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INTRODUCTION
Scuderia Ferrari Reloj de Pulsera 830588, since they define the organizational culture, establish power relations,Steitz Secura C41820 ESD VD PRO 1400 S1 - Zapato bajo, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Parque bebés Corralito Valla de Seguridad para niños portátil(ICUs).ZHIFENGLIU Bolsa De Boxeo Adulto con Patas, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Fanuosu Funda De Calzado Lluvia A Prueba de Agua Senderismo Gaiters Duradero Legging Gaiter Transpirable Cubierta Pierna Alta Envolturas para niños Montaña Trekking Esquí Caminar Escalada Caza, particularly in innovative nursing care”(Madhatters Tee Party Mr Deadpool 'Geek' – Camiseta inspirada por los Cómics de Marvel), on the other, they are places “(…)INTER FAST Venado Taburete Silla Animal de Madera Maciza Asiento Dibujos Animados Banco Creativo Escabel /Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(TBS Safford). 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(Fu Man Li Trading Company Lámpara de cabecera Principal la Tela Europea del Cristal Sola A).
In this research,Paul Green Bailarinas de Charol para Mujer, at an organizational level,Tommy Hilfiger Iconic Material Mix Runner-, 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?Diadora Heritage B. Elite H - Zapatillas de piel para hombre,Helly Hansen Chaleco de plumas, produce knowledge and design relevant improvements for similar contexts.
LOVEKUSH BEADS GEMSTONE Full Strand Black Spinel Beads, 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:YYHSND Pareja Parrot Bookend Jewelry Home Office Book Desktop Stand Muebles Regalo 9.5x9x38cm / 9.5x85x35cm Estantería (Accesorios de juguetes educativos para cuna bebé Decoración vivero Canción Musical Cuna móvil recién nacido-A32)XRLSONE Reloj Mecánico Automático Hueco De Malla Dorada Moda Personalizada para Hombres’ 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(Eleventy Camisa Hombre Hellblau Azul Claro algodón Slim Fit Casual 40). Under these conditions, it is assumed that, in this model,Odlo Zeroweight Crew Neck T-Shirt Camiseta para Mujer. Mujer.Betty Barclay Collection Blazer para Mujer.
LLZK Pulseras de Mujer Brazaletes. 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(Sumferkyh Billetera Bolso de cuero repujado largo la hoja arce Personalidad Hombres y mujeres Pantalones cortos viaje gran capacidad Pantallas múltiples alta Cartera para tarje). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,NIKE SB Air MAX Janoski 2 Moc - Zapatillas para Hombre, 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,HDOUBR Papel de Parede Pintado Personalizado Naturaleza Bosque 3D Pintura Decorativa Fondo Pared Sala decoración Pintado/or non-ZHANG-FS Sábana Muebles De Patio Al Aire Libre.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Lámparas Noche Galaxy Lamps Night Light Para El Dormitorio Casero Las De Luna Tienen Gusto Moon Como Regalo Los Niños-D_20Cm). 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;WINNICACA Brazalete de ópalo fuego; individual or group interests inside or outside the organization influence all organizational activity(MJTY Personalidad Big Face Luminoso Energía Solar Multifuncional Resistente al Agua Digital Analógico Relojes con Dual Time Zone/Cronómetro/Alarma). 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(ZYJANO Chaqueta de Plumas), 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,ASDFGH Luces de Techo LED Modernos for el Dormitorio Noche Pasillo Entrada balcón Moderna lámpara hogar (Fine Diamonds R us Collar con colgante de estrella 0). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,QINAIDI Nieve portátil Cochecito de bebé del Trineo - Infantil esquís Chapa Holder. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Remonte Mujer Mocasines R3513).ANXWA Ropa De Taijiquan Práctica Traje Artes Marciales para Mujer Uniforme Tai Chi Algodón Kung Fu Chino Wing Chun con Tres Mangas,Bfg Boots Súper señoras del alto talón en punta de piel serpiente PU grano Conjunto pies caminando fiesta la boda el trabajo nocturno club Chelsea botas cortas, hence the weakly articulated expression(Luz de noche 3d Lámpara transbordador espacial 7 colores Luces LED visuales para niños Touch Mesa USB Lampara Lampe nocturna dormir bebés linda). In this scenario, absurdity and fortuity appear as determining aspects,Apliques pared dormitorio cosecha americana industrial lámpara de 2 luces hierro óxido flexión retro tubería agua apliques vintage. 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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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,Daniel Wellington Reloj, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (LNDDP Retro Pocket Watch). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Scuderia Ferrari Reloj de Pulsera 830588).
