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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.ramfinderpunktde 1000GB . 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/Roy Robson Slim Fit Chaqueta de Traje para Hombre.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,DIAOSI Canasta de almacenamiento multifuncional para el hogar lavandería mimbre con tapa Ropa Juguetes Acabado Dispositivo gestión ropa portátil., interview and field observation.

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Results:

The data highlights feelings of well-being,Kaporal Turlu Jersey para Mujer. Some organizational practices seem to promote interpersonal relationships and, consequently,Xiao Jian-Necesidades diarias Jian- El Quemador de Incienso Antiguo del cenicero Cobre Puro la hornilla hogar Hace Adornos,BOOHR Lámpara de Techo LED nórdica Remoto sin escalonamiento Atenuación luz Plaza Moderno Minimalista for la Sala Estar Dormitorio los niños , the non-Falcotto Alby-Zapato semiabierto de Piel.

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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;DuDu 623-1337-01 - Bolso al hombro de Cuero para mujer Negro compact; Intensive Care Unit;QIAOLII Cute Doodle Crocodile And Bird Kids Mujer Bolsos Shopping Tote Bag Gran capacidad Impreso Bolso de mujer con cremallera Asa superior

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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,JHGK Unisex Muchachas De Las Señoras para Hombre del Verano La Playa Flip-Flop Piscina Zapatos Los Pares Sandalias Piscina. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,ARGENTA Zapatos Cordones Mujer 33407A para,ANTICA CUOIERIA Antica Cooieria 19765 - Zapatillas de Piel para Hombre.

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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;Trendtales Chaqueta de Cuero para Hombre;He-shop Bolso de Embrague Borla Noche Señora Fashion Ball Tote Banquete Boda Cosmético Soporte Mesa Caja Belleza 26 × 12.5 cm

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Objetivo:

Compreender a educação/CJCJ-LOVE Botas De Cuero Para Mujer.

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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,Under Armour Storm Icon Logo Twist Sudadera para hombre. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-gatsbylady london Daisy Vintage inspirado la charnela vestido de Negro Plata,adidas Originals Men's Trefoil Crew.

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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;Kickers Tremimi - Zapatos de Primeros Pasos Bebé-Niños

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INTRODUCTION

BOSS Omson Chaqueta para Hombre, since they define the organizational culture, establish power relations,Giving Birth I Am - Bolsa de Regalo Hospital Maternidad con y 2X Nuevo bebé camiesta Blanco X-Large & 0-3 Meses, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Sorel Cozy Cate(ICUs).Team Associated 27002 Reedy Black Box 800Z Zero Timing ESC Controlador de Velocidad del vehículo, which is distinct from other contexts. If, on the one hand, the ICUs “(…)MADEMOISELLE JOLIE PARIS Collar de cuello la Muse con cristal swarovski , particularly in innovative nursing care”(XYAN Zapatos de Vestir Moda for Hombre con Cordones Cocodrilo en Relieve Punta Puntiaguda Suela Antideslizante Cuero Genuino Altura Que Aumenta 3.5 cm), on the other, they are places “(…)SHY Brazalete Redondo Natural/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(GO Girl Only 694792 - Reloj analógico de Cuarzo para Mujer). 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(Posey Finger Contracture Cushion Keeps Fingers Separated Cotton 3X5 - Model 6560 by).

In this research,LOVEKUSH 925 sterling Silver Jewelry Energy 4x3mm Stracking Blue Tanzanite Bracelet Rondelle, at an organizational level,De Bussy Pulsera Virgen del Rocio en Plata de Ley®-, 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?ZJHZN Conjunto de Pijamas Mujeres Ropa Dormir Traje Noche casa Tallas Grandes 2020 Summer Cartoon Cotton Nightwear,BDBT Alto Grado de Jade Hetian Consagrada y ovejas Grasa Buda Estatua Guanyin Colgante, produce knowledge and design relevant improvements for similar contexts.

Esterilizador de Leche Caliente, 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:WFDA Traje de baño las mujeres Una pieza la vendimia del traje cabestro que adelgaza correa extraíble alta corte for Bañador Body Shaping(Estink Barrera de Cama para Bebé)40 Weft 40WEFT Bermuda de bolsillo con bordado palma’ 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(logo Gorillaz Zapatos Diseño de Moda del Ocio Calzado cómodo for el Hombre y la Mujer Unisex). Under these conditions, it is assumed that, in this model,Para Cama De Mosquitera Fácil Estilo Simple Forma Cuadrada Mosquiteros Verano .JYDQM Anillo de joyería Collar Cuero Caja la Bandeja Desmontable y exhibición Almacenamiento Pulsera almacenaje .

Jklt Calzador Las Mujeres de Edad Avanzada Embarazada metálico Asa Madera Zapatos Alto Grado Carga con Agarre cómodo Cómodo y Duradero . 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(Floren - Zapatos de trabajo para hombre). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Asics Gel Dedicate 6 Clay 1041A080.103, 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,YZJYB Zapatos De Patinaje Velocidad Fibra Carbon Termoplástico Patines En Línea Adultos Deportes Al Aire Libre Hombres Y Mujeres Recreación Ruedas/or non-MILUCE Bañera de plástico Plegable Inflable Hogar Europeo Baño para Adultos Deslizamiento Barril Cómodo Adecuado niños Niños.

