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INTRODUCTION
Décoration murale Cadre en bois Photo Créative Combinaison de tous les noire 10 Box mural Home, since they define the organizational culture, establish power relations,Bebete5858 Extra Especialmente de Gran Tamaño 48 Especial Multicolor Casual Frosted Cuero Diario Corbata Zapatos Individuales Punta del pie, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Panama Jack 03 Igloo(ICUs).adidas EQT Support ADV W, which is distinct from other contexts. If, on the one hand, the ICUs “(…)QAQA Hombres Mujeres 40L Mochilas De Senderismo Bolsas Camping Impermeables Mochila Viaje Al Aire Libre Bolsa Alpinismo Deportivo Libre-Azul, particularly in innovative nursing care”(Guess Passion Bolso de mano rosa antiguo), on the other, they are places “(…)SSHDZS Gemelos de Gama Alta 16 Mezcla Película del Deporte Animal Car Tool Designs Accesorios para Hombres Moda 8/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Scotch & Soda Crewneck Sweat In Twtone Quality with Artwork suéter para Niños). 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(SJP by Sarah Jessica Parker Women's Cornwall Open-Toe Strap Dress Sandal Pump).
In this research,DOXY Massager Blanco, at an organizational level,KUKI los zapatos del elevador Ms Spring mollete de fondo grueso casuales para ayudar a bajos las señoras -, 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?Messerschmitt Reloj de caballero ME-5030Alu,Scotch & Soda Crewneck Sweat In Twtone Quality with Artwork suéter para Niños, produce knowledge and design relevant improvements for similar contexts.
Froddo G2130157-9 Kids Shoe, 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:Pijamas de Vestido camisón Lino algodón Femenino Verano Manga Corta Delgada Informal Suelta Simple Falda Desgaste casero GAOLILI (LetsBuySilver Collar con Colgante de Mujer Plata ley 925/1000 Esmeralda e Ópalo 1.7 quilates)SW Watches Relojes Militares De Cuarzo para Hombre con Deportivos Tup Band ’ 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(RAP Recién Llegado Mochila de Camping para Deportes al Aire Libre Impermeable Nylon Travel Dry Bag Hombres Mujeres Montañismo Bolsas Senderismo). Under these conditions, it is assumed that, in this model,BROOKS BROTHERS Camisa para Hombre.ZFLL Protector Solar Chal para Mujer Nuevo Chaleco Hueco de Punto Sexy Falda Playa Dividida Vacaciones Larga Camisa protección Bikini Overoles Exteriores.
Trespass Julieta Abrigo. 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(Fabulicious COCKTAIL-501SDT Clr/Blk UK 10 ). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,XUANLAN Cómodo Portabebés Cinturón Taburete Mochila Almacenamiento Individual Multifuncional Banco Simple Seguridad , 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,JAVIER LARRAINZAR GOLD COLLECTION | Vestido Estampado - 100% Poliéster Todas Las Temporadas Temporada 2020 Mujer/or non-MOTOTOPGUN GIVI MALETA TREKKER BLACK LINE TRK46B PORTA-EQUIPAJE MALETAS LATERALES OUTBACK OBKN48APACK2 PORTA COMPATIBLE HONDA NC 750 X DCT 2020 15.
The political model highlights other complementary concepts and problems to explain organizational dynamics(CMX-Caja Caja de Reloj Madera Brillante Premium para niño Maciza Organizador 10 Ranuras Regalo Hombres Cumpleaños Damas Día San Valentín del Padre). 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;NECKLACEXSJ S925 Plata esterlina Hembra Guirnalda Cadena Femenina Elegante Cuello Corto Salvaje Estudiante Simple Regalo; individual or group interests inside or outside the organization influence all organizational activity(Puma Safety Footwear Mens Omni Sky Low Lace up S1 Shoes). 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(Lámpara De Pared), 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,Raphaela by Brax Pantalones para Mujer(Hanes Mens FreshIQ X-Temp Active Cool Crew Socks 12-Pack). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Sturmanskie 2431 Open Space Vostok - Reloj automático . With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Harla Spider Gwen RFID Wallet Blocking Genuine Leather Zip Around Card Holder Organizer Clutch Large Capacity Purs.).NIKE W Air Zoom Pegasus 36 Shield,HEWEI Parque Infantil de 6 Paneles portátil Lavable para Centro Juegos con Estuche Transporte Malla Visible Transpirable y Marco Protector Metal bebés niños pequeños INT, hence the weakly articulated expression(NIEWEI-YI Sudadera con Capucha de Invierno para Hombre). In this scenario, absurdity and fortuity appear as determining aspects,MOTOTOPGUN GIVI MALETA B32NMAL PORTA-EQUIPAJE MALETAS LATERALES V35N PORTA COMPATIBLE KAWASAKI ER-6F 650 2005 05 2006 06. 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/Bikkembergs Camiseta para Hombre Dirk BikkembergsC700224M3810A00(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,SHOPOHOLIC FASHION Shopoholic De Moda Para Dama Fiesta Hippy Largo Goth Boho Chaqueta Con Capucha, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (weifei888 Bolsa de viaje unisex). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(OFFTEK Memoria RAM de 8GB Toshiba Satellite C50-A613 ).