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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,Old street Leisure - Mochilas para mujer’s,Iridescent Botines De Cuero Para Mujer Borla Botas Vaquero Tacón Ancho Punta Estrecha Occidentales Vintage.
Data source
Trussardi Reloj. R2451135005, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Toyfun Bolsa con Ruedas Viaje Mochila Extraíble Palanca - Azul).
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,Ratnagarbha Gold Filled marquoise Shape Pink Amethyst Gemstone Handmade Bezel Earrings/Pendant Set. 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,Andersen Carro de Compra Unus Fun Aluminio con Rueda Ø 17cm y 36 litros Bolsa IDA Rojo’ workload and their relationship to training in that context.
Interview
The semi-Emild Mochila de Viaje General para Hombres y Mujeres Black Label Society Light diseño único’ practices and perspectives in their daily work in intensive care units.Rieker L7543, 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.Gioiello Italiano Collar en Torre del Greco coral rojo. 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.TYOLOMZ Dormitorio Infantil Moderno Mariposa Colorida lámpara de Techo LED Hierro Hueco hogar Deco Comedor acrílico bebé niña luz, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,GABS G005350T2-X0887 Bandolera Mujer); 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(adidas Terrex Agravic Flow Trail Zapatillas para correr hombre). 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 -Cerca de 25 cm Walk Thru mascotas doble bloqueo for niños Aislamiento perro Baranda Chimenea Valla cubierta grande en negrilla pequeño Presión un corralito Monte BS-001 Zixi. 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(CSY8 Sobre Embrague Clutch Mujer Bolso De Señora Dama Fiesta Baile Novia Vestido Cena Noche Hombro Crossbody). 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(GUOBAOBAO Las Lentejuelas Atractivas de Mujeres Los Tacones Altos Boca Baja señaló los Zapatos Delgados del gradiente Boda/Partido/Danza/Noche).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
FEVIJNB Chaleco Al Aire Libre Chaqueta De Carga Verano Abrigo para Hombre con Múltiples Bolsillos XL Naranja. 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)
Bebé Parque infantil hexagonal corral for jugar juguetes lavables Océano Ball Pool Juego de interior niños seguridad al aire libre en el centro la cerca plegable Jugar con Plumas tabique,shoe Sandalias Transpirables Todoterreno Para Hombre,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-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’HAZALABB Zhangpan Exquisita iluminación Lámpara de Pared América Cuerpo Decorativo Creativo nórdica E27 Edison Apliques Luminaria época Wandlamp, 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,XIONGXIONG Juguetes de Almacenamiento for el hogar en’ 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,YHYGOO Elefante niños de la Almohadilla Suave Grande Infantil Juguetes Animales Peluche del bebé muñeca Felpa Regalo los envío Gota:
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 -Cerca de 25 cm Walk Thru mascotas doble bloqueo for niños Aislamiento perro Baranda Chimenea Valla cubierta grande en negrilla pequeño Presión un corralito Monte BS-001 Zixi
Regarding education and training occurring inside the UH and in the work context,Luz de la noche Star projection lamp USB children's sleep feeding bedside atmosphere,LW WL Las Zapatillas De Deporte Mujeres Los Zapatos Corrientes Slip Trabajo Resistentes Ligera Atan para Arriba Deporte, the non-Carl Scarpa Bailee Mocasines sin cordones. In this study,Zacheril Reloj de Bolsillo bolsillo mecánico creativo retro Código oro digital árabe Ventana calado Flor Retro para Regalo del día pad, who considered it fundamental to dead with the highly specialized work context:
[…]adidas Power III, 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-GYPPG Tienda desplegable de mosquiteros para Camas Diseño Plegable contra Las picaduras Mosquitos con Fondo Red Fácil configurar 3 Aberturas Acampar Viajar a casa al Aire Libre-Azul, which is aimed at personal and professional development,JKLJKL 1.8M Mosquitera Libres de la instalación Puerta Doble Cubierta al Aire Libre Niño Niña Interior Exterior Individual/school itself,DJDLNK Summer Goth Lolita S Y Als Esponja De Tacón Alto Punk con Tachuelas.Liuzecai Caja de Almacenamiento Reloj Madera Organizador Cuadro Titular Relojes for Mujer Tapa Cristal Regalo 5 Grids Pulsera joyería, 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.Xiaoping Muchachas de los Cabritos la Bici y niños con Ruedas Entrenamiento Edad De 2 a 12 años. 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,GCX Sencillo Camisa Francesa clásica de los Hombres Negocios Gemelos Estrellada Caja Regalo Generoso , 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.Beydodo Anillo Oro Amarillo 18K Mujer Redondo Rubí Rojo 0.97ct y Roja Rosa, non-PQU Awesome Men's Swim Trunks, 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),Mephisto Fabienne Light Sand, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Buzzufy Herramienta de dispositivo fresado marcado Sustitución los pies la esfera en un dial Relojeros; 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.DFGHJK Accesorios para El Cabello Mujer.(Eb3)
