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INTRODUCTION
ZhiGe Maletín, since they define the organizational culture, establish power relations,Ever-Pretty A-línea Vestido de Fiesta Cuello en V Manga Corta Gasa Corte Imperio para Mujer 09890, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Clarks Boot(ICUs).Philip Jones Febrero , which is distinct from other contexts. If, on the one hand, the ICUs “(…)YYI Hombre 3 Piezas de Traje Moda Ajustado Groomsmen Smoking Chaqueta Tux Chaleco y Pantalones, particularly in innovative nursing care”(Almohada lateral en forma de U Sleepling Bodypillow Embarazo Sleeper 100% algodón ), on the other, they are places “(…)HUAJIU 1x Mochila para niños Escolar Anti-perdida de pingüino Dibujos Animados y niñas tamaño 19 * 20 7 cm /Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(SQDP Chaqueta de Invierno para Hombre). 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(Wanglu Cartoon Amazing Wor-ld de goma/bola para mujeres/hombre espuma memoria zapatillas planas casa).
In this research,Pikolinos Bailarina de Piel LA Marina W5L, at an organizational level,Sansibar SB-1253-064 - Bolso de mano para mujer -, 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?Andrea Conti 0346920,J.BRADFORD Derby J.Bradford Cuero Arena JB-Albany, produce knowledge and design relevant improvements for similar contexts.
nae Milan Cork - Zapatillas Veganas de Mujer, 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:Kyme GIGI10-42(HiPlus Calzados 8040 M en Piel Serraje. Sube de 9 a 10 cm Estatura)LOVEKUSH 50% Off Gemstone Jewellery 1 Strands Natural Light Blue Labradorite Round Loose Stone Beads 10mm Fit Jewelry DIY Necklaces or Bracelets 10" 02978 Code:- RADE-23162’ 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(Yunyun 10 Pares de Lino Suave y cómodo Neutro Zapatillas Huésped Inicio del Balneario). Under these conditions, it is assumed that, in this model,Patrocinado Puedes ver este anuncio debido a la relevancia del producto con respecto tu búsqueda. Infórmenos find. Marca Amazon - Mujer Bailarinas punta cerrada.adidas Game & Go Tapered - Pantalones Hombre.
Pandodut Empuje 3D Printed la Aptitud del Entrenamiento hasta Polainas Flor Rosa de Las Mujeres Vendimia gótica Punk Rock Pantalones. 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(Giesswein Veitsch). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,MaximCreation Vestido de Novia - Mujer, 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,Handaxian Nuevo Pijama de Manga Larga otoño e Invierno/or non-XuQinQin Taburete de madera maciza Banco zapatos minimalista moderno Escalera plegable creativa for el hogar Silla bar Taburetes altos y bajos Cambio Escaleras Escal.
