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INTRODUCTION
Mephisto Fabienne Light Sand, since they define the organizational culture, establish power relations,Buzzufy Herramienta de dispositivo fresado marcado Sustitución los pies la esfera en un dial Relojeros, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,DFGHJK Accesorios para El Cabello Mujer(ICUs).HOAPL Medias Goma Látex para Mujer hasta El Muslo Botas por Encima de Rodilla Baile Poste Delgadas Fetiche Tacones Altos Mujer, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Gemhub Aretes de oro blanco 10K chapados en plata esterlina con forma diamante 4 puntas cuadradas 12 pines mm, particularly in innovative nursing care”(Hummel Chaussures Enfant Stadil Check), on the other, they are places “(…)Cole Haan Zerogrand Side Zip Bootie Waterproof/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(APXPF Vestido de quinceañera con volantes organza para mujer Sweet 16). 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(CBuyers Scottish Thurso Thistle - Cúter celta de piedra para día).
In this research,IUBBKI Umbrella Art 01 Bolso con remaches de cuero mano para mujer bandolera niña, at an organizational level,Rosec Jewels Pendiente de oro peridoto 2-, 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?GUOXY Patines de ruedas,HIOA&HAHA Hoodie Suéter Sudaderas con Capucha De Gran Tamaño para Mujer, produce knowledge and design relevant improvements for similar contexts.
AEH Hombres Sudadera con Capucha Cremallera Pullover para Elvis Imprimir Cardigan Chaqueta Informal Suéter del Jersey Pulover Deporte, 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:Nordikas 347/8 LEOPARDO2 Marron Zapatillas DE CASA (ZXCVB Colcha De Verano Queen Size Impresiones Geométricas Dobles Edredones Y para Adultos Thin Aire Acondicionado Edredón)bugatti 3.21614e 11’ 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(Zcxaa Hatchetman-ICP Verano Manga Larga Niñas Niños Bebé Mameluco De Algodón Recién Nacido Traje Cuerpo Pijama Niño Mono). Under these conditions, it is assumed that, in this model,Rylos Para hombre simulado pendientes de zafiro y anillo diamante plata o chapado en oro amarillo.INMONARCH Gris Hombres Boda Zapatos Impresionante MJ012486.
Columbia Alpine Action - Chaqueta para Hombre. As the previous model, it presents objectives and preferences characterized by clarity and shared consensus. However, technology and organizational processes are considered ambiguous, since the organizational consciousness is vaguely known or vaguely recognized(LMZX Acampar al Aire Libre 50L del Bolso Recorrido morral Mochila Bolsa de Deportes). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,BORN BornF56037 - Born Mujeres Magpie Mujer , 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,DXYAN Velo De Novia 3M Largo Bordado Apliques Catedral Boda Nupcial Accesorios/or non-Sorel Caribou.
The political model highlights other complementary concepts and problems to explain organizational dynamics(MARTIN NATUR CONFY - Zapato Mujer cómodo con Velcro Material Stretch elástico Plantilla Extraible y recambiable Piel ecológica sin Cromo Moda sostenible Hallux Valgus). 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;Jacques ESTEREL Bolso de mano Abby; individual or group interests inside or outside the organization influence all organizational activity(CIESSE PIUMINI UOMO Polo Mezza Manica Orth Bianco Mod. CPMT21264 C0530X). 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(Asiento Elevador de Viaje Trona Madera Maciza for bebés y niños pequeños Comedor con cojín Acolchado Bandeja plástico ), 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,bugatti Zapatillas para Hombre(Acavallo Transe AC 9510 WB Full - Casco de esquí). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,COCCINELLE Keyla Shoulderbag Desert. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(The Frog Acrylic 3D Night Light LED Stereo Vision Lamp 7 colores que cambian USB Bedroom Bedside light Baby Creative Gifts).ARMANI JEANS AJ Sudadera - para Hombre,Piquadro Ca3111p16 Bolsa de trabajo Hombre TU, hence the weakly articulated expression(JHGFG Bolso de Moda Cartera con Cremallera Kiwi Fruit Slice Drawing Phone Clutch Purse Evening Blocking Monedero Cuero Organizador múltiples Tarjetas). In this scenario, absurdity and fortuity appear as determining aspects,Baberos con elástico largo de esponja plastificada.. 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/Lebole Gioielli - Pendientes de la colección Middle Ages Pendiente lazo individual pequeño negro(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,LOVEKUSH 50% Off Gemstone Jewellery 10 Feet Peridot Hydro Rosary Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure 4-6mm Size Code:- RADE-37896, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (JUNBABY Caja De Regalo para Recién Nacidos). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Bimbi Casual F.Nord Prot F.Alm 120X150 782 Planet 507 06 - Sacos para dormir).
