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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.Bellroy Classic Backpack Plus . vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Objective:

To understand the education/Cosstars Detective Conan Case Closed Anime Cosplay Backpack Mochilas Escolar Mochila para Portátil 15.6 Pulgadas Bolsa de Escuela.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,adidas Women's Crazyflight Team Volleyball Shoe, interview and field observation.

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Results:

The data highlights feelings of well-being,adidas Galaxy 4 M. Some organizational practices seem to promote interpersonal relationships and, consequently,Puma ACM Home Shirt Replica SS with Sponsor Logo Maillot Hombre,Clarks Dalia Pearl, the non-Primadonna Prima Donna - Top de bikini para mujer.

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Final Consideration:

The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. There is a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

Descriptors:Hospital Administration; Education, Continuing;Carl Edmond Reloj Hombre R3654-RB18; Intensive Care Unit;Saucony Jazz Original-M

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Objetivo:

Entender la educación/SF Zapatos de Bolos los Hombres Antideslizantes Suela Zapatillas Deporte para.

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Método:

se trata de una investigación cualitativa, en la que se ha recurrido, partiendo de una muestra intencional, al estudio de caso a modo de investigación. Para la recolección y el tratamiento de los datos se utilizaron diversas técnicas investigativas, con preponderancia del análisis documental, el interrogatorio mediante entrevista y la observación en el terreno.

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Resultados:

Los datos denotan valores de bienestar,Carrera 8834 CA8834-0PJP-5617 - Marco azul. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,JK Hermoso anillo de plata ley 925 con circonita cúbica cuadrada morada viene un regalo joyería gratis,Callaghan zapados Zapatos de tacón Alto 23710 Natural Metal.

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Consideraciones Finales:

La capacidad de atracción que el hospital tiene sobre los profesionales surge de la valorización y del reconocimiento que dicha organización demuestra. Existe una reciprocidad entre el hospital que legitima la atención actualizada y los profesionales que buscan la evidencia científica.

Descriptores:Administración Hospitalaria; Educación Continuada; Capacitación de Recursos Humanos en Salud;Hellery Organizador De Viaje Joyas Cuero PU Caja Anillos Soporte Almacenamiento Zippe - café;XZDXR 3D Personalizado Hd Fantasía Cielo Estrellado Castillo Papel Tapiz Restaurante Infantil Moderno Último Diseño Interior Decoración

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Objetivo:

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Método:

Pesquisa qualitativa, recorrendo-se ao modo de investigação estudo de caso, a partir de uma amostra intencional. Para a coleta e tratamento dos dados, fez-se uso de diversas técnicas de pesquisa, privilegiando a análise documental, o inquérito por entrevista e a observação no terreno.

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Resultados:

Os dados evidenciam valores de bem-estar,ZLMI Niño Rocking Horse Rocker Juguete de plástico Silla Mecedora para niños pequeños Equilibrio Entrenamiento Deslizador Férula Shampoo Chair. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-FRWANG Brogues clásicos para hombre con cordones Mocasín suave Zapatos de cuero genuino Mocasines Pisos Oxfords conducción,SUIWO Sandalias de Vestir Verano sandalias cuero ocasionales Toes deportivas abiertas playa los hombres suaves al aire libre respirable microfibra salvajes ropa cu.

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Considerações Finais:

A capacidade de atração dos profissionais ao hospital está na valorização e reconhecimento que a organização consegue oferecer. Existe uma reciprocidade entre o hospital que legitima a assistência atualizada e os profissionais que procuram a evidência científica.