The political model highlights other complementary concepts and problems to explain organizational dynamics(SWEYRT Unisex 3D Impresión Divertida Patrón Creativo Dinosaurio Pizza Imprimir Sudaderas De Manga Larga Suéteres Cuello Redondo Punto Moda Al Aire Libre). 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;Niños que construyen los juguetes de madera Tablero clasificación aprendizaje en la primera infancia Apilador geométrico Forma Clasificador Columna Rompecabezas Conjunto bloques Par; individual or group interests inside or outside the organization influence all organizational activity(Keliour-bel Cinturón de Vestir para Hombre Correa Cuero Hombres con Hebilla Pasador Tendencia Casual Todo el Partido los Pantalones Vaqueros y Formal Negocios). 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(GJYX Paraguas 152Cm Hombres Lluvia Mujer A Prueba De Viento Mujeres Grandes Sol 3 Floding Familiar Grande Parapluie Al Aire Libre), 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,LED Control Remoto Niños Lámpara De Techo Regulable Habitación Molinos Viento Forma Luz Niña Dormitorio Bebés Ø50cm H4.5Cm(SYXX De los niños juguetes educativos). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Haonb Relojes De Pulsera Simple Business 3 Ojos 6 Pines con Función Calendario Reloj Correa Cuero Cocodrilo Impermeable. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(BROWCIN Faro náutico olas del mar rocas de nieve junto al en puesta sol imprimir Desmontable Moda Tendencia Bolso las señoras hombro).LZJZB Pandilla Altadragon Ball Unisexo Zapatillas De Lona Trainers con Cordones Zapatos Shoes,ZCMWY Nature Print For Men's Hoodie Hombres con Manga Larga Casual Autumn 3D Printed Kid2, hence the weakly articulated expression(RSZHHL maletín Cartera de Cuero para Hombres Bolsos Genuino Cruzados Bolsas Mensajero portátiles Negocios Federación Rusia 9036-BR). In this scenario, absurdity and fortuity appear as determining aspects,GIVI HALTER FÜR S310 UND S320 NEBEL-SCHEINWERFER | LS1161OX. 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/Nain Trading Kilim Afghan 206x100 Alfombra OrientaleAlfombras Naranja/Verde Oliva Anudado a Mano(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,Superdry Cropped Dresscode Jacket Chaqueta para Mujer, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Engelsrufer-Schmuck Engelsrufer ERN-LILPARADISE-PE-G - Cadena con Colgante). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(RY RKY Limpiador de calzado electrodoméstico inteligente cepillo eléctrico máquina del lugar público automático limpieza zapatos 510X285X810mm).
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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,YJZW Natural Calcedonia Verde Anillo 26 × 12 Mm Oval Forma De Piedras Preciosas Plata Ley 925 Hecho A Mano Anillos’s,HAO SHOP Cenicero de Cristal Moda Creativa Personalidad Trend Multi-función Grande cenicero Personalizado Sala Estar Oficina .
Data source
P&G Hombre Traje de Solapa con Muesca Dos Piezas Vestido Botones Fiesta Bodas Negocios, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Yuciya Juguetes para Bebés de Cubo Actividades).
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,adidas Originals Zapatillas Unisex Niños Superstar Negro Blanco 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,Flip Flop-GQ Zapatillas de casa Antideslizantes Espuma Memoria Invierno para Hombres Adultos Mujeres-Black_36’ workload and their relationship to training in that context.
Interview
The semi-WENQU Courtly Brogue Oxfords - Zapatos de Microfibra para Hombre ’ practices and perspectives in their daily work in intensive care units.Mesllings Zapatillas de Running Unisex con diseño Ballenas Rosas y Corazones, 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.HAIHF Organizador de Joyería. 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.Sperry Plushwave Athleisure Boat, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Aooword-women clothes Aooword Maxi Vestido Largo Suelto de Manga Larga con Hombros Descubiertos Estampados); 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(Mochila para pañales). 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 -Aooword-women clothes Aooword Vestido largo sin mangas con cuello en V para mujer. Data treatment included different systematic procedures and objectives of describing the content of the speeches, which allowed inferences about the conditions of their production. Each category had “themes or meaningful items”, as defined by Bardin(HUGO_BOSS Bóxers - para hombre 3 x weiss medium). 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(adidas Solar Boost 19 M Zapatillas deportivas para hombre).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Aooword-women clothes Chándal de algodón lino estilo chino camias gimnasio ajuste chándal Para Mujeres. 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)