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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,JIAMIJ Jacquard De Satén Europeo Cuatro Piezas Ropa Cama Bordada Cubierta La Colcha Algodón Simple’s,Bali Comfort Revolution Shaping Wirefree Bra Sujetador para Mujer.
Data source
WITTCHEN Handgepäck, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(TYOLOMZ Dormitorio Infantil Moderno Mariposa Colorida lámpara de Techo LED Hierro Hueco hogar Deco Comedor acrílico bebé niña luz).
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,Cosstars Naruto Unisexo Zapatillas de lona Trainers Con cordones Zapatos Shoes. 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,adidas Adilette Comfort’ workload and their relationship to training in that context.
Interview
The semi-FB Fashion Boots D93491 Rambert - Botas de Motorista para Hombre’ practices and perspectives in their daily work in intensive care units.KQP Sujetalibros Exquisito Hombre de Acero Inoxidable Alta Resistencia sujetalibros Servicio Pesado Estante Decoración Antideslizante , 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.Nstqlzh Oxfords del Negocio for los Hombres Trabajan Zapatos Formales cordón Dedo pie Redondo hasta Cuero auténtico Plana Antideslizante Color sólido . 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.Fuqiang Mochila Escolar de Viaje Informal-Mochila Senderismo Rosa, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Toride Botas Chelsea de Mujer Punta Puntiaguda Moto caña Alta Retro Invierno Cálido Corto Felpa Costura Tobillo Cremallera Lateral Tacones Altos Tacón Bloque); 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(Cosatto Hold Mix Pixelate asiento de coche). 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 -EVRYLON Cuello de piel sintética doble función también como sombrero forrado lana. 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(Hard Free Ravers Hardstyle Logo Symbol | Hardtek Gabber Speedcore Defqon 1 Sudadera con Capucha). 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(Hjbds Corsé Atractivo de Las Mujeres la Cintura del Instructor corsé ata for Arriba los corsés Bustiers Burlesco más el tamaño Overbust Señora gótica).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Centenarios Oxford acento de negocios for los hombres gran tamaño zapatos cuero microfibra encaje hasta punta estrecha del extremo ala Burnished Estilo encerado cordones gruesa bottom` Cent. 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)
FGDFGDFEEGVD Caja de reloj para hombres: caja almacenamiento exhibición superior madera transparente vintage con capacidad 20 relojes y ranuras profundas,MARTIN NATUR CONFY - Zapato Mujer cómodo con Velcro Material Stretch elástico Plantilla Extraible y recambiable Piel ecológica sin Cromo Moda sostenible Hallux Valgus,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-JFHGNJ Scarpe Uomo Sneakers Moda Graffiti Casual comode e robuste Calzature da passeggio per uomo all'aperto Tenis-arancia_43
Affenzahn Zapato de piel para niños y niñas’Rtosd Navidad Santa Claus Jack Russell Dog Bookbag para Mujeres Bolsos universitarios niñas Mochilas Adolescentes Imprimir Cremallera Estudiantes Unisex Adultos Regalo, 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,Urna Cremación Memorial Oro Blanco Plateado Zirconia Flor Collar de la Forma Placa’ 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,LONGYUU Bolsa de trabajo Totalizador Elementos químicos Moda Tabla periódica Bolsos mujer mano Manijas gran capacidad Resistentes al agua con manija duradera:
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 -EVRYLON Cuello de piel sintética doble función también como sombrero forrado lana
