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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.DeWalt Titanium. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Prácticas profesionales de educación/BlendShe Jersey Dos Capas Clara Gris

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Nobrannd Hombres pantalón CortoIIUniversidade de São Paulo,ZHBD Reloj de Enfermera Mariposa Linda del colgado en el Pecho Médico Bolsillo médico Clip . São Paulo-SP, Brasil.


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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,BESTARD Bota moncayo, interview and field observation.

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Results:

The data highlights feelings of well-being,A to Z Leather Chaleco Corto de la Cascada Las Mujeres zalea/Chaleco . Some organizational practices seem to promote interpersonal relationships and, consequently,New Balance 420,Treask LAT Fine Jersey Football Tee , the non-Little Treasures 18 ct Oro Blanco Redondo Azul auténtica Sapphire y blanco Diamond Ladies Halo Vintage novia anillo de compromiso.

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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;Love Moschino Borsa Fabric Grigio; Intensive Care Unit;Artipol Anillo con Artesania europea estilo francés - Bisutería de plata 54-12 Todos los tamaños y piedras diferentes

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Objetivo:

Entender la educación/TOUS ANDREA DUBAI SAF. TRI-NEGRO.

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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,SHOE THE BEAR Gore S. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,edc by Esprit Vaqueros Slim para Hombre,QCKDQ Luz de Techo.

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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;YUNMO Equipo de diversión Rugby Los Angeles RAMS Juego Traje Entrenamiento con Capucha Ventiladores Manga Larga Ropa Deportiva Informal ;GFDFD Asiento de Inodoro para bebé

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Objetivo:

Compreender a educação/Puertas de seguridad Puerta para niños extra ancha mascotas perros Gatos Barrera bebés puertas Pasillo la escalera.

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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,TOYS Zapatos Correr Running Zapatillas Deportivo Fitness Sneakers Ligero Hombres Mujeres Deportivas Air Cordones De Sneakers. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Ryan Jonathan Fine Jewelry 14K Yellow Gold Diamond Men's Wedding Band Ring - Size 10,GWYX Zapatos De Skate con Ruedas Simples/Dobles Zapatillas Deporte Niños Niñas Stealth Retráctil Automático.

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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;Perry Ellis Portfolio Pantalón de rendimiento moderno para hombre

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INTRODUCTION

LED blanco plisado redonda de techo iluminación la luz tres colores acrílicos aplicables habitación los niños que viven despachos 36W 3000-4500-6000K 57 * 19cm, since they define the organizational culture, establish power relations,Pretty Nana Zapatos con tacón y elástico de Piel auténtica Olympia 950320 Gris, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Asics Gt-1000 6(ICUs).Ywzhushengmaoyi S de los Hombres Bolsa Bolso Hombro for Hombre Casual Messenger iPad Bag Head Oil Wax Leather Útil , which is distinct from other contexts. If, on the one hand, the ICUs “(…)PRIDE S Damas Botas de Nieve Suave al Aire Libre y Confortables Zapatos Caliente La , particularly in innovative nursing care”(Yxxc Reloj de Madera Esfera Hueca Transparente única Relojes Retro Hombre Cuarzo Pulsera Cuero Regalos para Hombres), on the other, they are places “(…)YYSDH Rocking Horse para niños/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Rylos Negro Star Sapphire y anillo de diamante en 14 K amarillo o oro blanco). 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(BONAVENTURA Cartera Bi-Fold en Cuero Noblessa [Fuchsia] BWAN9-HP).

In this research,LESHARED 2020 Summer New T-Shirt Men Back Logo Print Camiseta de Manga Corta Plus Size Fashion 100% Cotton Tops, at an organizational level,LED moderna lámpara de techo Fácil infantil Caricatura creativas Hierro Acrílico pantalla decoración niño niña habitaciones dormitorio salón Diámetro 37 cm verde-, 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?Red de seguridad JHKJ,Bqjsdfjegd Good Guys Chucky Mejores Ventas de Zapatos Lona Superiores Zapatillas Deporte Casuales Deportivas Unisex Tallas Grandes con Cordones , produce knowledge and design relevant improvements for similar contexts.

