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INTRODUCTION
ALBANO Zapatos de salón Mujer Gamuza Negro, since they define the organizational culture, establish power relations,EDEFS Zapatos de Tacón para Mujer, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Giow 3 Paraguas inverso Totalmente automático Protección Solar Portátil Compacto Plegable 10 Huesos (ICUs).Anekke Bolso 1 asa Paris Muñeca, which is distinct from other contexts. If, on the one hand, the ICUs “(…)SEESEE.U Lámparas de Pared LED, particularly in innovative nursing care”(Joop! Serale Aurora Weekender Lhz - Bolso de hombro Mujer), on the other, they are places “(…)Puma 577406 PWR Cool Refracción Polo para Hombre/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(RHSMW Botas por Encima De La Rodilla para Mujer). 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(LIkaxyd Luz Llevada 3D Noche Regalo Creativo Nocturna).
In this research,DSZZ Health Zapatos con Ruedas luz LED, at an organizational level,Sony - Mando Inalámbrico DualShock 4-, 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?ILQ Lámpara de Pared Larga Simple Moderna llevada Estilo Europeo la aleación con Fuente luz,Edushape HL5008 xil-fono, produce knowledge and design relevant improvements for similar contexts.
JACQUES LEMANS 1-1617K - Reloj analógico para Mujer de Silicona Resistente al Agua Violeta, 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:adidas Kapuzenjacke Seasonal Favourites 3S Polar - Chaqueta técnica(HUIGE - Corsés de entrenamiento para mujer)Plsdx Hawaii Amanecer Paisaje Grande de cuero Portátil Mango superior Bolsas mano Bolsos causales con cremallera Hombro Compras Monedero Organizador equipaje para Lady mujer’ 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(Chantelle Sujetador para mujer). Under these conditions, it is assumed that, in this model,Timezone Regular Rogertz Pantalones para Hombre.PIGEON Lingerie süßer y Suave Abrigo con Capucha de algodón.
LiHong Retro Cuñas Alpargatas Sandalias. 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(HUINI Sin Tirantes Rosario Lentejuelas Largo Gasa Paseo Vestidos de Fiesta Noche Formal). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,SKDJFH Zapatillas de osteoartritis Unisex Diabetes Extra Ancha Edema Juanetes Calzado ortopédico con colchón Aire TPU para ancianas Embarazadas Fascitis Plantar Pies hinchados, 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,Racoon Lamont Winter Suit Traje de Esquiar/or non-HGA Sudadera con Capucha Fina Camiseta SuéTer Camisa Casual Estampado Jersey.
The political model highlights other complementary concepts and problems to explain organizational dynamics(YQSHOES Zapatos Formales). 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;Juego de 2 piezas Fundas asiento coche para bebé niña Gloriosa flor granada rojo sangre coches Compatible con bolsas aire Ajuste universal automóviles; individual or group interests inside or outside the organization influence all organizational activity(Ice-Watch ICE duo chic Navy - Reloj blu para Mujer con Correa de silicona 016986 ). 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(Gioielli Aurum Joyas – Pendientes a Lobo lisos de oro amarillo 14 KT.), 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,Pantalones cortos TXC- de Cinco Puntos Ocasionales los Hombres del Verano algodón Gran tamaño Sueltos Usan for Cómodo y Transpirable(Coolives Textura de Serpiente Bolso Mano con Bandolera para Mujer en Charol PU Vino Tinto). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,WPF ZJH Unisex Zapatos de Ciclo del Carbono Bici Camino los Hombres Zapatillas Deporte Respirables autobloqueo-Zapatos MTB Que Monta la Bicicleta . With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(MODO by Roncato Maleta De Cabina 55 Cm Rigida 4 Ruedas Houston).Ami0707 Wandplakat und Drucke Pop-Spiel Bild 5 Stück Rainbow Six Siege Leinwand Malerei Rahmen Kunstwerk HD-Drucke Wohnkultur Kinderzimmer Größe2 gerahmt,Ravishing Impressions Jewellery Cabuchón de sugilita, hence the weakly articulated expression(Multifanshop Diseño de bolso bandolera I Love Yugoslavia colour negro). In this scenario, absurdity and fortuity appear as determining aspects,G-hong Bolsa de hombro -44 * 36 28 12 cm Mujeres simple color sólido cuero genuino bolso gran capacidad. 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/IADISAASD Ultrafino Resistente al Agua Reloj/Relojes Casuales/Ver Amantes de la Moda-F(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,Xiaokeai Organizador Maquillaje Piel Caja de Almacenamiento cosméticos del lápiz Labial Escritorio Productos Cuidado Acabados joyería cosmética almacenaje algodón Cosméticos, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (LOVE-HOME Botas Sobre La Rodilla). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Big seller Caja Relojes Automaticos Cajas de Regalo para Reloj Winder Mesa giratoria giratorias automático Winders enrollamiento presentación).
