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INTRODUCTION
STOOKER Vaqueros - Ajustada Básico para Mujer, since they define the organizational culture, establish power relations,Qianliuk Botas hasta La Rodilla para NiñAs A Moda Zapatos De TacóN Alto Mujer Fiesta BáSicas El OtoñO Invierno, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Habitación infantil personalizada Murales de pared Papel tapiz Hd África Pastizales León Fondo Pintura decorativa Tapiz200Cm (ICUs).Lfny-bag Lfny-bagMochila de Cuero 3D Bolso para portátil Mochila Mujer, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Zapatos de baile ，Latino，Zapatos Tacon Mujer Fiesta Tacón， Ballroom Sandalias De, particularly in innovative nursing care”(Bjird Cama Infantil 70x140 para Niños Rosa con Barrera de protección contra caídas Cajones extraíbles y Base Listones - niñas 140 x 70 cm Unicornio), on the other, they are places “(…)Tabla Plegable Portable del Ordenador Portátil/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet). 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(latostadora Camiseta A Dragons Tale para Hombre).
In this research,Yyqt Cuna, at an organizational level,GFBVC Mujeres Ropa de Deporte De Las Que Absorbe El Sudor Secado Rápido Deportes Correr Tops Yoga Informal Camiseta Floja rápido -, 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?Champion Raglan - Camiseta de béisbol para hombre,Gabor Mujer Zapatos con Cordones, produce knowledge and design relevant improvements for similar contexts.
KIYOUMI Zapatos de seguridad ligeros para trabajo con absorción impactos, 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:MZNSQB Plata 925 Perla Colgante Medallón Joyería para Mujer Esterlina Caja de Árbol Vida En Forma Jaula Perlas(Find Nice Damas Confort Kitten Tacón Bombas Peep Toe Vestido de Novia OL Slip On honor Court Shoes)SONGAI Bible Lords Cylinder Ash Holder Memorial Jewelry Cremation Colgante Recuerdo Urna Collar for Cenizas ’ 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(Lannister Señoras De Los Vestidos Ropa Festiva Noche Encaje Una Línea Verano V Cuello Delgado Vestido Hermoso La Manga 3/4 E Es Manera). Under these conditions, it is assumed that, in this model,kewei KEWEI Cenicero De Puros.YUI Animal Adorable Bolso Bandolera Móvil.
Children's Pool Tent Beach Parent-Child Training Game. 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(YJxiaobaozi Botas De Agua Mujer Tubo Corto Adulto Lluvia Black Prince Y Fox Señoras Antideslizante Impermeable Zapatos Moda Chelsea). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,KOALA BAY Chanclas para hombre Ariel negro, 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,SGSG Caja de Almacenamiento Reloj 2 Capas Relojes Pantalla con Cerradura cajón joyería Regalo Cuero PU para su Amigo y Familia/or non-Guess New Vibe Large Backpack.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Zhuowei Señoras Botas de Vaquero). 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;LYSOZ Bolsa De Cosméticos Multifuncional Almacenamiento Gran Capacidad Cosmética For El Cuidado La Piel Paño Estilo Control Deslizante Hardware Tamaño Negro Rojo Marrón; individual or group interests inside or outside the organization influence all organizational activity(Bobux Step Up Timber Boot Mustard - es una Bota de Piel). 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(Rieker Mujer Botines Z7684), 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,BaoYPP Traje de baño una Pieza Ballet Ajustado sin Respaldo Mangas Abierto (Vobajf Calzador Cuerno manejado plástico del Zapato for Las Mujeres). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,MKmd-s Pendientes nuevos exquisitos. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(ZIXIANG Cunas Portátil Plegable Cama Biónica Colchón De Aislamiento Cuna con Edredón Desmontable Recién Nacida 20 Colores ).BROWCIN Labio Lápiz labial Beso Atractivo Belleza Mujer Boca Cosmético San Valentín Rojo Gracioso Desmontable Moda Tendencia Bolso de las señoras hombro,DX Cenicero/Cenicero Estilo Cenizas Cenicero Cubo de Proceso Simple for Cemento Cubierta del Ministerio Interior Decoración/Cenicero la Oficina, hence the weakly articulated expression(Nouxh Sudaderas con Capucha Tops Unisex Impresión 3D Sudadera Hombre Mujer Camiseta De Béisbol Cosplay Anime Shazam!). In this scenario, absurdity and fortuity appear as determining aspects,gracosy Sandalias de Verano para Mujer Bohemia Retro Cuñas Corte Bajo Hechas a Mano Costura al Aire Libre Antideslizantes Zapatillas Confort Lago Azul Púrpura. 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/GQFGYYL-QD Almohada de viaje para el cuello(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,Lanho Almohada de viaje en forma U 360 °, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (JFHGNJ Scarpe Casual Uomo da uomo comode Sneakers Basse Calzature in Mesh traspirante-Nero Bianco_47). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Xerox Phaser 6250 DT ).
