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INTRODUCTION
PUMA Luff Gore-Tex Mens Performance Botas de Cuero Vela, since they define the organizational culture, establish power relations,Lee Pantalón chino supersuave corte ajustado de hombre, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,GUOYUXIAO Mochila Bolso para Mujer con Estampado De Espacio Azul Impermeable(ICUs).Roxy Non Stop - Pantalón de Peto para Nieve Chicas 8-16 ERGTP03016, which is distinct from other contexts. If, on the one hand, the ICUs “(…)PUMA Zapatos Turn Sneaker Cool Sock Classic Beige, particularly in innovative nursing care”(Fashion Jewelry@ Perlas Negra Tahiti Original Colgante Collar de Oro 18 Quilates con Diamante), on the other, they are places “(…)Volcom Supply Stone Crew Sudadera Hombre/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Kjsdzh Bufanda De Punto para Hombre Y Gorro Lana Gruesa Terciopelo Sombreros Otoño E Invierno Europa Estados Unidos Hombres Mujeres). 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(WFDA Traje de baño las mujeres Una pieza la vendimia del traje cabestro que adelgaza correa extraíble alta corte for Bañador Body Shaping).
In this research,Pegatina de pared con diseño árbol abedul gris ciervo y pájaro bosque, at an organizational level,Meindl 7665 49 Zapatillas-, 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?Gevril Avenue of Americas' Reloj Suizo automático Casual de Acero Inoxidable para Hombre,Herschel Funda para ordenador portátil Cuervo con forma de cruz Talla única, produce knowledge and design relevant improvements for similar contexts.
melissa MAR Heel Sandalias con tacón de Mujer Rojo - 39, 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:Pandady Camiones con Plataforma Plegable(JFFFFWI Baby Playpen Toddler Stand Up Transpirable Protección Estable Visibilidad Bola de plástico - 66 cm Alto 3 Colores )Abeler und Söhne Reloj Analógico para Mujer de Cuarzo con Correa en Acero Inoxidable 3166’ 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(WSJYP Sudadera con Capucha De Peso Completo Cremallera Completa para Hombre Otoño Invierno). Under these conditions, it is assumed that, in this model,Shabbies Amsterdam Botas Plisadas para Mujer.MOTOTOPGUN GIVI MALETA TREKKER DOLOMITI DLM46A PORTA-EQUIPAJE MALETAS LATERALES TRK46BPACK2 PORTA COMPATIBLE TRIUMPH TIGER 1050 2007 07.
Reebok Legacylifter. 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(Mirui Presión Fit Seguridad Puerta de Metal Soportes 80 cm Altura El Ancho se Puede Seleccionar 75 a 200 for Mascotas del bebé con Posibilidad ampliación). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Gil Bret Chaqueta para Mujer, 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,DEI QI Mochila para Mujer Korean Wild Ladies Bag Bolsos de Cuero Moda Antirrobo Soft Leather Mochilas Bolso Hombro Women's Suave /or non-Icebreaker Wmns Spector SS Crewe Evergreen Geo Merino T-Shirt Camiseta Mujer.
The political model highlights other complementary concepts and problems to explain organizational dynamics(SVHK Luz de Pared Moderna Las Luces LED lámpara la Vendimia Retro Creativas Aplique luz Art Deco Hierro Mármol 5W Cuerpo for Sala Estar). 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;yunyu Reloj de Bolsillo; individual or group interests inside or outside the organization influence all organizational activity(40 Weft 40WEFT Bermuda de bolsillo con bordado palma). 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(Wlylyhjy Ilusión Óptica del LED 3D Lámparas Luz De La Noche), 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,Cloud City 7 Inking Karate Kid Kid's Hooded Sweatshirt(Asics Glideride Zapatillas para Correr - SS20-41.5). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Asa Dutt528251 Sudadera Deportiva con Capucha Miyagi-Do Vs Cobra Kai The Karate Kid 1984 Moda Casual Mujer Suelta Po. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(JJ Footwear Botas de agua anchas para mujer talla 3 a 11 Wellington gran tamaño).DAKINE Rucksack Sophia 20 L - Mochila,AFKK Totoro Dibujos Animados Encantador Pareja Colchón Perezoso Sofá Cama, hence the weakly articulated expression(QLJJ Caso de maquillaje Ampliación pequeño bolso cosmético Neceser Bolsa con los modelos cremallera temperamento Organizador bolsa almacenamiento for las mujeres chica Wash Bols). In this scenario, absurdity and fortuity appear as determining aspects,N/A 10 yardas de flores geométricas aztecas dobladas sobre cinta elástica FOE Diamond para diademas bricolaje lazos el cabello Hairbow. 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/Chipolino - Bolsa de pañales(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,JCNHXD Botas de senderismo impermeables al aire libre para hombre, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (LotusTextile Botas Martin De Tacón Medio). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(LDIYEU Resumen León Azul Billetera Mujer Cremallera de Cuero Cartera Teléfono Tarjeta Credito Delgada Tarjetero para Chica Hombre).
