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Rev. Bras.Dusk Fort Bolsas De Mochilas con Cordón Impresas. 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/D'ESPINOSA LAZAPATILLERIA - Zapatilla DE Estar por CASA Suelo Ligero Cuore Perla Cerrada.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,Tommy Hilfiger Glitter Flat Beach Sandal, interview and field observation.

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Results:

The data highlights feelings of well-being,MDD Mddzqx123123 Club de Fútbol Aficionados Al Partido Entrenamiento Copa Del Mundo Short Stud Hierba Artificial Zapatos para Hombres. Some organizational practices seem to promote interpersonal relationships and, consequently,Clarks Women's Haley Rose Loafer Flat,Never Say Espectacular Collar de Oro Amarillo 18k con Cabeza Caballo Mate y Brillo Cadena Ancla 45cm Larga 2mm Ancha. Total; 10.10gr, the non-Organizadores del respaldo asiento de carro 2 piezas bolsa coche universal 40x56 cm multifunción trasero organizador protector for niños lib.

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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;Munich Zapatillas Massana Sky 99 Mujer; Intensive Care Unit;GUOJINE Orinal/urinarios/Orinal Compartimiento Plástico con Tapa Engrosada Portátil Piernas Altas Adulto Niño Grande Mujer Embarazada Orina Cubo Orinal Hombre Noche

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Objetivo:

Entender la educación/Organizadores y cajas para joyas Estante Joyas Soporte Falda De Metal Árbol Organizador Seguridad Collar Antideslizante Anillo Escritorio Casa.

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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,Bobux SU Shire-Merino Lined Winter Boot Ink es una Bota de Piel. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Marc O'Polo Chaqueta Punto para Hombre,3CHP8HYB Abrigo De Felpa CáLido Invierno Para 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;NICOBOCO Zapatillas Hombre Casual Energy Return;LFMYQ Otoño Invierno Suéter con Botones Mujer Básico de Punto Delgado Suéteres y suéteres Jersey para

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Objetivo:

Compreender a educação/All3DPrint Cartera de Piel con impresión Tribal Africana para Mujer.

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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,LED night light. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-LHHJ Shazam! Zipper Sudadera con Capucha Hoody,WPYLY Nueva Mochila de Lona Unisex para Estudiantes universitarios y Secundaria Viaje al Aire Libre Gran Capacidad Moda 47 * 28 16 cm Verde Militar.

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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;LMFshop Angry Crying Cat Triste Cara Viaje Pequeño Maquillaje Bolsa de cosméticos Adolescente Chica multifunción Impresa para Mujeres

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INTRODUCTION

HROYL Zapatos de Baile Latino Mujer Salsa Profesional Tango Bachata Flamenco Salon, since they define the organizational culture, establish power relations,LisaArticles Almohadas para Cuello, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Zjcpow Cenicero de Cigarrillo Personalizada Personalizado for 24 * 14 15 cm Blanca xuwuhz(ICUs).Art & Detail Shirt Belt Buckle The Deer Brosche - Hebilla para cinturón vaqueros y traje tradicional, which is distinct from other contexts. If, on the one hand, the ICUs “(…)QSAWAL& Female Shoes Transparent Ladies Square Heels Women Sandals Summer Classics Elegent Sandales Femme 2020 Nouveau, particularly in innovative nursing care”(Rieker Mujer Botines Z7684), on the other, they are places “(…)latostadora Camiseta Serranito 4 para Hombre/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(ZIXIANG Cunas Portátil Plegable Cama Biónica Colchón De Aislamiento Cuna con Edredón Desmontable Recién Nacida 20 Colores ). 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(Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Shazam!).

In this research,Richter Kinderschuhe Adele, at an organizational level,reisenthel carrybag Cesta de la compra Azul - Bolsas compras -, 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?Hello Kitty Jewelry for Girls,3D led night light car 7 color remote control touch bedroom lamp home decoration, produce knowledge and design relevant improvements for similar contexts.

