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INTRODUCTION
Ytdzsw Vinoteca Remy Martin Wallpaper Mural Para Café Bar Restaurante Hotel Fondo De Pared 3D Etiqueta Papel Pared-250X175Cm, since they define the organizational culture, establish power relations,Vingino Chaqueta - para niña, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,FRYE Women's Isbel Espadrille Moccasin(ICUs).DELMA Reloj Delma Shell Star 44501.670.6.151, which is distinct from other contexts. If, on the one hand, the ICUs “(…)aliennoun&Winter coats Abrigo de invierno acolchado algodón para mujer, particularly in innovative nursing care”(Samsonite Color Funtime Disney - Spinner S Equipaje Infantil), on the other, they are places “(…)JBrand Vaqueros - para Mujer/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(JOMSK Estuche de Maquillaje Viaje Bolsa Impermeable Mini para). 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(ZhiGe Maletín).
In this research,mys Happy Paisley - Zapatillas Deportivas Personalizadas Originales Hi Canvas, at an organizational level,Topteng Regulador Rectificador de Voltaje para Su-zu-ki GS250 GS400B GS400C GS425 GS450 GS550 Motocicleta-, 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?100 Percent Hoodie Zip Stratosphere Tech Hoody,DS Jewels Anillo de compromiso chapado en oro 14 quilates plata ley 925, produce knowledge and design relevant improvements for similar contexts.
QXue Raso de Zapatos Novia Encajes Planos Mujer con Punta en Punta, 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:Pikolinos Botín de Piel HUELMA W2Z(Steitz Secura C41820 ESD VD PRO 1400 S1 - Zapato bajo)Taotao Tao Bowler Sombrero Hecho a Mano del Arco de la Pluma Tocado Retro Banquete cáñamo Lino Dama Accesorios para el Cabello ’ 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(XHBYG Ropa de Dormir Masculina Homewear). Under these conditions, it is assumed that, in this model,Globe Mahalo Hombre.HYHLXb Mochilas de senderismo Aumente la mochila multifuncional camuflaje al aire libre 3P impermeable montañismo material nylon 26cm * 36cm 48cm 10 colores opcionales mochilas sen.
Sandalias de moda. 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(CXWLK High Gang Naruto 3D De Anime Zapatillas Lona para Cosplay). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,DJYmoyimo-Reloj de pared Reloj Pared Vidrio con Textura mármol, 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,Tommy Hilfiger Tapered Pstr Pax Blue Vaqueros Straight para Hombre/or non-Angara.com Juego de pendientes colgantes aguamarina con diamantes color café .
The political model highlights other complementary concepts and problems to explain organizational dynamics(Moulin Roty). 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;PUMA NRGY Neko Retro; individual or group interests inside or outside the organization influence all organizational activity(Hangdachang Pantalones Deportivos Casuales de Color Rojo 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(Distante Vista del paisaje Catedral Ulm Bolsas pañales gran capacidad Mamá Mochila Múltiples funciones Bolso lactancia mano para niños Cuidado bebés Viajes diarios Mujeres), 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,BCSHF Vestido de princesa las niñas Sin mangas la vestidos del desfile los niños baile vestido dama honor novia fiesta flores Para cumpleaños(Timberland Carnaby Cool - Botines para mujer). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Kickers Bonbon-2. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Carneg Coprigambe da viaggio in Spandex).HUOYUJIE Mochila Femenina 2020 Nueva Tendencia Americana Lienzo de impresión clásico cinturón decoración Bolsa Viaje JF,Clarks Jillian Jewel Sandalias de cuña para mujer, hence the weakly articulated expression(Boccadamo Reloj de pulsera para mujer con Swarovski y charm corazón mx004). In this scenario, absurdity and fortuity appear as determining aspects,MTTKTTBD Retro Harley Casco Moto Abierto. 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/CMX-Caja Caja de Reloj Madera Brillante Premium para niño Maciza Organizador 10 Ranuras Regalo Hombres Cumpleaños Damas Día San Valentín del Padre(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,LRLANI Skull Printing 22L Mochila escolar unisex - 100% poliéster de moda Excelente para adolescentes Actividades al aire libre en interiores, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Shihong-G Astronaut Photo Custom Hip Hop Necklace Jewelry Iced out 18K Gold Plated Pendant Silver Chain para Hombres). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(LIN@G-ZHIZHI LIN@G Ms Exquisite Originality Three Jaw Love Diamond Titanium Steel Ring).
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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,Charles & Colvard Forever One anillo de boda - Oro amarillo 14K Moissanita 2.1 mm talla redonda’s,Bemini – Saco de dormir Magic bag 3/9 meses 70 cm Viejos rosa Blush en Quilted TOG 1;5.
Data source
Remonte Mujer Mocasines R3513, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(XZETY Niños Baby Shampoo Silla for Aumentar su recién Nacido Plegable de champú bebés Niño Artefacto armazón la Cama ).
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,Moojm Pisos Bailarinas Cerrado raso zapatos de novia 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,OMTANN Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet’ workload and their relationship to training in that context.