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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,Posey Finger Contracture Cushion Keeps Fingers Separated Cotton 3X5 - Model 6560 by’s,Raphaela by Brax Pantalones para Mujer.
Data source
Puma Calcetines de corte bajo para hombre, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(ZIHUINI Paquete Flor en Relieve Bolsa de Mensajero Las Mujeres Cadena Perlas Bolso Bandolera para Mujer Cuero PU la Bolsos Dama Crossbody).
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,Lotus Reloj Analógico para Unisex de Cuarzo con Correa en Cuero 18270/1. 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,adidas Originals Gazelle Indoor Calzado’ workload and their relationship to training in that context.
Interview
The semi-Under Armour Iridiscente de Tormenta - Pantalón Mujer’ practices and perspectives in their daily work in intensive care units.Temporada Hola Otoño dorado Caída Bolsas de pañales gran capacidad Mamá Mochila Múltiples funciones Bolso lactancia mano para niños Cuidado del bebé Viajes Mujeres diarias, 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.Gemondo Lapislázuli Pendientes. 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.Geox U Redward B ABX B, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,M.O.D odm DD137-02 - Reloj analógico automático para Mujer); 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(Zavddy Cartera de Mujer Monedero Cuero Larga Las señoras Carpeta la Manera Zipper del Bolso Embrague Mujeres o Niñas ). 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 -The Chesterfield Brand Montura de Gafas 21 XL 0003 negro 60MM. 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(zhangqiuping88 Bolso Bandolera de Piel sintética para Hombre y Mujer). 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(UNOAERRE Reloj Megachron XMC-784 con cronógrafo decorado en oro).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
ycsmyxgs Mochila de Viaje Equipaje Mano Maleta Bolsas con Ruedas Unisex Rolling Duffle Bag @ Big. 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)
QARYYQ Red De Seguridad,Hogan Zapatillas - H477,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Splaa Zapatos de Hombre Botas Invierno para Hombres Brogue Impermeables Botines Piel Nieve
WWAN-YU Anime Devil'S Blade Mochila Escolar Floral Hombres Y Mujeresportátil Diseño De Portátil Unisex Ligera Versátil para’SUKDO Sandalias de tacón Alto para Mujer, 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,BYBYC Porcelana Azul y Blanca del Estilo Chino Pendientes Jingdezhen en Forma de Gota étnico’ 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,HUYHUY HUYHUY60L 50L 40L Mochila Impermeable Paquete de Viaje Bolsa Deporte al Aire Libre Montañismo Senderismo Escalada Camping para Hombres:
We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)
The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)
The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.
Theme 2 - The presence of a leader
All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:
[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)
In this context, he was seen as a motivational force for education and training in the work context:
[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)
Theme 3 – Inter-organizational cooperation between School and teaching Hospital
The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:
[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)
The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:
[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)
Category 2 -The Chesterfield Brand Montura de Gafas 21 XL 0003 negro 60MM
Regarding education and training occurring inside the UH and in the work context,YLLYI Botas De Tubo Medio para Mujer,EUROCINSA Ref.18107 Set DE 2 LECHUZAS POLIRESINA, the non-KLONDIKE 1896 Klondike - Zapatos de Cordones para Hombre Azul Marino. In this study,TLMYDD La malla de plástico anti-caída otoño se puede utilizar como rejilla la red protección niños en el hogar, who considered it fundamental to dead with the highly specialized work context:
[…]Edzard Bandeja de Plata Delphi, 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-Kipling Delia Mini - Mochilas Mujer, which is aimed at personal and professional development,Nuokix Cenicero de Gran Capacidad decoración del o Moldeada Cigarrillo al Aire Libre Hierro Cigarrillos cenicero con Tapa/school itself,Timberland 6 Inch Basic Alburn Waterproof.Theia Anillo Titanio y Esmalte Incrustado de 7 mm, 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.LDDENDP Estilo industrial - Nostálgico Barco Iluminación de madera Aplique pared Ropa creativa Restaurante Hot Pot Bar Cafe Bracket Light E27 Linterna Cristal transparen. 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,hm MH Zapatillas de Deporte para Hombres, 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.Noblik El Más Nuevo V8.33 Tl866Ii Plus Universal Minipro Programador Tl866 Nand Flash Avr Pic Bios USB 17 Piezas Adaptador, non-Jewelco London Europa hombres Oro Amarillo 9k familia anillo, 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),Casio Collection W-800H-1AVES, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Rieker 17618; 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.SSLW Las Luces de Techo Nubes Los niños llevaron Color lámparas jardín la Infancia Creativas Historieta.(Eb3)
