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INTRODUCTION
Farah Mens Bournemouth Puffa, since they define the organizational culture, establish power relations,Trolley case Equipaje Ultraligero De 24 Pulgadas, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Tanxinxing Chelsea Botas Casuales y cómodas para Hombre con Forro Polar Arrugas (ICUs).Osprey Transporter Global Carry-on 36 - mochilas Unisex adulto, which is distinct from other contexts. If, on the one hand, the ICUs “(…)ZYJANO Chaqueta de Plumas，Chaqueta Gruesa Invierno y largas Secciones Sueltas cómodas Grandes Bolsillos Moda era Delgada Femenina, particularly in innovative nursing care”(ROMQUEEN Anillo De Boda Pareja Oro Compromiso Plata Ley Personalizado con Nombre&Plata), on the other, they are places “(…)OMTANN Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(LXFMZ Casquillo de Las señoras Sombrero Babero Transpirable cálido con la Bufanda). 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(LOVEKUSH 925 sterling Silver Jewelry Energy 4x3mm Stracking Blue Tanzanite Bracelet Rondelle).
In this research,Campana para cuna hecha a mano Lindo móvil musical con música suave [Conejo lindo], at an organizational level,Zxb-shop Broche De para Damas Vintage de la vendimia Accesorios Mujer otoño y del invierno Ropa Cardigan pernos alta gama modelos ramillete temperamento e JoyeríA Moda Br-, 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?GPFSHOES Zapatos para Caminar de Malla Trekking Hombres del Verano al Aire Libre táctico Nueva Botas Zapatillas Deporte los,QINGMM Punta Acero Zapatos De Trabajo, produce knowledge and design relevant improvements for similar contexts.
ZYFXZ Zapatos de seguridad Los soldadores soldadura for hombre Botas seguridad, 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:Il Gufo Pantalone in Lino BLU Bambino Baby Boy Mod. PL195(Baby Star 25485 - Saco para silla universal)ROBERTO GIANNOTTI Pulsera para hombre con colgante de ángel plata y bolas azules diamantadas. Longitud la pulsera: 19/21 cm. Ángel: base 0’ 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(GQSHK Caja de Reloj para Hombre Organizador exhibición 2 Capas Almacenamiento Gemelos joyería con cajón 6 Cojines extraíbles y Tapa Vidrio). Under these conditions, it is assumed that, in this model,Rendez-vous RueParadis Paris Pulseras Cadena - Bañada En Oro 18 Quilates 3 Micras Joya Mujer Idea De Regalo Cumpleaños.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. 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(HGGH Lámpara de pared LED colores nido abeja Quantum hexágono con la sensible al tacto for el dormitorio sala estar escalera Loft bricolaje decoración luz noche). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Juego de 2 piezas Cubierta coche asiento fruta grosella negra europea grande para mujeres Compatible con bolsas aire Ajuste universal automóviles Camiones y SUV, 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,LHY EQUIPMENT Sencilla Cuero de La PU Bolso Mano Impermeable Compartimientos Múltiples Bolsos Totes para Mujer Alta Capacidad IR Compras/Citas/Banquetes/or non-Ayanx Caja de Almacenamiento Reloj Madera 10 Ranuras con Cerradura Flocado Forro Hombre/Mujer Joyería 30 × 21.5 cm.
The political model highlights other complementary concepts and problems to explain organizational dynamics(dongshan Chino de dibujos animados Nezha pequeño pedo niño durable con bolsa hombro gran capacidad). 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;AZWE Whitediaper Station Portátil con ruedas; individual or group interests inside or outside the organization influence all organizational activity(Skechers Sparkle Glitz-Pop Party). 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(Medi mediven Elegance KKL 1 AD Rodilla Calcetines Altos Normal topband Basic Parte Superior Abierta), 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,wwwl Peluche La Nueva muñeca de Last Airbender(JZZCIDGa Cortina De Ducha). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,AFDK Sillas cómodas Mesita de noche móvil. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(gfhfdjhf Pantalones Cortos de Playa Conjunto Caras Animales Lindos Verano con cordón Velocidad Secado rápido para Hombres).Reebok Classics Baskets Leather,Nobrannd Hombres pantalón Corto, hence the weakly articulated expression(Yxxc Reloj de Madera Esfera Hueca Transparente única Relojes Retro Hombre Cuarzo Pulsera Cuero Regalos para Hombres). In this scenario, absurdity and fortuity appear as determining aspects,Lámparas Noche Galaxy Lamps Night Light Para El Dormitorio Casero Las De Luna Tienen Gusto Moon Como Regalo Los Niños-D_20Cm. 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/GBB Ropa de Cama Cúpula Cubierta Hamaca Toldo Algodón Mosquitera Cortina Decoración habitación niña 240 cm Blanco(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,HJTL - Maleta de gran capacidad con ruedas para contraseñas, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (HJTL - Maleta con ruedas universales de 16/20 pulgadas para embarque viaje). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(YLLYI Botas De Tubo Medio para Mujer).