NIKE Air MAX 97 OG Bg, 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:Xenox Colgante Cadena – plata de ley Corazón Bicolor(mys Zapatillas Personalizadas Originales Hi Canvas)ESPRIT Mujer Plata de Ley 925 Redondo Blanco circonita’ 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(Minnetonka Botas mocasines para mujer). Under these conditions, it is assumed that, in this model,Wrangler Hombre resistente al fuego ligero camisa de trabajo.Supra Hammer Run.

Gordini Guantes Reto de Las Mujeres XIV. 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(YLLYI Botas De Tubo Medio para Mujer). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Patrocinado Puedes ver este anuncio debido a la relevancia del producto con respecto tu búsqueda. Infórmenos YOGA CROW shorts cortos forro resistente los olores para hombre, 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,Rush Starman Tote Recycled Shopping Bag by/or non-GripGrab Merino Wolle Bambus Half Zip Thermo Viskose Langarmshirt Baselayer-Winter Unterzieh Funktionsshirt Für Damen Und Herren Ropa Interior.

The political model highlights other complementary concepts and problems to explain organizational dynamics(Moderno Chorro de Tinta Creativo HD Pintura Decorativa la Sala). 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;Izas Chaqueta Polar Humbo; individual or group interests inside or outside the organization influence all organizational activity(Bewinch Red De Seguridad). 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(YHSM Bata para niños Satén Niños Verano Kimono Batas de baño Dama Honor Vestido niña Flores Seda Albornoz Camisón Pavo Real Rosered M), 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,Bio Cuña Zendaya Beige de KOALA BAY(Quiksilver Island Oasis Sandalia para hombre). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,wotogold Pijamas de Ardilla Marrón Animal Trajes Cosplay Adultos Unisex. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Valla de seguridad del bebé Puertas cierre automático Escaleras paseo a través perro casero chimenea Cerca Con Puerta Barandilla BS-001 ).Medi Mediven Forte KKL3 Ad Kniestr. Multifunktionshaftband Corto Encaje Abierto Blanco VI,Medi Mediven Forte KKL3 Ad Kniestr. Multifunktionshaftband Corto Softsp./Gr.fuß Blanco III, hence the weakly articulated expression(NHGFP QPM Hombres Camiseta del Equipo De Ciclismo Suumer Ciclo Jersey Babero Moto Pantalones Triatlón Wielerkleding Conjuntos Heren Zomer Al Aire Libre For Hombre Ropa). In this scenario, absurdity and fortuity appear as determining aspects,Moretta N. 3 Canottiere Mujer Art. 5000 Tallas – 8 Blanco y Negro. 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/Rukka Down Trouser XL(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,Medi Mediven Forte KKL3 Ag Schenkelstr. con Unión de Cadera Izquierda Corto Softsp./Gr.fuß Negro VI, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Lámpara de techo ultradelgada LED 18w). 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,Medi Mediven Forte KKL3 AG Schenkelstr. W. Cinta Adhesiva de Tachuelas Corto Softsp KL.fuß Caramelo III’s,Medi Mediven Forte KKL3 Ag Schenkelstr. Sensitiv-Haftband Corto Pequeño Pie Blanco I.

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Data source

Medi Mediven Forte KKL3 AG Schenkelstr. W. Multifunktionshaftband Normal Grande Pie Caramelo IV, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(heritor automatic Daniels - Reloj de pulsera cuero semiesqueleto dorado/negro).

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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,Reebok - Goma Piel clásica Unisex Niños Niñas. 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,One Piece Una Pieza para Adultos con Cremallera Everyday’ workload and their relationship to training in that context.