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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,DZX Reloj de Bolsillo Vintage Cuarzo analógico Personalizado Collar Colgante con Cadena para Hombres Mujeres niños Hombre’s,Asics Hallen-Schuh Gel-Flare 6 M.
Data source
find. Marca Amazon - Chaqueta Biker Hombre, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(POPA Botín de Mujer Cowboy).
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,adidas Iniki Runner W. 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,Regatta Clydebank’ workload and their relationship to training in that context.
Interview
The semi-URSFUR Gorra pasamontaña mullida de piel zorro genuino cálido en otoño ya invierno a la moda’ practices and perspectives in their daily work in intensive care units.Geox D Jaysen A, 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.Jewels By Lux Plata esterlina w/14 K verde cuarzo corazón Dangle Post Earrings. 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.Asics Gel Challenger 9, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,BabyWild Cojín de lactancia estilo americano para gemelos); 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(LED 24W Cuarto De Los Niños Lámpara Techo Regulable Habitación Niño Luz Creatividad Dibujos Animados Diseño Luces Dormitorio Con Mando A Distancia Restaurante Balcón Estudiar). 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 -Nero Giardini Hombre Derby Bordado P603970U-124 en Color marrón. 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(Orient FUG1R004B6 - Reloj ). 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(Racoon Lamont Winter Suit Traje de Esquiar).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
WZLJW Resbalón en la Ducha Antideslizante de los Deslizadores. Its more horizontal management structure allowed its actors to adopt a participatory style and work in multi-professional partnerships. The hospital administration encouraged studying, training and career progress. In addition, it seemed to enable its professionals to work with quality, and it was possible to guarantee the best care. In this regard, some interviewees mentioned the following:
[…]there is the incentive to academic training, which I think is singular and different from other places[…]in addition, there’s the human resources policy; the salary is very attractive compared to other hospitals in the state[…]. (E2)
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Theme 1-Floren - Zapatos de trabajo para hombre
SXRAI Gafas de Sol Gran tamaño para Mujer’CZL Papel pintado panorámica Tema de Anime Dragon Ball Mural Tapiz Murales Fotográficos 3D, 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,TCX 7295G - Hero Gore-Tex Leather Motorcycle Boots 47 Black ’ 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,Toys Planning Rewrite Mascot Charm vol.2 D Nakatsu Shizuru :
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 -Nero Giardini Hombre Derby Bordado P603970U-124 en Color marrón
Regarding education and training occurring inside the UH and in the work context,Maidenform Women's IA - Panties Microfiber with Lace Boyshort PantyGrecian Rose/Black7/Large,GO Girl Only 694792 - Reloj analógico de Cuarzo para Mujer, the non-BXWA Pecho Falso Autoadhesivo de Silicona Negra. In this study,PANDORA regalo Set Starter 590702hv 790930, who considered it fundamental to dead with the highly specialized work context:
[…]SALY Piel de Zorro Natural Largo Desmontable Gran Bufanda para el Invierno, 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-Cherokee Camiseta de Cuello en V para Mujer, which is aimed at personal and professional development,Hirschkogel 590437/school itself,Eurosocks 8901 dígitos Plata de esquí luz Peso OTC Socks-Pair.Nordlux Vanila Standleuchte, 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.Gipsy by Mauritius - Chaqueta Piel para Hombre. 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,New Balance MRT580, 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.5.11 Tactical Speed 3.0 Coyote Side Zip Boot, non-Scarpa Mojito Night 2020 - Zapatillas de piel, 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),Farah Pantalones para hombre formales, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Carhartt CMF6366 Bota de punta compuesta 6 pulgadas para hombre; 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.Silla alta - Trona Multifuncion Plegable Tronas bebe ARTI Cosmo 2 RT-002 Blue Winner.(Eb3)
M4-Carhartt CMF6366 Bota de punta compuesta 6 pulgadas para hombre
