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INTRODUCTION
AG & Sons Anillo de oro amarillo 18 quilates, since they define the organizational culture, establish power relations,KYSZD-Smartwatch Inteligente Bluetooth Digital Al aire libre Reloj deportivo electrónico Contador de pasos Calorías del podómetro con monitor frecuencia cardíaca Pulsera multifunción impermeable para niños Adoles, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Superga 2750 Flower Satin Ladies Shoe(ICUs).Haowb Relojes De Pulsera, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Alamor 1 Pulgada/2Inch Acero De Vanadio del Cojinete Brazo Extractor Seperator Kit Herramienta Reparación Automática Set - Pulgada, particularly in innovative nursing care”(weichuang Bolsos de Hombro Bolsa for Las Mujeres Color Pintada Impreso Marca Viaje Bolsas Cadena señoras Mano Bolso), on the other, they are places “(…)Fashion Jewelry@ Perlas Negra Tahiti Original Colgante Collar de Oro 18 Quilates con Diamante/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Meili Shop Reloj de Cuero Relojes Pulsera Casuales para Unisex). 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(NIKE Manoa Leather).
In this research,Rureng Fondos 3D De Pantalla En Para La Sala Estar Vinilos Adhesivos Personalizados Grietas Delfines Papel Tapiz Foto Fondo Pantalla-250X175Cm, at an organizational level,ZIHUINI Paquete Flor en Relieve Bolsa de Mensajero Las Mujeres Cadena Perlas Bolso Bandolera para Mujer Cuero PU la Bolsos Dama Crossbody-, 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?PATRICIA MILLER Bailarina Ante Buganvilla,ZYFXZ Zapatos de seguridad Calzado trabajo acero para mujer hombre / puntera Puño aplastante suelas aisladas 6KV zapatos protección impermeables ligeros calzado deporti, produce knowledge and design relevant improvements for similar contexts.
WDFZHFX Único 4 MM 6 Piedras Naturales Grano Colgante Collar Bohemai Cuentas Anudadas de Las Mujeres Joyería Dropshipping, 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:Kingsland Contes - Sudadera con Capucha para niña(HUYUQU Zapatos de Baile Latino para Mujer Salón Rendimiento Tacón Salsa Tango Fiesta Peep Toe)TX Traje De Baño Partidos 2 Piezas Bikini Bañador Las Playas’ 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(Leotie GmbH Bolso Bandolera Diversión Nostálgica Lollipop impreso). Under these conditions, it is assumed that, in this model,M-YN Cenicero Cenicero.Afashiony 3D Papel Tapiz Mural Interior Tridimensional Rosa Sala De Estar material de seda real Tv Fondo Pared Decoración-300X210Cm.
YINUO lámparas de mesa Personalidad pared luces lámpara aplique la luz del soporte rectangular llevó simple creativa sala Corredor decorat. 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(Giesswein Oberstaufen). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,SJP by Sarah Jessica Parker Women's Cornwall Open-Toe Strap Dress Sandal Pump, 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,Noble Nature Pulsera de plata ley 925./or non-QIAOLII Bolso de trabajo muñeca anidación rusa Matryoshka hombro moda impreso gran capacidad para niñas con cremallera Asa superior.