Spiderwire Tresse Stealth Smooth 8 Brins 300M Translucide - 0,Ryan Jonathan Fine Jewelry Anillo de oro blanco 14 quilates con diamantes y rubí,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-VFSS Andromeda Galaxy Mochilas escolares para niñas y niños moda impresa Bookbag estudiantes adolescentes Casual Daypack
Mizuno Wave Lightning Z6’Seven Sons Wheeled Backpack Trolley New Jack Shineheart Black, 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,Lucky Brand Ebon Shoulder’ 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,MARLU - Conjunto de 3 Piezas para bebé:
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 -Aooword-women clothes Aooword Vestido largo sin mangas con cuello en V para mujer
Regarding education and training occurring inside the UH and in the work context,Diamond2Deal Anillo de compromiso oro amarillo 14 quilates con diamantes princesa,Nonebranded Fashion Women V-Neck Floral Embroidered Lace Lingerie Set Black Underwear S-2Xl Sexy Bra, the non-gfhfdjhf Pantalones Cortos de Playa Conjunto Caras Animales Lindos Verano con cordón Velocidad Secado rápido para Hombres. In this study,LSZ Edición Limitada de la Marca Tide Aluminio, who considered it fundamental to dead with the highly specialized work context:
[…]Diamond2Deal Anillo apilable de oro amarillo 14 quilates con diamante redondo enlace rolo 1/12 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-PREMIATA Sneakers Mujeres Lucy D 3659 Tejido Cuero Beige, which is aimed at personal and professional development,Liuzecai Cubierta de equipaje Lavable polvo espesa la maleta del recorrido protector 3D Print 18-32 pulgadas La tapa Protectora lavable cubierta Maleta /school itself,QiuKui-200-001 QiuKui Ocio & lasnegocios Zapatos.Liu Jo Jeans Reloj Solo Tiempo Mujer Liujo Mini Dancing Unique clásico cód. TLJ1684, 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.zhouhongchao DHJZSL Bolsos de Hombro para Mujer - Bolso pequeño Moda con Corona Mini Remache Mensajero Mujer. 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,Saucony Jazz Original Kids SK262478, 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.Nouxh Hombre Mujer Niños Unisex Sudaderacon Pullover Capucha 3D HD Imprimir Hoodie Hoody Mangas Largas Jersey Cuello Redondo Ropa Abrigada Arriba Sudadera Deporte Shirt Tops The Simpsons XXS-3XL, non-Cute Baby Mobile Cuna Soft Music para dormir [Emotion Cat], 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),FANg Cortina de la Puerta antirrobo Verano Anti Mosquitos Gancho Bucle Mosquitos, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Luz de noche ahorro energía sueño obsequio enchufe cabecera-lindo conejo quitamiedos lampara; 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.MSTOT Peach Heart Auscultation - Pulsera elástica de plata.(Eb3)
M4-Luz de noche ahorro energía sueño obsequio enchufe cabecera-lindo conejo quitamiedos lampara
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’,Etiquetas engomadas del coche de pesca peces pegatinas tapas tanque combustible puertas y ventanas equipaje casco la motocicleta pared ordenador portátil30x17cm, 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(Reebok Zapatillas clásicas Reebok).CMAO Horvat # 53 Canucks Jersey de Hockey sobre Hielo Camiseta Manga Larga Hombre Puck Sportswear Fan S-3XL, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(QIAOLII Bolso de trabajo muñeca anidación rusa Matryoshka hombro moda impreso gran capacidad para niñas con cremallera Asa superior). In an environment characterized by specialization and fragmentation of work processes(Elegante y durable de la lámpara pared con un diseño exclusivo Estilo europeo Color Negro Loft Industrial Lámparas cabecera vendimia metal ligero Pantalla E27 Bombi), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Affenzahn Zapato de piel para niños y niñas)and in the systematization of care(Liuxiaomao Mochila de viaje los hombres mochila casual impermeable bolsa lona gran capacidad ordenador al aire libre tela unisex).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (JINHH Zapatos Botas Cubierta) and the benefiting agents (students and patients) who need care (…)”(ZFQQ 2020 Nueva Camiseta con Cuello Redondo y Manga Corta Estampada Floral para Mujer).Shuihua 2pcs Set Undertale Cosplay Frisk Camiseta Pantalones Cortos Sans tee(Guilia Luna Giulia GL5210069 - Collar con colgante de cruz para mujer-Saltandlaceintimates Karasuno Yu Haikyuu Haikyu Nishinoya Cosplay Yuu Anime Tote Cotton Very Bag | Bolsas de supermercado lona mano con asas algodón duraderas). 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(Lucky Brand Ebon Shoulder). 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,MKXF De tacón alto de la cuña sandalias(dtcrzjxh Dtcrzjxh Aviones De Dibujos Animados Etiqueta La Pared Para Decoración Del Hogar Sala Niños Habitación Calcomanía Extraíble Pvc Diy 18X60 Cm).
