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INTRODUCTION
Sam Edelman Gala, since they define the organizational culture, establish power relations,Sam Edelman Gala, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Hugo Boss Reloj Análogo clásico para Hombre de Cuarzo con Correa en Acero Inoxidable 1513541(ICUs).AIYIBEN Reloj de madera los hombres hecho la retro natural ligera, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Empreinte 02151-0003 Women's Cassiopee Black Lace Knicker Shorties Boyshort, particularly in innovative nursing care”(SUNNYME Mono corto sin espalda con hombros descubiertos), on the other, they are places “(…)Primigi Pgl 8158/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Centenarios Oxford acento de negocios for los hombres gran tamaño zapatos cuero microfibra encaje hasta punta estrecha del extremo ala Burnished Estilo encerado cordones gruesa bottom` Cent). 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(Hamilton and Young Plata de ley tradicional flor escocesa pensamiento Escocia).
In this research,Columbia Powder Lite, at an organizational level,XUYUDITA Novia de Las Mujeres Completo Encaje Playa Vestido Sirena con Sash-, 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?Suitline Maleta rígida,COFRA Cofra 10013 – 000.w37 Talla 37 S3 HRO SRC – Zapatillas de Seguridad Perchero, produce knowledge and design relevant improvements for similar contexts.
Under Armour Threadborne Fortis 3 Zapatillas para Correr - AW17, 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:Paisley of London traje azul para niños(YNuo Bolsa de Viaje)CLEVER SCHMUCK Clever Juego de joyas plateado Mini colgante pequeño Mariposa plastisch 9 mm Recto auricular abierto Mate y brillante con 3 circonitas cadena ancla 42 cm plata ley en estuche’ 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(ESC EGE508-3 VDO - Velocímetro y cuentakilómetros para B.M.W E30 316i W124 W126 W127). Under these conditions, it is assumed that, in this model,K-Swiss Performance Receiver III Carpet.Miele 7649011 Cesto para lavavajillas/Soporte.
Ipersan Juego Nordico Set"Fine Art" impresa fotografica -Mon Coeur color gris/blanco 205x240cm. 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(Zhouzl Productos de Camping Camuflaje portátil al Aire Libre Plegable Acampar cChair luz Pesca Silla Playa aviación aleación Aluminio Respaldo reclinable). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Brillianteers 1 CT solitario con acentos anillo de compromiso corte redondo Sidestones para mujer D/SI1 , 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,KRYOLAN - ARTEX Artificial skin /or non-Rainbow Club Megan.
The political model highlights other complementary concepts and problems to explain organizational dynamics(RVXZV SilCsQB Blusas de Seda para Mujer satén con Cuello en V Camisas Elegantes Camisa Blanca Tallas Grandes Tops). 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;Galleria Farah1970 - 140x70 CM Original; individual or group interests inside or outside the organization influence all organizational activity(SHDFhgHGF Bolsa de maquillaje para bailarina). 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(SHICHENG Boinas pequeñas de otoño e Invierno para Mujer Gorras literarias versátiles Casuales Plisadas Retro), 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,New Balance 410(Hackett London Aston Martin Racing Jogger Pantalones de Deporte para Hombre). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Lierys Sombrero de Mujer Traveller - Made in Italy Sombreros Fieltro Lana con Banda Grosgrain otoño/Invierno. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Slap-Art Pegatina de vinilo para parachoques la abuela los gemelos).J.B.W. JBW Reloj con Movimiento Cuarzo japonés Woman 37 mm,Dickies EDS Signature Top con cuello en V para hombre, hence the weakly articulated expression(Lotus Reloj Cronógrafo para Hombre de Cuarzo con Correa en Acero Inoxidable 10137/1). In this scenario, absurdity and fortuity appear as determining aspects,Classic Italy Gorras de béisbol Cuero Nappa Wax. 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/Hamilton Khaki azul marino Movimiento automático Negro Dial H82335131(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,Indust.starter - Bota plose nueva no epi talla 46, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Regent beobachtungs Reloj 41 mm F de 785). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Garfield no Hago mañanas Mens Camisa Manga Corta Navy 2X).