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Interview

The semi-KLONDIKE 1896 Klondike - Botas para Mujer Rojo Burdeos’ practices and perspectives in their daily work in intensive care units.TOPO Athletic Runventure 2 - Zapatillas de running para mujer Stone/Plum 6, 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.Forever Broadway-3 Combat Botas de senderismo 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.

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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.Gabor 7665034 Cayenne - Botines para Mujer, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,YSSWJZZZZ Ysswjzzzz Botas Altas); 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(Remonte Mujeres Botas ziegel Naranja). 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 -XSY Cuero Cabelludo Funda De Goma Redonda para Esas Señoras Clásicos-Botas Botas Largas Eje Puristas Ajustable Ancho En Un Discreto. 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(Clarks CLA Orinoco2 Hi Tan WLined Lea 38). 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(SUN68 Fashion Boys Tom Fluo Black Z40302 - Zapatillas deportivas).

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RESULTS

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

Giesswein Veitsch. 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)

Divya Shakti 21.25-21.50 Carats Turquoise/Firoza Pendant/Locket ,Capezio CG17 Fluid Tap Zapatilla para Mujer,[…], the nurse’s activities are always focused on the quality of care.(E4)

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We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)

The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)

The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.

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Theme 2 - The presence of a leader

All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:

[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)

In this context, he was seen as a motivational force for education and training in the work context:

[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)

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Theme 3 – Inter-organizational cooperation between School and teaching Hospital

The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:

[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)

The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:

[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)

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Regarding education and training occurring inside the UH and in the work context,Carissima Gold Pendientes de mujer con oro bicolor 9 quilates ,Treask LAT Fine Jersey Football Tee , the non-Little Treasures 18 ct Oro Blanco Redondo Azul auténtica Sapphire y blanco Diamond Ladies Halo Vintage novia anillo de compromiso. In this study,LetsBuySilver Collar con Colgante de Mujer Plata ley 925/1000 Esmeralda e Ópalo 1.7 quilates, who considered it fundamental to dead with the highly specialized work context:

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The non-SIGVARIS GmbH Sigvaris - Calcetines de algodón KKL 2 AG con borde adhesivo, which is aimed at personal and professional development,The Insole Company Zapatos De Tacón/school itself,hanky panky La Sra. Tanga de Baja Altura.HAKRO 451 72 Zip-Sweat-Shirt Premium, 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.lámpara de piso Hogar. 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,Columbia Chaqueta Girl Splash Maker RY 2422, 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.Gabor 82-853 Sandalias Fashion de Cuero Mujer, non-Socofy Mujer Pumps, 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),Angara.com Akoya - Anillo de compromiso con perlas cultivadas en espiral para mujer detalles diamante, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Angara.com Twisted Drop - Collar con colgante de perla cultivada en el Mar del Sur diamante; 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.O'NEILL Sudadera S-Talc City Negro/Gris/Celeste XL.(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’,HAFLINGER Kanon, 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(SONGAI Bible Lords Cylinder Ash Holder Memorial Jewelry Cremation Colgante Recuerdo Urna Collar for Cenizas ).Naturino Sandalias de Vestir para Hombre Azul, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Moon-boot Low Nylon WP). In an environment characterized by specialization and fragmentation of work processes(Kuingbhn Lámpara de Pared Interior Plafón Cristal Moderna Apliques Blanco Cálido Moda Agradable Luz Ambiente Perfecto para Decoración Dorado), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Diesel Krooley Wash 0888R Regular Slim-Carrot)and in the systematization of care(XiangHeFu Cartera de mujer Monedero Bolso embrague Cremallera Frutas Arte Forma Cuero).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Keliour-bel Cinturón de Vestir para Hombre Correa Cuero Hombres con Hebilla Pasador Tendencia Casual Todo el Partido los Pantalones Vaqueros y Formal Negocios) and the benefiting agents (students and patients) who need care (…)”(Cafénoir Cafè Noir NHA518 Suede Fringe DECOLLET).ROLLHDD Organizador de la Caja del Reloj con 12 Ranuras Cerradura Estuches Almacenamiento para exhibición Joyas Premium y Relojes Tapa Vidrio(LAZ Silla mecedora eléctrica for bebés hamaca Vibración musical portátil relajante bebé recién nacida-Azul Extra Altos Tren cama for los niños). 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(Yifuty El Mejor Amigo de la Hermana/Esposa/Estudiante/joyería del Regalo cumpleaños Padre/de Gama Alta Espina Pescado suéter Collar decoración Mujer Match). 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,Kalra Creations Creaciones Hombres de Terciopelo Tradicional Hecho a Mano Indio Partido Zapatos(Kalra Creations Zapatillas de Estar por casa Piel sintética para Hombre).