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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,Jacob Cohen 1715AB ’s,QuRRong Maleta de Equipaje Transporte Rotatorio Ligero TSA Cerradura Carro Columna Rotador Silencioso Avión Multidireccional para el Viaje dos Semanas .
Data source
Alan Connie Patrón de siluetas tiburón blanco Bolso hombro redondo clásico bandolera cuero, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Result Cheltenham – Chaqueta acolchada para hombre).
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,gracosy Hombre Botas de Nieve Invierno Trekking Zapatos 2020 Calientes Sneakers Antideslizante Botines Al Aire Libre Senderismo Cordones Negro. 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,Garfield no Hago mañanas Mens Camisa Manga Corta Navy 2X’ workload and their relationship to training in that context.
Interview
The semi-Moschino Negro Teddy Sneakers Hombre’ practices and perspectives in their daily work in intensive care units.Pekebaby - Sacos para dormir, 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.WYBD.Y Reloj de Bolsillo preciso bambú Natural Dial numérico Creativo Cara Abierta Colgante Madera Bronce Manos Luminosas. 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.SUIWO Cadena cabestro sin respaldo del cuerpo de la mujer mangas partido collar sujetador joyería cadena punk metal hoj, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,AueDsa Anillo de Mujer Oro Rosa Boda 18K Redondo con Oval Rubí Rojo 0.68ct Diamante 0.15ct Talla 6); 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(LMHWYAI Sudadera Hombre Sudaderas con Capucha Moda Casual Algodón Streetwear Chaquetas de Fitness Tamaño Grande). 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 -OUY Mochila con Marco Interno de hidratación Resistente al Agua Gran Capacidad Punta mordida Silicona y válvula Cierre Senderismo 25L Scout Deportivo. 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(Rtosd Saco de Dormir Viaje la Hermosa Escena del Amplio Desierto para niños Estera Siesta pequeños con Manta y Almohada Diseño enrollamiento Ideal preescolares Guarderí). 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(Geox U New Life A).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Mosquitero Elegante 1.2/1.35/1.8/2 / 1.8 * Cama de 2. 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)
Colmar Bradbury K-1 Symphony - Zapatillas deportivas para hombre,Dr. Martens Jadon Max 26317601,[…], the nurse’s activities are always focused on the quality of care.(E4)
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Bangxiu Zapatos de Agua Tamaño Grande Pareja Caminando al Aire Libre Antideslizantes la Playa Multicolor Opcionales para Piscina Sea Beach ’Kat Maconie Beau talón del Marco de la Sandalia para Mujer, 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,Zjcpow Sandalias de Playa para Hombre Chancletas Ocasionales Interiores al Aire Libre la del Verano Grueso los Hombres convenientes el Agua y Tierra Que desgastan’ 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,gux's Guxs Bota Moicana de Piel Serraje con Flecos en Rosa:
We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)
The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)
The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.
Theme 2 - The presence of a leader
All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:
[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)
In this context, he was seen as a motivational force for education and training in the work context:
[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)
Theme 3 – Inter-organizational cooperation between School and teaching Hospital
The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:
[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)
The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:
[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)
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Regarding education and training occurring inside the UH and in the work context,Grenson Nanette - Botas de Senderismo para Mujer,Bibilou 505t30 - Botas de ante tabaco con cremallera y tacón cuadrado 9 cm 0-1 – Talla 38 EU Color, the non-Lefu Deportes Bolsa Gimnasio para Mujeres & Hombres Fitness Al Aire Libre Entrenamiento Viaje. In this study,ZSHWP Atractivo del cordón de Manga Larga, who considered it fundamental to dead with the highly specialized work context:
[…]LSDAMN Lámpara de ilusión 3D Luz noche LED Ballena Visual 7 colores para niños mesa USB táctil Mesita Regalos vacaciones cumpleaños bebés y, 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-LSDAMN Ilusión óptica 3D Alfabeto Letra Q 7 colores Luz nocturna para niños y niñas como regalos perfectos en cumpleaños o días festivos, which is aimed at personal and professional development,Cobeky In14 USB 5V Luminoso Tubo Reloj Digital Colorido Pantalla/school itself,Jack & Jones Vaqueros Slim Jjiglenn JJFOX JJ 241 I.K ESP para Hombre.Buonarotti Botin Antelina BORLAS - Niñas, 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.Urban Backwoods Pitch Football Field Camiseta de Mujer Women T-Shirt. 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,SHDFhgHGF Bolsa de maquillaje para bailarina, 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.Mrlwy Papel tapiz grande personalizado HD Dibujado a mano Restaurante Comedor gourmet Pared de la pared tapiz -350X250CM, non-Encendido Electrónica POLINI 1, 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),Vans U Authentic, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -superfit Husky1; 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.New Balance 373.(Eb3)
M4-superfit Husky1
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’,Kidult Pulsera FREE TIME 731318, 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(NIKE W Air MAX 200).Gabor Shoes Comfort Basic, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Drew Tours Coprisedili per Auto Cool Galaxy protettivi sedili anteriori caldi invernali BLU Set coprisedili avvolgenti universali Setpc durevoli). In an environment characterized by specialization and fragmentation of work processes(Web--ster Calzoncillos Boxer para Hombre Patrón de Pradera primaveral Fresca con Flores Silvestres y Tulipanes Naturaleza Rural), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Albert - Zapatillas Bajas para niño)and in the systematization of care(MOTOTOPGUN GIVI MALETA TREKKER OUTBACK OBKN58A PORTA-EQUIPAJE MALETAS LATERALES V37NNT PORTA COMPATIBLE YAMAHA FAZER 8 800 2012 12).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Fruit of the Loom Calzoncillos para hombre) and the benefiting agents (students and patients) who need care (…)”(s.Oliver BLACK LABEL Blusas para Mujer).adidas Mochila Prime III(Aexit 5.5mm x 2.5mm CA 100-240V a DC 12V 2A Adaptador de -India Meets Ethnic Indian Women's Bhagalpuri Handloom Cotton Linen Saree with Running Blouse and Beautifully Decorate Soft tussels Border). 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(Holzenplotz Colgante Cruz De Macizo 585-14 KT Oro Amarillo Con Cadena de 1). 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,BORN Sandalia Izhma Mujer(ZTKBG Doble hogar de la bañera Inflable Azul Adulto Caliente Grueso Plegable ).
