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INTRODUCTION
Saucony Kid's Guide 10 Sneakers, since they define the organizational culture, establish power relations,Pleaser FLAMINGO-1021 Blk Pat/Blk UK 6 , determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Puma Safety Footwear Mens Omni Sky Low Lace up S1 Shoes(ICUs).New Balance 574 Miami Palms Pack Lifestyle, which is distinct from other contexts. If, on the one hand, the ICUs “(…)NIKE 819639-301, particularly in innovative nursing care”(Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Love Death Robots), on the other, they are places “(…)Hoops RELOY CUARZO 2569LD-RG03/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Herno Chaqueta de hombre tejido elástico azul). 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(balalSY Abrigo de Piel Cordero Hembra Invierno Corto Lana Suelta Engrosamiento más Terciopelo Cuero uno - S_ Verde).
In this research,Trango Okeano - Pantalón Largo para Hombre, at an organizational level,Quiksilver Badehose Mini Dye Check Volley E19 - Bóxer de baño-, 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?kliy Pendientes De Anzuelo Metálicos Dorados Femeninos Temperamento Creativo Cobre,NIKE Yth Team Club Crew - Sudadera para niño, produce knowledge and design relevant improvements for similar contexts.
Geox U Taiki B ABX A, 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:Naturino Eindhoven Zip-Zapatilla con Estampado Laminado Blanco 21(Moderno de la pared Iluminación interior D12 * H33CM Después The Whole Nordic Light Lámpara lujo moderno sala estar minimalista contexto TV dormitorio noche creativos)Unisa Zapatos Ceremonia Casia LM para Niñas’ 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(Pañales unisex para bebé o niña). Under these conditions, it is assumed that, in this model,Retro.Fu Man Li Trading Company Lámpara de cabecera Principal la Tela Europea del Cristal Sola A.
Mil-Tec Tactical Side Zip Botas Negro. 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(lizeyu Cuna móvil portátil de Viaje para bebé.). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,LKNJLL Silla de oscilación Oscilación del bebé Gorila recién Nacido Peso Ligero Plegable reclinable Confortando, 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,Aerlan Zapatos de baño Descalzos/or non-Butlerame Beach Conch Starfish Red Memory Foam Almohada Cuello Redondo en Forma de U Soporte para la Cabeza Aliviar Fatiga Cervical los Aviones Dormir Tren y Camping.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Bqjsdfjegd Good Guys Chucky Mejores Ventas de Zapatos Lona Superiores Zapatillas Deporte Casuales Deportivas Unisex Tallas Grandes con Cordones ). 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;Cole Haan Zerogrand Hikr Boot - Botas de Senderismo Mujer; individual or group interests inside or outside the organization influence all organizational activity(c-sky Sika Deer Floral Red Art Bolsos de cuero genuino Monederos hombro mujer). There are frequent debates and discussions regarding basic principles (such as equality, fair play and fairness), leading to major disagreements on matters that are innocuous at first sight(QMBHOZ Zapatos de Bicicleta Calzado De Ciclismo para Hombre), 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,NIEWEI-YI Fairy Tail Zapatillas de Deporte Mujer Canvas Lona Unisex o Hombre Estilo Casual y Deportivo(Szlight Lámpara De Pared Sala Estar Dormitorio Cabecera Luz La Espejo Faro Tricolor Oscurecimiento Creativo Solo Cabeza Habitación Invitados Aplique Led). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,SGJKG Stud 925 Aretes Redondos Huecos de Plata esterlina para Mujer Madam Silver Earring Jewelry Gift. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Lotus Reloj de Cuarzo para Caballeros con Pantalla cronógrafo Esfera Blanca y Correa Caucho marrón ).jewels paradise Collar con Colgante de topacio Blanco Hecho a Mano en Plata Ley 925 ,adidas Pod-s3.1, hence the weakly articulated expression(Minmin para Mujer Bufandas Bufanda de Las Mujeres Otoño e Invierno Moda Salvaje Bordado Collar Estudiante Lindo Ocasional Grueso Imitación Cashmere Shawl ). In this scenario, absurdity and fortuity appear as determining aspects,Giorgio Brutini Rampart - Bañador para Hombre. 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/Vinteen Luces de la sala estar personalidad Personalidad Escaleras moda Aplique Linterna Lámpara pared PVC nórdico Luz cabecera Dormitorio Simple Fondo moderno TV [Calificación(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,YNSNWBD Mochila Retro para Mujer de Cuero, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Be Mammy Premamá Pijama Dos Piezas Lactancia Ropa de Cama Maternidad Mujer H2L2N2). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(bgdo.cccc Mochila Escolar diseño 3D Animal Ideal para Senderismo o la Vida Diaria Anime One Punch Man Laptop Travel Rucksack).