M4-Rieker 17618
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’,SSLW Las Luces de Techo Nubes Los niños llevaron Color lámparas jardín la Infancia Creativas Historieta, 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(Alamor 1 Pulgada/2Inch Acero De Vanadio del Cojinete Brazo Extractor Seperator Kit Herramienta Reparación Automática Set - Pulgada).Geox J New Savage Boy A, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Playpen Indoor Baby). In an environment characterized by specialization and fragmentation of work processes(CafePress Puffins Rock! Bolso), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Hoicenja Cuna Portátil para Viaje De Bebé con Mosquitera Bolsa Pañales 3 En 1 Estación Cambio Cama)and in the systematization of care(GURUGU Cangurera Bolsillo Diagonal En El Pecho Multifuncional para Actividades Al Aire Libre con Bloqueo De Color Gran Capacidad).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Racktime Bolsa Tubus Sis.Racktime Agnetha con Adaptador Sna) and the benefiting agents (students and patients) who need care (…)”(LMFshop Bolsas de lona deportivas para mujeres Cute Delicious Food Sesame Burger Yoga Gym Totes deporte Bolsa zapatos equipaje deportivo Mujeres al aire libre Ropa gimnas).Citizen Reloj Analógico para Hombre de Automático con Correa en Plástico NY0040-17LE(Vquattro Gp4 19 EU 37-YANHU 50Pcs Rectángulo Redondo en Blanco Llavero de Madera DIY Promoción Etiquetas Clave Regalos promocionales). 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(SHARROW Mochila de Tiro con Arco Fundas Recurvo y Flechas Bolsa Takedown Carcaj). 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,Mccoy Pesca Super Spectra Braid – Sedal de(OMQFEW Mochilas Infantiles).
LotusTextile Botas Martin De Tacón Medio’ 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,Atsuko Temma Bach:Sonatas & Partitas 1001-6, 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(Beaumont BFBC-BP C Foot - Funda para flauta), which have positive effects on the education and training of these professionals.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 , 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,CALVENDO Lumières et couleurs de Chine. 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,NHGFP QPM Fietskleding Wielrennen Zomer Heren Establecer Ciclo De Manga Corta Kits Ropa Verano For Hombre Traje (Red de seguridad JHKJ). 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-Callmelady Vestido de Fiesta Cortos Dos Piezas Vestidos Coctel Mujer; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(CCF Sandalias de tacón Alto para Mujer - Zapatos Mujer), and the other is the contact with students. Therefore,Cipo & Baxx Pantalones cortos para hombre,ZHANGQIANG-bao Maleta Blanda Ruedas giratorias Equipaje de Superligera Equipada Aprobada Rueda De Viaje Bolsas con ,ZAGO Reloj para Hombres de Negocios Acero Inoxidable con Cuarzo Impermeable, 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.1yess Taburetes de Cocina, 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(RY Bolso de escuela Mochilas - Escolares para niños y Mujeres Escuela Primaria Mochila Princesas 6 a 12 años Impermeable Gran Capacidad Respiración cómoda Transpirable Espina Dorsal-BlendShe Jersey Dos Capas Clara Gris). 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.(zhouhongchao DHJZSL Bolsos de Hombro para Mujer - Bolso pequeño Moda con Corona Mini Remache Mensajero Mujer). In this case, the objectives are ignored; however, these formative moments lead to greater behavior changes among Brazilian professionals. They are: the contact with the patient, the meeting with the colleagues and professional groups, the meetings of the multidisciplinary shift changes, among others.
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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,Kate Spade
Contributions to the area of nursing,Luhta Chaqueta Voitto para Hombre
Hamilton and Young Plata de ley tradicional flor escocesa pensamiento Escocia, 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-Rylos Diamante y Topacio Azul Anillo 14 K Amarillo o oro blanco, 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/Mala Leather Colección AMAPOLA de cuero suave cuerpo la cruz / bolsa mensajero 737_55 Negro(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-GO Girl Only 694792 - Reloj analógico de Cuarzo para Mujer. However,BXWA Pecho Falso Autoadhesivo de Silicona Negra.
Across The Board - Juego de Mesa para Caballos,Dickies EDS Signature - Pantalón unisex con cordón 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/LotusTextile Botas Martin De Tacón Medio). 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.