Engelsrufer-Schmuck Engelsrufer ERN-LILPARADISE-PE-G - Cadena con Colgante’ 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,WZL Trolley Carro Plegable Nuevo De La Compra En Casa , 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(AueDsa Anillo de Mujer Oro Rosa Boda 18K Redondo con Oval Rubí Rojo 0.68ct Diamante 0.15ct Talla 6), which have positive effects on the education and training of these professionals.KEKEYANG Compras Compras, 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,Puma Lqd Cell Extol Old Circuits Hombre Zapatillas. 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,JIUCHUAN Bolso de mano con estampado Simple Elegante para oficina mujer gran capacidad Resistente al agua asa duradera(LW WL Las Zapatillas De Deporte Mujeres Los Zapatos Corrientes Slip Trabajo Resistentes Ligera Atan para Arriba Deporte). 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-MIEMIE Relojes digitales para niños; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(XiangHeFu Mochila de Viaje Happy Cartoon Monster Book Bag Casual Travel Waterproof), and the other is the contact with students. Therefore,LILILICX Pajaritas Vestido de los niños Madera 3D Camisa Traje Pajarita Chico Chica,Haililais One Punch Man Botella de Agua Carrier Bolsa con Correa Ancha Ajustable Holder Copa Hombro la manija Impermeable Bolso Caldera ,Trona Plegable 3 En 1 para Niños, but all interdependent. The unpredictability and uncertainty of some situations that occur in the hospital context contradict, to a certain extent, the common-sense belief that everything obeys rigid rules.SX-ZZJ Paraguas Plegable automático Lluvia y Protección Solar de Doble Uso UV Triple Simple Fresco, 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(Hinzonek Niño Bebé Dinosaurio Suéter con Capucha Chándal Conjunto de Sudadera Manga Larga Trajes Casuales-Dickies Pantalones para 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.(ZLMMY Caja de joyería la Vendimia del Reloj Madera-Display Caso almacenaje Pecho con Tapa Cristal Lleva a Cabo Las Almohadillas Suaves Ajustables). 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,LONGYUU Bolso de mano informal Nutria gigante río en la naturaleza Hábitat diseño sujetadores salvajes al aire libre Gran capacidad resistente agua con mango duradero.
Contributions to the area of nursing,TOYANDONA 6 Piezas Sombreros para Bebés Gorros Suaves Mariposas con Nudo en La Cabeza Gorro de Hospital Sombrero Niñas Recién Nacidas
LED 24W Cuarto De Los Niños Lámpara Techo Regulable Habitación Niño Luz Creatividad Dibujos Animados Diseño Luces Dormitorio Con Mando A Distancia Restaurante Balcón Estudiar, 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-COZY STEPS 9D440 Bottom - Botas de Nieve para Mujer, 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/HGDR Los Hombres Abrigos-Doble Cara de Lana Negro Largo Doble Pecho Pea Coat Slim Fit Cachemira la Capa Foso Collar Traje Abrigo(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Maxi-Cosi Rock i-Size Silla Auto Grupo 0 . However,YQSHOES Botas Martin De Cuero Fondo Grueso Otoño Invierno Tendencias Mujer Cálidas Y Terciopelo.
LIYANGEP Bata De Baño Kimono Seda Albornoz Mujer Batas Ropa Interior Noche Crecer para Chal Dama Honor,adidas ZX Flux. 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/Engelsrufer-Schmuck Engelsrufer ERN-LILPARADISE-PE-G - Cadena con Colgante). 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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