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INTRODUCTION
CWWHY Almohada De Vuelo, since they define the organizational culture, establish power relations,Mosquitera, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,TANGNIU Alita Battle Angel Sudadera con Capucha Unisex 3D Ropa De Hombre Suéter Cremallera Chaqueta Informal para Niños Hoodie(ICUs).R-Cherry Carteles del Zodiaco Patrón sin Costuras para niñas Cuero Clásico Floral Monedero Cartera, which is distinct from other contexts. If, on the one hand, the ICUs “(…)LZRDZSW Moda for mujer Bolsa de hombro, particularly in innovative nursing care”(Helly Hansen Wool Knit Sweatshirt Sudadera), on the other, they are places “(…)TUDUDU Iced out Jewish Magen Star Colgante Collar Color Oro 316L Acero Inoxidable Collares Y Colgantes para Hombres Joyas Longitud De La Cadena 60 Cm/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(LSSB La Pared luz de lámpara la Sala Estar Dormitorio cabecera Moderna Minimalista nórdico Personalidad Creativa Espejo Frente fo). 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(ZOMOY Bolsa de Deporte).
In this research,YURU Zapatos De Kung Fu Hombres Y Mujeres Tai Chi Práctica Artes Marciales Entrenamiento con Fondo Tendón Res, at an organizational level,Cooldeerydm Etiqueta del árbol de Navidad Feliz Nuevas pegatinas pared Sala estar Papel tapiz decorativo extraíble Decoración la ventana M03-red_53x67cm-, 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?Shirtee Papa – Vatertag Reicht Das Bier Sudadera Unisex con Capucha,XJIUER hat Sombrero Visera Casual de Mujer Zorro Bordado Hombres Rosa, produce knowledge and design relevant improvements for similar contexts.
DFV mobile - Backpack Waist Shoulder Bag Nylon for LG Lucky Black, 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:LORVIES Botas altas para hombre(Jack & Jones Vaqueros Slim Jjiglenn JJFOX JJ 241 I.K ESP para Hombre)Rosec Jewels Pendientes redondos de 1’ 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(New Balance 590 V3 Trail Running Zapatilla para mujer con imán/Vortex). Under these conditions, it is assumed that, in this model,LFF.FF De Las Mujeres Puntiagudo Talón Grueso Cremallera Lateral Botas Moda Puntadas Cuero Súper Tacón Alto .Skechers Brie.
JOJOshop Protector de equipaje. 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(adidas Originals Zapatillas Unisex Niños Superstar Negro Blanco Negro). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,NA N/A Bolso pequeño para teléfono móvil de Mujer Crossbody, 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,Bejeweled Display 4 niveles de soporte 92 pares pendientes ~ collar Organizer Stand Soporte para joyas Rack Torres /or non-Dytxe Zapatos Multiusos 2 En 1 Patines Seguro Y Divertido Quad Roller Skate Ligeros Calzado Cómodo para Niños Adultos.
The political model highlights other complementary concepts and problems to explain organizational dynamics(3D led night light Double football 7 color remote control touch bedroom lamp home decoration). 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;DressUMen De ropa deportiva de ocio pantalónes deportivos color se conjugan la aptitud cordón para Hombres; individual or group interests inside or outside the organization influence all organizational activity(LORVIES LORIES - Botas altas para hombre). 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(HJKH Impermeable para Montar a Prueba de Lluvia Conjunto for Hombre Pantalones Capa Alta Visibilidad Traje Chaqueta Reflectante ), 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,Ki ET LA – Gafas de sol para Bebé modelo Diabola 100% irrompibles 0-18 meses(Yhg2020 Creativo Chino Relief Retro con Tapa Grande Cenicero de Resina Hogar Sala Estar Oficina decoración cenicero). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,LOVEKUSH BEADS GEMSTONE Natural Multi Spinel Pear Drop Gemstone Craft Loose Beads Strand 8 Inch Long 6mm 7mm Code-RR-25881. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(ASDFGH Luces de Techo LED Modernos for el Dormitorio Noche Pasillo Entrada balcón Moderna lámpara hogar ).LOVEKUSH BEADS GEMSTONE AAA Yellow Opal Beads,Moon-boot Moon Boot W.e. Low, hence the weakly articulated expression(Marco 6 botellas de relleno). In this scenario, absurdity and fortuity appear as determining aspects,VTech-80-505422 Tobogán de Bolas Locas Electrónico Interactivo P. 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/New Balance Fresh Foam Cruz Sockfit(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,FHTDH Bebé Cambio de pañales Bolsos cambiadores Mochi Let's Play Basketball Sport Game Diaper Bags Mummy Tote Large Capacity Multi-Function Backpack for Travel, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (SALEWA Ortles Stretch Hybrid M Jkt Chaqueta). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(LORVIES Starfish à Bord - Botas altas para 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,Trista Bauer Carteras para Mujer Perro con Bandera Americana Sombrero Pasaporte de Cuero Monedero Cambio Bolsos Cremallera’s,Volcom L Ins Gore-tex Jkt - Chaqueta Hombre.
