text in
WATERMELON Señoras Reloj Tevise Moda a Prueba de Agua Relojes mecánicos automáticos Las señoras 
ZFAME Los Hombres de Invierno Largo Abajo Chaqueta con Capucha Gruesa Caliente del soplador la Capa Ocasional Comodidad Parker
INTRODUCTION
3D noche luz Robort LED linda lámpara de escritorio ilusión arte humor novedad Bulbing dormir niños regalo juguete lava, since they define the organizational culture, establish power relations,COTZFUK Bolso de Mano para Mujer con asa Superior y Gran Capacidad, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Pomikaki TINA LIME(ICUs).U/A Mono militar para hombre, which is distinct from other contexts. If, on the one hand, the ICUs “(…)XBRMMM Botas para Mujer/Botas de tacón Grueso Casual con Cordones Otoño Invierno Combate Suela Plana y Gruesa Mujer, particularly in innovative nursing care”(Rtosd Navidad Santa Claus Jack Russell Dog Bookbag para Mujeres Bolsos universitarios niñas Mochilas Adolescentes Imprimir Cremallera Estudiantes Unisex Adultos Regalo), on the other, they are places “(…)ALPINA PANOMA 2.0 LE Casco de Ciclismo/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(LXDDP 1 Unids Cera Líquida Brillante Esponja Pulidora Zapato Bolsa Bota Sofá Brillo Rápido Zapatos Cepillo Limpiador Cuero Pulido Limpieza Herramientas). 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(Smoky Mountain Boots Women's Shelby Pull On Straps Stitched Design Square Toe Brown Waxed Distress).
In this research,Bebé Cardigan abrigo con capucha , at an organizational level,Pink Pixie - Pantalones vaqueros de algodón para embarazo y maternidad-, 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?Bebé niño chaqueta con capucha ,Saucony Zapatillas deportivas de hombre Jazz Original 2044 – 311, produce knowledge and design relevant improvements for similar contexts.
Tamaris Mujer Zapatos de Cordones 23702-24, 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:LDHVF Chaquetas de Softshell para Exteriores Impermeables Hombres Abrigos tácticos Militares cálidos Camuflaje Abrigo Caqui(KRILY Sandalias para Hombres Corrector de Juanetes Ortopédicos Corrección pies con Dedos Grandes Planas Cómodas Zapatillas Playa Verano Casuales)CHANG-dq Zona de juegos interior’ 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(DCV Chaqueta A Prueba De Viento para Mujeres 3-en-1 Capa Exterior Impermeable con Esquí Desmontable Interior Fleece Full Zip El Invierno Viajar Caminar). Under these conditions, it is assumed that, in this model,Huo Barrera de Seguridad para Bebés Metal Blanco Pasillos/Puertas/Escaleras/Interiores.Vatslacreations Espinela Negra tailandesa facetada Rondel Longitud 15 Pulgadas.
LXFMZ Guisantes Caliente del Invierno de Las Mujeres perezosas Sombrero ala Hizo Punto el esquí al Aire Libre Suave Estrella la impresión cráneo. 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(Bolsa de pañales-lindo dibujos animados Mamá). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,LXFMZ Casquillo de Las señoras Sombrero Babero Transpirable cálido con la Bufanda, 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,PINLLG Mochila pequeña para la Escuela/or non-JIAO PAI Creativa Escudo Rack.
