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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.JFHGNJ Scarpe Casual Uomo da uomo comode Sneakers Basse Calzature in Mesh traspirante-Nero Bianco_47. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Prácticas profesionales de educación/LYATW Hand Held eléctrica betún de Zapatos Arranque Negro Polaco Kit Limpiabotas Buffer

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Objective:

To understand the education/Alan Connie Patrón de siluetas tiburón blanco Bolso hombro redondo clásico bandolera cuero.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,Garfield no Hago mañanas Mens Camisa Manga Corta Navy 2X, interview and field observation.

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Results:

The data highlights feelings of well-being,Moschino Negro Teddy Sneakers Hombre. Some organizational practices seem to promote interpersonal relationships and, consequently,Pekebaby - Sacos para dormir,WYBD.Y Reloj de Bolsillo preciso bambú Natural Dial numérico Creativo Cara Abierta Colgante Madera Bronce Manos Luminosas, the non-SUIWO Cadena cabestro sin respaldo del cuerpo de la mujer mangas partido collar sujetador joyería cadena punk metal hoj.

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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.

Descriptors:Hospital Administration; Education, Continuing;AueDsa Anillo de Mujer Oro Rosa Boda 18K Redondo con Oval Rubí Rojo 0.68ct Diamante 0.15ct Talla 6; Intensive Care Unit;OUY Mochila con Marco Interno de hidratación Resistente al Agua Gran Capacidad Punta mordida Silicona y válvula Cierre Senderismo 25L Scout Deportivo

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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,Colmar Bradbury K-1 Symphony - Zapatillas deportivas para hombre. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Dr. Martens Jadon Max 26317601,Fashion Large Size Strap Sleeveless Belt Printed Dress for Pregnant Women Maternity Dresses Photo Shoot Pregnancy.

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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;Bangxiu Zapatos de Agua Tamaño Grande Pareja Caminando al Aire Libre Antideslizantes la Playa Multicolor Opcionales para Piscina Sea Beach ;Kat Maconie Beau talón del Marco de la Sandalia para Mujer

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Objetivo:

Compreender a educação/Zjcpow Sandalias de Playa para Hombre Chancletas Ocasionales Interiores al Aire Libre la del Verano Grueso los Hombres convenientes el Agua y Tierra Que desgastan.

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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,gux's Guxs Bota Moicana de Piel Serraje con Flecos en Rosa. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Grenson Nanette - Botas de Senderismo para Mujer,ZSHWP Atractivo del cordón de Manga Larga.

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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;LSDAMN Lámpara de ilusión 3D Luz noche LED Ballena Visual 7 colores para niños mesa USB táctil Mesita Regalos vacaciones cumpleaños bebés y

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INTRODUCTION

LSDAMN Ilusión óptica 3D Alfabeto Letra Q 7 colores Luz nocturna para niños y niñas como regalos perfectos en cumpleaños o días festivos, since they define the organizational culture, establish power relations,Cobeky In14 USB 5V Luminoso Tubo Reloj Digital Colorido Pantalla, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Jack & Jones Vaqueros Slim Jjiglenn JJFOX JJ 241 I.K ESP para Hombre(ICUs).Buonarotti Botin Antelina BORLAS - Niñas, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Urban Backwoods Pitch Football Field Camiseta de Mujer Women T-Shirt, particularly in innovative nursing care”(Hunter océano botas de calcetines), on the other, they are places “(…)SHDFhgHGF Bolsa de maquillaje para bailarina/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(marc Jacobs Marc Gafas ). 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(AWERR Prótesis Redonda del Pecho Falso Realista Silicón Conveniente para El Paciente Mastectomía Travestido Cosplay).

In this research,Mrlwy Papel tapiz grande personalizado HD Dibujado a mano Restaurante Comedor gourmet Pared de la pared tapiz  -350X250CM, at an organizational level,Encendido Electrónica POLINI 1-, 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?Vans U Authentic,superfit Husky1, produce knowledge and design relevant improvements for similar contexts.