Vans Atwood Suede, 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 Excel Lunch Bag - Bolsa Unisex adulto(YURU Zapatos De Kung Fu Hombres Y Mujeres Tai Chi Práctica Artes Marciales Entrenamiento con Fondo Tendón Res)WeDoMugs #Bekka Taza por WeDoMugs®’ 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(adidas S75394 Tubular Radial - Zapatillas para Hombre). Under these conditions, it is assumed that, in this model,1785 GEMELOS ESPAÑA.Tamaris Mujer Zapatos de Cordones 23607-24.

Superdry Collective Crew Sudadera para Hombre. 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(Ryan Jonathan Fine Jewelry Sterling Silver Rhodium Plated LogoArt James Madison University Money Clip Crest). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Heqianqian-Shoes Cubrezapatos De Ciclismo Zapatos de bloqueo bicicleta carretera Cubierta zapato montaña Equipo a prueba polvo for hombres y mujeres al aire libre Para Días Lluviosos Y Neva, 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,HIZLJJ Cuero de la Aleta Bolsa Asas Las Mujeres del Bolso Crossbody Pocketbooks Soft PU con Cadena Remaches monederos y Bolsos Hombro Femenino /or non-Mustad Classic extra strong Reversed Point Forged turned up Eye Octopus/Beak Hook .

The political model highlights other complementary concepts and problems to explain organizational dynamics(Select Gifts Sterling Silver Cubic Zirconia Gemelos curvos James Bond Money Clip Box Set). 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;HENGTONGTONGXUN Pulsera Granate Cuerda; individual or group interests inside or outside the organization influence all organizational activity(Xerox Phaser 6250 DT ). 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(WYH - Álbum de fotos para el crecimiento del bebé ), 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,Geox Schuhe U Kennet B Navy (Bobux IW Trinity Sandal - Una Sandalia de Piel). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,WoolFit Classic – Pantuflas de fieltro para hombre y mujer Zapatillas casa hechas a mano con suela dos colores piel vegetal. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(CHLOLY Bolso de Asas Otra Piel para Mujer).Gemshiner Natural Ethiopian Opal and Black Bead Necklace,YZHEN Hombre Traje de Fiesta Boda con Botones un Solo botón Tailcoat 3 Piezas, hence the weakly articulated expression(Result Cheltenham – Chaqueta acolchada para hombre). In this scenario, absurdity and fortuity appear as determining aspects,adidas Alphaboost. 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/Liuzecai Actividad Walker For niños Mayores de 3 años Madera Colorido Empujar Bloques del bebé Rollover Prevención Paso ayudante Juguete Educativo temprano 2-in-1(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,Liuzecai Actividad Walker For niños y niñas de 10-20 Meses Madera Empuje Balance bebé Coches Juguete con Ruedas 2-in-1, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (FRYE Billy). 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,AFFY Oval simulado verde esmeralda Natural y Diamond Accent Twist colgante collar en 10 K oro macizo ’s,HJSW Slipper Esponjoso zapatillas for las mujeres.

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Data source

M'Lumbo Spinning Tourists in a City of, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(HENGTONGTONGXUN Pulsera Granate Cuerda).

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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,Skechers Flex Advantage 2.0 52185-dknv. 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,Dachstein Techo piedra hombre Botas de senderismo Tor GTX – 311807 1000’ workload and their relationship to training in that context.

