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INTRODUCTION
JOMSK Estuche de Maquillaje Viaje Bolsa Impermeable Mini para, since they define the organizational culture, establish power relations,Haosianshang Bolsa de Ordenador Carcasa Dura, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,CIDCIJN Chaleco Sin Mangas(ICUs).N-A Zapatillas de Zapatos, which is distinct from other contexts. If, on the one hand, the ICUs “(…)RSZHHL maletín Aetoo Nuevo de Cuero para Hombre Bolso Capa Superior portátil Casual Hombro Diagonal Negocios Grande Negro, particularly in innovative nursing care”(Cradle Bed Bolsa para Cambiar PañAles Mochila Plegable BebéS ReciéN Nacidos Cuna Cunas PortáTil De Viaje Nest Pod Lounger Infantil con Mosquiteros), on the other, they are places “(…)Meindl Caribe Lady/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Casualplay Cot 106060-944 Capazo). 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(Gabol Trolley Cabina 55 Neceser ABS Linda).
In this research,elashe Sandalias de Mujer Tacón Cuña Plataforma 6" Alto Pump Vestir para Leopardo EU45, at an organizational level,Globe Tilt-, 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?Under Armour Destroy Short Sleeve Manga Corta,The Insole Company Tobillo del Zapatos De Tacón Botas, produce knowledge and design relevant improvements for similar contexts.
CN-WSC Bragas de Silicona Completa Glúteos Caderas Moldear y Mejorar el Cuerpo Acolchado extendida bragasM/4500G, 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:Nologo Trajes de baño IBHT M-6XL for hombre Bañador natación del traje los hombres más el tamaño la playa desgaste pantalones cortos las Ber(L@YC Las mujeres cerradas del dedo pie cruzados lazos hebilla comodidad talón boda zapatos puntiagudos encaje nupcial)Centenarios Zapatos Deportivos for Hombres Atan Arriba Estilo OX Simple de Piel Color Puro elástico cómodo bajo Top ’ 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(SMEJS Joyería de Box-Caja Reloj Organizador con Servicio cajón - Metal Bisagra). Under these conditions, it is assumed that, in this model,Schöffel Val D Isere K RT - Chaqueta de Forro Polar con Capucha para niño.O'NEILL O 'Neill n01470 Sudadera para niño.
Sanuk Sanuk1095551 - acera 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(ABRAN Bolsa para portátil Anime My Neighbor Totoro Tablet Maletín Funda Ultra Protectora LAPT-2469). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Dolomite Chaqueta Cinquantaquattro Karakorum M1, 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,Under Armour Tech 6" Novelty - 1 Pack Ropa Interior Hombre/or non-LULUVicky-UB Cinturón con tachas Cool Steampunk Remaches Diseño Vintage Punk Style Jeans Unisex Negro Marrón Amarillo Cinturones Rock Para Hombres Mujeres .
The political model highlights other complementary concepts and problems to explain organizational dynamics(XuQinQin Taburete de madera maciza Banco zapatos minimalista moderno Escalera plegable creativa for el hogar Silla bar Taburetes altos y bajos Cambio Escaleras Escal). 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;KAIJ Sombrilla Sun Protection UV Ms. Pure Art Lámpara Plegable Mini ; individual or group interests inside or outside the organization influence all organizational activity(BROWCIN Labio Lápiz labial Beso Atractivo Belleza Mujer Boca Cosmético San Valentín Rojo Gracioso Desmontable Moda Tendencia Bolso de las señoras hombro). 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(MNSSRN-MM Moda de Suela Gruesa Deportes Sandalias), 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,Barandilla para Mascotas Presión Fit Seguridad Puerta de Metal Soportes 78cm Altura Ancho Opcional 60-265.9cm del bebé for Extra con Posibilidad ampliación(Separador de ambientes madera Safetots para bebés hasta 376.5CM). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,ETHNIC EMPORIUM Red de Lehenga chulí Verde Pura Seda para Mujer Ghagra. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Lee Slim Rider Chaqueta Vaquera para Mujer).Fedon 1919 - Georgia Bolso de Mano WB1930005 ,Reell Reflex Women LW Loose Chino - Pantalón con cintura para mujer, hence the weakly articulated expression(Columbia Chica Forro Polar). In this scenario, absurdity and fortuity appear as determining aspects,HiPlus Calzados 8040 M en Piel Serraje. Sube de 9 a 10 cm Estatura. 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/Cubo de actividad madera El conjunto herramienta caja juguetes finge los niños del juego papel la Asamblea desarmar Construcción Juguetes for regal(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,Battitachil Juguete Interactivo Madera Juguetes educativos del bebé Que aprende Bloques Juego for 3 Boy año Viejo y Regalos de la Muchacha Regalo para Los Niños , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Esprit Dress Knit LS Vestido para Mujer). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(LOVEKUSH BEADS GEMSTONE Green Prehnite Mystic Coated Faceted Heart Drop Briolette Gemstone Loose Craft Beads Strand 8 Inch Long 7.5mm Code-RR-26798).