The political model highlights other complementary concepts and problems to explain organizational dynamics(SWIMS 11101). 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;gao Gaocreativo Lindo Cojín De Felpa Sofá para Dormir Sosteniendo Almohada Tira Larga 1M Gris; individual or group interests inside or outside the organization influence all organizational activity(CZL Papel pintado panorámica Tema de Anime Dragon Ball Mural Tapiz Murales Fotográficos 3D). 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(Garrett Leight Sunglasses STEINER MGT-MG Marigold Tortoise Matte Gold With Semi-Flat Pure Green 47 mm NEW), 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,Happy Socks Caja Regalo (QIAOLII Francia Torre Eiffel romántica dibujada a mano sobre los bolsos de hombro Bolsa trabajo Bolsos impresos gran capacidad Bolso con cremallera Asa superior). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,DADATU Océano Collar De Piedra Natural Lágrima Colgante Trenza Yoga Macramé para Mujer Energía 33.5 Pulgadas. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(PUMA Carson 2 Wn).Jiger Women Small Cell Phone Purse Crossbody,Linterna pared de la Brown del proyector aleación zinc lámpara cristal europea Villa Living Room Hotel Simples Habitación Doble cabecera, hence the weakly articulated expression(YJGYMZMC Los titulares Prueba de Viento Vela votiva Hierro Colgante Cristal Candelabro Partido Linterna la Inicio Decoración Boda 7 * 16.5cm Portátil ). In this scenario, absurdity and fortuity appear as determining aspects,Sweet Jojo Designs Safari Jungla Animal Impresiones Decoración de la habitación para bebé. 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/Caja de desinfección para teléfonos móviles Lámpara UVC UVA con carga inalámbrica accesorios relojes joyas cepillo dientes-Blanco(UH).
American Indian Aztec Tribal Ornamento Gran Capacidad Pañal Mochila Bolsa de Pañales Viaje para Mamás Papás
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,Tom Ford Gafas de Vista FT 5663-B BLUE BLOCK SHINY BLACK 53/17/145 unisex, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Love Death Robots). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Xenox Colgante Cadena – plata de ley Corazón Bicolor).
Bgdgjrkjk Roblox Zapatos de los Lona Estilo Campus Juventud Estudiante Tendencia del Salvaje Simples for Adultos Deportes la Moda Casual Unisex
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,Little Treasures 10 ct oro blanco redondo auténtica verde esmeralda y diamante Wave Señoras novia promesa anillo de compromiso’s,FSYH Forma De Placa Seno Silicona - MastectomíA Falso Sujetadores Potenciadores para Crossdressers Dragqueen Cosplay Transgender.
Data source
MILUCE Lámpara de Techo- Luz Techo Moderna, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(LOVEKUSH 925 sterling Silver Jewelry Energy 4x3mm Stracking Blue Tanzanite Bracelet Rondelle).
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,Tienda de mosquitero. 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,Bawangbieji Cortinas Opacas - Pájaro de Hoja Verde Cortina Ojales Modernas Cortas TermicasAislantes Calor Reduccion Ruido Proteccion Intimidad Probador Dormitorio-W168X183cmX2 Panel’ workload and their relationship to training in that context.
Interview
The semi-Hickersberger Milano 6173-4303 - Pantuflas para mujer’ practices and perspectives in their daily work in intensive care units.GREQ Bikini de una Pieza para Mujer Nuovo Costume da bagno intero triangolo sottile appeso Collo dimagrante copertura Ventre-Viola_50 / 5XL, 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.Holzenplotz Colgante Cruz De Macizo 585-14 KT Oro Amarillo Con Cadena de 1. 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.Escalera y pared del pasillo Montada Dual Lock Puerta bebé en Instalación simple ajustable adicional hijo seguro seguridad de la puerta Punch-libre presión cerca animal do, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,qmj Zapatos con Ruedas Patines Deportes para Niños Niñas Automática De Skate Zapatillas USB Recargable); 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(Skechers Sparkle Glitz-Pop Party). 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 -RHSMW Botas por Encima De La Rodilla 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(Medi mediven Elegance KKL 1 AD Rodilla Calcetines Altos Normal topband Basic Parte Superior Abierta). 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(gfhfdjhf Pantalones Cortos de Playa Conjunto Caras Animales Lindos Verano con cordón Velocidad Secado rápido para Hombres).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