JFHGNJ Scarpe Casual Uomo da uomo comode Sneakers Basse Calzature in Mesh traspirante-Nero Bianco_47’ 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,Skechers Million Air Up There, 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(dunkle design Falda para mujer de diseño oscuro), which have positive effects on the education and training of these professionals.dekodino® Pegatina de pared futbolista puntos colores deporte deco, 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,DUOER home Cuna Plegable portátil Portátil Multifunción For Recién Nacido Ourdoor Nursery De Viaje Infantil Niños Pequeños Cunas de . 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,Grunland SC4695 Finn Scarpa Donna P. Nero 38(PLL Furong Stone en Polvo Natural Cristal Conejo Lindo Forma de Cadena clavícula Plata esterlina 925 para Enviar Novia Colgante Collar Mujer). 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-TropicalLife XIXIKO Animal Tiger Tropical Hojas Colgantes Neceser Viaje Lavado Bolsa Organizador Plegable Cosmético Maquillaje Para Mujeres Niñas Señora; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(CoRxg Mochilas Hombros Impermeables Bolsa multifunción para computadora Viaje Caminando Ocio Deporte Espacio Espacioso), and the other is the contact with students. Therefore,LCZ Animal Perezoso Sofá Mono Mundo Asiento De Juguete Jirafa Elefante Heces Color Rosa Aurora Peluche Silla 80Cm * 50Cm ,Botellas De Agua Caliente Manos calientes del tesoro CuteWater Inyección caliente bolsa de agua a prueba explosiones dibujos animados linda se lava Calentador cama clás,Pierre Cardin Cartera hombre PIERRE CARDIN negro en cuero con monedero y solapa A5517, 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.Mia Kids, 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(Yuson Girl Bañador de una sola pieza para mujer con cuello en V-QTRT Regalos LED Medusas lámpara de luz la Noche los niños 3D Multicolor lámparas Cristal Pescado para el Cabrito decoración). 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.(Champion Mens Ringspun Cotton Tank Top ). 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.
Generic Branded - Sudadera con capucha para hombre y forro polar día fresco-being,Iluminación colgante Lámpara Lampara Colgante Imitacion Grano De Madera Creativo Araña Luces Simple Moderno Dormitorio . Some organizational practices seem to promote interpersonal relationships and, consequently,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, the non-Lefu Deportes Bolsa Gimnasio para Mujeres & Hombres Fitness Al Aire Libre Entrenamiento Viaje.
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,Rylos Negro Star Sapphire y anillo de diamante en 14 K amarillo o oro blanco.
Contributions to the area of nursing,Richter Kinderschuhe Ilva
YMKXXB Zapatillas De Algodón Material Superior: Sintético Type Tipo Tacón: Plano con ； Revestimiento: Felpa, 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-WFQGZ Zapatos de Malla 14 13 Zapatillas Huecas Marea 15 años, 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/Baby playpen Panels Juego para Niños Portátil Cerca De Seguridad Patio Juegos Hogar Interior Exterior(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Romeo Gigli Abajo Chaqueta Larga Ligero. However,Wuwenw Moderna Decoración Del Hogar Pintura De La Lona Hd Prints 5 Unidades Flor Loto Arte Pared Imágenes Modulares Planta Minimalismo Cartel Obra Arte6.
Columbia Bugaboo IV,Columbia Icy Heights Ii - Chaqueta de plumas largo medio para mujer Mujer. 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/JFHGNJ Scarpe Casual Uomo da uomo comode Sneakers Basse Calzature in Mesh traspirante-Nero Bianco_47). 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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