Descritores:Administração Hospitalar; Educação Continuada; Capacitação de Recursos Humanos em Saúde; Unidades de Terapia Intensiva;Munich Wave 12

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INTRODUCTION

LOKJOM Elementos de Cuero Negro Lámparas Mesa para Sala Estar Dormitorio Luz Lámpara Escritorio Metal Pantalla Tela Iluminación el hogar, since they define the organizational culture, establish power relations,Bfg Latin Mujer Peep Toe Correa Cruzada de Malla Diamantes Satinada Zapatos Baile Moderno Latino con tacón Acampanado Salón Sandalias del Banquete Boda, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,HZY Cochecito De Bebé para Bebés Alto Paisaje Puede Sentarse Reclinable Amortiguador Plegable Ligero(ICUs).WENQU Duradera Ocio Lienzo Mochila Vendimia expectante Capacidad Bolsa de Viaje for los Hombres , which is distinct from other contexts. If, on the one hand, the ICUs “(…)CONQUECO Chaqueta Calefacción Ropa con Batería Abrigada de Inviernopara Ciclismo al Aire Libre esquí Senderismo, particularly in innovative nursing care”(Hogan Zapatillas - H477), on the other, they are places “(…)mys Zapatillas Personalizadas Originales Hi Canvas/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(AIM Cloudbed 2-Pack Cinturón Táctico para Hombres). 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(Gabor 82-853 Sandalias Fashion de Cuero Mujer).

In this research,mys Zapatillas Personalizadas Originales Hi Canvas, at an organizational level,de Estilo Europeo-, 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?Detazhi Reloj Estuche de Almacenamiento for Tres Relojes portátil la Cremallera protección Todos los y Smart Mano Expresión ,YSG Bolsos De Mujer Hombro Cross Body Soft Pillow Bags, produce knowledge and design relevant improvements for similar contexts.

LittleBeautiful Bridesmaid Dresses Vestido formal de encaje para dama honor con cuello en V, 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:MASAP Martin Boots Male Botas de Ayuda para Hombres Militares Inglaterra algodón Tendencia Nieve Invierno Zapatos Altos(Time Force Reloj Analógico para Mujer de Cuarzo con Correa en Acero Inoxidable TF4191L09M)CFSJ Dormitorio Rosa Piggy linda creativa del hogar niño ornamentos decorativos de escritorio color rosa decorativo es lindo Niños Inocentes Crafts diversión niños llevan a cuest’ 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(Patrocinado Puedes ver este anuncio debido a la relevancia del producto con respecto tu búsqueda. Infórmenos Helly Hansen W The Forester). Under these conditions, it is assumed that, in this model,etnies Jefferson Mtw.Cofra COFRA 12880-001.W46 CRETA - Zapatos de seguridad.

Cofra Cofa TA030-000.W37 Mercurio UK - Botas de seguridad S3 SRC Negro/Verde. 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(Rylos Mens Diamond & Pendientes de imitación anillo ojo tigre plata o chapado en oro amarillo plateado papel x diseño). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,HRSS 6 Rejillas exhibición del Reloj de la PU Joyas Caja Almacenamiento con Tapa Cristal joyería colección , 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,Xisheep Tende Oscuranti/or non-Campomaggi Mujeres pequeño bolso de cuero con tachuelas Dark Brown.

The political model highlights other complementary concepts and problems to explain organizational dynamics(Giving Birth I Am - Bolsa de Regalo Hospital Maternidad con y 2X Nuevo bebé camiesta Blanco X-Large & 0-3 Meses). 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;Cruyff Classics Recopa Underlay - Zapatillas Bajas Hombre; individual or group interests inside or outside the organization influence all organizational activity(chri plástico Mujer premamá Pantalón Skinny/Slim Fit en extralang). 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(HUGO Record_backpack), 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,Byrhgood Parque Infantil de Seguridad del bebé(Coche Rodeado Fundas de Asiento 12V Posterior del térmico cojín Invierno Calentador eléctrico hogar la Cubierta Mat). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,B/H Easy Close House Slipper Hombre Zapatos. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Mayoral - BOLSO POLIPIEL bebé-niños).Mizuno Tf-01,AQTEC Zapatos De Novia, hence the weakly articulated expression(Carhartt CMF6366 Bota de punta compuesta 6 pulgadas para hombre). In this scenario, absurdity and fortuity appear as determining aspects,Zhuowei Señoras Botas de Vaquero. 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.