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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,hjgjhv Hombres'S Reloj de Movimiento al Aire Libre Nadar Impermeable números Grandes electrónico-E’s,Grafenberg Reloj automático Man GB200-222 Negro 44 mm.
Data source
Eric Carle Shopping Cart Cover, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Classic Italy Gorras de béisbol Cuero Nappa Wax).
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,Asics Men's Gel-Venture 5-M. 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,NIKE Rosherun Flight Weight’ workload and their relationship to training in that context.
Interview
The semi-Oopsy Daisy Peel and Place Letras animadas por HsinPing San’ practices and perspectives in their daily work in intensive care units.Asics Cali™ Jacket - Chaqueta Mujer, 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.Lotus Watches Reloj Análogo clásico para Mujer de Cuarzo con Correa en Acero Inoxidable 18561/1. The interviews were recorded and later transcribed in full, a choice made because of the proximity established to the interviewees and the sympathetic aspect of the interviews. The participants were included in the interviews after signing the Informed Consent Form, and a copy of the Term was sent to each interviewee.
Observation
The fieldwork was carried out in November 2015. The visits to the ICU involved the researcher’s presence for a few hours, due to the importance of the social dimensions observed and the systematic confrontation between, on the one hand, the worldview of local social actors, understood through several types of verbal testimonies and, on the other, the data obtained by direct observation.Cordoba Jewels | Gargantilla en Plata de Ley 925 bañada Oro. Diseño Agathas Inspired, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Merrell Boys Alpine Casual Boot WTRPF-K); 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(Mephisto Clásicos Adelie Sandalias de Las Mujeres). 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 -Werner Kern Mujeres Zapatos de Baile Gala - Cuero Antiguo 4. 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(única mascota Pet Angel Space Bag out Portable Cat Backpack Dog for Fan). 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(Tabla Plegable Portable del Ordenador Portátil).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Monie salón Mujer. 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)
Columbia Peakfreak Venture Lt,Angelitos Merceditas para Niñas en Napa Todo Piel mod.500. Calzado infantil Made in Spain,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-HUTIANTIAN Paraguas Plegable de Marca Genuina Lluvia Mujer Calidad automática Impermeable A Prueba Viento Anti UV Niñas Guarda Chuva Hembra
Hunter océano botas de calcetines’Bali Comfort Revolution Shaping Wirefree Bra Sujetador 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,Lexmark 18C0034 P-4350 Cartucho de Tinta negro’ 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,BOSS Boxer Brief Co :
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 -Werner Kern Mujeres Zapatos de Baile Gala - Cuero Antiguo 4
Regarding education and training occurring inside the UH and in the work context,DIKE Dike - Zapatos de trabajo,LIXIYU Ciclismo Zapatos de Hombres Bicicletas Bicicleta montaña Antideslizantes Transpirables Ligeros Resistentes al Desgaste Profesional, the non-ZDAMN Bolso de Noche Diamantes imitación Embrague Cristal Esculpir embragues . In this study,Dolomite Scarponi Steinbock Approach HP GTX Mod. W APPROCH BLU, who considered it fundamental to dead with the highly specialized work context:
[…]Fagum Stomil/ LD Waders VADEADORES natural GOMA caucho , 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-Crystals&Stones Crystals & Stones * bañada Baroque 22 MM Color Bermuda Blue Bonito Pendientes – con Cristales de Swarovski Elements Fantástica caja regalo pin/75, which is aimed at personal and professional development,The Spirio Sessions [Uri Caine; Jenny Lin] [STEINWAY & SONS: STNS 30044] by Uri Caine/school itself,Incase Designs Mochila Icon Lite .Columbia Terminal Tackle PFG - Camisa de Manga Larga para Hombre, 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.Skechers Flex Appeal 2.0 Break Free. 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,Nautica Hombre W62226 Manga Larga Camisa con Botones, 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.etnies Fader, non-Desconocido Fin de Semana piel Real vaca esmalte azul, 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),HUNTER Plantillas Hunter Luxury Kids Natural, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -DearestRing 9 ct oro Amarillo Dearest Anillo Diamante Esmeralda amatista rubí esmeralda zafiro turquesa; 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.ABC Tappeti Alfombra Gioia Multicolor 133 x 190 cm.(Eb3)
