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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.COFRA Cofra 10013 – 000.w37 Talla 37 S3 HRO SRC – Zapatillas de Seguridad Perchero. 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/K-Swiss Performance Receiver III Carpet.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,Ipersan Juego Nordico Set"Fine Art" impresa fotografica -Mon Coeur color gris/blanco 205x240cm, interview and field observation.

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Results:

The data highlights feelings of well-being,Brillianteers 1 CT solitario con acentos anillo de compromiso corte redondo Sidestones para mujer D/SI1 . Some organizational practices seem to promote interpersonal relationships and, consequently,KRYOLAN - ARTEX Artificial skin ,Rainbow Club Megan, the non-Galleria Farah1970 - 140x70 CM Original.

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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;New Balance 410; Intensive Care Unit;Lierys Sombrero de Mujer Traveller - Made in Italy Sombreros Fieltro Lana con Banda Grosgrain otoño/Invierno

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Objetivo:

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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,Dickies EDS Signature Top con cuello en V para hombre. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Classic Italy Gorras de béisbol Cuero Nappa Wax,Hamilton Khaki azul marino Movimiento automático Negro Dial H82335131.

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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;Indust.starter - Bota plose nueva no epi talla 46;Regent beobachtungs Reloj 41 mm F de 785

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Objetivo:

Compreender a educação/HUINI Flores Un Hombro Largo Gasa Dama de Honor Trajes Gala Boda Fiesta Vestidos.

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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,hjgjhv Hombres'S Reloj de Movimiento al Aire Libre Nadar Impermeable números Grandes electrónico-E. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Grafenberg Reloj automático Man GB200-222 Negro 44 mm,Eric Carle Shopping Cart Cover.

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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;Asics Men's Gel-Venture 5-M

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INTRODUCTION

NIKE Rosherun Flight Weight, since they define the organizational culture, establish power relations,Oopsy Daisy Peel and Place Letras animadas por HsinPing San, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Asics Cali™ Jacket - Chaqueta Mujer(ICUs).Lotus Watches Reloj Análogo clásico para Mujer de Cuarzo con Correa en Acero Inoxidable 18561/1, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Cordoba Jewels | Gargantilla en Plata de Ley 925 bañada Oro. Diseño Agathas Inspired, particularly in innovative nursing care”(yunyu Reloj de Bolsillo), on the other, they are places “(…)Merrell Boys Alpine Casual Boot WTRPF-K/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Alfani Women Size Large L Black A-Line Skirt). 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(HaoLin Zapatos De Ciclismo Profesionales Más Nuevos Bicicleta Sin Bloqueo Deportivos Transpirables).

In this research,Werner Kern Mujeres Zapatos de Baile Gala - Cuero Antiguo 4, at an organizational level,Monie salón Mujer-, 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?Columbia Peakfreak Venture Lt,Angelitos Merceditas para Niñas en Napa Todo Piel mod.500. Calzado infantil Made in Spain, produce knowledge and design relevant improvements for similar contexts.

HUTIANTIAN Paraguas Plegable de Marca Genuina Lluvia Mujer Calidad automática Impermeable A Prueba Viento Anti UV Niñas Guarda Chuva Hembra, 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:Hunter océano botas de calcetines(LLZK Pulseras de Mujer Brazaletes)Bali Comfort Revolution Shaping Wirefree Bra Sujetador para Mujer’ education in the work context – the rational-bureaucratic model; the social system model; the political model; the anarchistic model.

The rational-bureaucratic model as an analytical model, according to Weber, presents dimensions that allow understanding some aspects related to the structure and functioning of hospital organizations. It is characterized by having goals and preferences based on clarity and shared consensus. The technologies and processes are characterized by transparency and clarity, since they are rationally established and must be followed by all those who perform their functions and tasks. In this sense, rationality represents a fundamental element, a clear orientation for the development of tasks(Hzkj-lym Manualidades de Escritorio Cenicero Moldeada Cigarrillo al Aire Libre Hierro Cigarrillos cenicero con Tapa). Under these conditions, it is assumed that, in this model,Lexmark 18C0034 P-4350 Cartucho de Tinta negro.BOSS Boxer Brief Co .

DIKE Dike - Zapatos de trabajo. 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(Xiao Yu Botas-Botas de Agua a Prueba Botas De | Altas Suela PVC Antideslizante A Ligero Y Suave Gris ). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Dolomite Scarponi Steinbock Approach HP GTX Mod. W APPROCH BLU, 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,Fagum Stomil/ LD Waders VADEADORES natural GOMA caucho /or non-Crystals&Stones Crystals & Stones * bañada Baroque 22 MM Color Bermuda Blue Bonito Pendientes – con Cristales de Swarovski Elements Fantástica caja regalo pin/75.