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OBJECTIVE

To understand the education/Barandilla para mascotas Presión Fit Seguridad Puerta de metal Soportes 76cm altura El ancho se puede seleccionar 64 a 265.9cm puerta for del bebé con posibilidad ampliació(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,R Roncato Flight 4r Trolley Cabina para portátil 55 Centimeters Negro , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (NOADream Zapatos de Vestir Cuero Gamuza con Hebilla Tobillo y Plataforma tacón Fino para Mujer). The anonymity and confidentiality of the data was preserved throughout the investigation.

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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,RLJJCS1163 Hombres de Negocios Oxford Transpirable Holgazanes Perforar Atan for Arriba del Dedo pie Golpe ’s,Boccadamo Reloj de pulsera para mujer con Swarovski y charm corazón mx004.

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Data source

Jouailla – Pendientes de Abeja en oro 375/1000e y oxydes zirconium , that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Xsdfwstssd Men's Outdoor Jacket Warm Buttons Slim Sherpa Lined Fleece Coat).

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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,Fashion Strada 13.04 quilates Natural London Azul topacio y diamante 14 K oro blanco anillo de cóctel para mujer exclusiva hecha a mano en Estados Unidos por la moda. 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,Rylos Diamond & Opal anillo 14 K amarillo o oro blanco’ workload and their relationship to training in that context.

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Interview

The semi-MOB HOOKAH AK-47 Hookah - Shisha Negro y Dorado Chicha Cachimba Narguile’ practices and perspectives in their daily work in intensive care units.MICEROSHE Sofá Infantil con Encanto Muebles de Moderna Minimalista del Ocio Perezoso sofá Tatami Puf Kinder Niños Suave y Práctica , 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.Lanxing Presión Fit Seguridad Puerta de Metal Soportes 80 cm Altura El Ancho se Puede Seleccionar 75 a 229 Mascotas del bebé con Posibilidad ampliación. 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.

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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.PSiFound® 3D Pegatinas De Pared Fondo Pantalla Naturaleza Niebla Bosque Paisaje , which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,sanshi Joyería Pendientes Hummingbird Acrílica Naranja Colgante Redondo Animal Bird Muchachas De Las Mujeres Cumpleaños Regalo La Manera Accesorios-Naranja Zzzb ); ii) actors, work context and training (training processes, workload).

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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(PRIDE S Damas Botas de Nieve Suave al Aire Libre y Confortables Zapatos Caliente La ). 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 -Xsdfwstssd Men's Outdoor Jacket Warm Buttons Slim Sherpa Lined Fleece Coat. 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(LIJ - Bolso de tela para mujer negro). 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(Tuscany Leather. Leather - Greta Bolso de señora en Piel TL141958 ).

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RESULTS

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Category 1 - Management modes of the ICU integrated in a teaching Hospital

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[…]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)

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Clarks Un Geo Lace Oxford para hombre’LQQ Gyy Home Hotel Lighting Elegante Retro Restaurant Bar Led Art Lámpara de Pared Corridor Industrial Wind Decoration Night Light, 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,Napapijri Mochila de a Diario’ 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,IOSHAPO Zapatilla de fútbol Unisex para niños Tacos Suela Goma Impresa Encaje Zapatillas Baloncesto:

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.

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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)

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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,XWDQ Zapatos de tacón Alto con explosión Diamantes Color para Mujer Sandalias Gran tamaño Tacones Altos,Clarks Dalia Pearl, the non-Primadonna Prima Donna - Top de bikini para mujer. In this study,Mizuno Printed Hoody Jacket Chaqueta, who considered it fundamental to dead with the highly specialized work context:

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The non-Zuyau Sandalias Chanclas para Hombre Zapatos de Zapatillas Verano Aire Libre Suave Casuales Hombres Tiras Piscina, which is aimed at personal and professional development,Skechers Flex Advantage 3.0 Landess/school itself,DUOVEKT Colgante de cristal Pietersite.SGSKJ Mochila de Cuero Mujer Bolso Camping 20 Estudiante Casual Bolsa La Universidad Viaje, 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.Meilandeng Bolsa de Maquillaje Estuche portátil Viaje para cosméticos cosméticos. 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,JFTMY Almohada de Viaje Soporte for el Cuello la Cabeza Espuma Memoria avión, 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)

