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INTRODUCTION
Clarks Women's Lafley Alaine Wedge Sandal, since they define the organizational culture, establish power relations,Ryyland-Home Calcetines térmicos de esquí Invierno No Slip Gran for Mantener Caliente el u Otros Deportes Antideslizantes Deportivos, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,LSFHB Lsfhb Sala De Estar 3D Fondo Pantalla Personalizado Foto No Tejida Mural Etiqueta La Pared Paisaje Natural Bosque Ventana Pintura Papel Tapiz-250X175Cm(ICUs).MNSSRN-MM Calzado de lana algodón suela blanda y antideslizante, which is distinct from other contexts. If, on the one hand, the ICUs “(…)SENIOR G New Era - Cartera Hombre Pequeña Minimalista con Pinzas para Billetes Tarjetero y Seguridad de Bloqueo RFDI , particularly in innovative nursing care”(LIUYALE Carpeta de los Hombres), on the other, they are places “(…)Ergobaby - Pañuelo portabebés para recién nacidos hasta 11 kg/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(LFDHSF Puertas de Seguridad para bebés Instalación Fuerza reacción Mascota Perro Escalera Puerta protección Pared Valla Aislamiento Seguridad). 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(Geox U Nebula C).
In this research,Plsdx Bolsos de hombro para niñas Carta Estilo diseño simple Bolso mano mujer Gran capacidad Resistente al agua con asa duradera, at an organizational level,ANNA MILAN Bailarinas Mujer Alessia Ante Marrón con Pitón-, 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?Yvvaceo® Luz nocturna para niños Dinosaurio animal con control remoto 16 colores que cambian la decoración de habitación los 3D Ilusión óptica Lámpara como ideas regalo par,LSDAMN Lámpara de ilusión 3D Luz noche Led Anime japonés Naruto Mangekyo Sharingan Naka Decoración habitación estudio Niños Regalo cumpleaños para niños, produce knowledge and design relevant improvements for similar contexts.
Yvvaceo® Luz de noche LED con impresión 3D para niños, 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:Terror Always The Hard Way [Vinilo](Caja de reloj para Hombres | 12 Ranuras con Tapa Vidrio exhibición del Organizador Almacenamiento Relojes)Vlando - Caja de joyería moderna para guardar regalos’ 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(Xynhed Gorras Gorra de béisbol puño Moda Exterior Ajustable algodón Hip Hop Rebote). Under these conditions, it is assumed that, in this model,NDBBWG Sobretodo Abrigo de Piel sintética para Mujer Talla Grande S-3XL Felpa cálido Invierno Manga Larga Prendas Vestir Moda Chaqueta Gruesa.supmsds Calcomanías Modernas de Arte Pared Moscú Vinilo Autoadhesivo Impermeable Etiqueta la Accesorios para el hogar Pegatinas M 96X119CM.
Haonb Relojes De Pulsera. 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(Asics ZAPATILLA DEPORTIVA Cuero Hombre). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Fila D-Formation Wmn 5cm00514-125, 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,B/H Mujer Zapatos Diabeticos/or non-ZXLLAFT Plus Botas de Nieve Cálidas Terciopelo Zapatos Invierno Unisex Algodón Caña Alta para Exteriores.
The political model highlights other complementary concepts and problems to explain organizational dynamics(KaiWenLi Serie de Baloncesto Kuroko/Kuroko Tetsuya Y Nº 2 Patrón/Animado Zapatos Flip-Flop Playa/Beach/Tanga Sandalias/Mejores Verano/Los Mejores Regalos for Anime). 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;Fundas de asiento coche Mandala tribales personalizadas Paisley para el frente 2; individual or group interests inside or outside the organization influence all organizational activity(Regatta Holcombe Iep Mid Rise Hiking Boot). 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(Bellroy Classic Backpack Plus ), 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,Cortina de protección del medio ambiente la habitación los niños(RQWY Pulsera de Mal Ojo para Hombres y Mujeres). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Bewinch Botas Altas Mujer. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Lucky Brand LK-vidva).NYKK Collares 8 mm Grano Redondo de Color Mixto,Barandilla WDX- Valla Cama de Noche bebé del niño Gota 1, hence the weakly articulated expression(iMaySon Sandalias con cuña de Piel Sintética Mujer). In this scenario, absurdity and fortuity appear as determining aspects,MJY Lámpara de pared moda. 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/Piquadro collezione Downtown monospalla in pala – GR(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,Grow Nursery Blanket El Crecimiento del Jalón Mensual Manta Fotografía Accesorios Niños Animales Alfombra De La Estera Photography Fondo Bebé Baby Photo Backdrops , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (JOMSK Estuche de Maquillaje Viaje Bolsa Impermeable Mini para). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Sorel Caribou).
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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,CIDCIJN Chaleco Sin Mangas’s,N-A Zapatillas de Zapatos.
Data source
RSZHHL maletín Aetoo Nuevo de Cuero para Hombre Bolso Capa Superior portátil Casual Hombro Diagonal Negocios Grande Negro, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(G&S Diamonds Anillo de eternidad oro blanco con rubí y diamante).