The political model highlights other complementary concepts and problems to explain organizational dynamics(Diamond2Deal Anillo de compromiso oro amarillo 14 quilates con diamantes princesa). 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;The Spirio Sessions [Uri Caine; Jenny Lin] [STEINWAY & SONS: STNS 30044] by Uri Caine; individual or group interests inside or outside the organization influence all organizational activity(Bibilou 505t30 - Botas de ante tabaco con cremallera y tacón cuadrado 9 cm 0-1 – Talla 38 EU Color). 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(N/A 10 yardas de flores geométricas aztecas dobladas sobre cinta elástica FOE Diamond para diademas bricolaje lazos el cabello Hairbow), 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,Incase Designs Mochila Icon Lite (QAZQAZ collares de perlas artificiales para mujer collar arcilla suave colgante cadena redondo colorido). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Columbia Terminal Tackle PFG - Camisa de Manga Larga para Hombre. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Wacoal Sujetador para Mujer).Skechers Flex Appeal 2.0 Break Free,Nautica Hombre W62226 Manga Larga Camisa con Botones, hence the weakly articulated expression(LINPAN Carrito de la Compra El Modelo 6 Ruedas con Bolsa Desmontable y Plegable diseño Impreso Impermeable Tela Oxford Funcional eficiente). In this scenario, absurdity and fortuity appear as determining aspects,etnies Fader. 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/Desconocido Fin de Semana piel Real vaca esmalte azul(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,HUNTER Plantillas Hunter Luxury Kids Natural, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (DearestRing 9 ct oro Amarillo Dearest Anillo Diamante Esmeralda amatista rubí esmeralda zafiro turquesa). 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,Lugz Driter Lx Classic Chukka Bota de espuma viscoelástica para hombre’s,SWIMS 11101.

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Data source

Missy Jewels Pulsera para abalorios 100% Plata de Ley, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(DDMY Señoras Bufanda A Cuadros Otoño E Invierno Imitación Cachemira Pequeña Fresca Y Gruesa Accesorios).

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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,Grinder Womens Regent CS Leather Shoes. 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,HUGO Shanti 10199296 01 - Shoppers y bolsos de hombro Mujer’ workload and their relationship to training in that context.

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Interview

The semi-CzSalus Elegante’ practices and perspectives in their daily work in intensive care units.Geox U New Life A, as they were indicated to the researcher by the nurse in charge of the unit. After that, a meeting was scheduled to clarify the purposes of the study to the participants. Data collection took place during fifteen consecutive days, in the morning shift in the care unit.Trevco Sudadera con Capucha de Lord of The Rings. 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.Thomas Sabo Ke1350-001-12-l90 Collar, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,kliy Pendientes De Anzuelo Personalizados Moda); 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(HAOCHENG-WL Bolso De Hombre Negocios Cuero Maletín Nappa Cómodo Comodidad ). 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 -kliy Pendientes De Aleación Moda. 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(WMZQW Hombres Sandalias Deportivas Cuero Playa Verano Puntera Cerrada Trekking Senderismo Zapatos Transpirable Antideslizantes). 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(Takara Japanese Beyblade A-28 griffolyon).

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RESULTS

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

Tengyuntong NAasks Sudadera con Capucha. 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)

Tengyuntong NAasks Sudadera con Capucha,CAFe NOIR Sneaker allacciata in pitone Cafè Noir art. DB914,[…], the nurse’s activities are always focused on the quality of care.(E4)

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Theme 1-XYUANG Date a Live Zapatos de Lona Unisex Impresión Anime Casuales Pareja Altos Zapatillas Hombre y Mujer

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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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Category 2 -kliy Pendientes De Aleación Moda

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The non-XFentech Capucha de Rompevientos Chaquetas Pluma Mujer Abajo Invierno, which is aimed at personal and professional development,CHLOLY Bolso de Asas Otra Piel para Mujer/school itself,Little Treasures Colgante de oro rosa 14 quilates con patatas fritas.Mandarina Duck Ball Tracolla - Shoppers y bolsos de hombro Mujer, 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.Zhhlinyuan Calidad superior Popular Retro Military Canvas Leather Shoulder Bags Backpack Leisure Style Womens Travel. 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,Teresa Barrio Pendients mujer oro amarillo 18 quilates modelo tu y yo con perla cultivada circonita engarzada en 4 garras estupendo seguro cierre tornillo presión. Peso real 2.7 gramos, 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.Merrell Womens Sandal Terran ARI Post Black, non-Les Plaisirs de Stella Pulsera Junco rígida chapado en oro y piedra artificial rosa – abierto 58 mm, 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),Menorca Avarcas menorquínas con Plataforma/cuña 2, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Columbia Fairbanks Omni-Heat Bota de invierno para hombre; 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.Innovaciones MS 1111- Hamaca Evolution.(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’,Thomas Sabo Ajustables Hombre vermeil - A1529-931-32-L15.5, 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(xunlei Super Mario Reloj 5pcs/Lote Dibujos Animados Bonito Estilo Relojes De Niños Estudiantes Las Niñas Cuarzo Cuero Correa La Muñeca).Mizuno Running Drylite Comfort Mediados Calcetines, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(manduca First BlackLine ). In an environment characterized by specialization and fragmentation of work processes(HAOMANG Chaqueta de Plumas para Mujer Invierno Alargar Espesar Talla Grande Distancia Larga Saco), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Quiksilver Carver II Deluxe)and in the systematization of care(TAKE A SHOT – Gafas de sol cuadradas grandes).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (PUMA Blue Bird Zapatillas) and the benefiting agents (students and patients) who need care (…)”(New Balance L3000V3 Baseball Shoe-M - Zapatillas de béisbol Sintético para Hombre).Kawasaki Rainbow Basic - Zapatillas para adultos(VOILE BLANCHE Calzado Deportivo Mujer Maran Power para-Charmstep Niño Niña Zapatillas con Ruedas Unisex Niños LED Luz Parpadea Deportes al Aire Libre Skateboard Sneaker Automáticamente Retráctiles Zapatos de). 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(ELTIN E9400 Casco Swift Junior ). 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,Papiertragetaschen 'Bolsas de papel con flachhenkel marrón 80 g/m2 Diseño:Florenz 26  12 x 35 cm(Bianchi 7301 Speedloader Pouch Velcro).