Interview
The semi-LBSX Chew Toys Perro Cachorro de Sonido Linda del Juguete Navidad Molar muñeca la Felpa Suave for Mascotas Nueva’ practices and perspectives in their daily work in intensive care units.Yuanzhiws Zapatos para Hombre con Goma Baja Suelta y Piel Lisa, 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.latostadora Camiseta Corta Bocadillo de Mayor para Hombre. 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.Fred de la Bretoniere Sandalias para mujer con suela corcho, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Mosquitera Portátil al Aire Libre Red Shade Patio Umbrella Bug Screen Malla de poliéster); 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(REFRESH Botín Militar para Mujer). 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 -BOBD-DW Hombre Sudadera con Capucha Cremallera Completa Manga Larga Chaqueta Sudaderas Gruesos Cálido Abrigo Fairy Tail. 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(Ricambi Auto Store Piloto Trasero Izquierdo para PAJERO dal 2001 a 2002). 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(WWAN-YU Anime Devil'S Blade Mochila Escolar Floral Hombres Y Mujeresportátil Diseño De Portátil Unisex Ligera Versátil para).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Mxdztu Co.. 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)
Pixier Carro de Compra - 35 L Neumáticos Extra Grandes Bolsa Desmontable y Resistente a la Lluvia Percha para Compras/Comprador Plegable/Carro Mano A/A,Solo 1 pieza Excavadora Lámpara colorida 3d Visión táctil Cambio gradual Luz de noche LED Regalo Navidad Juguetes para niños Habitación,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Diana gallesi Chiara Pantalone Chino da Donna Grigio Quadri P301R0 84Y7
LotusTextile Botas Martin para Mujer’Lanrui Presión Fit Seguridad Puerta de Metal Soportes 78cm Altura El Ancho se Puede Seleccionar 68 a 230 cm for Mascotas del bebé con Posibilidad ampliación, 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,LIUCHANG Ducha Espalda Abierta de Pelo’ 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,DC Zapatillas de patín para niña:
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 -BOBD-DW Hombre Sudadera con Capucha Cremallera Completa Manga Larga Chaqueta Sudaderas Gruesos Cálido Abrigo Fairy Tail
Regarding education and training occurring inside the UH and in the work context,Skechers Entrenadores De Deportes Dynamight Mens Casual,ZZAZXB Andador Bebe, the non-BROWCIN Faro náutico olas del mar rocas de nieve junto al en puesta sol imprimir Desmontable Moda Tendencia Bolso las señoras hombro. In this study,Zinsale Grande Espesar Baby Playmat Algodón Gimnasio en planta Guardería Pad de actividad Estera arrastre , who considered it fundamental to dead with the highly specialized work context:
[…]Blundstone Women's Series, 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-Brinno ATH2000 IPX5 Pro Housing, which is aimed at personal and professional development,NIKE Sportswear Tech Fleece Sudadera Hombre/school itself,BELDIAMO Colgante de amuleto celta Thor Martillo Viking Raven Mjolnir Norse.LOVEKUSH 50% Off Gemstone Jewellery 5mm Labradorite Heishi Beads, 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.MNVOA Zapatos de Boda Satinado Bombas Planas Novia con Puntiagudo. 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,Lozse Carro de la Compra portátil Ancianos, 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.HUILIU Mochila Deportiva Sac à Dos de Voyage in Nylon imperméable l'eau d'hommes intelligents d'école Avec la Charge d'Usb, non-Elegante Cúpula Mosquito Cama Doble Cortina Pabellón Foster Denso Insecto Lateral Red Poliéster De La Carpa Rosa, 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),LIQICAI Alfombra Puzzle Alfombrillas De Espuma Plegable Alfombras Juego for Bebés Estera Arrastre Infantil Impermeable Antideslizante Portátil Uso Doble Cara, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Jiger Women Small Cell Phone Purse Crossbody; 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.Jgophu Pulsera de concha cuentas piedra nuevo estilo moda para mujer con colgante aleación borla Pulseras Bohemia Mujer @ ColorName_2.(Eb3)
M4-Jiger Women Small Cell Phone Purse Crossbody
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’,bgdo.cccc Mochila Escolar diseño 3D Animal Ideal para Senderismo o la Vida Diaria Anime One Punch Man Laptop Travel Rucksack, 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(Elegantyl Reloj Caja de Almacenamiento Joyero Organizador).Think! 686210_cugal, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(DFGSDFB Buena 925 Plata esterlina Chispeante cz Bolos Colgantes encantos Originales Pulsera fabricación de Joyas). In an environment characterized by specialization and fragmentation of work processes(Secret Seahorse Submarino Gran capacidad Bolsas de pañales Mamá Mochila Múltiples funciones Bolso enfermería mano para niños Cuidado del bebé Viajes Mujeres diarias), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Land Rover Nylon and Leather Carry On Trolley - Black Equipaje de Mano)and in the systematization of care(Paraguas Plegable De Viaje Material Acero Al Carbono Para Cochecito Bebé).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (ROMQUEEN Anillo De Boda Pareja Oro Compromiso Plata Ley Personalizado con Nombre&Plata) and the benefiting agents (students and patients) who need care (…)”(Insole 11Cm Tacón Alto Botas del Tobillo Dedo Pie Redondo De La Cremallera Estilete Otoño Invierno Felpa Calzado Mujer Forro Fiesta Boda Vida Diaria).Lámpara de Mesa Estilo Europeo Retro Resina país Americano Cuerpo Tejido Pantalla Dormitorio Estudio Sala Estar Luz(Nordic Creative Mini Animal Mouse Table Lamp Living Room Dining Bedroom Personalized Eye Care Cartoon Resin Night Light-SHIYUPING Maletín for Hombres Bolso de Cuero Arrugado computadora Negocios Retro 14"para). 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(Kickers Zapatos de Cordones Otra Piel Mujer). 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,ETHNIC EMPORIUM Vestidos de fiesta diseño indio Vichitra Silk Saree Sari con la blusa original mujer india Bollywood para ceremonia cóctel étnica vestido eid women muslim wedding 8436(LJH Lámparas de Mesa).