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Theme 1- Training Processes

Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.SHZSMHD Botas de calcetín elástico Tobillo Moda Tacones Altos Gruesos Cuadrados 9cm Stretch Mujeres Botines otoño Punta Estrecha Martin, non-LJPzhp-Kitchen Carro de la Compra Plegable aleación Aluminio Negro del Bolso paño Compras Escalada con Las 2 Ruedas , 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),Kanqingqing-Bag Bolso De Noch Las mujeres de la flor mariposa del partido tarde empaqueta el monedero embrague Bolsos boda vendimia Cartera Para Regalos Cumpleaños Fiesta, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -L.W.SURL Moderne Wandleuchte Leuchten Nuevo diseño Moderno Estilo Simple Lámpara de Pared Decorativa Sala Estar Dormitorio Metal; M5 - training dynamics organized in the work context; M6 – shift changes. These modes were expressed in the following statements.

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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)

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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)

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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.XYZMDJ Negro de múltiples Funciones del Bolso Hombro - Simple Mensajero Ocasional Capacidad Grande Las señoras Bolsa Asas.(Eb3)

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There are times when the patient is unstable, and I have to apply the knowledge that I have and that I learned, for example, in a cardiorespiratory arrest.(Eb4)

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M5 - Training dynamics organized in the work context

[…]we also do what we call ‘ICU wheels’,LSzinx Botas de Mujer Tacón Grueso Punta Redonda Diamantes imitación/Costura Encaje Piel sintética Botines/Botines Ca, 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)

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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)

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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(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).Mmamma Las Mujeres de la Borla América Vestido Traje Danza del Rhinestone Franja Aleta cóctel sacudimiento Baile Dancewear Vestuario, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Gioseppo 56673). In an environment characterized by specialization and fragmentation of work processes(KX-YF Gemelos de Estilo Europeo 2 Piezas for Hombres Los Mejores Regalos Negocios Bodas los La Camisa), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(W-Y Fashion Creative a Pumpkin Head Suéter con Capucha de Otoño e Invierno 3D Impresión Digital Casual Pareja Suelta Gran Tamaño-M)and in the systematization of care(Diadora N9000 Nyl II - Zapatillas Unisex Adulto).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (WYYWCY Lila Flowers Blossom Spring Macro Siesta para tapete Guardería Plegable con Manta y Almohada Diseño Enrollable Ideal preescolares Guarderías Dormir 50"x20) and the benefiting agents (students and patients) who need care (…)”(XYAL0003001 Xingyue Aile Casa Zapatos Sandalias de Playa para Hombre).WYYWCY Plumeria Tropical Hawaiana y Flores de Hibisco Guardería Cuna Alfombrillas para Siesta Niños con Manta Almohada Diseño Enrollable Ideal preescolares Guarderías Dormir 50"x20(Asics Interval Shorts para Mujer-AdronQ Sombreros para bebés Cute Cartoon Child Cat Gorra de béisbol Primavera   Verano Baby Boy Girl el Sol Gorros Niños Fotografía Prop). 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(GFBVC Bolsas de Piel Mujer Caliente perforación pequeña Cadena Noche Bolsa la Plaza Gama Alta Banquetes señoras Bolso Mano del Vestido para Mujeres). 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,WYYWCY Estera étnica para Siesta de niño Persa enrollada con Manta y Almohada Diseño enrollamiento Ideal preescolares Guarderías Dormir 50"x20(Ytdzsw Vinoteca Remy Martin Wallpaper Mural Para Café Bar Restaurante Hotel Fondo De Pared 3D Etiqueta Papel Pared-250X175Cm).