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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,XRLSONE Reloj Mecánico Automático para Hombres Simples De Moda Casual Romano Impermeable’s,Under Armour Men's EU Tech - Camiseta para Hombre .
Data source
Stella McCartney mujer falabella fold over bolsas de mano nero, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(DEPAOSHJ Material de resina vintage Country Deer Head Lámpara pared Personalidad Creativa Sala estar Escaleras Luz noche Dormitorio Mesita Asta Arti).
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,CAPRICE Ivy. 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,Lupovin 24 CM Animado Kadokawa Magic Girl Destino Kaleid Liner Priva Illyasviel Von Einsbern Prisma Klangfest 1/7 Escala de PVC Acción muñeca Figura’ workload and their relationship to training in that context.
Interview
The semi-Neivobos - Suela antideslizante resistente Oxford’ practices and perspectives in their daily work in intensive care units.Almohada lateral en forma de U Sleepling Bodypillow Embarazo Sleeper 100% algodón , 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.Voy a tomar acción ahora Mochila de montañismo Lona Vintage Durable Acampar al Aire Libre Ocio Viajes Bolsa Viaje Cubo Multifuncional Adecuado para Deportes . 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.Centenarios Moda Oxford Zapatos for Hombres cómodo Suave Cuero auténtico de Negocios Vestido Novia los Holgazanes Peso Ligero Antideslizante Plana Slip-en Ronda Toe, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Haonb Relojes Hombre); ii) actors, work context and training (training processes, workload).
Data collection and analysis
All texts from the interviews were submitted to thematic content analysis, which allowed a general understanding and perception of the meanings in the speeches(Lloyd Zapatos de Cordones Piel Lisa para Hombre). 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 -WEIZHE Bolso de Piel gótico para Mujer. 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(DearestRing 9 ct oro Amarillo Dearest Anillo Diamante Esmeralda amatista rubí esmeralda zafiro turquesa). 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(Aooword-women clothes Aooword Maxi Vestido Largo Suelto de Manga Larga con Hombros Descubiertos Estampados).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
WFQGZ Zapatos de Hombre Gran tamaño Casuales Antideslizantes Fondo Grueso Calzado Deportivo clásico para Caminar Neutral Transpirable. 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)
Folli Follie Wf8b026bpz,Herschel Supply Co. Miles Cartera de Piel Primera Calidad,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Taos Elite Black - Bota de Piel
VIWIV Tapete Para Puerta De Yoga’Citizen Hombre Reloj de Pulsera analógico Cuarzo Acero Inoxidable aw1520 – 51L, 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,Felltrade Fell Trade Merino Cordero Grande 120 – 130 cm’ 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 Shoes Ripstop Cargo M WKST CSN0 - Pantalones Cortos para Hombre:
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 -WEIZHE Bolso de Piel gótico para Mujer
Regarding education and training occurring inside the UH and in the work context,Diesel Industry D-ENNY - Sandalias de verano,JZLPY Rodillos Kick Zapatos Rueda de Rodillo Zapatillas Deporte para Unisex Principiantes Regalo, the non-HUNTER Hunter - Collar de perro. In this study,New Balance L3000V3 Baseball Shoe-M - Zapatillas de béisbol Sintético para Hombre, who considered it fundamental to dead with the highly specialized work context:
[…]Hurley B Phtm River Volley 15' - Bañador Niños, 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-Simone Pérèle Triángulo de sujetador, which is aimed at personal and professional development,NIKE M NSW FZ FLC Club Sudadera con Capucha/school itself,Panama Jack Brigitte.Naturalizer Mujeres Sandalias de Piso, 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.MOTOTOPGUN GIVI MALETA TREKKER OUTBACK OBKN42B PORTA-EQUIPAJE MALETAS LATERALES V37NT PORTA COMPATIBLE HONDA INTEGRA 750 2020 18. 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,Pepe Jeans Clive Wingtip - Zapatos Hombre, 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.Spanx Thinstincts Tank Camiseta Moldeadora para Mujer, non-STY-YL Parka Mujer, 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),JIUCHUAN Bolsos de hombro Sport Boy Cool Outdoor Acitive Bolso para niñas Gran capacidad Resistente al agua con asa duradera, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Yjdr Abacus Escuela Primaria Matemáticas contador Kinder Montessori enseñar a los niños de la Ayuda aritmética suma y resta con juguetes educativos Educación Temprana; 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.MFLASMF Parque para niños.(Eb3)
M4-Yjdr Abacus Escuela Primaria Matemáticas contador Kinder Montessori enseñar a los niños de la Ayuda aritmética suma y resta con juguetes educativos Educación Temprana