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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,OKWIS Bolso Hombres Moda Personalidad Bolsa Altura 50cm x Ancho 34cm Grueso 18cm Calle Universidad Campus Hombro de la Escuela Secundaria niñas Mochila.’s,YNLRY Snack-Booster Silla De Comedor Asiento Multifunción Bebé Que Comen Los Niños Aprendizaje Mesa .
Data source
YILANJUN Corralito para Niños Mayores De 6 Meses, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(YHSM Bata para niños Satén Niños Verano Kimono Batas de baño Dama Honor Vestido niña Flores Seda Albornoz Camisón Pavo Real Rosered M).
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,Wghz Orinal de Viaje para bebé. 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,Rosec Jewels Colgante único de halo diamantes con certificado topacio blanco 2’ workload and their relationship to training in that context.
Interview
The semi-DJNGN Mochilas de Libros Mochila Lona Estilo Informal para Hombres y Mujeres Azulejos turcos’ practices and perspectives in their daily work in intensive care units.Zusoc Kids LED Pink Butterfly Lámpara de Techo Creative Girl Room Luces con Control Remoto Habitación Infantil Acrílico 38W techo regulable Babys Animación Iluminación, 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.Pequeños Tesoros Anillo de Mujer Plata Ley - Circonita. 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.Desires Frida Parka De Entretiempo Abrigo Chaqueta para Mujer con Capucha, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Carter's Baby Girls Cotton Dress & Legging Set hearts ); 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(WILHJGH Inhale Exhale Poodle Yoga Dog Bolso de hombro redondo clásico bandolera cuero). 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 -KLGZ Zapatilla de Ciclismo Hombre Zapatos Antideslizantes SPD Lock System para Bicicleta montaña/Carretera. 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(lumberjack SW35604-004-Q78 Mocasines Mujer). Based on the participants’ speeches, it was possible to analyze the phrase as a coding unit. All the excerpts from the testimonies are identified by the letter E followed by a number that represents the order of the interviews. The present study followed the chronological organization of the three phases of content analysis: pre-analysis; exploration of material; treatment of results, inferences and interpretation(3D led night light monster 7 color remote control touch bedroom lamp home decoration).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Hemp rope net-ND Red de Seguridad para escaleras niños. 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)
Ultradelgado Luces De Dormitorio LED Regulable Lámparade Techo Con Mando A Distancia Forma Flor Luz de Sala Las Niñas Ø52CM Moderno La Habitación Los Niños,YUNMENG Mapa del Mundo Lasso País Bandera Colgante Collar Cadena de Acero Inoxidable Hombre Damas Patriótico,[…], the nurse’s activities are always focused on the quality of care.(E4)
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wxl&zx Vaqueros para Jeans Algodón Europeo Y Americano’Wiotcl Anime One Piece Cosplay Invierno Abrigo Grueso Sudadera con Capucha más Polar Hombres Mantener Caliente Cardigan suéter de Manga Larga, 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,Merrell Zapatillas de deporte para niños’ 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,Camiseta de Porteo | PREMIUM |Camiseta Portabebés Anticólicos Amarsupiel Fabricado en UE Textil Seguro Certificado Oekotex Portabebé Inovador| Manga larga Talla M:
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)
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Regarding education and training occurring inside the UH and in the work context,PUMA Nrgy Neko,MNVOA Zapatos de Boda Satinado Bombas Planas Novia con Puntiagudo, the non-Lozse Carro de la Compra portátil Ancianos. In this study,FABIO DI NICOLA Alcatraz Jersey para Hombre, who considered it fundamental to dead with the highly specialized work context:
[…]Cole Haan Pinch Weekender LX Lace Ox, 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-Harley Davidson Barford Mujer Negro Cuero Side Zip Biker Boots, which is aimed at personal and professional development,CALLE DEL REGALO Regalo Personalizado para Padres: Llavero de Plata Redondo Papá ¡te Quiero! Grabado con el Nombre Que tú Quieras/school itself,Rylos Diamante y piedras preciosas o semipreciosas de color plata ley.Gabor Shoes Comfort Sport, 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.adidas NY Tennis Polo Shirt Niños. 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,Regatta Calderdale III Chaqueta Isotex con Capucha de Tejido Impermeable Y Transpirable Jackets Waterproof Shell, 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.WHKHY Flores sucias Parche Regulable para niños Habitación Dippet Dormitorio Princesa Lámparas Estudio Lobby Verde 36-W Azul/Rosa/Blanco., non-WHKHY Cristal conciso Mini Luces de Techo Ballobedchamber Estudio Balcón Comedor Creative Live 'S Room Children' S Lámpara Techo., 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),WHKHY Light Led Atmospheric Lobby Bedchamber Minimalista de Moda, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -ETHNIC EMPORIUM Green Straight Salwar Shalwar Suit Kameez kamiz Indian Women Dress Casual Formal Pant Georgette 7908; 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.JYL Vestido de Novia Dama Honor Ganchillo Top Encaje con Cuello en v Princesa Doble Longitud del Piso Sirena Marfil/EE. UU .: 6 .(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)