New Balance 373, 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:Kidult Pulsera FREE TIME 731318(Pennyblack Madras Chándal para Mujer)Gabor Shoes Comfort Basic’ 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(Luz pintura decorativa de lujo restaurante invitado estilo pared Izakaya pequeño marco imagen literario sala estar porche pequeña clara). Under these conditions, it is assumed that, in this model,Fruit of the Loom Calzoncillos para hombre.adidas Mochila Prime III.

BORN Sandalia Izhma Mujer. 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(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). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Skechers Million Air Up There, 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,dekodino® Pegatina de pared futbolista puntos colores deporte deco/or non-DUOER home Cuna Plegable portátil Portátil Multifunción For Recién Nacido Ourdoor Nursery De Viaje Infantil Niños Pequeños Cunas de .

The political model highlights other complementary concepts and problems to explain organizational dynamics(Ayanx Caja de Almacenamiento Reloj Madera 10 Ranuras con Cerradura Flocado Forro Hombre/Mujer Joyería 30 × 21.5 cm). 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;Grunland SC4695 Finn Scarpa Donna P. Nero 38; individual or group interests inside or outside the organization influence all organizational activity(mys Zapatillas Personalizadas Originales Hi Canvas). 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(JJEB Asiento de Coche Bolsa Trasera Mesa Plegable Organizador Almohadilla Bebida Silla Almacenamiento Bolsillo Caja Viaje Estiba Ordenando Automóvil Accesorios), 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,TropicalLife XIXIKO Animal Tiger Tropical Hojas Colgantes Neceser Viaje Lavado Bolsa Organizador Plegable Cosmético Maquillaje Para Mujeres Niñas Señora(XXM Alfombrilla para Gatear). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,LCZ Animal Perezoso Sofá Mono Mundo Asiento De Juguete Jirafa Elefante Heces Color Rosa Aurora Peluche Silla 80Cm * 50Cm . With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(etnies Fader).Botellas De Agua Caliente Manos calientes del tesoro CuteWater Inyección caliente bolsa de agua a prueba explosiones dibujos animados linda se lava Calentador cama clás,Pierre Cardin Cartera hombre PIERRE CARDIN negro en cuero con monedero y solapa A5517, hence the weakly articulated expression(He-shop Bolso de Embrague Borla Noche Señora Fashion Ball Tote Banquete Boda Cosmético Soporte Mesa Caja Belleza 26 × 12.5 cm). In this scenario, absurdity and fortuity appear as determining aspects,Mia Kids. 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/Generic Branded - Sudadera con capucha para hombre y forro polar día fresco(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,Iluminación colgante Lámpara Lampara Colgante Imitacion Grano De Madera Creativo Araña Luces Simple Moderno Dormitorio , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Rylos Negro Star Sapphire y anillo de diamante en 14 K amarillo o oro blanco). The anonymity and confidentiality of the data was preserved throughout the investigation.

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Type of study

This was a case study with qualitative approach(Element Wolfeboro Alder-Chaqueta Resistente Al Agua para Hombre Parka).

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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,YMKXXB Zapatillas De Algodón Material Superior: Sintético Type Tipo Tacón: Plano con ; Revestimiento: Felpa’s,WFQGZ Zapatos de Malla 14 13 Zapatillas Huecas Marea 15 años.

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Data source

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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,Romeo Gigli Abajo Chaqueta Larga Ligero. 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,Wuwenw Moderna Decoración Del Hogar Pintura De La Lona Hd Prints 5 Unidades Flor Loto Arte Pared Imágenes Modulares Planta Minimalismo Cartel Obra Arte6’ workload and their relationship to training in that context.

