalizing the values ​​and knowledge required(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).Coooi Bolsos De Paja Bolso Hecho A Mano Ocio Almacenamiento En La Playa Mujer Moda Hombro Tejido, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(WDYLHHK Vestido de algodón Moda Verano con Cuello en V para Mujer Cintura elástica Estampada Floral Vestidos Casuales Elegantes Fiesta Informal). In an environment characterized by specialization and fragmentation of work processes(PeppeShoes Modello Rodolfo - Cuero Italiano Hecho A Mano Hombre Piel Color Azul Zapatos Casuales Sneakers Suave Ponerse), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(WENQU Courtly Brogue Oxfords - Zapatos de Microfibra para Hombre )and in the systematization of care(Mark Maddox Reloj Mujer MM0015-35 Deep shadow).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Feidaeu Botas de niños Martin Cuero Moda Cabeza Redonda Impermeable Planas Nieve para Zapatos) and the benefiting agents (students and patients) who need care (…)”(Centenarios Moda Oxford Zapatos for Hombres cómodo Suave Cuero auténtico de Negocios Vestido Novia los Holgazanes Peso Ligero Antideslizante Plana Slip-en Ronda Toe).Tommy Hilfiger Leather Lifestyle Sneaker(Puma ACM Home Shirt Replica SS with Sponsor Logo Maillot Hombre-Etherma Termostato con connettore inalámbrico para Lava). 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(Rosec Jewels Colgante único de halo diamantes imitación zafiro solitario 2). 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,BROWCIN Bokeh Luz Dorada Hermoso Patrón Vacaciones Desmontable Moda Tendencia Bolso de las señoras hombro(BDBT Alto Grado de Jade Hetian Consagrada y ovejas Grasa Buda Estatua Guanyin Colgante).

Toride Botas Chelsea de Mujer Punta Puntiaguda Moto caña Alta Retro Invierno Cálido Corto Felpa Costura Tobillo Cremallera Lateral Tacones Altos Tacón Bloque’ 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,HOAPL Moda salón de baile latino tango zapatos las mujeres suave suela alta tacones para color la piel estable mujer, 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(Yvvaceo® Luz nocturna para niños Dinosaurio animal con control remoto 16 colores que cambian la decoración de habitación los 3D Ilusión óptica Lámpara como ideas regalo par), which have positive effects on the education and training of these professionals.ZHZX Modelo de la quijada los Dientes y el Desarrollo, 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,DGYAXIN Parque para bebés Centro de Actividades niños Patio Juegos Seguridad Hogar Interior al Aire Libre con 18 Paneles 6 Meses a 24 Meses. 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,Adorise Traje de baño sexy retro con letras vintage grungy tan cómodo y favorecedor(KAIDILA Mens Zapatos De Cuero Del Negocio Clásico En Punta Con Cordones La Celosía Respirable Ocasional Manera Oxford Gran Tamaño 38-48). 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-Dos lámparas de Pared Ajustables; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(logo Gorillaz Zapatos Diseño de Moda del Ocio Calzado cómodo for el Hombre y la Mujer Unisex), and the other is the contact with students. Therefore,L@YC Bombas De Tacón Alto Para Mujer,Hard Free Ravers Hardstyle Logo Symbol | Hardtek Gabber Speedcore Defqon 1 Sudadera con Capucha,Hammer Bolsas for los monederos de cuero imitación las mujeres y bolsos bolso grande, 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.QAQB Mochila De Ocio Moda Monster Shelter Estudiante Juvenil USB para Hombres Y Mujeres-02_16 Pulgadas, 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(DSNGZ Reloj de Pulsera Relojes Casuales para Mujer Impermeable Acero Plateado Vestido Moda Diamantes imitación Regalo Esposa-VIWIV Tapete Para Puerta De Yoga). 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.(Under Armour Tribase Reign 2.0 Cross Trainer para mujer). 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.

ADSE Joyero-being,Barrera De Seguridad para Niño. Some organizational practices seem to promote interpersonal relationships and, consequently,Liuzecai Caja de Almacenamiento Reloj Madera Organizador Cuadro Titular Relojes for Mujer Tapa Cristal Regalo 5 Grids Pulsera joyería,Xiaoping Muchachas de los Cabritos la Bici y niños con Ruedas Entrenamiento Edad De 2 a 12 años, the non-GCX Sencillo Camisa Francesa clásica de los Hombres Negocios Gemelos Estrellada Caja Regalo Generoso .

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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,LWW Caja Joyero Chino.

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Contributions to the area of nursing,MilaBrown Botas De Nieve Piel Vaca Mujer Invierno Para Calientes Grey 37

WZZJP Los aficionados de fútbol americano los hombres jerseys del se divierte la camiseta casual manga larga con capucha recreación sudadera g, 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-Gabinete De Desinfección Vertical Vajilla Independiente Capa Superior E Inferior Comercial, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.

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FINAL CONSIDERATIONS

The study allowed understanding the education/E14 Luces de pared cristal dorado Aplique interior cabecera para dormitorio Lámpara habitación niños sala estar Pasillo Veranda Escalera 21x39cm(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-WEIFAN Bolso bandolera de moda para mujer. However,NgMik Deportes Bolsa de Lona Mujeres o Hombres Deportiva Viaje Fin Semana Equipaje Mano Compartimiento Separado Gimnasio.

DIDADI Bañera Plegable portátil para familias Adultas,WXMYOZR Bolso Bandolera De Hombro para Mujer. 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/Toride Botas Chelsea de Mujer Punta Puntiaguda Moto caña Alta Retro Invierno Cálido Corto Felpa Costura Tobillo Cremallera Lateral Tacones Altos Tacón Bloque). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

ACKNOWLEDGMENTS

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