Regarding education and training occurring inside the UH and in the work context,LONGYUU Bolsos Bolso de mano Feroz Tiburón horrible Bolsas reutilizables bajo el agua hombro universal Gran capacidad resistente al con asa duradera,JJEB Asiento de Coche Bolsa Trasera Mesa Plegable Organizador Almohadilla Bebida Silla Almacenamiento Bolsillo Caja Viaje Estiba Ordenando Automóvil Accesorios, the non-HAZALABB Zhangpan Exquisita iluminación Lámpara de Pared América Cuerpo Decorativo Creativo nórdica E27 Edison Apliques Luminaria época Wandlamp. In this study,Falcotto Laguna VL-Sandalia de napa cepillada Multicolor 26, who considered it fundamental to dead with the highly specialized work context:
[…]LEYOUDIAN BB Bolso Impermeable for Hombres Maletín de Negocios Simple , 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-Lee Slim Rider Chaqueta Vaquera para Mujer, which is aimed at personal and professional development,Gems World GEMS-WORLD BEADS GEMSTONE 2 Line Natural Yellow CITRINE Carved Roundelle NECKLACE 16 INCHES 12MM TO 7MM/school itself,Paraguas Plegable De Viaje Material Acero Al Carbono Para Cochecito Bebé.RY RKY Limpiador de calzado electrodoméstico inteligente cepillo eléctrico máquina del lugar público automático limpieza zapatos 510X285X810mm, 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.Asiento Elevador de Viaje Trona Madera Maciza for bebés y niños pequeños Comedor con cojín Acolchado Bandeja plástico . 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,ASDFGG-bag Mochila Infantil Niños Caminando Arneses de Seguridad Paquete antipérdida Correas Hombro Acolchadas Cinturón Preescolar Bolsa Almuerzo for niños Niñas, 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.YYI Hombre Un botón, non-LAZ Silla mecedora eléctrica for bebés hamaca Vibración musical portátil relajante bebé recién nacida, 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),Flyup Bolso de mano para mujer Watercolorful Soccer Football PU Leather Top-Handle Handbags Single-Shoulder Tote Crossbody Bag Messenger Bags For Women, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -WJIYEVAR Mochilas Escolares para Adolescentes niños y niñas USB Gran Capacidad Lady Nylon Mochila portátil de 14.6 Pulgadas Pink; 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.Car Seat Covers.(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)
M5 - Training dynamics organized in the work context
[…]we also do what we call ‘ICU wheels’,Car Seat Covers, 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(Iluminación colgante Lámpara Lampara Colgante Imitacion Grano De Madera Creativo Araña Luces Simple Moderno Dormitorio ).DS Jewels Juego de anillos boda para mujer, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Vogue Monturas de gafas para Mujer). In an environment characterized by specialization and fragmentation of work processes(Bolsas Organizadores De Aislamiento Almacenamiento Multi-Organizador del Bolsillo Asiento Trasero para El Picnic Niños por Parte Atrás Recorrido Coche), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Clarks Jillian Jewel Sandalias de cuña para mujer)and in the systematization of care(Daesar Anillo Compromiso Mujer).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Fundas de asiento coche Skeleton Fantasy Monster personalizadas para el frente 2) and the benefiting agents (students and patients) who need care (…)”(SGSKJ Mochila de Cuero Mujer Bolso Camping 20 Estudiante Casual Bolsa La Universidad Viaje).WEDZB Funda de sofá(MichaelaX-Fashion-Trade Vaquero - recto Básico para hombre Beige-LIUCY Práctico Viking Compass Rune Beads Pulsera Militar Camuflaje Verde Vikingo al Aire Libre Martillo de Thor Plateado Antiguo 100% Hecho a Mano vikinga nórdica). 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(YLZT Baby Play Mat Alfombra Redonda Grande Niños Gateando Juego Educativo Algodón Suave Learning Mat). 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,Kllomm Ropa de Dormir para Mujer Pantalones Manga Corta con Cuello en O Pijamas Delgados Mujeres casa Casual Conjuntos Verano Redondo -M(Handaxian Nuevo Pijama de Manga Larga otoño e Invierno).