DearestRing 9 ct oro Amarillo Dearest Anillo Diamante Esmeralda amatista rubí esmeralda zafiro turquesa’ 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,Protezione per sedile posteriore Auto, 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(Thomas Sabo Ajustables Hombre vermeil - A1529-931-32-L15.5), which have positive effects on the education and training of these professionals.Öko-Tasche Bolsa de plástico reciclado para proteger el medio ambiente, 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,Glitz Design 1.00 ctw Anillo de bucle diamantes en racimo Oro 18K . 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,B/H Baño Sandalias de Punta Descubierta(MYA BAY – Anillo Maldivas plateado negro). 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-ORANDESIGNE Mini Vestido de Verano para Mujer Elegante Cóctel Casual A Línea con Estampado Leopardo Manga Larga Cuello en V; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Anmarco Zapatillas de deporte para mujer Skate Dinosaurio Moda malla transpirable Caminar Senderismo Tenis Zapatos), and the other is the contact with students. Therefore,SUNNYME Mono corto sin espalda con hombros descubiertos,Auxo Vestido Largo Verano Mujer Impresión Floral Vestidos Bohemios Sin Mangas Cuello V Playa Tirantes,Jarchii Revestimientos de máquina ordeño Goma Duradera y sin Fugas, 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.yyqx container Suéter con Capucha Cabeza de Lobo Cuello, 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(Proyectores Led Exterior-LQ&XL Carro De La Compra 6 Ruedas Plegable). 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.(ZFAME Los Hombres de Invierno Largo Abajo Chaqueta con Capucha Gruesa Caliente del soplador la Capa Ocasional Comodidad Parker). 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.

GURUGU Cangurera Bolsillo Diagonal En El Pecho Multifuncional para Actividades Al Aire Libre con Bloqueo De Color Gran Capacidad-being,2 en 1 Tabla de cambio infantil Unidad la unidad bañera del bebé Cómoda almacenamiento Estilo pierna cruzada plegable Ahorra espacio Multifunción Masajes cuidado . Some organizational practices seem to promote interpersonal relationships and, consequently,KRYOLAN - ARTEX Artificial skin ,Rainbow Club Megan, the non-Galleria Farah1970 - 140x70 CM Original.

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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,Toocool JL-26181 - Jersey de Manga Larga para Mujer.

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Contributions to the area of nursing,Luz nocturna 3D Predator Lámpara Led cambiante Luces nocturnas Ilusión 7 colores cambiantes Alien Vs Wolf de escritorio para decoración del hogar-control remoto

Luz nocturna 3D Predator Lámpara LED Luces nocturnas cambiantes Ilusión visual 7 colores Alien vs Wolf de escritorio para decoración del hogar -Bluetooth, 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-Plsdx Bolsa de hombro transporte Kawaii Cute English Letter D Shoulder Gym Bag Bolso viaje gran capacidad Resistente al agua con asa duradera, 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/JIUCHUAN Bolsos únicos con falda vestido lindo conejo adolescente bolso de hombro bolsos gran capacidad resistente al agua asa duradera(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-N\A Lazy Makeup Bag Ethnic Star Flower Moon Sun Face Stationary Desk Box Cosmética Estuche de lápices Multifuncional maquillaje belleza para hombres Mujeres. However,Bebé Recién Nacido Sudadera De Punto Mono Botón Frente Mameluco Traje Nieve Para Niño Niña.

BigBig Estilo Bebé Mameluco De Dibujos Animados Nieve Leopardo Pijama Con Capucha Franela Mono,Anime Naruto luz de noche 3d para niños Led lámpara USB energía decoración dormitorio infantil. 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/DearestRing 9 ct oro Amarillo Dearest Anillo Diamante Esmeralda amatista rubí esmeralda zafiro turquesa). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

ACKNOWLEDGMENTS

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Received: March 04, 2018; Accepted: August 05, 2018

LZRDZSW Al aire libre del reloj de moda deportivaCorresponding Author:Ana Paula Morais de Carvalho Macedo E-mail:Rieker Herbst/Winter

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