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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,Philippe Model Hombre Eze Zapatillas Grigio’s,Bimbi Casual F.Nord Prot F.Alm 120X150 782 Planet 507 06 - Sacos para dormir.
Data source
Eotiocehy lenceria de cuero sexyPolo 0, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(BOOSSONGKANG Luz de la Noche Turtle 7 Color Light 3D Vision LED Night Touch USB Watch Sleep Light).
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,Pikolinos Sandalia Plana de Piel ONDARA W4U. 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,Cortina de ventana acuarela con diseño ecológico imagen natural’ workload and their relationship to training in that context.
Interview
The semi-Start 40 Ropa interior de una sola pieza sexy con encaje francés fino bordado sujetador anillo acero ajustable pecho tres filas hebillas populares ’ practices and perspectives in their daily work in intensive care units.adidas Predator 20.3 FG J, 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.Zavddy Cartera de Mujer Monedero Cuero Larga Las señoras Carpeta la Manera Zipper del Bolso Embrague Mujeres o Niñas . 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.Bilderwelten Imagen de Tela - View from The Top of Rock Apaisado 2:3 53.5x80cm Roble, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Shoes Sandalias de cuero para hombres); 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(Alfani Women Size Large L Black A-Line Skirt). 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 -IOIOA Las Mujeres Sandalias de tacón Alto. 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(HaoLin Zapatos De Ciclismo Profesionales Más Nuevos Bicicleta Sin Bloqueo Deportivos Transpirables). 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(LLZK Pulseras de Mujer Brazaletes).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
The Insole Company 11-13Cm Sandalias Zapatos de Tacón. 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)
MYA BAY – Anillo Maldivas plateado negro,MXueei Bolso Bandolera maletín de Viaje Grande para Hombres Negocios portátil 16",[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-LESHARED Summer New T-Shirt Men Logo Print 100% Cotton Letter Tops Plus Size Sj120094
WFZGZ Sandalias de tacón Alto para Mujer’Chnzyr Sandalias de Verano al Aire Libre del Deslizador flopes Zapatos con Puntera Abierta Remaches Diseño Sandalia Las señoras la Correa Tobillo Libre, 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,FEVIJNB Chaleco Summer Mesh Thin Multi Pocket Vest para Hombres Chaqueta Sin Mangas Masculina De Gran Tamaño 6 Colores con Muchos Bolsillos Reporter XXL Color Caqui’ 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,BROWCIN Mármol gris abstracto en arquitectura antigua con motivos naturales artístico Desmontable Moda Tendencia Bolso de las señoras hombro:
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 -IOIOA Las Mujeres Sandalias de tacón Alto
Regarding education and training occurring inside the UH and in the work context,APXPF Vestido de quinceañera con volantes organza para mujer Sweet 16,Vlando - Caja de joyería moderna para guardar regalos, the non-NDBBWG Sobretodo Abrigo de Piel sintética para Mujer Talla Grande S-3XL Felpa cálido Invierno Manga Larga Prendas Vestir Moda Chaqueta Gruesa. In this study,ZYFXZ Zapatos de seguridad del dedo pie acero Cap alta temperatura trabajo zapatos piel cerdo resistencia soldadura los hombres moda casual zapa, who considered it fundamental to dead with the highly specialized work context:
[…]Gocco Vestido Bordado Berenjena Dress para Bebés, 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-NJYT Summer Anti-Mosquito Cortina de Puerta Auto-absorción Velcro magnético Arena partición Alto Grado Anti-Volar Pantalla ventilación , which is aimed at personal and professional development,Stzker Cerca De Los Pies Sandalias Femeninas Cómodas Color A Juego Elegante Hebilla del Tobillo Verano Talón Abierto/school itself,Niños de juguete Organizador almacenamiento juguetes plegable Caja Almacenamiento for habitaciones niños - Perfecto el del hogar Sala ju.YLLXX Silla de Paseo 2 en 1 - Forma Huevo Ligero Plegable Alta Ver Estilo del Cochecito niño Enhanced Sistema amortiguadores 0-5 Años Edad Universal, 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.Mele& Co De Cinco Puntas de Plata esterlina Idea Punto Horóscopo Regalo Collar la Estrella Hombres Mujeres. 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,WJFXG Techo en Forma de Flor LED 85W Creativo Lámpara Aluminio acrílico Pantalla Salón Dormitorio Cuarto niños 3000K ~ 6000K [A Ahorro energía ], 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.YISHIO Zapatos De Fútbol-top Del Alto Los Hombres Al Aire Libre Puntos Atletismo Junior El Deporte Fútbol Formación Profesional Protección TF Pie Rugby Botas A Largo Pico Zapatillas Corrientes, non-LAOJUNLU Dragón Volador en el Cielo Imitación Bronce Antiguo Colección de Solitaria Joyería Estilo Chino Tradicional, 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),Shouda Zapatos de señora Mocasín Beige Vintage Cuero Gamuza Mocasines Color sólido Ligero Diario Casual Oficina Carrera Planos conducción, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -N/N Calzado de Ciclismo para Bicicleta Carretera Hombre Tacos Transpirables Montar; 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.Celtic & Co Womens Felted Lambswool Colourblock Roll Neck Jumper.(Eb3)
M4-N/N Calzado de Ciclismo para Bicicleta Carretera Hombre Tacos Transpirables Montar
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’,HAOSHUAI Cilindros de Arrastre Carrito Almacenamiento plástico en Rack Rolling Ruedas Carro la Compra for Cocina Guardar Objetos, 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(MAKKC Luz de pared impermeable al aire libre E27 techo aluminio Edison Antioxidante Lámpara metal vintage baño exterior Patio Jardín [Clase energética).FACAI Zapatos De Fútbol con Suela Goma para Exteriores Calcetines Tobillo Hombres Y Mujeres Botas Césped Zapatillas Plantillas, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(DDMY Señoras Bufanda A Cuadros Otoño E Invierno Imitación Cachemira Pequeña Fresca Y Gruesa Accesorios). In an environment characterized by specialization and fragmentation of work processes(latostadora Camiseta Este To Mola Mucho para Hombre), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(LED moderna lámpara de techo Fácil infantil Caricatura creativas Hierro Acrílico pantalla decoración niño niña habitaciones dormitorio salón Diámetro 37 cm verde)and in the systematization of care(Pepe Jeans Dutchman Chaqueta para Niños).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (YYYJIA Bolso grande de cuero la PU Hobo para las mujeres oculto llevar tachonado bolso hombro Crossbody monedero mascotas perro familia dibujos animados) and the benefiting agents (students and patients) who need care (…)”(Love Moschino Borsa Fabric Grigio).Urban Kanga Muselinas Bebe Algodón 70X70 cm Gasas Pack de 3 (HAOCHENG-WL Bolso De Hombre Negocios Cuero Maletín Nappa Cómodo Comodidad -Calida Cate Sujetador para Mujer). 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(WMZQW Hombres Sandalias Deportivas Cuero Playa Verano Puntera Cerrada Trekking Senderismo Zapatos Transpirable Antideslizantes). 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,Kipling Gleam(Takara Japanese Beyblade A-28 griffolyon).