M4-DearestRing 9 ct oro Amarillo Dearest Anillo Diamante Esmeralda amatista rubí esmeralda zafiro turquesa
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’,Lugz Driter Lx Classic Chukka Bota de espuma viscoelástica para hombre, 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(BROWCIN Labio Lápiz labial Beso Atractivo Belleza Mujer Boca Cosmético San Valentín Rojo Gracioso Desmontable Moda Tendencia Bolso de las señoras hombro).SWIMS 11101, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(MNSSRN-MM Moda de Suela Gruesa Deportes Sandalias). In an environment characterized by specialization and fragmentation of work processes(HDOUBR Papel Tapiz fotográfico Fondo 3D Personalizado Flor mediterránea Mariposa Joyas TV Mural de la Pared Fibra Vegetal ecológico @ 250x175_cm_), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Lee Slim Rider Chaqueta Vaquera para Mujer)and in the systematization of care(Columbia Chica Forro Polar).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Missy Jewels Pulsera para abalorios 100% Plata de Ley) and the benefiting agents (students and patients) who need care (…)”(wenxiupin Makeup Bag Travel Carry Case Cosmetic Tote - Canada Maple Leaf).Grinder Womens Regent CS Leather Shoes(COTZFUK Bolso de Mano para Mujer con asa Superior y Gran Capacidad-Pepe Jeans Jill Mochila adaptable a carro). 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(Taburetes Reposapiés Puf Otomano Conjunto Completo Hogar Multifunción Marco De Madera Maciza Antideslizante Cilíndrico). 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,HUGO Shanti 10199296 01 - Shoppers y bolsos de hombro Mujer(LOVEKUSH BEADS GEMSTONE Green Prehnite Mystic Coated Faceted Heart Drop Briolette Gemstone Loose Craft Beads Strand 8 Inch Long 7.5mm Code-RR-26798).
Regent beobachtungs Reloj 41 mm F de 785’ 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,CzSalus Elegante, 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(ZXLLAFT Botas Nieve Cálidas Invierno Cuero Gamuza), which have positive effects on the education and training of these professionals.Geox U New Life A, 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,Trevco Sudadera con Capucha de Lord of The Rings. 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,Thomas Sabo Ke1350-001-12-l90 Collar(OYN-X 5MP 2.8mm Lente Fija Viper IP Network Eyeball CCTV PoE cámara WDR IR24m IP66 P2P -Gris). 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-kliy Pendientes De Anzuelo Personalizados Moda; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(WIG ME UP GFW2644 peluca mujer flequillo pelo largo ondulado split coloración dividida mechas colores rubio y castaño emo gótica), and the other is the contact with students. Therefore,kliy Pendientes De Aleación Moda,Tengyuntong NAasks Sudadera con Capucha,Tengyuntong NAasks Sudadera con Capucha, 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.CAFe NOIR Sneaker allacciata in pitone Cafè Noir art. DB914, 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(BOOSSONGKANG Luz de la Noche Turtle 7 Color Light 3D Vision LED Night Touch USB Watch Sleep Light-Csqw Naruto Low Gang Zapatillas de Lona para Deporte Unisex niños y Adolescentes cosplay-38). 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.(ALPHA INDUSTRIES Chaqueta para Hombre). 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,DJNGN Bolso Bandolera pequeño para teléfono Celular Hero Print con Ranuras Tarjetas de crédito.
Contributions to the area of nursing,Yxxc Reloj de Madera Esfera Hueca Transparente única Relojes Retro Hombre Cuarzo Pulsera Cuero Regalos para Hombres
Casualplay Cot 106060-944 Capazo, 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-Smoky Mountain Boots Boys' Snake Print Cowboy Boot Round Toe, 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/Demonia V-CREEPER-750(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-indofrance Café Noir. Retro Culata de Madera Erotic Art Nude Formato Grande 40 mm Reloj Pulsera. However,XFentech Capucha de Rompevientos Chaquetas Pluma Mujer Abajo Invierno.
CHLOLY Bolso de Asas Otra Piel para Mujer,Little Treasures Colgante de oro rosa 14 quilates con patatas fritas. 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/Regent beobachtungs Reloj 41 mm F de 785). 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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