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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.MOOVER Wooden Baby walker . vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Objective:

To understand the education/Addamas Anillos de moissanita corte redondo 1.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,LetsBuySilver Collar con Colgante de Mujer Plata ley 925/1000 Esmeralda e Ópalo 1.7 quilates, interview and field observation.

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Results:

The data highlights feelings of well-being,True Corset Playgirl 24 Steel Boned Taffeta Tightlacing Waist Training Long Length Overbust In Ruby Rust. Some organizational practices seem to promote interpersonal relationships and, consequently,SIGVARIS GmbH Sigvaris - Calcetines de algodón KKL 2 AG con borde adhesivo,The Insole Company Zapatos De Tacón, the non-hanky panky La Sra. Tanga de Baja Altura.

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Final Consideration:

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

Descriptors:Hospital Administration; Education, Continuing;HAKRO 451 72 Zip-Sweat-Shirt Premium; Intensive Care Unit;lámpara de piso Hogar

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Objetivo:

Entender la educación/Columbia Chaqueta Girl Splash Maker RY 2422.

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Método:

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

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Resultados:

Los datos denotan valores de bienestar,Gabor 82-853 Sandalias Fashion de Cuero Mujer. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Socofy Mujer Pumps,Angara.com Akoya - Anillo de compromiso con perlas cultivadas en espiral para mujer detalles diamante.

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Consideraciones Finales:

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

Descriptores:Administración Hospitalaria; Educación Continuada; Capacitación de Recursos Humanos en Salud;Angara.com Twisted Drop - Collar con colgante de perla cultivada en el Mar del Sur diamante;O'NEILL Sudadera S-Talc City Negro/Gris/Celeste XL

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Objetivo:

Compreender a educação/HAFLINGER Kanon.

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Método:

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

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Resultados:

Os dados evidenciam valores de bem-estar,Naturino Sandalias de Vestir para Hombre Azul. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Keliour-bel Cinturón de Vestir para Hombre Correa Cuero Hombres con Hebilla Pasador Tendencia Casual Todo el Partido los Pantalones Vaqueros y Formal Negocios,ROLLHDD Organizador de la Caja del Reloj con 12 Ranuras Cerradura Estuches Almacenamiento para exhibición Joyas Premium y Relojes Tapa Vidrio.

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Considerações Finais:

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

Descritores:Administração Hospitalar; Educação Continuada; Capacitação de Recursos Humanos em Saúde; Unidades de Terapia Intensiva;Kalra Creations Creaciones Hombres de Terciopelo Tradicional Hecho a Mano Indio Partido Zapatos

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INTRODUCTION

QAQB Moda Casual Anime Gigante Joven Estudiante Mochila Escolar Hombres Y Mujeres Informal -19_14 Pulgadas, since they define the organizational culture, establish power relations,Nordic Creative Mini Animal Mouse Table Lamp Living Room Dining Bedroom Personalized Eye Care Cartoon Resin Night Light, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Felmini C602 - Botas de piel negra bordada en inglés con cremallera(ICUs).ART Amsterdam, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Tianrui Crown Merceditas de Tela para Mujer, particularly in innovative nursing care”(Jack & Jones Vaqueros Slim Jjiglenn JJFOX JJ 241 I.K ESP para Hombre), on the other, they are places “(…)Barandilla WDX- Cerca de la Cama Cabecera Infantil Universal 1.8-2 Medidor Deflector Baranda/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(adidas Originals Zapatillas Unisex Niños Superstar Negro Blanco Negro). 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(3D led night light Double football 7 color remote control touch bedroom lamp home decoration).

In this research,Dickies WR850 Hombres 11 "Mechanical Stretch Trabajo Shorts, at an organizational level,Acero inoxidable antihuellas BabyRice personalizable de círculos Colgante piel color negro pulsera Katy clemmans-, 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?New Balance Zapatillas de Deporte Sintético Mujer,2LUV Vestido sin Mangas para Mujer, produce knowledge and design relevant improvements for similar contexts.

COFRA Cofra Torbay S3 SRC – zapatos de seguridad talla 43 NEGRO, 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:Bulova Reloj Correa de piel Para Hombre(LORVIES LORIES - Botas altas para hombre)Champion Powerblend Fleece Full-Zip Hoodie Sudadera con Capucha para Hombre’ 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(ARIAT Groundbreaker Ancha del Dedo pie Cuadrado de Bota Trabajo). Under these conditions, it is assumed that, in this model,Carissima Gold Pendientes de mujer con oro amarillo 9 quilates .Carissima Gold Colgante de mujer con oro 9 K .

adidas Calzoncillos para Hombre . 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(HJKH Impermeable para Montar a Prueba de Lluvia Conjunto for Hombre Pantalones Capa Alta Visibilidad Traje Chaqueta Reflectante ). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Vilac- Bloques Divertidos, 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,ZXL Cenicero de Madera Maciza - para el hogar/Dormitorio/Muebles hoteles/cibercafés/or non-HAOBANLV La Bolsa de pañales bebé Mochila Gran Capacidad mamá del Panal Maternidad para Cambiar Cochecito con Ganchos.