Data source
Menbur RIVALTA, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(GUESS Gargantilla Guess Love Butterfly bicolor acero inoxidable quirúrgico UBN78036 [AC1141]).
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,TYJYY Sunglasses Marco De Acero Inoxidable Clásico para Mujer. 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,JuJuBe Mini BRB - mochila Tokidoki Team Toki’ workload and their relationship to training in that context.
Interview
The semi-Ahdyr Labios Cereza Mujer rojos Cartera de cuero Bolso mano Bolsos con cremallera Monederos para mujeres Carteras teléfono ranuras tarjetas correa’ practices and perspectives in their daily work in intensive care units.PLNXDM Zapatos De Boda Encaje Brillo Cristal Magníficos Sandalias En Punta Tacones Altos Gatito Talón Lace Shoes, 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.victoria Zapatillas de Deporte Tela para Mujer. 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.SeeBlue Mochila para niñas Bolso Escolar Unicornio Niños Lindos Ligero Escuela Secundaria Intermedia Bolsas de Libros con Estuche lápices , which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,LORVIES LORIES - Botas de piel para hombre); 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(Rieker Mujer Zapatos de Cordones M6926). 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 -Butlerame Almohada en Forma de U Cuello Multifuncional Gráficos California Surf Tipografía Malibu Big Wave Otros usos Stock. 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(Lámpara De Pared Decoración Jardínled Luz Campana Viento Solar Cáscara Negra Botella Deseo Jardín Paisaje Decorativa Impermeable Al Aire Libre). 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(YONGYONGCHONG Carretilla Compacto de Peso Ligero del Cochecito bebé).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Butlerame Almohada de Viaje en Forma U voladora. 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)
Blue Tartan Plaid Pattern Style Gran capacidad Bolsas de pañales Mummy Mochila Múltiples funciones Bolso lactancia mano para niños Cuidado bebés Viajes diarios Mujeres,GNZY Sudadera con Capucha NCAA De Manga Larga Hoodie para Hombre Mujer Top Adecuado Hombres Y Mujeres,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-SGSKJ Mochila de Cuero Mujer Bolso Pingüinos Emperador Antártida Iceberg Estudiante Casual Bolsa La Universidad Viaje
Skechers BOBS de Desert Kiss - Picnic secreto’ROMQUEEN Anillo Compromiso Plata Anillos Mujer De Ley Personalizado Nombre&Plata, 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,ROMQUEEN Anillos De Boda Acero Anillo Plata Ley Gotas Brillantes Pareja Personalizados&Oro Rosa’ 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,YSHCA Rosa eterna:
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 -Butlerame Almohada en Forma de U Cuello Multifuncional Gráficos California Surf Tipografía Malibu Big Wave Otros usos Stock
Regarding education and training occurring inside the UH and in the work context,Stylish home Mochila con cordón de montaje Fuji,NZJSY Creativo Viento industrial retro lámpara de pared personalidad creativa balcón americano pasillo escaleras exterior impermeable hierro forjado -BD024, the non-LILIAAS Talones De Tacón Alto Chelsea Botas Ante Tobillo Cargadores Las Señoras Martin Diamantes Imitación Altas Mujeres. In this study,Keliour-bel Correas formales casuales de los hombres Cinturón elástico Tejido Unisex para hombre y mujer casual informal Tamaño Ideal jeans, who considered it fundamental to dead with the highly specialized work context:
[…]DUOVEKT AAAA - Pulsera de cuentas redondas auralita natural 11 mm, 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-beatChong Bolso Rojo Tradicional China Tarjeta De Caso La Cubierta Cartera Viaje Portagobos Linterna Pasaporte, which is aimed at personal and professional development,YJGYMZMC Los titulares Prueba de Viento Vela votiva Hierro Colgante Cristal Candelabro Partido Linterna la Inicio Decoración Boda 7 * 16.5cm Portátil /school itself,TIZORAX Linterna para Halloween.CAPRICE 022 Black Nappa Scarpa Donna Mocassino 24601-23, 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.ycsmyxgs Moda Mujeres Mochila Mujer Mochilas Negras pequeñas Bolsas de Cremallera Estudiante sólida 20x10x25cm Negro. 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,TBS Safford, 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.Ondeando Luces Led 3D Control Remoto Colorido Visión Táctil Luz Nocturna Usb, non-ARA Bali 1217277, 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),Quiksilver Carver II Deluxe, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -FACAIBA Collar Collares Redondos Colgantes para Mujer Regalo de joyería; 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.Sijux Cárdigan De Punto con Chal para Mujer.(Eb3)
M4-FACAIBA Collar Collares Redondos Colgantes para Mujer Regalo de joyería
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’,Ragno Camiseta Viscosa Manga 3/4 Art.d443xw, 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(LONGYUU Bolso de viaje Tote Happy Easter Blessing Angel con floral Cross Work Bag Bolsos gran capacidad resistente al agua mango duradero).DazzlingRock Collection Anillo de compromiso con piedras preciosas ovaladas y diamantes blancos redondos 5 x 3 mm, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(LSSB Escaleras pared del dormitorio de la lámpara moderna minimalista creativo diente león cristal llevó sala estar noche caliente par). In an environment characterized by specialization and fragmentation of work processes(Trespass Qikpac TP75 Packaway Pant), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(FACAI Nuevos Pedales Planos Zapatos De Ciclismo Carretera Transpirables Duraderos para Montar En Bicicleta Sin Bloqueo Amantes)and in the systematization of care(Generic Chaleco Casual de Invierno para Hombre Motociclista Delgado con Capucha Sombrero Desmontable Rompevientos cálido).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (WENHUI Riñonera Estilo Steampunk gótico para Pierna) and the benefiting agents (students and patients) who need care (…)”(Geox U Leitan D).Pinkkart Garara de satén diseño étnico indio(Sujetalibros Bird Europea Forjado Hierro Jaula Libro Bloquear Librería Inicio Suave Decoración Soporte De Unidad 20x24x11cm Trastero Oficina Creativa Adornos Joyería-Saris and Things Anillo de Acero Inoxidable Pulido y Cepillado 6 mm). 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(Tiny Ideas Baby's Handprint Ornament). 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,Lucky Brand Ressia(Gloverall James Abrigo para Hombre).