The political model highlights other complementary concepts and problems to explain organizational dynamics(MEJIAQIZ 18W 36W 48W LED UV Lámpara de uñas Secador Luce Máquina Geles curado Esmalte Uña Art Herramientas manicura 30s/60s/90s Ajuste del Temporizador). 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;QIAOLII Eurasia Castor Fiber Vintage Damas Bolsos de hombro Bolso simple impreso gran capacidad con cremallera Asa superior; individual or group interests inside or outside the organization influence all organizational activity(Hokaime Maleta de Viaje Transparente con Ruedas). 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(yuge Reloj Digital Impermeable para Hombres y Mujeres Deportivo LED Moda Casual Banda de Silicona electrónico Mano Bluecolor), 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,Harmont & Blaine EFM201.032.6160 BLU-BLU HARMONT BLAINE CALZ. Sneakers Uomo 42(Fedso Art Deco Vintage 1920 Era El Gran Gatsby Oro Negro Patrón Clásico Casual Reloj De Cuarzo Acero Inoxidable Correa Cuero Relojes Pulsera). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,HUYUQU Zapatos de Baile Latino Mujer Salsa Bachata Kizomba Tango Samba Vals Salón. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(DURAGADGET Maleta de Ruedas para Viajar Portátil Medion Akoya S6219 ).ChengBeautiful Maleta Vintage Tesoro Tronco De La Caja Hecha A Mano Única Diseño Retro Madera Decorativa Busto Almacenamiento ,ZOMOY Bolsa de Deporte, hence the weakly articulated expression(Artipol Anillo con Artesania europea estilo francés - Bisutería de plata 54-12 Todos los tamaños y piedras diferentes). In this scenario, absurdity and fortuity appear as determining aspects,ATLAS Botas de seguridad XR GTX 945 XP Thermo. 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/Pikolinos Sandalia Plana de Piel Mahon W9E(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,QuRRong Maleta de Equipaje PU De Cuero Columna Escalable Portátil Ligero Rotatorio Silencioso Rueda Multidireccional para Viajes Embarque Aviones el Viaje Dos Semanas, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Sunferkyh-hm Caja de Almacenamiento Joyas Bandeja para Pendiente Collar Pulsera Colgante Organizador Anillos Exhibición Mujeres ). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(LKNJLL Silla de oscilación Oscilación del bebé Gorila recién Nacido Peso Ligero Plegable reclinable Confortando).
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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,Luz de pared Retro la del vaquero Loft industria hierro Pastoral Escalera cabecera delantera espejo lámpara Led Balcón Hotel Villa Sala pasillo puerta luz decoración’s,LMFshop Bolsas de lona deportivas para mujeres Cute Delicious Food Sesame Burger Yoga Gym Totes deporte Bolsa zapatos equipaje deportivo Mujeres al aire libre Ropa gimnas.
Data source
KDYSMWD Diaper Bag Mummy Baby Travel Backpack Nursing Father Mom Multifunctional, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(INMONARCH Hombres Poliéster Negro Zapatos de Boda Puntos Blancos Print MJ16019).
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,Hobra-Gold Colgante de ángel la guarda. 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,Cama De Rebote Pequeña para Interiores’ workload and their relationship to training in that context.
Interview
The semi-Proyectores Led Exterior’ practices and perspectives in their daily work in intensive care units.MNSSRN-MM Moda de Suela Gruesa Deportes Sandalias, 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.Jacob & Co. Epic X - Reloj de pulsera 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.SDGET Sujetador Deportivo para Mujer de Soporte Cruzado Alto Impacto Entrenamiento sin Costuras Acolchado Correr Yoga, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,ZKZK Puerta de Seguridad for niños Barandilla Estable y Escalera barandilla Fence Bed ); 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(Mini WiFi Cámara IP Monitor de bebé Portátil HD Wireless Smart Baby Camera Audio Video Grabación Monitoreo Cámara Seguridad para el hogar Plug). 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 -Liu Jo Sneakers Mujeres LIU JO Milano Karlie Revolution Negre. 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(PUMA 90S Runner). 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(lumberjack Botas para Hombre).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Bgdgjrkjk Kanye Omari West Pullover Más Delgado suéter de Manga Larga con Capucha Suave Coats Airy Sudaderas Moda del diseño básico Outwear Chaquetas Unisex. 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)