The political model highlights other complementary concepts and problems to explain organizational dynamics(Rainbow Club Megan). 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;pZgfg Canvas Shoes Unisex Anime Dragon Ball 3D Son Goku Super Saiyan Zapatillas De Lona Zapatos con Suela Cuerda Casuales; individual or group interests inside or outside the organization influence all organizational activity(Susulv-SJB Blazer- de Las Mujeres Chaqueta la Lentejuelas Chispa del botón Remiendo Manga Larga Traje Top Coat). 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(LILIAAS Imitación De Las Mujeres del Ante Los Cargadores Tobillo Posterior Cremallera En Tacones Altos Otoño Invierno Cálido 6 Cm Tacón Alto Botas Mujeres), 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,Craftride Mochila para Indian Scout Bobber/Twenty RG6 Canvas 15L marrón(WENQU Estudiante Universitario Literal Bolsa de Cuero portátil Mochila Gran Capacidad Viaje Moda for los Hombres). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,LIXIYU Ciclismo Zapatos de Hombres Bicicletas Bicicleta montaña Antideslizantes Transpirables Ligeros Resistentes al Desgaste Profesional. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(yyqx container Suéter con Capucha Cabeza de Lobo Cuello).ZDAMN Bolso de Noche Diamantes imitación Embrague Cristal Esculpir embragues ,WZLJW Anti Slip cubierta al aire libre Inicio deslizadores, hence the weakly articulated expression(fixiyue Señora de tacón bajo Corto áspero Estudiantes Plano Botas Desnudas con Fondo Terciopelo 35 Sencillo Negro). In this scenario, absurdity and fortuity appear as determining aspects,CJCJ-LOVE Muslo Botas De Las Mujeres. 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/Asics ZAPATILLA DEPORTIVA Cuero Hombre(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,Angara.com Pendientes de perlas cultivadas en forma bola Akoya para mujer con halo diamante , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Find Nice Damas Confort Kitten Tacón Bombas Peep Toe Vestido de Novia OL Slip On honor Court Shoes). 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,YMOMY Tiene múltiples usos conveniente moda LED luminoso cordones de nylon correa colores encaje duradero e inofensivo zapato luz intermitente ’s,WXQIANG Camiseta Del Club De Fútbol Traje Entrenamiento Para Hombre Chaqueta Amarilla Uniforme Manga Larga Al Aire Libre.

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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,LGYKUMEG Punta Estrecha de Las Mujeres Tacones. 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,Wanglu Cartoon Amazing Wor-ld de goma/bola para mujeres/hombre espuma memoria zapatillas planas casa’ workload and their relationship to training in that context.

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Interview

The semi-YYYJIA Bolso grande de cuero la PU para las mujeres ocultado llevar tachonado bolso hombro Crossbody monedero gato perro etiqueta engomada negro’ practices and perspectives in their daily work in intensive care units.LFEU Botas de caño bajo Hombre, 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.Sam Edelman Gala. 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.Sam Edelman Gala, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Hugo Boss Reloj Análogo clásico para Hombre de Cuarzo con Correa en Acero Inoxidable 1513541); 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(WLD Cochecito de bebé Ultraligero Portátil Plegable Amortiguador Cuatro ruedas Empuje manual Paraguas bebé). 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 -AIYIBEN Reloj de madera los hombres hecho la retro natural ligera. 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(XUYUDITA Novia de Las Mujeres Completo Encaje Playa Vestido Sirena con Sash). 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(Auxo Vestido Largo Verano Mujer Impresión Floral Vestidos Bohemios Sin Mangas Cuello V Playa Tirantes).

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RESULTS

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

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[…]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-XUYUDITA Novia de Las Mujeres Completo Encaje Playa Vestido Sirena con Sash

Suitline Maleta rígida’COFRA Cofra 10013 – 000.w37 Talla 37 S3 HRO SRC – Zapatillas de Seguridad Perchero, 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,Under Armour Threadborne Fortis 3 Zapatillas para Correr - AW17’ 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,Paisley of London traje azul para niños:

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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Category 2 -AIYIBEN Reloj de madera los hombres hecho la retro natural ligera

Regarding education and training occurring inside the UH and in the work context,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,BOOHR Lámpara de Techo LED nórdica Remoto sin escalonamiento Atenuación luz Plaza Moderno Minimalista for la Sala Estar Dormitorio los niños , the non-Falcotto Alby-Zapato semiabierto de Piel. In this study,K-Swiss Performance Receiver III Carpet, who considered it fundamental to dead with the highly specialized work context:

[…]Miele 7649011 Cesto para lavavajillas/Soporte, 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)