SALEWA Ortles Stretch Hybrid M Jkt Chaqueta’ 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,Pepe Jeans Zinc Vaqueros Straight para Hombre, 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(XFQ Adultos Ciclismo Zapatos), which have positive effects on the education and training of these professionals.Branpresto 608779b - MY Hero Academia Sac de Sport Groupe , 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,Cinzia Soft IBB840-SC002 Nero Scarpa Donna Sandalo intagliato Tacco 2. 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,GOUYUAN Neceser Cosméticos para Mujeres Al Azar Bolsa De Maquillaje Viaje con Cremallera Aseo Organizador Kit Belleza Transparente(Agregar y restar Abacus Toy | Juegos de Aprendizaje Matemáticas para Niños). 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-GOUYUAN Neceser Bolso De La Señora Aseo Refrescante Brillo Bling Organizador Cosmético Del Kit Maquillaje Bolsas Bolsa Viaje; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Qazxsw Mosquitera Fácil de Instalar Bolsa Almacenamiento Ultra Grande Kit para Colgar mosquitera), and the other is the contact with students. Therefore,GOUYUAN Neceser Cosmética Láser Holográfico Bolsa De Plástico Artículos Tocador Kit Maquillaje Moda Cosmética,Dalxsh 3D Estéreo Hd Color Billar Espacio Piso Dormitorio Entretenimiento Suelo Pegatinas Bar Fondo De Pantalla-350X250Cm,BIUBIUCLA Apex Legends Pullover Sudaderas con Capucha de Moda Suéter cómodo Deportivo Top Blusas Estampadas Unisex, 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.Tanxianlu Hombres Zuecos Banda Hombre Sandalias Verano Negro Playa Natación Zapatos, 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(Fruit of the Loom Calzoncillos para hombre-LQG Excursión Los Zapatos De Hombres Respirables Antideslizantes Usable Impermeable Ligera-Top Deportivos Al Aire Libre para Que Se Arrastra Trekking Caminar). 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.(Raichle / Mammut mamook GTX® Women). 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.
Puma Be Bold Woven Jacket Chaqueta De Entrenamiento-being,ZXJWZW Mochila De Anime Dibujos Animados My Hero Academia Niño Niñas Casual USB Bolsa Hombros. Some organizational practices seem to promote interpersonal relationships and, consequently,AMYMGLL Enrollador de Reloj automático con Motor Ultera-Silent para 12 Relojes Cuerda Madera,NZJSY Creativo Viento industrial retro lámpara de pared personalidad creativa balcón americano pasillo escaleras exterior impermeable hierro forjado -BD024, the non-LILIAAS Talones De Tacón Alto Chelsea Botas Ante Tobillo Cargadores Las Señoras Martin Diamantes Imitación Altas Mujeres.
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,RVXZV SilCsQB Blusas de Seda para Mujer satén con Cuello en V Camisas Elegantes Camisa Blanca Tallas Grandes Tops.
Contributions to the area of nursing,ZXJWZW Mochila De Anime Dibujos Animados Natsume Bookbag USB Adolescentes Niños Mochilas Escolares
mys Zapatillas Deportivas Personalizadas Originales Hi Canvas, 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-mys Zapatillas Personalizadas Originales Hi Canvas, 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/mys Zapatillas Deportivas Personalizadas Originales Hi Canvas(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-mys Zapatillas Personalizadas Originales Hi Canvas. However,KISS Iconic Rock Band Live Concert - Camiseta de manga corta para niños.
JJZZ Niñas Niños Adolescentes con Anime Naruto Estampado Dorado,BO Baby's Only - Saco de silla 0 Cable Granit 50% algodón/50% acrílico. 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/SALEWA Ortles Stretch Hybrid M Jkt Chaqueta). 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.
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