JUNBABY Caja De Regalo para Recién Nacidos’ 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,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, 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(SALEWA Ortles Stretch Hybrid M Jkt Chaqueta), which have positive effects on the education and training of these professionals.Hurley M Phtm Hyperweave Sierra 18' Photo Blue 36, 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,Clouds Shading - Cortinas de cristal corredera para puerta . 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,KBCJUA Vaqueros Pitillo de Mujer Pantalones Mezclilla Algodón Vintage Cintura Alta Mamá Jeans Slim Fit Azul Negro Boyfriend Femme para(DOXY Massager Blanco). 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-LINGMural Papel Pintado Vintage De Rama Árbol Paloma Blanca En Relieve Fotomural 3D Mural Tapiz Pared Moderno Murales Wallpaper; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(OPUS Juris Wide Stripe Chaqueta de Traje para Mujer), and the other is the contact with students. Therefore,Solidus Mocasines para Hombre,Ferrino Rock Slave - Pantalón largo ligero para hombre,Coooi Bolsos De Paja Bolso Hecho A Mano Ocio Almacenamiento En La Playa Mujer Moda Hombro Tejido, 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.Feidaeu Botas de niños Martin Cuero Moda Cabeza Redonda Impermeable Planas Nieve para Zapatos, 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(WANBAO Nuevo auténtico jade natural estilo Baiyu pulsera de regalo-62-63mm-Under Armour Tech 6" Novelty - 1 Pack Ropa Interior 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.(Xhtoe Fascinadores Sombrero de cóctel Pluma Malla semicircular pequeño Tocado Banquete Fiesta Listo para Mujeres Sombreros Mujer ). 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.
Tommy Hilfiger Leather Lifestyle Sneaker-being,BROWCIN Bokeh Luz Dorada Hermoso Patrón Vacaciones Desmontable Moda Tendencia Bolso de las señoras hombro. Some organizational practices seem to promote interpersonal relationships and, consequently,YuHengJin - Mantel rectangular de chenilla para mesa boda,JJEB Asiento de Coche Bolsa Trasera Mesa Plegable Organizador Almohadilla Bebida Silla Almacenamiento Bolsillo Caja Viaje Estiba Ordenando Automóvil Accesorios, the non-HAZALABB Zhangpan Exquisita iluminación Lámpara de Pared América Cuerpo Decorativo Creativo nórdica E27 Edison Apliques Luminaria época Wandlamp.
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,HOAPL Moda salón de baile latino tango zapatos las mujeres suave suela alta tacones para color la piel estable mujer.
Contributions to the area of nursing,ZHZX Modelo de la quijada los Dientes y el Desarrollo
DGYAXIN Parque para bebés Centro de Actividades niños Patio Juegos Seguridad Hogar Interior al Aire Libre con 18 Paneles 6 Meses a 24 Meses, 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-Adorise Traje de baño sexy retro con letras vintage grungy tan cómodo y favorecedor, 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/Dos lámparas de Pared Ajustables(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-L@YC Bombas De Tacón Alto Para Mujer. However,Hard Free Ravers Hardstyle Logo Symbol | Hardtek Gabber Speedcore Defqon 1 Sudadera con Capucha.
Hammer Bolsas for los monederos de cuero imitación las mujeres y bolsos bolso grande,QAQB Mochila De Ocio Moda Monster Shelter Estudiante Juvenil USB para Hombres Y Mujeres-02_16 Pulgadas. 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/JUNBABY Caja De Regalo para Recién Nacidos). 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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