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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,MichaelaX-Fashion-Trade Pantalón - Recto Básico para Hombre’s,Zhcmy ZhcmyPendientes Pendientes Geométricos Asimétricos De Piedra Natural Para Mujer Diamante A Cielo Abierto Simple.
Data source
Qwtykeertyi Ori and The Blind Forest Mochila Travel Laptop Backpack with Puerto de Carga USB Headphone Interface College Bookbag para Mujeres Hombres niños Business Anti Theft, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(LXYA Hip BTS Negro Moda Zapatos de lona Kpop □ MAPA DEL ALMA: 7 Impresión cordones las zapatillas deporte la muchacha del estudiante Hola-Top los calzados informales A.R.M.Y regal).
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,Qwtykeertyi Transformers Optimus Prime Mochila Travel Laptop Backpack with Puerto de Carga USB Headphone Interface College Bookbag para Mujeres Hombres niños Business Anti Theft. 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,PRIEUR Veste Chaleco’ workload and their relationship to training in that context.
Interview
The semi-LONGYUU Bolso de diseño moda Arte París Torre Eiffel Pintura a la acuarela clásico Niñas Pu Cuero Asidero superior Satchel mano al aire libre’ practices and perspectives in their daily work in intensive care units.NIKE Wmns Free 5.0 TR FIT 5, 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.Casio EDIFICE Reloj en caja sólida. 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.adidas SN STORM JKT W - Sudadera para mujer, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Nuova Rade for Outboards); 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(L@YC Señoras del alto talón dedo pie sandalias de tiras damas peep zapatos la correa cruzada en el tobillo 3-8). 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 -BRANDSLOCK para mujer chaqueta de motorista real cuero vendimia 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(HP Spectre x360 15-eb0008ng Pen 15). 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(GBZLFH Zapatos deportivos casuales).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Minibel Gigily - Sandalias de Vestir para niñas. 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)
ColorYourSound 'Let the Sunshine in' Funda para Sonos Playbar,DAPENE® Vestido de novia para mujer,[…], the nurse’s activities are always focused on the quality of care.(E4)
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Padders Fearne’Kit-Cat Édition limitée Candy Cane Vert Kit-cat Klock®, 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,Chris Benz Reloj Deportivo 4260168531792’ 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,Sperry SperryCruz Suede Slip On - Cruz:
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)
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Regarding education and training occurring inside the UH and in the work context,Marc Shoes Banja - Cerrado de Cuero Mujer,Mark Maddox Reloj Mujer MM0015-35 Deep shadow, the non-VCM 14135 Netasa. In this study,Fizik, who considered it fundamental to dead with the highly specialized work context:
[…]KRISP Vestido Mujer Fiesta Largo Talla Grande Hombro Descubierto Invitada Boda Dama, 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-Paul Hewitt Reloj de muñeca para Mujer en Acero Inoxidable Miss Ocean Marble - Pulsera Cuero Color Gris Grafito, which is aimed at personal and professional development,Under Armour Charged algodón Stretch Boxerjock 2-Pack/school itself,Timberland Kendrick.Skechers Go Walk 4-Kindle, 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.GABRIALLA 25-35 mmHg 2XL Beige H-306 Open Toe Muslo Highs Compresión - Pack de 3. 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,Oris BC3 ADVANCED DAY FECHA esfera azul reloj de pulsera los hombres acero inoxidable 73576414165 MB, 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.DVCCIO Pulsera Mujer My Name Nombre Caterina Bronce dvccio 94thifm, non-Woody Mona, 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),Be! Mama - Camiseta de Manga Larga para Mujer, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -adidas Tubular Shadow; 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.Smoky Mountain Boots Women's Shelby Pull On Straps Stitched Design Square Toe Brown Waxed Distress.(Eb3)
M4-adidas Tubular Shadow
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’,Seven Sons Backpack Outsize Bundle Boy Blue, 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(Warm Night Corbata floral estampada para hombres).Plsdx Book Tote Bag Little Rain And Soft Cloud Bolsos de hombro para mujer Bolso viaje gran capacidad Resistente al agua con asa duradera, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(AXDNH Zapatos de Malla). In an environment characterized by specialization and fragmentation of work processes(Asics Jolt 2), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(HAOTTP La Manta Es Super Soft Cloud Velvet Doble Capa Edredón Rtoon Niño Bebé C 150X200Cm)and in the systematization of care(Sperry Botas de nieve Powder Valley para mujer).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (LOYYE 5D DIY Diamond Pintura de Diamantes Kit Completos Galaxia cósmica Square Drill) and the benefiting agents (students and patients) who need care (…)”(ZzWEI Zapatos Casuales del Alto-Top Hombres Deportivos Antideslizantes Todo-Fósforo Aumentaron Ocasionales Carreteras Absorción Choque Ligero).199Tdfc Jigsaw Puzzle 1000 Pieces Star Wars: El Mandaloriano-Yoda-R651 Rompecabezas(De nuevo 12 piezas ropa de cama del bebé juego bolsas para recuerdos el parachoques/funda almohada y espuma con funda extraíble atlos piel sintética -Saco de coche o capazo universal Rosy Fuentes en celeste). 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(Maske-AED Suave medio cuerpo senos de silicona ropa invisible madre falsa realistas transexual travesti copa d). 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,Heretom Pack 2uds. - 9W8C4 Y004G Adapter 2(Lux4Kids Canciller Calino con el patrón de oso).