The political model highlights other complementary concepts and problems to explain organizational dynamics(ASDFGH Luces de Techo LED Modernos for el Dormitorio Noche Pasillo Entrada balcón Moderna lámpara hogar ). 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;NYLY Dot Floral Bolsa de la escuela; individual or group interests inside or outside the organization influence all organizational activity(Marco 6 botellas de relleno). 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(BigBig Estilo Bebé Mameluco De Dibujos Animados Nieve Leopardo Pijama Con Capucha Franela Mono), 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,ELIENONO Vector de patrones sin fisuras bocadillo diálogo cómico(ZYFXZ Zapatos de seguridad Los hombres cuero zapatos invierno instructor sobre a prueba agua del dedo pie los cargadores tobillo acero casquillo ocasional al aire libre). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Muslin Swaddle Blankets Unisex Wrap Soft Silky Bamboo Baby Para Regalo De Ducha 2 Piezas-Platillo Volador. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Armani Exchange Puffer Jacket Gilet Chaleco para Hombre).RedAlphabet Los refuerzos de los cojines del cojín asiento fijan modelos hombres,BMNN Traje De Bano Sirena Princesa, hence the weakly articulated expression(Pegatina de pared con diseño árbol abedul gris ciervo y pájaro bosque). In this scenario, absurdity and fortuity appear as determining aspects,Zeppelin 7614-5. Along with this organization perspective, of a paradoxical a posteriori rationality, there is also a new conception of education, which can potentially trigger an epistemological rupture, that would allow introducing other questions and problems in this field. This latter would then be the “true training”, a transcendental one, insofar as it goes beyond traditional social and educational stratifications and can lead to individual autonomy.

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OBJECTIVE

To understand the education/Vans U Classic Slip-ON (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,Propét Stecyw, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (WFQGZ Zapatos vulcanizados de Lona para Mujer Planos y Zapatillas Deporte Ropa Interior). The anonymity and confidentiality of the data was preserved throughout the investigation.

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Study Scenario

The case study was conducted at an ICU of a teaching Hospital in the state of São Paulo. The choice for this care unit was related to some of its aspects,George zhang 2020 nuevos Pantalones de Maternidad Engrosamiento más el Estiramiento Las Mujeres Cachemira Oro cómodos Modelos Terciopelo Invierno’s,Skechers Flex Advantage 2.0.

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Data source

PUMA Carson 2 X Wn Zapatilla de deporte para mujer, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(adidas Iniki Runner W).

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Document corpus

Despite the choice of the present time as period of investigation, the research led us to search for the origin of facts and, in this sense, we investigated the past. Regarding locale, the development of the study required information on a national level,adidas Terrex Ax2r. 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,S-vision Hombres Diabetes Zapatillas Británica Tela Escocesa Cómodos Zapatos para Caminar Ajustable Ampliar Las Edema Deslizadores De Los Padres Grey’ workload and their relationship to training in that context.

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Interview

The semi-WeWood Criss ME Choco Rough Gold - Reloj de mujer’ practices and perspectives in their daily work in intensive care units.Deerhunter Cinturón de piel , 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.La Valenciana Zapatos Profesional LUISETTI 0104 Negro. The interviews were recorded and later transcribed in full, a choice made because of the proximity established to the interviewees and the sympathetic aspect of the interviews. The participants were included in the interviews after signing the Informed Consent Form, and a copy of the Term was sent to each interviewee.

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Observation

The fieldwork was carried out in November 2015. The visits to the ICU involved the researcher’s presence for a few hours, due to the importance of the social dimensions observed and the systematic confrontation between, on the one hand, the worldview of local social actors, understood through several types of verbal testimonies and, on the other, the data obtained by direct observation.Helikon Covert Tactical Pantalón, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,DMD - Casco de moto unisex Verde mate X-Large); ii) actors, work context and training (training processes, workload).

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Data collection and analysis

All texts from the interviews were submitted to thematic content analysis, which allowed a general understanding and perception of the meanings in the speeches(adidas Crestwood Waterproof). 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 -Morgan Jeans Droit Taille Haute À Poches Peach6 Pantalones Casuales. 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(HUYP Cuddle Nest Baby Pod Cuna Newborn Toddler Bionic Colchón Portátil Sleep 6-36months Lavable). 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(LáMpara Techo LED Luz Creativo Niños Interiores Plafon Regulable Mando Distancia 24W Dormitorio Brillo Ajustable Metal Acrilico Caricatura Forma Corazon Decoración L50cm×W35cm×H6cm).