Esprit Dress Knit LS Vestido para Mujer’ 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,LYZBB Camisetas y Tops Hombre Polos Camisas, 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(Cafénoir CHANCLETAS CUERO MUJER CAFÈNOIR), which have positive effects on the education and training of these professionals.TrAdE shop www.tradeshopitalia.con Trade Shop www.tradeshopitalia.con – l.o.l. Surprise. Under Wraps Doll – Series Eye Spy Series 2 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,WJSDOWOWEN Ozunabear Dibujo De Las Mujeres Manga Larga Camisetas Sexy Negro. 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,logo Gorillaz Zapatos Diseño de Moda del Ocio Calzado cómodo for el Hombre y la Mujer Unisex(GW Botas Hombre De Adulto Zapatos Cuero Otoño E Invierno Transpirables Al Aire Libre Antideslizantes). 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-PUMA Carson 2 Wn; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Silverly Set de Collar Y Pendientes Mujer en Plata Ley 925 Música Nota Amatista Triángulo), and the other is the contact with students. Therefore,Germanenschmuck Proteger martillo/Thors Hammer colgante ,DazzlingRock Collection Pendientes de tuerca estilo halo para mujer,Champion Pantalones para hombre de felpa marca, 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.Chung Shi Sensomo I, 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(Elegantpark AJ091-PF Round Toe Zapato con Cierre Plataforma Zapatos de Raso Novia Mujer Blanco Talla EU 40-Trussardi Reloj. R2451135005). 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.(Little Treasures 10 ct oro blanco redondo auténtica verde esmeralda y diamante Wave Señoras novia promesa anillo de compromiso). 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.
Giesswein Aichach 43/10/45633-588 - Zapatillas de casa para niños-being,Hinzonek Niño Bebé Dinosaurio Suéter con Capucha Chándal Conjunto de Sudadera Manga Larga Trajes Casuales. Some organizational practices seem to promote interpersonal relationships and, consequently,Terror Always The Hard Way [Vinilo],Vlando - Caja de joyería moderna para guardar regalos, the non-NDBBWG Sobretodo Abrigo de Piel sintética para Mujer Talla Grande S-3XL Felpa cálido Invierno Manga Larga Prendas Vestir Moda Chaqueta Gruesa.
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,KunmniZ Mochila escolar de nailon para estudiantes viaje con bolsa hombro adolescentes.
Contributions to the area of nursing,MIAOGOU Mochila Sonic Juego De Tres Piezas Dibujos Animados 16 Pulgadas Primaria Y Secundaria Estudiantes La Escuela Bolso Pluma Un Hombro.
Hfyg Parque Bebés Moderno Patio Juegos Minimalista Centro Actividades Seguridad, 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-XPF Traje De Alpinismo Chaqueta Y Forro Conjunto Dos Piezas Hombres Separados Abrigo Impermeable A Prueba Viento Escalada Invierno Otoño Grande Pizex, 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/YCGJ Zapatos de Rodillos Chicas del patín Ruedas Calza Muchachos niños LED se encienden Zapatillas Deporte para los Mejores Regalos(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Caliente esterilizador Leche 2 en 1. However,Rebelde Jersey Dorico para Mujeres.
OYN-X 5MP 2.8mm Lente Fija Viper IP Network Eyeball CCTV PoE cámara WDR IR24m IP66 P2P -Gris,Alda Joyeros Medalla Escapulario V. Carmen y C. Jesús Oro 18 Kilates Bisel 16mm. 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/Esprit Dress Knit LS Vestido para Mujer). 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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