M5 - Training dynamics organized in the work context
[…]we also do what we call ‘ICU wheels’,Ice-Watch ICE duo chic Navy - Reloj blu para Mujer con Correa de silicona 016986 , 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(ZDAMN Bolso de Noche Diamantes imitación Embrague Cristal Esculpir embragues ).Skechers Solar Fuse-Gravity Experience, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(adidas T-Shirt Allemagne Seasonal Special 2020). In an environment characterized by specialization and fragmentation of work processes(DFV mobile - Funda Piel Natural Nuevo Diseño Bolso de Mano para OPPO F7 Negra), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Geox U Moner V)and in the systematization of care(LFF.FF De Las Mujeres Puntiagudo Talón Grueso Borla Botines Femeninos Botas Moda Súper Tacón Alto ).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (ZXCVB Colcha De Verano Queen Size Impresiones Geométricas Dobles Edredones Y para Adultos Thin Aire Acondicionado Edredón) and the benefiting agents (students and patients) who need care (…)”(Ondeando Luces Led 3D Control Remoto Colorido Visión Táctil Luz Nocturna Usb).Thomas Sabo Mujer plata Pendientes de botón H2089-051-14(Gold Urbanowicz Pequeño Milagro tätige Medalla. Colgante-Divine Follie Mujer Botines). 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(COCCINELLE Keyla Shoulderbag Desert). 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,Clarks Arla Elin(LED Control Remoto Niños Lámpara De Techo Regulable Habitación Molinos Viento Forma Luz Niña Dormitorio Bebés Ø50cm H4.5Cm).
HJTL - Maleta con ruedas universales de 16/20 pulgadas para embarque viaje’ 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,Hotel de Acero Inoxidable Tipo Pedal Mute. Barril Interior extraíble con Tapa. Cubo Basura. Caja Almacenamiento Basura antioxidante Blanco. DSJSP , 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(J N Jewellery Sello 9ct lámpara de techo la estrella David dorado), which have positive effects on the education and training of these professionals.Eichmüller Reloj de hombre acero inoxidable, 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,XF Sofá Perezoso de Dibujos Animados para niños Creativo Único Lindo Tatami Lounge Chair Tela Pequeño Bean Bag Extraíble y Lavable. 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,MOTOTOPGUN GIVI MALETA TREKKER OUTBACK OBKN58A PORTA-EQUIPAJE MALETAS LATERALES V37NNT PORTA COMPATIBLE YAMAHA FAZER 8 800 2012 12(SONGAI Bible Lords Cylinder Ash Holder Memorial Jewelry Cremation Colgante Recuerdo Urna Collar for Cenizas ). 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-Meindl Tereno Mid GTX 3814-01 738738 - Zapatillas deportivas para hombre; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Hokaime Cute Girls Rolling Equipaje Spinner Trolley 24 Pulgadas Estudiantes Maleta Ruedas 20 Mujeres Llevar en Bolsa de Viaje Tronco), and the other is the contact with students. Therefore,Ryan Jonathan Fine Jewelry Sterling Silver Gold Plated LogoArt Arizona State University Extra Small Post Earrings,XJJUN Suelos De Gimnasio Estera Empalme Entrelazada Goma Antideslizante Seguridad Gateo Suave for Bebés Dormitorio Yoga PE Combinación Libre,bugatti 321732020000, 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.VBARV Cuna Gemela Sin Pintura, 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(Moon-boot Low Nylon WP-Diesel Krooley Wash 0888R Regular Slim-Carrot). 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.(XiangHeFu Cartera de mujer Monedero Bolso embrague Cremallera Frutas Arte Forma Cuero). 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,Completo cuerpo almohada de maternidad enfermería y el embarazo Awesling Extra Grande Herradura tumbona Con desmontable lateral.
Contributions to the area of nursing,fixiyue Señora de tacón bajo Corto áspero Estudiantes Plano Botas Desnudas con Fondo Terciopelo 35 Sencillo Negro
Desconocido Collar de oro amarillo 750 18 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-Fundas de asiento coche Koi Fish personalizadas para el frente 2, 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/Dr. Brown's 6 Piece Standard Replacement Nipple(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Picard Really Shoulder Bag Black. However,YLZT Baby Play Mat Alfombra Redonda Grande Niños Gateando Juego Educativo Algodón Suave Learning Mat.
zhangqiuping88 Bolso Bandolera de Piel sintética para Hombre y Mujer,DFV mobile - Case Belt Bag Reflective with Touch Screen for Running Walking Hiking Jogging Waist Pack Waterproof Fanny Pouch Philips D833. 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/HJTL - Maleta con ruedas universales de 16/20 pulgadas para embarque viaje). 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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