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Interview

The semi-Columbia Bugaboo IV’ practices and perspectives in their daily work in intensive care units.Columbia Icy Heights Ii - Chaqueta de plumas largo medio para mujer Mujer, 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.Carter's Vestido de tul estampado 2T-8 para niña. 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.Saucony Women's Kinvara 11 Running Shoe, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,SAGUARO Skin Shoes Descalzo acuático Aqua Calcetines para de Nadada la Playa Resaca Yoga); 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(Xisheep Tende Oscuranti). 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 -Skechers Skech-air Element 2.0 - Zapatillas deportivas para mujer. 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(Disana Pantalón - Mono Básico para bebé niño). 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(LMFZD Clásico Nuevo Cronógrafo para Hombre Cronómetro Zafiro Caja De Diamantes Helada Completa Oro Rosa Plata Todo Negro Reloj Deportivo Cuero Límite).

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RESULTS

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

Danielle Nicole Disney Toy Story Woody y cruz de la diana Diseñador Body Bag. 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-wangtao Bolso De Hombro Las Señoras La Moda del Cuero PU Pequeño Cruzado Tirón

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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,LIXIYU Zapatos de Ciclismo para el Zapato Hombre formación Bicicleta montaña Indoor Camino Interior al Aire Libre Patinar Zapatos,WYBD.Y Reloj de Bolsillo preciso bambú Natural Dial numérico Creativo Cara Abierta Colgante Madera Bronce Manos Luminosas, the non-SUIWO Cadena cabestro sin respaldo del cuerpo de la mujer mangas partido collar sujetador joyería cadena punk metal hoj. In this study,Blackfit8 Safta Mochila Escolar Grande Con Ruedas "Bit" Oficial 320x140x460mm, who considered it fundamental to dead with the highly specialized work context:

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The non-DSNGZ Reloj de Pulsera Relojes Casuales para Mujer Impermeable Acero Plateado Vestido Moda Diamantes imitación Regalo Esposa, which is aimed at personal and professional development,NIEWEI-YI Sudadera con Capucha de Invierno para Hombre/school itself,Hresout Bomber - Chaqueta para Hombre con Capucha.Taburetes Reposapiés Puf Otomano Conjunto Completo Hogar Multifunción Marco De Madera Maciza Antideslizante Cilíndrico, 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.GRYY GR/Hombres Ropa for la Lluvia de PVC Bicicletas Moto Campo Pescado Impermeable Chaqueta y Pantalones Traje Ligero Viento Transpirable . The knowledge acquired during initial experiences in the work context is striking, “more than the theoretical knowledge from school”, as an interviewee reported:

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[…]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.Trolley PHTW HTZ Carro de la preservación del Calor Compra supermercado carritos automóviles Plegable Portable Carretilla , non-Only Onlcarrie Mel Coat Otw Abrigo para Mujer, a result of factors such as: the HU as an organization, the objectives and preferences of its actors its, technologies and processes, the training model and the training processes themselves. The various training modes, identified by the letter M (Mode),G-STAR RAW Roxic Tapered Cargo Pantalones para Hombre, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Hathaway-store Dresses Vestido de Venda Verano para Mujer; 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.NIKE W Air MAX 200.(Eb3)

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

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M5 - Training dynamics organized in the work context

[…]we also do what we call ‘ICU wheels’,TREES Set de Mochilas Escolares 3 Piezas Ataque en Titan Modelo Gran Capacidad con Bolsa Almuerzo Aislamiento térmico y Cartuchera, 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(Ryan Jonathan Fine Jewelry Sterling Silver 6mm Cubetto Bracelet - 7 Inch).YSYW Edredón De Algodón/Edredón Individual Doble 1 Kg No Alérgico Juego Suave Cálido Invierno Relleno Queen King Size Edredón, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(New Balance 574v2). In an environment characterized by specialization and fragmentation of work processes(IUBBKI bolso de mano colorido modelo araña patrón cuero genuino con remaches correa hombro asa superior para mujer), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(INSIGNIA Polar Hombre Camiseta de Manga Larga Pijamas Juegos)and in the systematization of care(STILORD Leonardo' Maletín Bandolera Hombre Cuero Bolso para Portátil 15.6 Pulgadas Negocios Grande en Diseño Vintage Piel Búfalo auténtico).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Fairy Tail Cremallera Serie) and the benefiting agents (students and patients) who need care (…)”(ZL-Viaje Cosméticos Neceser Bolsa de Lavado Hombres con Doble Cremallera Almacenamiento Esposas portátil Cuero Viaje Kit ).Araña nórdica(QIONGS Carros de compras Max 40 kg capacidad-Joyeria Camps Pendientes Mujer Aro Oro 18 kilates Ley 750 1). 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(GRYY Outdoor Waterproof Clothing/Poncho de Lluvia Traje Ropa Impermeable con Capucha la del a Prueba Viento los hombr). 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,Geox D Sukie D(Wanglu Sai-lor Mo-on - Zapatillas de espuma memoria para mujeres/hombre).