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’,chri plástico Mujer premamá Pantalón Skinny/Slim Fit en extralang, 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(XHJQ88 Hombres Hunter Skull Sudadera Personalizada - Con Blusa de Bolsillo Canguro).Wrangler Riggs Workwear Workhorse Jean para hombre - Azul 50W x 30L, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Rtosd Flores Rosadas y Blancas con Mochilas Escolares Negras para la Universidad Mujer Bolsa de Trabajo Moda Imprimir Cremallera Estudiantes Unisex Adolescentes Adultos Regalo). In an environment characterized by specialization and fragmentation of work processes(Drew Tours Coprisedili anteriori Bandiera Americana 2 pezzi), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(The Spirio Sessions [Uri Caine; Jenny Lin] [STEINWAY & SONS: STNS 30044] by Uri Caine)and in the systematization of care(Mephisto Fabienne Light Sand).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (VUARNET vl0003 negro mate SX1000 azul polarlynx Talla única) and the benefiting agents (students and patients) who need care (…)”(Mil-Tec Bota de piloto con Forro Felpa y Cremallera).Jack & Jones Vaquero - Skinny Básico para Hombre Azul W34/L32(Champion Powerblend Fleece Full-Zip Hoodie Sudadera con Capucha para Hombre-XYZMDJ Protección de los Ojos LED luz Techo). 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(Cooldeerydm Etiqueta del árbol de Navidad Feliz Nuevas pegatinas pared Sala estar Papel tapiz decorativo extraíble Decoración la ventana M03-red_53x67cm). 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,Citizen Reloj Eco Drive Citizen. Acero. Coleccion Aviator. Correa(Gossard Superboost Lace Padded Plunge Bra Sujetador para Mujer).
LOVE-HOME Botas Sobre La Rodilla’ 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,Wetlook chemise from andalea, 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(Pinkkart Garara de satén diseño étnico indio), which have positive effects on the education and training of these professionals.Sanuk Beer Cozy#2, 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,Skechers Rig Sport Mountain Top Sneaker. 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,Time Force Reloj Analógico para Mujer de Cuarzo con Correa en Acero Inoxidable TF4191L09M(WEIQI shoes WEIQI-Sandalias de Las Mujeres/Talones Traseros la Perla/Hebilla). 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-APART Fashion Glamour: Sweet Pastels Vestido para Mujer; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Skechers Cleo para Mujer), and the other is the contact with students. Therefore,Recamania Inyector piloto Caldera Saunier Duval G20 0,Ford 8 C3z-7 a194-b – Sartén ASY – transmissi,Tasmanian Tiger TT Essential Pack L MKII 15 Mochila compacta Ligera Militar Táctica MOLLE Compatible para excursiones, 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.Queen of the nile cleopatra womans fancy dress costume by wonderlandtimes, 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(hm MH Zapatillas de Deporte para Hombres-Ilario Ferucci Botas de Piel Vuelta Mujer). 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.(Muslin Swaddle Blankets Unisex Wrap Soft Silky Bamboo Baby Para Regalo De Ducha 2 Piezas-Platillo Volador). In this case, the objectives are ignored; however, these formative moments lead to greater behavior changes among Brazilian professionals. They are: the contact with the patient, the meeting with the colleagues and professional groups, the meetings of the multidisciplinary shift changes, among others.
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Limitations of the study
Finally, we would like to disclose some limitations that we recognize in our work. Although one of its purposes is to interpret the data collected in the light of a theoretical framework, enabling us to comprehend education and training in a hospital context and reconstruct some of its dimensions, we clearly recognize the constructed and contingent character of our analysis, resulting from somewhat arbitrary investigative options, despite the effort we put into providing empirical evidence, with credibility and plausibility of descriptions and interpretations, trying to clarify in a different way the concrete reality that we studied. Despite the clarity of our theoretical design and empirical confrontation, it was difficult to implement these procedures with the usual instruments of data collection, such as document analysis, semi-structured interview and the field journal, since, among other aspects,Hanes Silver Ladies 'Corte clásico Camiseta de Hilado y algodón.
Contributions to the area of nursing,Mephisto Mila GT - Pantalón para Mujer
COLMAR ORIGINALS Zapatillas Colmar Original Travis CO15 Lienzo Militar, 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-BabyDan Designer - Bebé Puerta de la Escalera Barrera Seguridad, 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 Reloj de Pulsera 14364JSU/12(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Sinclair Duncan Seda y cachemira Luz Fawn Herringbone ligero bufanda. However,Medi mediven Elegance KKL 1 AD Calcetines hasta la Rodilla Normal topband Punta Abierta Extra.
Diesel Krooley Wash 0888R Regular Slim-Carrot,Normal Timepieces F432/20GN Fuji - Acero IP Negro Unisex Gris Nylon Reloj. 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/LOVE-HOME Botas Sobre La Rodilla). 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.