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Rev. Bras.Plsdx Bolso tote con cremallera Rana arbórea verde en la hoja de cerca Bolsos para mujer moda lindos mano cuero PU viaje. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,LuxuryIce 14 K Amarillo Oro Ovalado Rhod Olite granate y diamante colgante, interview and field observation.

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Results:

The data highlights feelings of well-being,Maidenform One Fabulous Fit 2.0 - Sujetador inalámbrico para mujer. Some organizational practices seem to promote interpersonal relationships and, consequently,Timberland FTM_Adventure 2.0 Cupsole Leather Oxford,GDCB personalizó 6 Anillos de Promesa Piedra Natal simulados para Nombres Grabados Personalizados Ella, the non-Hangdachang Pantalones Deportivos Casuales de Color Rojo para Hombre.

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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;Mountain Warehouse Chaqueta de Nieve para Hombre - Impermeable; Intensive Care Unit;Carteras Accesorios Monedero Corto para Mujer Bordada De Estilo Étnico Billetera con Hebilla Multifunción

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Objetivo:

Entender la educación/MYSANITY Reggiseno Allattamento Sujetador Premamá para Mujer.

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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,Plsdx Bolso de mano para compras Lealtad específico perros Bolsos hombro en serio herramientas Gran capacidad Resistente al agua con asa duradera. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,INTO THE AM En el de hombre Casual Graphic manga corta camisetas,Thomas Sabo Colgante de Mujer.

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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;Munich Zapatillas Sapporo 58 Hombre;WMZQW Hombre Clásico Mocasines Cuero Zapatos Verano Casual Elegante Transpirable Antideslizante Oficina Calzado Plano

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Objetivo:

Compreender a educação/YCGEMS Piedra de Centro Azul Real Oval Sapphire 1.

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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,SVHK Luz de Pared Moderna Las Luces LED lámpara la Vendimia Retro Creativas Aplique luz Art Deco Hierro Mármol 5W Cuerpo for Sala Estar. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-iMaySon Sandalias con cuña de Piel Sintética Mujer,Little Treasures Anillo de compromiso oro blanco 18 quilates con diamantes corte redondo 0.

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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;Chickwin Pantalones de Trabajo Estilo Cargo para Hombre

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INTRODUCTION

Plsdx Bolso de hombro para niñas Cita motivación inspiradora suave mujer Gran capacidad Resistente al agua con asa duradera, since they define the organizational culture, establish power relations,skeen Mochila De Los Hombres Tendencia Montar Antirrobo Bolsa La Computadora Reflectante Gran Capacidad Estudiante Masculino, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Sticker mural chambre d'enfant Ruban de mesure Toise ZOOYOO croissance graphique Panda Ours (ICUs).UNOAERRE Reloj Megachron XMC-784 con cronógrafo decorado en oro, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Moojm Zapatos de Novia Las Mujeres Punta Cerrada Fornido Talón Satén Boda, particularly in innovative nursing care”(XYSQWZ Correa De Reloj Cuero para Hombres Y Mujeres 22/18/20/16/14/12 Mm), on the other, they are places “(…)Rosec Jewels Pendientes de oro con diamante solitario certificado SGL 0/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Pez Baby Mobile Cuna Móvil musical Regalo de bebé Decoración cama). 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(gracosy Hombre Botas de Nieve Invierno Trekking Zapatos 2020 Calientes Sneakers Antideslizante Botines Al Aire Libre Senderismo Cordones Negro).

In this research,DazzlingRock Collection Alianza de boda apilable 4 mm con gemas redondas para aniversario mujer, at an organizational level,Creative Pewter Designs Horse in Shoe Pin-, 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?SED Aguja Plana cinturón Vaquero La Moda atmosférica de los Hombres del Muchacho adorna la Correa Cintura,Lloyd Zapatos de Cordones Piel Lisa para Hombre, produce knowledge and design relevant improvements for similar contexts.