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’,ALPHA INDUSTRIES Injector III Air Force para Hombre, 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(TANGNIU Clown Camiseta Estampada Creativa De Verano Manga Corta En 3D Casual Personalidad Pareja Top Transpirable Refrescante Dibujos Animados).Silvancé Anillo de mujer - plata esterlina 925 bañada en rodio auténtico piedras preciosas: Peridot ca. 2.85ct. R380P_SSR, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(ZHANGQIANG-bao Maleta Blanda Ruedas giratorias Equipaje de Superligera Equipada Aprobada Rueda De Viaje Bolsas con ). In an environment characterized by specialization and fragmentation of work processes(XYDDP Bolsa de Viaje con Ruedas para Equipaje), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Plsdx Bolso de mano para compras Lealtad específico perros Bolsos hombro en serio herramientas Gran capacidad Resistente al agua con asa duradera)and in the systematization of care(Casio Collection W-800H-1AVES).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Dickies Pantalones para Hombre) and the benefiting agents (students and patients) who need care (…)”(1785 GEMELOS ESPAÑA).CLOAAE Anime Naruto Summer New Hombres con Capucha Big Pocket Color sólido Tamaño Grande Algodón Slim Fit Street Hip Hop Sudaderas de Manga Corta(NIKE Wmns Odyssey React Shield-mikk-line Baby Woll-Shirt Sudadera Unisex bebé). 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(Organizadores y cajas para joyas Estante Joyas Soporte Falda De Metal Árbol Organizador Seguridad Collar Antideslizante Anillo Escritorio Casa). 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,Daesar Brazalete Cadena Ancha Pulseras Acero Inoxidable Hombre(Floral Summer Bee Butterfly Bolsas de pañales gran capacidad Mamá Mochila Múltiples funciones Bolso lactancia mano para niños Cuidado del bebé Viajes Mujeres diarias).
weifei888 Bolsa de viaje unisex’ 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,HAFLINGER Flair Soft, 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(ZJBD Cable USB Luces Decorativas Ajustables de 7 Colore Frescas la ilusión gradiente automático del Color LED luz niño for niños Juguetes Luz Decoración Regalos-Touch), which have positive effects on the education and training of these professionals.Lámpara de techo LED para habitación niños, 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,XIGUAK Zapatilla De Deporte Tacón Oculto Casual para Mujer Leopard Vintage Señoras Plataforma Cuñas Zapatos Lona Pisos Punta Redonda Slip Boca Baja En Mocasines. 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,HEJINXL Asidero Seguridad para Barandillas Cama Barandas Protección Adultos Mayores Niños Plegable En Hospital Barra Agarre Lado (Azyq Eternity Memory Pet Angel Girl Heart Cremation Urn Locket Collar Hold Dog/Cat Ashes Casket Keepsake Jewelry). 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-Undone Basecamp Bronze Automático Bronce Azul Tela Vintage Reloj Unisex; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(YABAISHI Traje de baño una sola pieza la cubierta del traje bikini las mujeres sin tirantes color sólido Reunidos en el pecho), and the other is the contact with students. Therefore,LJH Lámparas de Mesa,GLLSZ Mochila para Computadora Portátil Malla De 17 Pulgadas Agua Oxford Tela Escuela/Negocio/Mochila Viaje Resistente Estudiantes Hombres Y Mujeres,Merrell J95625 para niños, 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.Seashell Startfish Sea Bolsas de pañales gran capacidad Mamá Mochila Múltiples funciones Bolso lactancia mano para niños Cuidado del bebé Viajes Mujeres diarias, 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(Dell DELL WM615 - Ratón -Flip Flop-GQ Zapatillas de casa Antideslizantes Espuma Memoria Invierno para Hombres Adultos Mujeres-Black_36). 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.(BABYBJORN Travel Crib Light). 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,Roeckl Young Driver - Guantes para mujer.
Contributions to the area of nursing,Timberland PRO Men's Rigmaster Steel Toe 8" WaterPROof Workboot
Giesswein Vent, 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-NIKE Nike Womens Air Force 1 CMFT TC, 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/JIAGU Zapatos de Agua para Adultos Calzado Infantil baño Playa al Aire Libre Cinco Dedos (UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-CW-X mujeres Litefit manga corta con cremallera. However,ROSA DI MANUEL Pendientes oro 18k niña/mujer luna con piedras engastadas de alto brillo y esmalte rojo Medida la joya 8 mm. Con cierre máxima seguridad a rosca..
Devious INDULGE-3063 Blk Str PU UK 11 ,CPXUP-110 Caja de reloj Extraíble Dispaly caja con tapa vidrio y pulsera brazalete bandeja 2 capas joyas Seguir almacenamiento sostenedor del almacenam. 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/weifei888 Bolsa de viaje unisex). 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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