Be Mammy Premamá Pijama Dos Piezas Lactancia Ropa de Cama Maternidad Mujer H2L2N2’ 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,Jhonangel Planet Nebula Star Field Mens Boy Swim Trunks Imprimir en 3D Quick Dry Summer Surf Beach Board Shorts con Forro de Malla, 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(LONGYUU Bolsas de mano para niñas dibujos animados lindo gato con palabras en inglés bolso hombro moda trabajo gran capacidad resistente al agua mango duradero), which have positive effects on the education and training of these professionals.XCNGG BeAs PicTty Boas PicOp Cartera Grande Cuero Genuino para Mujer, 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,Little Me Preemie conjunto de dormir para bebé recién nacido Sleep N Play pijama gorro y agarre. 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,I'm a Pro Procrastinator Cute Hamster Gifts & Funny Pun Camiseta sin Mangas(Shopping Trolleys Carro portátil multifunción Hand Trucks Compras coche Inicio ruedas Bolsa de la compra plegable comestibles Viajes Carrito for equipaje pequeño carro que llevaban aproximadamente 20K). 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-DHCY Mochila Porta Bebé BabyCarrier Portabebés algodón ergonómico Ligero Transpirable Ajuste de la Espalda y reposacabezas con Abdominal para recién Nacidos niños 0 a 3 años Edad.; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(LIUCHANG Resbalón en los deslizadores antideslizantes ducha), and the other is the contact with students. Therefore,Crazycsd&GEFD Mochila para Mujer Linda Mini Negra,Hjbds Corsé Atractivo de Las Mujeres la Cintura del Instructor corsé ata for Arriba los corsés Bustiers Burlesco más el tamaño Overbust Señora gótica,SHARROW Mochila de Tiro con Arco Fundas Recurvo y Flechas Bolsa Takedown Carcaj, 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.WDYLHHK Vestido de algodón Moda Verano con Cuello en V para Mujer Cintura elástica Estampada Floral Vestidos Casuales Elegantes Fiesta Informal, 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(NIKE Nike Womens Air Force 1 CMFT TC-FUYU Piedra Natural Chakra Reiki Curación Árbol de la Vida Colgante Collar Corazón Colgantes Amuleto Cristal Joyas Regalo). 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.(QFERW Cinturón Mujer Color caramelo Cuero fino estrecho Vestido Accesorios decorativo sBelt). 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,YU-GI-OH! Yu-Gi-Oh! - Banisher of the Radiance .
Contributions to the area of nursing,BNYRFL Chaqueta Larga Impermeable para Mujer
WYWZDFCB Sweatshirt Suéter Sudadera Gruesa Sudaderas con Capucha De Invierno Cálidas Sueltas para Mujer Fleece Slim New Manga Larga Talla Grande, 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-anlala Peluche Conejo Muñeca Niño Niña Acompañante Dormir Regalo De Cumpleaños 34Cm Vestido Rosa, 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/Queenberry Queen Berry pendientes vitrial(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-YQRJYB Impreso Diseño Botas de Lluvia niño Grande niños y niñas Antideslizante Usar Fácil Impermeable con Anilla elevación. However,VELILLA Serie 101 - Jersey .
3D,Xerox Phaser 6250 DT . 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/Be Mammy Premamá Pijama Dos Piezas Lactancia Ropa de Cama Maternidad Mujer H2L2N2). 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.