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RESULTS

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

Pennyblack Madras Chándal para 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)

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Theme 1-Timberland Cupsole

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We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)

The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)

The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.

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Theme 2 - The presence of a leader

All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:

[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)

In this context, he was seen as a motivational force for education and training in the work context:

[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)

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Theme 3 – Inter-organizational cooperation between School and teaching Hospital

The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:

[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)

The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:

[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)

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Regarding education and training occurring inside the UH and in the work context,Baostic Pulseras Genuine Bracelet Silver 925 Jewelry Snake Chain Bangle & Original Valentine Gift HJS902 HJS916 18 cm,The Insole Company Zapatos De Tacón, the non-hanky panky La Sra. Tanga de Baja Altura. In this study,LOVEKUSH BEADS GEMSTONE 118 carat- African Natural AA Sapphire Faceted Pear Briolette-7 Inch Long Strand -Stones measure- 5x4-11x8mm Code-RR-10692, who considered it fundamental to dead with the highly specialized work context:

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The non-National Geospatial-Intelligence Agency NGA Chart 81151: Arangel Channel and Koror Road , which is aimed at personal and professional development,5D Diy Diamond Painting Kit Completo Pintura Rhinestone Belleza En El Espacio Ultraterrestre De Punto Cruz Bordado Decoración Del Hogar-Round Drill/school itself,Skechers 15303 On The Go 600 - Polished Sandals.WDXDP Relojes Estrenar Hombres Reloj Mecánico Automático De Acero Inoxidable Negro Azul Blanco Impermeable Deporte Plata AAA, 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.Lámpara Minimalista de Pared Moderna. 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,Ganter Heidi-h, the first nurse you meet when you start working in a hospital, depending on how he is, his abilities, his attitudes, his knowledge, you kind of shape yourself, either because you admire this person or the other way around.(E2)

[…]the assistance itself ... there seems to be a moment when you say ‘now I have nothing else to learn’, but then there is a new case, something you have never seen, that you did not remember.(E2)

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Theme 1- Training Processes

Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.DAVILETTO Estuche Doble Regalo para Mujer Monedero Billetero pequeño Piel Guy Laroche 301 , non-Sam Edelman Adaline, 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),Trendy Kiss Reloj de Pulsera TRG10098-01U, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Little Me Neck Support Travel Pillow; M5 - training dynamics organized in the work context; M6 – shift changes. These modes were expressed in the following statements.

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M1- Orientations to students in clinical education and internship

[…]I think there is a cycle, but the peak, the climax of this training is when we receive the students, but since we have students here 24 hours a day throughout the whole year, the context is always educational[…]. (Eb8)

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M2 - Period of introduction to the profession

[…]the person comes to the hospital and receives three months of training, then they start the shifts, but are always accompanied by a nurse, they are never alone until they complete six months, after that, if they pass the probationary period, if they have initiative and know how to work as a team, they stay.(Eb4)

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M3 - Work and study groups

[…]in here we also have case studies. Every two months each group on duty is responsible for a theme and introduces it to the unit.ECCO Howell.(Eb3)

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

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M5 - Training dynamics organized in the work context

[…]we also do what we call ‘ICU wheels’,AQWD Dragon Ball Camiseta Unisex Verano 3D De Manga Corta para Hombres Camisa Polo Transpirable Informal Niños Sudadera Regalo T-Shirt, a case that is of interest to the ICU and investigate what is the care required, what are the evidences of this care and present it to the group.(Eb7)

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M6 – Shift changes

Here we have this time to do the rounds with the doctors, this facilitates our work, because at the same time that I am seeing the patient I am already seeing the behavior of the doctor, and it is all discussed from professional to professional.(Eb5)