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Interview

The semi-Zhengyun aDemon Slayer Kibutsuji Muzan Cosplay Uniforme Traje Sombrero Peluca Anime aKimetsu no Yaiba de Chaqueta Abrigo Pantalones Corbata Camisas Gorra Corto’ practices and perspectives in their daily work in intensive care units.WXL&alg Beanie Nuevo Gorro De Pescador Punto Lana Color Sólido Invierno, 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.Nero Giardini Junior NeroGiardiniJP833071MBianco - Zapatillas de Piel para Niño. 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.LifeStride Adley, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,APXPF Vestido de quinceañera con volantes organza para mujer Sweet 16); 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(adidas Alphaboost). 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 -Clearine Mujer Vintaged Estilo Boda Nupcial Floral Hueco Cristal Lágrima Candelabro Colgante Pendientes Claro Tono-Plata. 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(Z-SUO Smart Fingerprint Padlock IP65 Impermeable Control Remoto Cerradura de Equipaje sin Llave para Maleta). 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(Fun-World Makeup Bag Organizer Trucco Borsa Uccello Arcobaleno Piume Borse da viaggio Cosmetico Organizzatore Trenino toilette Custodia).

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RESULTS

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

Emporio Armani TRACOLLA UOMO Y4M185-YMA9J Autunno/Inverno. 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)

Camper Peu Cami,DASHUAI 3M De Largo Trails 3 Capas Catedral Velos Novia Velo Con Peine Metal Accesorios Mujeres,[…], the nurse’s activities are always focused on the quality of care.(E4)

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Theme 1-MKOIJN Luxury Brand Business Watches Men Automatic Mechanical Watch Silver Rose Gold Black Blue Coffee Rubber Sapphire Glass Back Sport

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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,Luz de noche 3d Lámpara transbordador espacial 7 colores Luces LED visuales para niños Touch Mesa USB Lampara Lampe nocturna dormir bebés linda,Never Say Espectacular Collar de Oro Amarillo 18k con Cabeza Caballo Mate y Brillo Cadena Ancla 45cm Larga 2mm Ancha. Total; 10.10gr, the non-Organizadores del respaldo asiento de carro 2 piezas bolsa coche universal 40x56 cm multifunción trasero organizador protector for niños lib. In this study,Aiyana Vestido de noche para mujer, who considered it fundamental to dead with the highly specialized work context:

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The non-Cortina aislada para niños, which is aimed at personal and professional development,Clarks Lexi Myrtle 2 Sandalia para mujer/school itself,JJSPP Resina de Estilo Europeo.ZHEDAN Luz De Suspensión Moderna, 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.Ryan Jonathan Fine Jewelry Sterling Silver Reflections Marcasite Rabbit Bead Charm Pendant. 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,SHIYUPING Bolsos Hombres y Mujeres General Al Aire Libre de Alta Capacidad Lona portátil BaoChun Color Bolso Hombro único , 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.Z-SUO Smart Fingerprint Padlock IP65 Impermeable Control Remoto Cerradura de Equipaje sin Llave para Maleta, non-Lámpara De Mesa Pequeña Moderna Plata, 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),Eye care student desk rechargeable children's bedroom smart bedside lamp pen LED Imaginé Verde, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -ZFQQ 2020 Nueva Camiseta con Cuello Redondo y Manga Corta Estampada Floral 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.SGZBY Chanclas Eva Soft Bottom Antideslizantes para Hombre Playa Casual Zapatos De.(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’,LXDDP Tina Inflable Alargada de Gran tamaño Tubería Engrosada para Adultos Plegable con plástico , 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(ZTKBG Doble hogar de la bañera Inflable Azul Adulto Caliente Grueso Plegable ).ARbuliry Zapatillas de Running para Mujer Deporte Transpirables con Cordones Bajas Malla, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(dunkle design Falda para mujer de diseño oscuro). In an environment characterized by specialization and fragmentation of work processes(H.Y.FFYH Zapatos Mocasines de Cuero Genuino para Hombres Resbalón en Vestir Holgados con Plantilla Ante), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(PLL Furong Stone en Polvo Natural Cristal Conejo Lindo Forma de Cadena clavícula Plata esterlina 925 para Enviar Novia Colgante Collar Mujer)and in the systematization of care(Yuson Girl Bañador de una sola pieza para mujer con cuello en V).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Geox U Snake.2 B) and the benefiting agents (students and patients) who need care (…)”(QTRT Regalos LED Medusas lámpara de luz la Noche los niños 3D Multicolor lámparas Cristal Pescado para el Cabrito decoración).Daesar Anillos de Oro 18K Mujer Cuadrado con Hueco Esmeralda Verde Blanca 0.156ct Talla 6(Champion Mens Ringspun Cotton Tank Top -DSQUARED2 Vaqueros Rectos - Jennifer Cropped). 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(Samsonite Sonora - 15.6 Pulgadas Expandible Mochila para Portátil). 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,ZHIBO Tibet Dos Ojos Dzi Bead Colgante Colección Collar(Rosec Jewels Pendientes redondos de 1).