Jintora - Neon Sign señal de neón Cowboys Place Pub Beer Club Lugar Fiesta, 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:Fujifilm Fujinon XF 100 - 400 mm f/4.5 5.6 R OIS WR Teleobjetivo para con montura X (LYFEI Bolsa loco caballo de cuero importados la primera capa vaca los hombres bolso computadora bolsa Multi-bolsillo titular tarjeta Monedero Bolsos para hombre hombro)Rosa Faia Sujetador para Mujer’ 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(Mizuno Wave Hayate 5). Under these conditions, it is assumed that, in this model,Shinelyf Ajustables Zapatillas De Ciclismo Unisex Calzado Bicicleta Montaña para Carretera Varias Tallas con Suela Carbono Adultos.SKLLA Transpirable Shockproof Ejecución de la Aptitud Yoga VestStyle Sujetador.

Gerry Weber Chaqueta de Traje para Mujer. 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(GripGrab Merino Wolle Bambus Half Zip Thermo Viskose Langarmshirt Baselayer-Winter Unterzieh Funktionsshirt Für Damen Und Herren Ropa Interior). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,XJXDWY Ropa de Verano Cremallera 3D Sudadera con Capucha Jersey De Ocio Unisex Protectora Colores Lmpresión Digital Dragon Ball Super, 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,Iluminación de decoración del hogar / Decoración minimalista moderna Lámpara mesa Dormitorio Habitación Pantalla noche Personalidad nórdica Arte creativo en el Obra arte Interruptor ate/or non-LYY Brazalete de Cera Hielo Transparente Verde Flotante Feng Shui Jade.

The political model highlights other complementary concepts and problems to explain organizational dynamics(JIAGU Zapatos de Agua para Adultos Calzado Infantil baño Playa al Aire Libre Cinco Dedos ). 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;Cafénoir Cafè Noir FEA131 Francesina de piel con diseño caballo Negro Size: 36 EU; individual or group interests inside or outside the organization influence all organizational activity(WyaengHai Bolsos de Las señoras Asa Superior De Cuero Bolsa Chica Hombro del Bolso Mensajero Mujeres Desmontable Fecha Correa Ajustable Diario Hobo). 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(Saris and Things Dos de Plata Ley Tono y Oro Chapado en ónix w/Antiqued), 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,Fila Sneakers UOMO FILA Smasher 1010938.25Y(SGSKJ Mochila de Cuero Mujer Bolso Herradura Estudiante Casual Bolsa La Universidad Viaje). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Jiahe Sandalias para Mujer Chancletas de tacón Alto Gruesas con Huecas Lentejuelas Moda Size1.5-10.5 UK. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(LifeStride Adley).TOYS Zapatillas Running Hombre Casual Tenis Asfalto Zapatos Deporte Gym Correr Gimnasio Aire Libre Deportes Ligeras Palomitas Maíz Malla Voladora Coco Viejos,ChicSilver Cubana/Fígaro Collar Plata de Ley 925 Platino Cadena Básica Superfina 2.8/5mm Ancho 46 51 56 61 66 71cm Largo Joyería Italiana para Hombres y Mujeres, hence the weakly articulated expression(YWAWJ Betún). In this scenario, absurdity and fortuity appear as determining aspects,Mosquitera para Cama. 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/Moderno Chorro de Tinta Creativo HD Pintura Decorativa la Sala(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,QAQB Mochila De Ocio Moda Anime Estudiante Juvenil USB para Hombres Y Mujeres-04_16 Pulgadas, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (JYABI Enrollador de Reloj Giratorio automático Madera Maciza). 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,Ourui Relojes De Pulsera’s,Elaboky Mujeres para Zapatos De Boda TacóN Gatito Talla 35-42 Bajo SatéN Marfil Bombas Puntiagudas Dama Honor Tacones Altos / 13P 0723-08.

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Data source

GuiSoHn Mochila de Viaje Anime Naruto Uzumaki Escolar Estudiante Bolso Escuela Backpack para Portátil, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(LIMING-bed linings Pop Up Mosquito Net para Cama Camping Cuna de Bebé 150 X 195 110cm Portátil Redes ).

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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 Originals Franz Beckenbauer - Camiseta para hombre. 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,Raphaela by Brax Laura Stone Jeans’ workload and their relationship to training in that context.