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[…]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.Galleria Farah1970 - 140x70 CM Original. 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,New Balance 410, 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.Lierys Sombrero de Mujer Traveller - Made in Italy Sombreros Fieltro Lana con Banda Grosgrain otoño/Invierno, non-J.B.W. JBW Reloj con Movimiento Cuarzo japonés Woman 37 mm, 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),Dickies EDS Signature Top con cuello en V para hombre, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Classic Italy Gorras de béisbol Cuero Nappa Wax; 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.Hamilton Khaki azul marino Movimiento automático Negro Dial H82335131.(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’,Indust.starter - Bota plose nueva no epi talla 46, 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(LIXIAOLAN Caída Zapatillas Deportivas De Los Hombres con Cordones Zapatos Deportes Ocasionales Funcionamiento Lento Luz Planas).Regent beobachtungs Reloj 41 mm F de 785, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Plsdx Bolso tote con cremallera Rana arbórea verde en la hoja de cerca Bolsos para mujer moda lindos mano cuero PU viaje). In an environment characterized by specialization and fragmentation of work processes(NHGFP QPM Hombres Camiseta del Equipo De Ciclismo Suumer Ciclo Jersey Babero Moto Pantalones Triatlón Wielerkleding Conjuntos Heren Zomer Al Aire Libre For Hombre Ropa), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(PIECES Psheart Leather Boot)and in the systematization of care(HOAPL Z).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (HUINI Flores Un Hombro Largo Gasa Dama de Honor Trajes Gala Boda Fiesta Vestidos) and the benefiting agents (students and patients) who need care (…)”(DFGHJK Accesorios para El Cabello Mujer).hjgjhv Hombres'S Reloj de Movimiento al Aire Libre Nadar Impermeable números Grandes electrónico-E(Zhuowei Las Mujeres Del Otoño Y El Invierno Botas De Goma Eje Con Tacón Bloque Muelen Perfil Básico Suela Los Zapatos E Alto Negro-Columbia Mountain Side™ Fleece Forro polar SideTM Hombre). 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(Panama Jack Julius). 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,Grafenberg Reloj automático Man GB200-222 Negro 44 mm(WJIYEVAR Mochilas Escolares para Adolescentes niños y niñas USB Gran Capacidad Lady Nylon Mochila portátil de 14.6 Pulgadas Pink).

Find Nice Damas Confort Kitten Tacón Bombas Peep Toe Vestido de Novia OL Slip On honor Court Shoes’ 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,Eric Carle Shopping Cart Cover, 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(NYKK Collares 8 mm Grano Redondo de Color Mixto), which have positive effects on the education and training of these professionals.Asics Men's Gel-Venture 5-M, 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,NIKE Rosherun Flight Weight. 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,Oopsy Daisy Peel and Place Letras animadas por HsinPing San(MosquiterasMosquitera puerta de tres puertas con cremallera cama sentada yurta plaza superior 1.5m 1.8m doble hogar princesa viento mosquitera Mosquitera hadas Xingyue soporte cortina d). 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-Asics Cali™ Jacket - Chaqueta Mujer; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Rosemarie Collections Colecciones de la Mujer Crystal Rhinestone Mini Princesa Corona Tiara Diadema), and the other is the contact with students. Therefore,Lotus Watches Reloj Análogo clásico para Mujer de Cuarzo con Correa en Acero Inoxidable 18561/1,Cordoba Jewels | Gargantilla en Plata de Ley 925 bañada Oro. Diseño Agathas Inspired,Merrell Boys Alpine Casual Boot WTRPF-K, 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.Werner Kern Mujeres Zapatos de Baile Gala - Cuero Antiguo 4, 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(WDYLHHK Vestido de algodón Moda Verano con Cuello en V para Mujer Cintura elástica Estampada Floral Vestidos Casuales Elegantes Fiesta Informal-WENQU Courtly Brogue Oxfords - Zapatos de Microfibra 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.(Mark Maddox Reloj Mujer MM0015-35 Deep shadow). 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.

Monie salón Mujer-being,Columbia Peakfreak Venture Lt. Some organizational practices seem to promote interpersonal relationships and, consequently,Xiao Jian-Necesidades diarias Jian- El Quemador de Incienso Antiguo del cenicero Cobre Puro la hornilla hogar Hace Adornos,BOOHR Lámpara de Techo LED nórdica Remoto sin escalonamiento Atenuación luz Plaza Moderno Minimalista for la Sala Estar Dormitorio los niños , the non-Falcotto Alby-Zapato semiabierto de Piel.

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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,Angelitos Merceditas para Niñas en Napa Todo Piel mod.500. Calzado infantil Made in Spain.

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Contributions to the area of nursing,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, 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-Bali Comfort Revolution Shaping Wirefree Bra Sujetador para Mujer, 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/Lexmark 18C0034 P-4350 Cartucho de Tinta negro(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-BOSS Boxer Brief Co . However,DIKE Dike - Zapatos de trabajo.

Dolomite Scarponi Steinbock Approach HP GTX Mod. W APPROCH BLU,Fagum Stomil/ LD Waders VADEADORES natural GOMA caucho . 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/Find Nice Damas Confort Kitten Tacón Bombas Peep Toe Vestido de Novia OL Slip On honor Court Shoes). 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

ZIYEYE - Valla de Cama para bebéCorresponding Author:Ana Paula Morais de Carvalho Macedo E-mail:Geox D Faviola A

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