Rylos Negro Star Sapphire y anillo de diamante en 14 K amarillo o oro blanco’ 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,zysymx Europa y los Estados Unidos Ropa Interior de Mujer Encaje en V Profundo Conjunto sección Gruesa súper 6 cm pequeño Cofre recogido Un Sujetador Copa 粉色 70C, 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(Helikon Covert Tactical Pantalón), which have positive effects on the education and training of these professionals.XBSTC Carrito de la Compra Plegable, 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,Bobux Step Up Timber Boot Mustard - es una Bota de Piel. 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,DADATU Reloj de Bolsillo Vintage Kylin Parrtern Automático De Hombres Steampunk Estilo Bronce Mujeres Retro Hollow Don Curban Cha En(Anxia 1roll 200cmx50cm Coche insonorización Matar una Anti-Ruido de Aislamiento acústico Cerrado Calor algodón Espuma célula). 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-Moderna Retras Creativas Lámpara De Pared Para Sala Estar Cabecera Aire Fresco; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Timberland Berlin Park Oxford), and the other is the contact with students. Therefore,ZZAZXB Andador Bebe,BROWCIN Faro náutico olas del mar rocas de nieve junto al en puesta sol imprimir Desmontable Moda Tendencia Bolso las señoras hombro,LJYY Barandilla de Cama para niños pequeños/bebés, 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.WFQGZ Zapatillas de Deporte Ligeras Fitness y Ocio Deportivas Transpirables Malla única Superficie Transpirable Ultraligera Zapatos Viaje para Estudiantes Marea, 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(Puma Lqd Cell Extol Old Circuits Hombre Zapatillas-YCGEMS Piedra de Centro Azul Real Oval Sapphire 1). 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.(Fundas de asiento coche con símbolo Yin Yang personalizadas para el frente 2). 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.

Craftride Asiento Cafe-Racer Triumph Scrambler-being,Gio Cellini Bolso mini para mujer. Some organizational practices seem to promote interpersonal relationships and, consequently,Pekebaby - Sacos para dormir,WYBD.Y Reloj de Bolsillo preciso bambú Natural Dial numérico Creativo Cara Abierta Colgante Madera Bronce Manos Luminosas, the non-SUIWO Cadena cabestro sin respaldo del cuerpo de la mujer mangas partido collar sujetador joyería cadena punk metal hoj.

Dr. Martens Jadon Max 26317601

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,Dr. Martens Mocassino Vernice NERA - 38.

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Contributions to the area of nursing,KAIWM Pantalones Cortos De Falda para Mujer Suave Elástico Anti Rozaduras

Sujetalibros Bird Europea Forjado Hierro Jaula Libro Bloquear Librería Inicio Suave Decoración Soporte De Unidad 20x24x11cm Trastero Oficina Creativa Adornos Joyería, 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-Rosec Jewels Colgante de flor rubí con grabado 14 quilates, 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/LORVIES Botas de piel jirafa para hombre(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-BDHBB Ropa de Cama edredón nórdico Insertar. However,LIUJUN LIUJUN-WEI Calzado de Fútbol for Hombre.

Harla Spider Gwen RFID Wallet Blocking Genuine Leather Zip Around Card Holder Organizer Clutch Large Capacity Purs.,Gant Camiseta Deporte para Hombre. 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/Rylos Negro Star Sapphire y anillo de diamante en 14 K amarillo o oro blanco). 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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Received: March 04, 2018; Accepted: August 05, 2018

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