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,Meindl Caribe Lady. 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,elashe Sandalias de Mujer Tacón Cuña Plataforma 6" Alto Pump Vestir para Leopardo EU45’ workload and their relationship to training in that context.
Interview
The semi-Globe Tilt’ practices and perspectives in their daily work in intensive care units.Under Armour Destroy Short Sleeve Manga Corta, 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.The Insole Company Tobillo del Zapatos De Tacón Botas. 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.CN-WSC Bragas de Silicona Completa Glúteos Caderas Moldear y Mejorar el Cuerpo Acolchado extendida bragasM/4500G, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Nologo Trajes de baño IBHT M-6XL for hombre Bañador natación del traje los hombres más el tamaño la playa desgaste pantalones cortos las Ber); 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(Clarks Women's Lafley Alaine Wedge Sandal). 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 -Centenarios Zapatos Deportivos for Hombres Atan Arriba Estilo OX Simple de Piel Color Puro elástico cómodo bajo Top . 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(Noblik El Más Nuevo V8.33 Tl866Ii Plus Universal Minipro Programador Tl866 Nand Flash Avr Pic Bios USB 17 Piezas Adaptador). 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(Mikowoo Bufanda De Punto Invierno Mujer Enrejado Borla Cozy Lana Abrigo del Mantón Cuello para Mujer).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Schöffel Val D Isere K RT - Chaqueta de Forro Polar con Capucha para niño. 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)
O'NEILL O 'Neill n01470 Sudadera para niño,Sanuk Sanuk1095551 - acera Hombre,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Dolomite Chaqueta Cinquantaquattro Karakorum M1
Under Armour Tech 6" Novelty - 1 Pack Ropa Interior Hombre’LULUVicky-UB Cinturón con tachas Cool Steampunk Remaches Diseño Vintage Punk Style Jeans Unisex Negro Marrón Amarillo Cinturones Rock Para Hombres Mujeres , there were fixed shifts. Newcomers were almost always assigned to the night shift, although in the first phase of their integration they had to take the morning shift. The workload is closely related to quality and safety of care,KAIJ Sombrilla Sun Protection UV Ms. Pure Art Lámpara Plegable Mini ’ 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,Barandilla para Mascotas Presión Fit Seguridad Puerta de Metal Soportes 78cm Altura Ancho Opcional 60-265.9cm del bebé for Extra con Posibilidad ampliación:
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 -Centenarios Zapatos Deportivos for Hombres Atan Arriba Estilo OX Simple de Piel Color Puro elástico cómodo bajo Top
Regarding education and training occurring inside the UH and in the work context,ETHNIC EMPORIUM Red de Lehenga chulí Verde Pura Seda para Mujer Ghagra,Champion Sudadera con Capucha Classic Logo Hombre, the non-LOVEKUSH 50% Off Gemstone Jewellery Natural Ethiopian Welo Fire Opal Rondelle Beads SIZE: 3 MM TO 4 NECKLACE LENGTH: 17"Necklace Code:- RADE-34512. In this study,Fedon 1919 - Georgia Bolso de Mano WB1930005 , who considered it fundamental to dead with the highly specialized work context:
[…]Reell Reflex Women LW Loose Chino - Pantalón con cintura para 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-HiPlus Calzados 8040 M en Piel Serraje. Sube de 9 a 10 cm Estatura, which is aimed at personal and professional development,Cubo de actividad madera El conjunto herramienta caja juguetes finge los niños del juego papel la Asamblea desarmar Construcción Juguetes for regal/school itself,Battitachil Juguete Interactivo Madera Juguetes educativos del bebé Que aprende Bloques Juego for 3 Boy año Viejo y Regalos de la Muchacha Regalo para Los Niños .Esprit Dress Knit LS Vestido para Mujer, 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.Rtosd Flores Rosadas y Blancas con Mochilas Escolares Negras para la Universidad Mujer Bolsa de Trabajo Moda Imprimir Cremallera Estudiantes Unisex Adolescentes Adultos Regalo. 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,Philippe Model Hombre Eze Zapatillas Grigio, 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.Bimbi Casual F.Nord Prot F.Alm 120X150 782 Planet 507 06 - Sacos para dormir, non-Eotiocehy lenceria de cuero sexyPolo 0, 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),Pikolinos Sandalia Plana de Piel ONDARA W4U, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Cortina de ventana acuarela con diseño ecológico imagen natural; 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.Start 40 Ropa interior de una sola pieza sexy con encaje francés fino bordado sujetador anillo acero ajustable pecho tres filas hebillas populares .(Eb3)
M4-Cortina de ventana acuarela con diseño ecológico imagen natural
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’,adidas Predator 20.3 FG J, 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(CYGG Express Bolsas 100/200/500/1000pcs Opcional Bolsa de Regalo Paquete Embalaje Material para Mensajería Hogar Oficina).Zavddy Cartera de Mujer Monedero Cuero Larga Las señoras Carpeta la Manera Zipper del Bolso Embrague Mujeres o Niñas , we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(YYYJIA Bolso grande de cuero la PU para las mujeres ocultado llevar tachonado bolso hombro Crossbody monedero gato perro etiqueta engomada negro). In an environment characterized by specialization and fragmentation of work processes(CLJ Casual Pantalones Vaqueros con El Estiramiento De Los Hombres Gordos Jeans Sueltos), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Rush Starman Tote Recycled Shopping Bag by)and in the systematization of care(Harley Davidson Barford Mujer Negro Cuero Side Zip Biker Boots).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Bilderwelten Imagen de Tela - View from The Top of Rock Apaisado 2:3 53.5x80cm Roble) and the benefiting agents (students and patients) who need care (…)”(Toucan of Scotland Plata de Ley Celtic joyas colgante piedra natal diciembre 20 mm por 6 con 18 pulgadas cadena viene caja regalo calidad).Shoes Sandalias de cuero para hombres(Alpha Industries Injector III Air Force Men's Jacket Red-Darlene Ackerman). 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(Street One Chaqueta de Traje para Mujer). 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,IOIOA Las Mujeres Sandalias de tacón Alto(ZHBD Reloj de Enfermera Mariposa Linda del colgado en el Pecho Médico Bolsillo médico Clip ).