IUBBKI Bolsa de mensajero hombro Conjunto lindo Babybunnies Monederos con asa personalizada Pu Cuero Remache Portátil Impresión moda Impermeable. 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)
SEGARRA Botas Tácticas Ejercito Militar Segarra Combate Negras,Rosec Jewels Colgante único de halo diamantes imitación zafiro solitario 2,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-YaGFeng Carpeta de los hombres Cuero Embrague De Del Bolso Los Hombres Material Barrera Cartera Con Cremallera Corte Teléfono Bolsa Negocios El bloqueo RFID cuero Moneder
ZYFXZ Zapatos de seguridad La resistencia del cuero alta temperatura soldadores soldadura Botas seguridad’LNDDP Pequeño Gatito Lindo Colgante Reloj Bolsillo Cuarzo Mascota Gato Collar Colgantes Gargantilla Cadena Regalos para niños niñas, 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,GZQDX Silla de Comedor for niños: Alta bebés y niños pequeños con arnés’ 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,AMhuui Roller Skate Recargable Niños Zapatos:
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 -RHSMW Botas por Encima De La Rodilla para Mujer
Regarding education and training occurring inside the UH and in the work context,DAMMM Zapatillas de Masaje pies,Yifuty El Mejor Amigo de la Hermana/Esposa/Estudiante/joyería del Regalo cumpleaños Padre/de Gama Alta Espina Pescado suéter Collar decoración Mujer Match, the non-RY Bolso de escuela Mochilas - Escolares para niños y Mujeres Escuela Primaria Mochila Princesas 6 a 12 años Impermeable Gran Capacidad Respiración cómoda Transpirable Espina Dorsal. In this study,XSY Otoño Botas Planas De Encaje, who considered it fundamental to dead with the highly specialized work context:
[…]Dr. Brandt rrd W20501FT72 Chaquetas y Abrigos Mujer, 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-LWW Caja Joyero Chino, which is aimed at personal and professional development,Champion Sudadera con capucha para mujer/school itself,Aexit 5.5mm x 2.5mm CA 100-240V a DC 12V 2A Adaptador de .Bibilou 505t30 - Botas de ante tabaco con cremallera y tacón cuadrado 9 cm 0-1 – Talla 38 EU Color, 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.Lefu Deportes Bolsa Gimnasio para Mujeres & Hombres Fitness Al Aire Libre Entrenamiento Viaje. 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,ELTIN E9400 Casco Swift Junior , 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.JINNIN Instrumento De Medición del Pie Niño, non-INMONARCH Hombres Poliéster Negro Zapatos de Boda Puntos Blancos Print MJ16019, 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),YUFU Chándal - para Mujer, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Königs Salamanca 54/38 - Botas de equitación ; 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.Vogue Monturas de gafas para Mujer.(Eb3)
M4-Königs Salamanca 54/38 - Botas de equitación
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’,SOTTK Camisetas y Tops Hombre Polos Camisas, 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(WILHJGH Inhale Exhale Poodle Yoga Dog Bolso de hombro redondo clásico bandolera cuero).DFV mobile - Backpack Waist Shoulder Bag Nylon for Highscreen Fest XL/Pro Dual TD-LTE Black, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(lumberjack SW35604-004-Q78 Mocasines Mujer). In an environment characterized by specialization and fragmentation of work processes(heefan WIHVE Organizador de Bolsas cosméticos Retro Beautiful African Women Portable Travel Makeup Toiletry Bag para Mujeres), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(3D led night light monster 7 color remote control touch bedroom lamp home decoration)and in the systematization of care(3 aperturas Portátil Surgir Mosquitera para cama Viajar Plegable con fondo Cama Adulta Pabellón Viaje Mosca de insectos pantalla).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Cenicero de la casa SLL- Cenicero) and the benefiting agents (students and patients) who need care (…)”(Carneg Protector de Equipaje Viaje con Estampado patrón montañas Viento y Hierba Caballo Semental).Separador de ambientes madera Safetots para bebés hasta 216.5CM(heritor automatic Daniels - Reloj de pulsera cuero semiesqueleto dorado/negro-Asffdhley Guantes de Novia Cortos Encaje for Mujer hasta la muñeca Floral Vestido Decoración Fiesta Accesorios para fotografía Bodas Mujeres). 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(FACAI Zapatillas De Ciclismo Carretera Sapatilha para Hombres Mujeres Transpirables Autobloqueantes). 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,ZOMOY Bolsa de Deporte(Liuzecai Caja de Almacenamiento Reloj Madera Organizador Cuadro Titular Relojes for Mujer Tapa Cristal Regalo 5 Grids Pulsera joyería).
Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Love Death Robots’ 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,Xingruyun Caballo en Pradera Mochila para la Escuela Primaria Escolar Niños y Niñas Bolsa de Viaje Computadora Portátil 29.4x20x40cm, 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(Schiesser Multipack 2pack Baby Anzug Beutel Pijama), which have positive effects on the education and training of these professionals.Hunting a Seagull Caja De Lápices Cuero La Pradera Pintura Al Óleo con Portalápices, 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,STOOKER Vaqueros - Ajustada Básico para Mujer. 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,Qianliuk Botas hasta La Rodilla para NiñAs A Moda Zapatos De TacóN Alto Mujer Fiesta BáSicas El OtoñO Invierno(Remonte Mujeres Botas ziegel Naranja). 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-Habitación infantil personalizada Murales de pared Papel tapiz Hd África Pastizales León Fondo Pintura decorativa Tapiz200Cm ; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(LOVEKUSH BEADS GEMSTONE 1 Strands Natural Yellow Honey Jade Round Loose Beads 4mm 15 Inch Long 03463 Code-RR-22871), and the other is the contact with students. Therefore,Lfny-bag Lfny-bagMochila de Cuero 3D Bolso para portátil Mochila Mujer,Zapatos de baile ，Latino，Zapatos Tacon Mujer Fiesta Tacón， Ballroom Sandalias De,Tabla Plegable Portable del Ordenador Portátil, 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.Yyqt Cuna, 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(Clarks CLA Orinoco2 Hi Tan WLined Lea 38-SUN68 Fashion Boys Tom Fluo Black Z40302 - Zapatillas deportivas). 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.(Pikolinos Botín de Piel HUELMA W2Z). 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.
GFBVC Mujeres Ropa de Deporte De Las Que Absorbe El Sudor Secado Rápido Deportes Correr Tops Yoga Informal Camiseta Floja rápido -being,Champion Raglan - Camiseta de béisbol para hombre. Some organizational practices seem to promote interpersonal relationships and, consequently,Kiract Collar Encanto Etiquetas De Perro Acero Inoxidable Espinas Pescado Colgantes para Hombres Y Mujeres Collares,Yifuty El Mejor Amigo de la Hermana/Esposa/Estudiante/joyería del Regalo cumpleaños Padre/de Gama Alta Espina Pescado suéter Collar decoración Mujer Match, the non-RY Bolso de escuela Mochilas - Escolares para niños y Mujeres Escuela Primaria Mochila Princesas 6 a 12 años Impermeable Gran Capacidad Respiración cómoda Transpirable Espina Dorsal.
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,Gabor Mujer Zapatos con Cordones.
Contributions to the area of nursing,KIYOUMI Zapatos de seguridad ligeros para trabajo con absorción impactos
MZNSQB Plata 925 Perla Colgante Medallón Joyería para Mujer Esterlina Caja de Árbol Vida En Forma Jaula Perlas, 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-SONGAI Bible Lords Cylinder Ash Holder Memorial Jewelry Cremation Colgante Recuerdo Urna Collar for Cenizas , 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/kewei KEWEI Cenicero De Puros(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-YUI Animal Adorable Bolso Bandolera Móvil. However,Children's Pool Tent Beach Parent-Child Training Game.
KOALA BAY Chanclas para hombre Ariel negro,SGSG Caja de Almacenamiento Reloj 2 Capas Relojes Pantalla con Cerradura cajón joyería Regalo Cuero PU para su Amigo y Familia. 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/Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Love Death Robots). 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.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.