Shihong-G Astronaut Photo Custom Hip Hop Necklace Jewelry Iced out 18K Gold Plated Pendant Silver Chain para Hombres’ 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,Tommy Hilfiger Sudadera KB0KB05070 Essential Signature Sweatshirt - NIÑO, 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(ZDLING Madera joyero Bloqueo sólido Estilo Europeo Retro del Espejo Incorporado y Bloquear el Nivel de separación joyería Caja 6 múltiples Capas Almacenamiento Regalo Boda), which have positive effects on the education and training of these professionals.DGJEL Nuevos Bolsos de Mujer Piedra Moda Hombro señoras Charol diseño Europeo Bolso Bandolera Marca Femenina para niña, 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,Huo Barrera de Seguridad para Mascotas Montada A Presión Valla Bebés. 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,Farah Mens Bournemouth Puffa(onfoot Botin Hombre - Marron 700). 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-Trolley case Equipaje Ultraligero De 24 Pulgadas; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Grisport Botas de Senderismo Piel para Hombre), and the other is the contact with students. Therefore,Tanxinxing Chelsea Botas Casuales y cómodas para Hombre con Forro Polar Arrugas ,Osprey Transporter Global Carry-on 36 - mochilas Unisex adulto,ZYJANO Chaqueta de Plumas，Chaqueta Gruesa Invierno y largas Secciones Sueltas cómodas Grandes Bolsillos Moda era Delgada Femenina, 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.OMTANN Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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(LZJZB Pandilla Altadragon Ball Unisexo Zapatillas De Lona Trainers con Cordones Zapatos Shoes-jewels paradise Collar con Colgante de topacio Blanco Hecho a Mano en Plata Ley 925 ). 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.(UMA PARKER Zapatillas deportivas de tela técnica). In this case, the objectives are ignored; however, these formative moments lead to greater behavior changes among Brazilian professionals. They are: the contact with the patient, the meeting with the colleagues and professional groups, the meetings of the multidisciplinary shift changes, among others.
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Limitations of the study
Finally, we would like to disclose some limitations that we recognize in our work. Although one of its purposes is to interpret the data collected in the light of a theoretical framework, enabling us to comprehend education and training in a hospital context and reconstruct some of its dimensions, we clearly recognize the constructed and contingent character of our analysis, resulting from somewhat arbitrary investigative options, despite the effort we put into providing empirical evidence, with credibility and plausibility of descriptions and interpretations, trying to clarify in a different way the concrete reality that we studied. Despite the clarity of our theoretical design and empirical confrontation, it was difficult to implement these procedures with the usual instruments of data collection, such as document analysis, semi-structured interview and the field journal, since, among other aspects,GPFSHOES Zapatos para Caminar de Malla Trekking Hombres del Verano al Aire Libre táctico Nueva Botas Zapatillas Deporte los.
Contributions to the area of nursing,QINGMM Punta Acero Zapatos De Trabajo
ZYFXZ Zapatos de seguridad Los soldadores soldadura for hombre Botas seguridad, 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-Il Gufo Pantalone in Lino BLU Bambino Baby Boy Mod. PL195, 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/ROBERTO GIANNOTTI Pulsera para hombre con colgante de ángel plata y bolas azules diamantadas. Longitud la pulsera: 19/21 cm. Ángel: base 0(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Rendez-vous RueParadis Paris Pulseras Cadena - Bañada En Oro 18 Quilates 3 Micras Joya Mujer Idea De Regalo Cumpleaños. However,XFQ Adultos Ciclismo Zapatos.
LEILEI Valla para niños Puertas de Seguridad Barrera escaleras Puerta bebés y Mascotas Extensible Cierre automático Dos direcciones El Montaje a presión se Adapta Espacios Entre 66-194,Juego de 2 piezas Cubierta coche asiento fruta grosella negra europea grande para mujeres Compatible con bolsas aire Ajuste universal automóviles Camiones y SUV. 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/Shihong-G Astronaut Photo Custom Hip Hop Necklace Jewelry Iced out 18K Gold Plated Pendant Silver Chain para Hombres). 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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