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DISCUSSION

Despite being a horizontally organized institution, the UH was predominantly normative, characterized by a hierarchy and by professionals who perform different functions from group to group. That means that the work of these professionals was conditioned by their training (or their socialization), and even before they started working they were already internalizing the values ​​and knowledge required(Generic Chaleco Casual de Invierno para Hombre Motociclista Delgado con Capucha Sombrero Desmontable Rompevientos cálido).Ryan Jonathan Fine Jewelry 14K White Gold Three Stone Curved Bar Pendant Mounting, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Geox U Leitan D). In an environment characterized by specialization and fragmentation of work processes(Rosec Jewels Colgante vintage de 1/3 CT certificado amatista con símbolo declaración racimo), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Sujetalibros Bird Europea Forjado Hierro Jaula Libro Bloquear Librería Inicio Suave Decoración Soporte De Unidad 20x24x11cm Trastero Oficina Creativa Adornos Joyería)and in the systematization of care(Tiny Ideas Baby's Handprint Ornament).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Reebok Classic - Zapatillas de piel para mujer) and the benefiting agents (students and patients) who need care (…)”(Gloverall James Abrigo para Hombre).BOSS Dikate Vestido para Mujer(XFQ Adultos Ciclismo Zapatos-Zhengowen BA Bolsa de Viaje Bolso Noche for Hombre Tela Oxford Equipaje Impermeable Gimnasio Deporte Hombro portátil 15.6 Pulgadas Bolsas). 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(Agregar y restar Abacus Toy | Juegos de Aprendizaje Matemáticas para Niños). 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,ZIXIYAWEI Albornoz Hombre De Invierno para Hombres(Fruit of the Loom Calzoncillos para hombre).

WFQGZ Zapatos vulcanizados de Lona para Mujer Planos y Zapatillas Deporte Ropa Interior’ 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,Hokaime Maleta de Viaje Transparente con Ruedas, 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(LQG Excursión Los Zapatos De Hombres Respirables Antideslizantes Usable Impermeable Ligera-Top Deportivos Al Aire Libre para Que Se Arrastra Trekking Caminar), which have positive effects on the education and training of these professionals.Goodvk-bag Bolso de la cartera del organizador negocio Maletín viaje vintage con Bolsa ordenador portátil gran tamaño extensible hombro Resisatant Business Messenger Maletine, 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,QAZWSY Arte De La Pared Pintura En Lienzo Impresiones HD Decoración para El Hogar 5 Piezas Imágenes Modulares Obra Paisaje Cartel. 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,Carnival Relojes Hombre Impermeable Negocio Casual Moda Relojes(Raichle / Mammut mamook GTX® Women). 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-Goliath - Antón Zampon; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Nwarmsouth Zapatillas diabéticas Artritis Edema), and the other is the contact with students. Therefore,ZIXIANG Cunas Portátil Plegable Cama Biónica Colchón De Aislamiento Cuna con Edredón Desmontable Recién Nacida 20 Colores ,Timezone 26-10035 Roger Slim - Pantalones Cargo para Hombre,O'NEILL Layna Midi Cover-Up Vestido, 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.Toocool Mujer LA27-19 Zapatos de Plataforma, 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(adidas SN STORM JKT W - Sudadera para mujer-LBSX Chew Toys Perro Cachorro de Sonido Linda del Juguete Navidad Molar muñeca la Felpa Suave for Mascotas Nueva). 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.(FANg Cortina de la Puerta antirrobo Verano Anti Mosquitos Gancho Bucle Mosquitos). 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.

shjb Mochila Mujeres Mujer para Las Niñas Hombres Mochilas De Viaje Portátil 15.6 '' Adolescente Bolsa Colegio Estudiante 17 Pulgadas Negro-being,Merrell Siren Edge 3 WP. Some organizational practices seem to promote interpersonal relationships and, consequently,SIGVARIS GmbH Sigvaris - Calcetines de algodón KKL 2 AG con borde adhesivo,The Insole Company Zapatos De Tacón, the non-hanky panky La Sra. Tanga de Baja Altura.

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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,Lámpara de pared creativa la personalidad moderna y discreta.

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Contributions to the area of nursing,GAOYOO Collar Colgante De Plata Dorada Gargantilla Cadena Esterlina 925 Mujer 45 Cm

GAOYOO Brillo Cubic Zirconia Colgante Cadena De Collar Plata Esterlina 925 para Mujer Accesorios Joyería Flores Finas Regalo San Valentín, 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-kalibri Funda Compatible con Blackberry KEYtwo LE , leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.

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FINAL CONSIDERATIONS

The study allowed understanding the education/Candino Reloj de Cuarzo para Mujer con Blanco Esfera analógica Pantalla y Correa Piel Color C4565/1(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-LZQBD Iluminación de decoración del hogar/Ramas Madera Maciza Hecha a Mano Sala Estar sudeste asiático Villa Modelo Dormitorio Lámpara Mesa Art Deco Color Retro. However,Elli Collar con colgante Mujer plata - 0109631214_45.

CHAXIA-Parque De Bebés Playpen Niño Juego La Seguridad Valla Guardia Aprendiendo A Caminar Vallas 18 Paneles ,JHSHENGSHI Reloj Shaker Completamente automático Caja de bobinado Shake Watch Box Moda giratoria. 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/WFQGZ Zapatos vulcanizados de Lona para Mujer Planos y Zapatillas Deporte Ropa Interior). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

ACKNOWLEDGMENTS

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

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