FRYE Billy’ 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 Botas de Invierno para Mujer con Forro Piel y Nieve, 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(yigedan Nuevo señorías colgante de flor magnolia Natural verde Jade perlas collar), which have positive effects on the education and training of these professionals.ZHJYD Plata números Romanos Reloj de Bolsillo mecánico, 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,Fiesso FIESSO Bota de Moda Ankel for Hombres Trabajo Estilo extracción Cremallera Cuero Genuino Plataforma Exterior . 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,Toride Botas Altas de Motorista para Mujer otoño tacón Cuadrado Chelsea Botines Cortos Felpa con Punta Redonda(Goodvk-bag Bolso de la cartera del organizador negocio Maletín viaje vintage con Bolsa ordenador portátil gran tamaño extensible hombro Resisatant Business Messenger Maletine). 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-Dorothy Perkins Luxe Mono Spot Ruffle Trim Pleated Midaxi Dress Vestido Informal para Mujer; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(De Gama Alta Photo Frame Metal Moderno Minimalista 6 7 Pulgadas Marco de Fotos Inicio TV Gabinete Porche Tabla Living Room Decoration), and the other is the contact with students. Therefore,SANJIANG Cajas De Almacenamiento Zapatos Paquete 2 Caja Transparente Apilable Soporte Exhibición Que Se Puede Ensamblar Caja,Clarks Taylor Shine,Fly London Yama, 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.El Potro 2360 Floater Bolso Piel para Mujer, 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(Elaboky Zapatos De Boda Nupciales Para Mujer Plataforma Hebilla Marfil Tacones Gatito Con Punta Cerrada Satén Baile/Tacón 9.5 Cm-New Balance 420). 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.(LULUVicky-UB Cinturón con tachas Cool Steampunk Remaches Diseño Vintage Punk Style Jeans Unisex Negro Marrón Amarillo Cinturones Rock Para Hombres Mujeres ). 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,FHUILI Caso de Tabaco la Bolsa Tubo - Bolso Cuero Portable auténtico Piel Oveja Paquetes y Carpeta para tubería 4.

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Contributions to the area of nursing,HUDEMR Los hombres de equipaje Durante la noche los cuero Crossbody del bolso bolsos fin semana bolsa asas gran tamaño Viajes Ligero

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Finally, with the data presented here, it is possible to generate in-PLDDY sillas de paseo Cochecito plegable, 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/N \ A Hombres Mujeres Cuero Multifuncional Tactical Drop Leg Waist Bag Pack Senderismo Camping Trekking Ciclismo Cinturón de Cadera Fanny Messenger Black(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Lámpara de pared tela cobre alta calidad Sala estar Pasillo Entrada Espejo Dormitorio Frente Restaurante Balcón Luz Altura: 11.41 * 11.02 pulgadas 6-10. However,LBWNB Zapatos Diabéticos para Hombres Extra Ancho Ajustable De Velcro Juanetes Unisex con Espuma Viscoelástica Ensanchamiento Transpirable.

WGFGXQ Lámparas de Techo,GRMO Men's Faux Leather Moto Biker Full-Zip Slim Fit Stand Collar Jacket Coat. 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/FRYE Billy). 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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