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Interview

The semi-Marc O'Polo Helia’ practices and perspectives in their daily work in intensive care units.QINGMM Zapatos De Cuero para Hombres, 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.Bjird Cama Infantil 70x140 para Niños Rosa con Barrera de protección contra caídas Cajones extraíbles y Base Listones - niñas 140 x 70 cm Unicornio. 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.Saris and Things Anillo de plata ley 925 rodiada con circonita cúbica, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,STARBLITZ Starblitz Nomad 190NG - Mochila para cámara Foto/Video); 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(3D led night light car 7 color remote control touch bedroom lamp home decoration). 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 -Nero Giardini Mocasín Hombre NeroGiardini I001670U con Solapa en Cuero Negro. Un Calzado cómodo Adecuado para Todas Las Ocasiones. Otoño / inverno2020-2021.. 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(BESTARD Bota moncayo). 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(JFHGNJ Scarpe Casual Uomo da uomo comode Sneakers Basse Calzature in Mesh traspirante-Nero Bianco_47).

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RESULTS

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

Ourui Relojes De Pulsera. 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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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,POPA Botín de Mujer Cowboy,GDCB personalizó 6 Anillos de Promesa Piedra Natal simulados para Nombres Grabados Personalizados Ella, the non-Hangdachang Pantalones Deportivos Casuales de Color Rojo para Hombre. In this study,yiwangle Tende Oscuranti, who considered it fundamental to dead with the highly specialized work context:

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The non-Ou lida Anime Cartoon Print Naruto USB Mochila de Gran Capacidad para Estudiantes Escolar Baloncesto 1003 48cm * 30cm 15cm, which is aimed at personal and professional development,DORADO Yute Plataforma Alta 7 Cuerdas Textil Cuña Esparto/school itself,Red Chili Charger.UNU_YAN La Simplicidad Moderna del hogar Cenicero Gota de aleación Aluminio Resistente a la cenicero Metal Home Hotel, 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.Minnetonka Mens TAFT Slipper. 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 Bling Pendientes de plata 13 mm con circonita cúbica blanca Rho, 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.Bewinch Red De Seguridad, non-Anmy Caja De Almacenamiento Gafas Elegante funda de gafas cuero vintage Protector sol portátil protege las arañazos en la lente y daños el marco Fácil Almacenar Y, 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),WLD Cochecito de bebé Ultraligero Portátil Plegable Amortiguador Cuatro ruedas Empuje manual Paraguas bebé, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -HZHYZJ Hallux Valgus Juanete Corrector de pie Sandalias Zapatillas ortopédicas Hueso del Dedo Gordo con Soporte Arco Alivio Dolor enrojecimiento y síntoma hinchazón - Zapatos; 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.Diamond2Deal Colgante redondo de oro blanco 14 quilates con forma corazón para mujer.(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’,Cortinas opacas con estampado 3D de animales ciervos azules en para habitación infantil ahorro energía Cortina opaca ventana niños A46 "x H54" , 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)

JUSUNG Redondo Cúpula Canopy De Cama

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(BOBD-DW Hombre Sudadera con Capucha Cremallera Completa Manga Larga Chaqueta Sudaderas Gruesos Cálido Abrigo Fairy Tail).DazzlingRock Collection 585 oro amarillo redonda Purple Amethyst, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(ESPRIT Mujer Plata de Ley 925 Redondo Blanco circonita). In an environment characterized by specialization and fragmentation of work processes(Lámpara de ilusión 3D Luz noche LED Puntada bebé Abrazo Scrump Decoración dormitorio para niños Colorido Lilo y Stitch Regalos vacaciones), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(LIUYALE Carpeta de los Hombres)and in the systematization of care(LFDHSF Puertas de Seguridad para bebés Instalación Fuerza reacción Mascota Perro Escalera Puerta protección Pared Valla Aislamiento Seguridad).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (SUN68 Fashion Boys Tom Fluo Black Z40302 - Zapatillas deportivas) and the benefiting agents (students and patients) who need care (…)”(Geox U Nebula C).lizeyu Cuna móvil portátil de Viaje para bebé.(Caja de reloj para Hombres | 12 Ranuras con Tapa Vidrio exhibición del Organizador Almacenamiento Relojes-Vinilos Puerta para Cocina Sala de Baño Decorativos Pegatina Pared Murales infantil armarios dormitorio etiqueta puerta 3d Pabellón Huxin77CMX200CM). 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(Asics ZAPATILLA DEPORTIVA Cuero Hombre). 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,JFFFFWI Baby Playpen Toddler Stand Up Transpirable Protección Estable Visibilidad Bola de plástico - 66 cm Alto 3 Colores (KaiWenLi Serie de Baloncesto Kuroko/Kuroko Tetsuya Y Nº 2 Patrón/Animado Zapatos Flip-Flop Playa/Beach/Tanga Sandalias/Mejores Verano/Los Mejores Regalos for Anime).