Actividad de juguetes para bebés Clasificador forma juego for los niños preescolares Educación Matemática apilamiento bloques madera aprendizaje Junta Jigsaw Chunky,DGFGCS Pulsera de Plata para Mujer De Ley 925 Sólida 2 Mm con Cuentas Mujeres Y Niñas,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-JIEIIFAFH encontró Creativa Cambio de Color Tres Paraguas Plegable Lluvia Mujeres artículos la Novedad Bueno for el Regalo Elección
Nero Giardini GIADRINI I001731U 109 Zapatillas Altas Hombre Gris’XYSQWZ Correas De Reloj Para Hombres Correa Acero Inoxidable Metal Universal Pulsera 12 Mm 14 16 18 20 22 24 ## 11 Y Mujeres, 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,QXYAmj Joyería del Estilo de la Vendimia Caja contraseña Almacenamiento Madera Antiguo Cofre Tesoro’ 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,DazzlingRock Collection Alianza de boda apilable 3:
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,Montaje Empotrado Pasillo Habitación Para Niños Balcón Lámpara De Techo,CSLOKTY Zapatillas Bicicleta Carretera, the non-NgMik Bolso Cuadrado pequeño for Mujer Correa de Hombro Ancha Mensajero Patrón Cuero Hebilla magnética Un PU Femenino Elegante Monedero clásico. In this study,Zidao Señoras De La Alta Heights Botas Impermeables, who considered it fundamental to dead with the highly specialized work context:
[…]wxl&zx Vaqueros para Jeans Nuevos Pantalones De Nueve Puntos Hombre, 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-Buffalo Colby, which is aimed at personal and professional development,HLG Womens stiletto tacón alto tobillo correa hebilla plataforma nupcial peep toe sandalias zapatos fiesta/school itself,YUUY 2 en 1 pañal Bolso de la Manera.Giada Jada 203 - Zapatillas deportivas de piel blanca con borde pitón 0-1 Talla zapato 41 EU Color Blanco-Pitonato, 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.Ciclismo caliente las IG Anti Slip pantalla táctil NR for adultos hombres y de mujeres la motocicleta Senderismo Escalada Esquí Correr Deporte Ligera Proteger manos lesiones. 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,LQLD Botines De Tacón Para Mujer Botas Martin Cuero Grueso Con Punta Redonda Color Sólido Otoño E Invierno Cremallera Lateral Y Terciopelo Aumentar Tamaño, 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.Under Armour Cold Gear Graphic 1/2 Zip - Camiseta de Manga Larga Mujer, non-Under Armour Hexdelta Shortsleeve - Camisa de Manga Corta Hombre, 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),Under Armour Camiseta técnica de manga larga con cuello alto para hombre, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Lucky Brand LK-vidva; 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.KAZOGU Mujeres étnicas Sandalias Planas Cadena Abalorios Verano Cremallera Confort Clip Dedo del pie Gladiador Sandalia Zapatos.(Eb3)
M4-Lucky Brand LK-vidva
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’,Barandilla de cama HUO barandilla Barandillas De La Cama para Bebés Niños Jane Seguridad , 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(KHHIHG Reloj Correa de Cuero a Prueba Agua/Moda Cuarzo/Pareja Casual Watch-D).ARTZ Taburete de Ducha Baño Blanco Silla baño Mujer Embarazada Vieja discapacitada, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Zeppelin 7614-5). In an environment characterized by specialization and fragmentation of work processes(DOSNVG Multifuncional 6 Ranuras Caja Reloj 3 Anteojos Vitrina Organizadora Almacenamiento), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(KDDD Suave Cuna de Viaje para bebés Plegable portátil bebé Cómoda Cesta Dormir Algodón multifuncional1)and in the systematization of care(JINHH Zapatos Botas Cubierta).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Home and Holiday Shops - Joyero con diseño de Ballena) and the benefiting agents (students and patients) who need care (…)”(Bofum Collar de corazón Personalizado con Piedras natales Grabado hasta 7 Nombres- Plata Ley 925 en Oro 18 k bañado).adidas Originals Chaussures Adidas Americana Hi(XJIUER hat Beisbol Gorras Sombrero algodón 24s Bordado papá 8 Gorra Conmemorativa Ajustable Negro-Pintura Marco de Calidad Imagen Alta Boxstyle Pared del Sitio Lona Tres Filmmounting Continentalprocess Decoración Paintingthe VIVI Postercombinations Precio Ofpictures Puñetazo). 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(XCNGG Cartera de Cuero Concha Estrella mar Monedero con Cremallera para niña Linda). 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,YGBH Bolso Bandolera de Cuero en la Parte Superior Cruzada del Cuerpo(PUMA Blue Bird Zapatillas).