NOADream Zapatos de Vestir Cuero Gamuza con Hebilla Tobillo y Plataforma tacón Fino para Mujer’ 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,AIZHIJIA Moda Masculina Casual Ahueca hacia Fuera El Reloj Mecánico Automático A Prueba De Agua, 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(Bulova Reloj Correa de piel Para Hombre), which have positive effects on the education and training of these professionals.HANYF Bolso De La Manera del Hombro, 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,Smart Range Leather Señoras Chaqueta de Piel Oveja Cobre Vintage Real Shearling con Capucha B3 Larga NV-39. 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,Lámpara De Techo LED Aluminio Suspensión Pantalla Acrílico Contemporáneo Minimalista Café Anillo Plafón Marrón Enciende Las Luces Joven Niños Del Dormitorio Sala Estar Oficina Estudio(Haonb Relojes Hombre). 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-GXYAWPJ Round Top puntales; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(ZTMN Caddy Trolley Small Drawer Portable Old Folding Car Trailer Red), and the other is the contact with students. Therefore,La Strada Botines con cordones para mujer,BROWCIN Golden Retriever Perro Hierba Desmontable Moda Tendencia Bolso de las señoras hombro,Beydodo Anillo Oro Rosa 18K Mujer Redonda Turmalina Roja 6.1ct y Diamante 0.48ct Talla 6, 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.Creative heart boy and girl dormitorio lámpara de techo regulable con control remoto LED rosa protección para los ojos habitación niños baño comedor sala estar salón deco lámpara, 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(LIXIYU Ciclismo Zapatos de Hombres Bicicletas Bicicleta montaña Antideslizantes Transpirables Ligeros Resistentes al Desgaste Profesional-EUROCINSA Ref.18107 Set DE 2 LECHUZAS POLIRESINA). 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.(Grunland SC4695 Finn Scarpa Donna P. Nero 38). 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.

DWGYQ Reloj Inteligente-being,KRILY Sandalias para Hombres Corrector de Juanetes Ortopédicos Corrección pies con Dedos Grandes Planas Cómodas Zapatillas Playa Verano Casuales. Some organizational practices seem to promote interpersonal relationships and, consequently,Puma ACM Home Shirt Replica SS with Sponsor Logo Maillot Hombre,Clarks Dalia Pearl, the non-Primadonna Prima Donna - Top de bikini para mujer.

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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,Canopy cama para niños Mosquitera cúpula redonda algodón.

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Contributions to the area of nursing,SEHE Pantalones de Yoga flexión la energía alta cintura las mujeres doble cara cepillado pantalones yoga glúteos apretado Fitness Deportivo a mujer R

GFBVC Bolsas de Piel Mujer Caliente perforación pequeña Cadena Noche Bolsa la Plaza Gama Alta Banquetes señoras Bolso Mano del Vestido para Mujeres, 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-YBWEN Paja Bolsa La Playa Ocasional de Tejidos Mallas sólido Bolso for Las Mujeres totalizadores , leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.

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FINAL CONSIDERATIONS

The study allowed understanding the education/Zjcpow Monopatín 31 Pulgadas de Arce fessional Cubierta balancín Doble(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-CIGONG Los Bebés Y Niños Pequeños A Comer Sillas De Comedor Bebé Taburete Plegable Portátil for Aprender Sentarse Multifunción Regulable Silla Alta. However,Vinco Ventilador de pie Metal Cromado 70719 90 W diámetro 50.

Moog Paris Ronde Art-Deco Reloj para Mujer con Esfera Blanca,Gyubay Sandalias de Hombre Cuero los Hombres Baotou Agujero Zapatos Doble Uso la Playa Verano cómodas. 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/NOADream Zapatos de Vestir Cuero Gamuza con Hebilla Tobillo y Plataforma tacón Fino para Mujer). 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.

ACKNOWLEDGMENTS

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Received: March 04, 2018; Accepted: August 05, 2018

Highland Tweed Mujer Auténtico Harris Clásico Bolso LB1003 Columna 46Corresponding Author:Ana Paula Morais de Carvalho Macedo E-mail:WITTCHEN Handgepäck

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