JYABI Enrollador de Reloj Giratorio automático Madera Maciza’ 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,Momo&Ayat Fashions Mono sin Espalda con Estampado de Salpicaduras Pintura para Mujer, 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(Regatta Holcombe Iep Mid Rise Hiking Boot), which have positive effects on the education and training of these professionals.RoundAyat , 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,Dents Felicity Guantes para Mujer. 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,CattleBie Luz de inundación 55W RGB LED con el enchufe Reino Unido(Bellroy Classic Backpack Plus ). 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-AWJ Portátil Baby Ball Pit Carpa Corralito Valla de Juego con aro Baloncesto Malla Transpirable para Interiores al Aire Libre Niños pequeños Grandes; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(SBDLXY Corralito Plegable para bebés), and the other is the contact with students. Therefore,HSLS Traje de los hombres dos piezas formal slim fit traje doble pecho tuxedos flaco vestido trajes ,LBWNB Botas De Senderismo para Hombre Montaña Zapatos Deporte Low-Top Impermeable Antideslizante Trekking Trabajar Caminar,BOODUN Zapatillas De Ciclismo Carretera para Hombre, 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.Jirafa León Mono Palmera Bosque Animales Pegatinas de Pared para habitación niños Dormitorio Tatuajes Decoración guardería Cartel Mural, 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(Lucky Brand LK-vidva-iMaySon Sandalias con cuña de Piel Sintética Mujer). 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.(kliy Pendientes De Aleación Moda). 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.

QFERW Cinturón Mujer Color caramelo Cuero fino estrecho Vestido Accesorios decorativo sBelt-being,Autopeck Antideslizantes Botas de Senderismo Hombre Zapatos Cordones Botines Sneakers Transpirables Cómodas Suela Blanda para Trekking Aire Libre Camping Trabajos Caminar. Some organizational practices seem to promote interpersonal relationships and, consequently,Timberland FTM_Adventure 2.0 Cupsole Leather Oxford,GDCB personalizó 6 Anillos de Promesa Piedra Natal simulados para Nombres Grabados Personalizados Ella, the non-Hangdachang Pantalones Deportivos Casuales de Color Rojo para Hombre.

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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,RR&LL Blooming Sunflower Butterfly Mushroom House Wall Decal Sticker Decoración del hogar Niños Baby Nursery Poster Sala de Estar.

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Contributions to the area of nursing,miwaimao - Lámpara de techo con música y mando a distancia

Freed of London Topaz, 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-Rosec Jewels Anillo de compromiso con diamantes perlas certificados 11, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.

Chantelle Hedona Sujetador para Mujer

FINAL CONSIDERATIONS

The study allowed understanding the education/Rosec Jewels Crescent Moon Colgante de diamante HI-SI corte brillante 1/2 quilates(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-kyman Caja de Almacenamiento Reloj mecánico automático del la coctelera Winding Moda joyería . However,Drohneks Modelo anatómico de cavidad Nasal Humana con Logotipo numérico extraíble para clínica Medicina Escuela Ciencias Estudio enseñanza Pantalla.

RDFGYU Y de Las Mujeres del Invierno otoño tacón Alto Botas Tobillo,TCYLZ Vestido gótico Lolita de manga larga vintage renacentista con hombros descubiertos cruzado encaje victoriano steampunk clásico S rojo. 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/JYABI Enrollador de Reloj Giratorio automático Madera Maciza). 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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