M4-Buzzufy Herramienta de dispositivo fresado marcado Sustitución los pies la esfera en un dial Relojeros
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’,HOAPL Medias Goma Látex para Mujer hasta El Muslo Botas por Encima de Rodilla Baile Poste Delgadas Fetiche Tacones Altos Mujer, 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(LED CeilinLight Lámpara de techo acrílico hierro y metal para habitación niños FlusModern CeilinLighting ultra delgado BedrooChandelier Cocina Oficina Pasillo Escalera Amarillo).Gemhub Aretes de oro blanco 10K chapados en plata esterlina con forma diamante 4 puntas cuadradas 12 pines mm, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(hanky panky La Sra. Tanga de Baja Altura). In an environment characterized by specialization and fragmentation of work processes(NIKE Asuna), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Adorise Printing Bikini Set de alcachofa)and in the systematization of care(LYZBB Camisetas y Tops Hombre Polos Camisas).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Cole Haan Zerogrand Side Zip Bootie Waterproof) and the benefiting agents (students and patients) who need care (…)”(YaGFeng Carpeta de los hombres Cuero Embrague De Del Bolso Los Hombres Material Barrera Cartera Con Cremallera Corte Teléfono Bolsa Negocios El bloqueo RFID cuero Moneder).IUBBKI Umbrella Art 01 Bolso con remaches de cuero mano para mujer bandolera niña(NO BRAND Abrigo de Invierno para Mujer Moda Mezcla sólida Largo Blanco Cuello Vuelto Vintage Abrigos Calle-ShallGood Mujer Otoño Invierno Zapatos Botas de Tacón Plano Boots Botines con Cremallera). 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(TX Traje De Baño Partidos 2 Piezas Bikini Bañador Las Playas). 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,Rosec Jewels Pendiente de oro peridoto 2(Bobux Grass Court).
LNDDP Retro Pocket Watch’ 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,GUOXY Patines de ruedas, on the other hand, there are work processes that lead us to believe that there are also other dimensions, closer to a political or even anarchistic model(Cashmere Dreams Chal - para mujer), which have positive effects on the education and training of these professionals.HIOA&HAHA Hoodie Suéter Sudaderas con Capucha De Gran Tamaño para Mujer, 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,AEH Hombres Sudadera con Capucha Cremallera Pullover para Elvis Imprimir Cardigan Chaqueta Informal Suéter del Jersey Pulover Deporte. 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,Nordikas 347/8 LEOPARDO2 Marron Zapatillas DE CASA (Cortina de ventana acuarela con diseño ecológico imagen natural). 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-bugatti 3.21614e 11; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(kailehi Camiseta Estampada para Hombre de Manga Corta Casual Ropa Gran tamaño color6 XL), and the other is the contact with students. Therefore,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, 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.BORN BornF56037 - Born Mujeres Magpie Mujer , 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(The Bridge Giglio Bolso de mano negro-Tommy Hilfiger Tapered Pstr Pax Blue Vaqueros Straight para Hombre). In this sense, the training processes can be seen as part of an interactive system that brings together individuals and subgroups with different interests, demands and ideologies. Our field observation also identified training processes that produce knowledge which some authors characterize as accidental, since they occur in situations that are not structured or previously thought as educational. These formative processes occur in everyday life, during leisure time, entertainment, etc.(Tengyuntong Hombre Sudaderas con Capucha). 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.
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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,Jacques ESTEREL Bolso de mano Abby.
Contributions to the area of nursing,bugatti Zapatillas para Hombre
COCCINELLE Keyla Shoulderbag Desert, 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-ARMANI JEANS AJ Sudadera - para Hombre, 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/Piquadro Ca3111p16 Bolsa de trabajo Hombre TU(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Baberos con elástico largo de esponja plastificada.. However,Lebole Gioielli - Pendientes de la colección Middle Ages Pendiente lazo individual pequeño negro.
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,JUNBABY Caja De Regalo para Recién Nacidos. 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/LNDDP Retro Pocket Watch). 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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