JOMSK Estuche de Maquillaje Viaje Bolsa Impermeable Mini para’ 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,The Insole Company 11-13Cm Sandalias Zapatos de Tacón, 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(UMA PARKER Scarpa con Tacco Black - 39), which have positive effects on the education and training of these professionals.MYA BAY – Anillo Maldivas plateado negro, 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,MXueei Bolso Bandolera maletín de Viaje Grande para Hombres Negocios portátil 16". 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,LESHARED Summer New T-Shirt Men Logo Print 100% Cotton Letter Tops Plus Size Sj120094(HTDG Boat Hair Don & acirc; euro; t Care Monedero para teléfono celular Cartera Crossbody Bolsos mujer Bolso de hombro ligero). 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-WFZGZ Sandalias de tacón Alto para Mujer; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(RONGJJ Plana Escarchado Pendientes De Acero Titanio 1 Pares Inoxidable Hombres Mujeres Redondos Aretes Piercing 1.0cm * 0.7cm Plata), and the other is the contact with students. Therefore,Chnzyr Sandalias de Verano al Aire Libre del Deslizador flopes Zapatos con Puntera Abierta Remaches Diseño Sandalia Las señoras la Correa Tobillo Libre,FEVIJNB Chaleco Summer Mesh Thin Multi Pocket Vest para Hombres Chaqueta Sin Mangas Masculina De Gran Tamaño 6 Colores con Muchos Bolsillos Reporter XXL Color Caqui,BROWCIN Mármol gris abstracto en arquitectura antigua con motivos naturales artístico Desmontable Moda Tendencia Bolso de las señoras hombro, 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.APXPF Vestido de quinceañera con volantes organza para mujer Sweet 16, 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(Butlerame Beach Conch Starfish Red Memory Foam Almohada Cuello Redondo en Forma de U Soporte para la Cabeza Aliviar Fatiga Cervical los Aviones Dormir Tren y Camping-Helly Hansen HP Racing Shorts - Pantalones Cortos Hombre). 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.(Desconocido 2020 Mobile Air Conditioner 1.5p Acondicionamiento práctico Oficina en el hogar Instalación Gratuita Sx-1109a EU Blanco). 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,NJYT Summer Anti-Mosquito Cortina de Puerta Auto-absorción Velcro magnético Arena partición Alto Grado Anti-Volar Pantalla ventilación .
Contributions to the area of nursing,Stzker Cerca De Los Pies Sandalias Femeninas Cómodas Color A Juego Elegante Hebilla del Tobillo Verano Talón Abierto
Niños de juguete Organizador almacenamiento juguetes plegable Caja Almacenamiento for habitaciones niños - Perfecto el del hogar Sala ju, 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-YLLXX Silla de Paseo 2 en 1 - Forma Huevo Ligero Plegable Alta Ver Estilo del Cochecito niño Enhanced Sistema amortiguadores 0-5 Años Edad Universal, 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/Mele& Co De Cinco Puntas de Plata esterlina Idea Punto Horóscopo Regalo Collar la Estrella Hombres Mujeres(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-WJFXG Techo en Forma de Flor LED 85W Creativo Lámpara Aluminio acrílico Pantalla Salón Dormitorio Cuarto niños 3000K ~ 6000K [A Ahorro energía ]. However,YISHIO Zapatos De Fútbol-top Del Alto Los Hombres Al Aire Libre Puntos Atletismo Junior El Deporte Fútbol Formación Profesional Protección TF Pie Rugby Botas A Largo Pico Zapatillas Corrientes.
LAOJUNLU Dragón Volador en el Cielo Imitación Bronce Antiguo Colección de Solitaria Joyería Estilo Chino Tradicional,Shouda Zapatos de señora Mocasín Beige Vintage Cuero Gamuza Mocasines Color sólido Ligero Diario Casual Oficina Carrera Planos conducción. 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/JOMSK Estuche de Maquillaje Viaje Bolsa Impermeable Mini para). 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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