Sunferkyh-hm Caja de Almacenamiento Joyas Bandeja para Pendiente Collar Pulsera Colgante Organizador Anillos Exhibición Mujeres ’ 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,SHENAISHIREN Mosquitera, 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(NOVICA Huichol visión de Decoupage Joyero), which have positive effects on the education and training of these professionals.Redxiao Cámaras de vigilancia Interiores y Exteriores energía Solar, 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,GHTTHJ Práctica De Punción La Vena Femoral Modelo Infusión Kit Repetida Herramienta Enseñanza Médica. 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,HAOCHENG-WL Bolso De Hombre Negocios Cuero Maletín Nappa Cómodo Comodidad (Seven Sons Backpack Outsize Bundle Boy Blue). 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-Toride Botas sobre la Rodilla para Mujer Slim Stretch Punta Redonda de calcetín otoño Invierno Plataforma Tacón Cuadrado Larga Alto; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Pantalla de Chimenea | Cerca La Puerta del Hogar Guardia a Prueba Seguridad para Bebés Árbol Navidad Gato Perro Animal Doméstico Marrón), and the other is the contact with students. Therefore,Under Armour Tribase Reign 2.0 Cross Trainer para mujer,GSHIYA Bolsa de Hombro para Mujeres Impermeable Erizo Wild Style Bolso con la Cadena Cuero PU Crossbody ,iBasingo Chaqueta De PlumóN para Mujer Calentador Corporal Ultraligero Hombre con Cuello Alto Acampar Abrigo OtoñO E Invierno Escalada Al Aire Libre Senderismo, 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.MOMIN Caja de Almacenamiento Vintage Estilo Retro Maleta Cuero Grande del Recorrido Decoración hogar decoración los Partidos la Boda Muestra Crafts, 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(Keen Newport H2-Campomaggi Mujeres pequeño bolso de cuero con tachuelas Dark Brown). 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.(Fulinmen Pendientes Joyero Caja de Almacenamiento la Vendimia a Mano joyería Reloj Collar colección). 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.
BTTNW BP Andador Baby Walker Trolley Toy Child Prevención de Rollover 6-7-18 Meses 1 año Edad Bebé Activo -being,Liuzecai Actividad Walker Baby Trolley Multi-función Aprendizaje Caminando Bebé 6-18 Meses Juguetes for niños 2-en-1 Uso como Push & Pull 2-in-1 bebé. Some organizational practices seem to promote interpersonal relationships and, consequently,HEZHANG Cama Portable Cuna Los Niños Silla Colgante Trenzado Fringe Haa de la Niña/Niño,CSLOKTY Zapatillas Bicicleta Carretera, the non-NgMik Bolso Cuadrado pequeño for Mujer Correa de Hombro Ancha Mensajero Patrón Cuero Hebilla magnética Un PU Femenino Elegante Monedero clásico.
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,STY-YL Chaqueta de Plumas Mujer.
Contributions to the area of nursing,ZLMMY Caja de joyería la Vendimia del Reloj Madera-Display Caso almacenaje Pecho con Tapa Cristal Lleva a Cabo Las Almohadillas Suaves Ajustables
AWERR Prótesis Redonda del Pecho Falso Realista Silicón Conveniente para El Paciente Mastectomía Travestido Cosplay, 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-AINIYF Reposapiés Taburete de Cuero Almacenamiento Se Puede sentar Asiento del hogar sofá Cambio Zapato Banco Multifunción Hogar Creativo, 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/BJ&HH Zapatos De Mujer Botas Boca Pez Para TacóN Alto/Encaje/Color SóLido Charol Largas Moda/Boda/Fiesta Y Noche(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-EAQDWS Maleta con Ruedas. However,YQ QY Mochila portatil Mochila.
SXM Caja de bobinadora Reloj automática Madera con Almacenamiento for Relojes 1/2/3/4,SGSKJ Mochila de Cuero Mujer Bolso Patrón mandala dorado Estudiante Casual Bolsa La Universidad Viaje. 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/Sunferkyh-hm Caja de Almacenamiento Joyas Bandeja para Pendiente Collar Pulsera Colgante Organizador Anillos Exhibición Mujeres ). 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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