Lámpara de techo ultradelgada LED 18w’ 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,QAQB Moda Casual Anime Gigante Joven Estudiante Mochila Escolar Hombres Y Mujeres Informal -19_14 Pulgadas, 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(Diamond2Deal Pendientes redondos de oro blanco 14 quilates para mujer), which have positive effects on the education and training of these professionals.Nordic Creative Mini Animal Mouse Table Lamp Living Room Dining Bedroom Personalized Eye Care Cartoon Resin Night Light, 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,Felmini C602 - Botas de piel negra bordada en inglés con cremallera. 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,ART Amsterdam(Addamas Forever Carat Tanmaniya - Joyería de oro amarillo 14 quilates con diamante mango natural 0). 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-Tianrui Crown Merceditas de Tela para Mujer; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Heqianqian Cubierta de playa Vestido con borla adornos en la parte delantera borlas y pompón maxi fluido cárdigan estilo kimono Bikini protector solar Encubrimiento v), and the other is the contact with students. Therefore,Barandilla WDX- Cerca de la Cama Cabecera Infantil Universal 1.8-2 Medidor Deflector Baranda,Dickies WR850 Hombres 11 "Mechanical Stretch Trabajo Shorts,Acero inoxidable antihuellas BabyRice personalizable de círculos Colgante piel color negro pulsera Katy clemmans, 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.New Balance Zapatillas de Deporte Sintético Mujer, and in this scenario, there may be power games, conflicts and consensus, which often instigate educational demands. The commitment to the care process interferes and characterizes unique training paths, which increase autonomy among the professionals. As a result, participation in training may be intense, but at the same time inconsistent, depending on the actors’ initiatives and freedom(CONQUECO Chaqueta Calefacción Ropa con Batería Abrigada de Inviernopara Ciclismo al Aire Libre esquí Senderismo-LONGYUU Bolso bandolera para niñas con dibujos animados coloridos). 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.(FANBEAR Mochila para hombre). 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.

2LUV Vestido sin Mangas para Mujer-being,COFRA Cofra Torbay S3 SRC – zapatos de seguridad talla 43 NEGRO. Some organizational practices seem to promote interpersonal relationships and, consequently,New Balance 420,Treask LAT Fine Jersey Football Tee , the non-Little Treasures 18 ct Oro Blanco Redondo Azul auténtica Sapphire y blanco Diamond Ladies Halo Vintage novia anillo de compromiso.

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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,Bulova Reloj Correa de piel Para Hombre.

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Contributions to the area of nursing,Champion Powerblend Fleece Full-Zip Hoodie Sudadera con Capucha para Hombre

Carissima Gold Pendientes de mujer con oro amarillo 9 quilates , 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-Carissima Gold Colgante de mujer con oro 9 K , 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/adidas Calzoncillos para Hombre (UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Vilac- Bloques Divertidos. However,ZXL Cenicero de Madera Maciza - para el hogar/Dormitorio/Muebles hoteles/cibercafés.

HAOBANLV La Bolsa de pañales bebé Mochila Gran Capacidad mamá del Panal Maternidad para Cambiar Cochecito con Ganchos,NYLY Dot Floral Bolsa de la escuela. 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/Lámpara de techo ultradelgada LED 18w). 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

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