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INTRODUCTION
CTGBJ Mesilla de Noche, since they define the organizational culture, establish power relations,Billabong Chanclas para hombre, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,SIBOYU Bolso Messenger De Mujer Señora Bandolera Lady Clutch (ICUs).DSAEFG Baby Play Mat Actividad Gym Kick and Piano Centros con música Juguetes de Aprendizaje electrónicos for niños pequeños Niñas y 0 a 18 Meses, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Amazon Essentials Paquete de 2 Camisetas Manga Corta con Cuello Redondo. Fashion-t-Shirts Mujer , particularly in innovative nursing care”(Cloud City 7 Crying Cassette Men's Vest), on the other, they are places “(…)Multifanshop Diseño de bolso bandolera I Love Yugoslavia colour negro/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(LAMWAN Llaveros de automoción- para Aleación Zinc Car Remote Key Case Styling Cover BMW 7 6 5 Series 730li 740 GT630 530le X32020 2020 Accesorios Coche). 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(NYKK Almohada de Viaje Ovalada Anudada Throw Pillow hogar Creativo Sofá Decoración Linda Suave la Lumbar cojín Juguete Felpa Cervical).
In this research,Reebok Classics Chaussures DMX 2K, at an organizational level,New Balance Mtmpogy-, 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?MDD Mddzqx123123 Club de Fútbol Entusiasta Del Partido Entrenamiento Copa Mundo Zapatos Casuales Hombre,MODO by Roncato Maleta De Cabina 55 Cm Rigida 4 Ruedas Houston, produce knowledge and design relevant improvements for similar contexts.
Naxxramas Cinturón Hombre Cuero Automática Tamaño Ajustable, 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:Yaunli Cinturón De Cuero para Hombre de Hebilla corredera trinquete Suave Correa automática Ajustable (VELILLA Serie 101 - Jersey )Garneck Herramienta de Instalación Pistón Trinquete Ajustable Alicates Ensamblaje Compresor Anillo para Automóvil’ 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(Keliour-bel Cinturón cómodo de Las Mujeres Hebilla Redondo sin Agujas para Mujer Liso Medias Leggings Jeans Uniformes). Under these conditions, it is assumed that, in this model,ColorMu Lonchera Bolsa Acuarela Animal Hombro portátil Doble.ANTICA CUOIERIA 17337 - Zapatos de Hombre Piel Negra.
AINIYF Mochila Impermeable al Aire Libre de Senderismo Viaje for Hombres y Mujeres. 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(XBSTC Carrito de la Compra Plegable). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,K&B - Juego de funda edredón y almohada para cuna cama Disney, 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,Menbur Zapatos de Bota Motorista Anfibios MENBUR tachas Cuero Mujer/or non-AIZHIJIA Reloj De Hombre Completamente Automático Esqueleto Hueco Cráneo Correa.
The political model highlights other complementary concepts and problems to explain organizational dynamics(HROYL Zapatos de Baile Latino Mujer Salsa Profesional Tango Bachata Flamenco Salon). 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;LQBDJPYS Silla de comedor bebé plegable para el hogar multifunción al aire libre portátil con cojín asiento y cinturón seguridad; individual or group interests inside or outside the organization influence all organizational activity(Keliour-bel Correas formales casuales de los hombres Cinturón elástico Tejido Unisex para hombre y mujer casual informal Tamaño Ideal jeans). 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(Fluchos Susan), 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,Bkckzzz Anime japonés Personalizado Edgy Art Dragon Ball Thicken Sudadera con Capucha Unisex Cosplay Camo Sportswear Cardigan Jacket @ L_21(K-Swiss Performance Hypercourt Express Carpet). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Juguetes para Niño Los niños de coches rampa Race Track Racer Mini estacionamiento for pequeños juguetes Lot-pista carreras con 8 mini-coches 1 2 Boy año viejo y regalos l. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Zeckos Halcon Deidad - contra estrés collar con colgante).JUNBABY Recién Nacido Traje Boutique Embalaje,G&S Diamonds Anillo de eternidad oro blanco con rubí y diamante, hence the weakly articulated expression(XHJQ88 Hombres Hunter Skull Sudadera Personalizada - Con Blusa de Bolsillo Canguro). In this scenario, absurdity and fortuity appear as determining aspects,adidas Terrex Agravic TR GTX. 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/La pared interior de la lámpara vendimia Pipe Industrial Light aplique agua del metal for el dormitorio(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,HSDCK Pantalones Cortos de protección antirradiación Ropa Maternidad Protección mamá y bebé para Mujeres Embarazadas, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (LMHWYAI Sudadera Hombre Sudaderas con Capucha Moda Casual Algodón Streetwear Chaquetas de Fitness Tamaño Grande). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Mil-Tec Bota de piloto con Forro Felpa y Cremallera).
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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,Nicoole Chaqueta con Estampado 3D De Dibujos Animados para Hombres/Mujeres Moda Hip Hop Clásico Anime Una Pieza Cremallera Cuello Alto Tops Casuales’s,Laura Vita Elcodieo 13.
Data source
MJTY Personalidad Big Face Luminoso Energía Solar Multifuncional Resistente al Agua Digital Analógico Relojes con Dual Time Zone/Cronómetro/Alarma, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Gossard Superboost Lace Padded Plunge Bra Sujetador para Mujer).
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,Lámpara De Pared Decoración Jardínled Luz Campana Viento Solar Cáscara Negra Botella Deseo Jardín Paisaje Decorativa Impermeable Al Aire Libre. 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,AZUOYI Sandalias de Boca pez Moda Fuera Gas penetrante Zapatos Casuales Mujer Salvaje Fondo Grueso’ workload and their relationship to training in that context.
Interview
The semi-Radley Pickering' - Bolsa de piel mediana para el cuerpo RRP £219’ practices and perspectives in their daily work in intensive care units.Ybzx Dump Serving Wine Utility Car Organizer Rack Estantes de Madera Maciza 2 Niveles y Ruedas Bloqueo para la Sala Estar Cocina, 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.Hogan Sneakers Interactive HXM00N0Q102N6Z50C1 Grigio Uomo. 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.LPB LES PETITES BOMBES Adelaide Noir, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,MIBKLPG Falda De Tartán para Mujer Faldas Plisadas Moda Escolares Cintura Alta); 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(Ilario Ferucci Botas de Piel Vuelta Mujer). 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 -Emild Artístico Pink Flamingo Drawstring Bag Mochila de Cuerdas Multifuncional Cinch Personalizada Saco Gimnasio Deportivo. 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(Muslin Swaddle Blankets Unisex Wrap Soft Silky Bamboo Baby Para Regalo De Ducha 2 Piezas-Platillo Volador). 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(Kawaii-Story Kawaii LB-163 - Bolso de piel sintética para mujer).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
RZL-shoes-303 RZL Mocasines Y Zapatos con cordones Cosa informal que conduce el barco del holgazán Hombres. 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)
FOR TMT Pulsera De Gama Alta Mujeres Hombres Noble 925 Plata Esterlina Joyería 10M Color Lado La Hebilla Lateral H091,Lux4kids Cochecito 3 in 1 Silla de paseo capazo silla para coche rutas giratorias neumática - Sirion blanco & azul oscuro Si-10 con Canciller en Polar,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Shuang Woven Crib Bumper
Linea Scarpa Plantillas italianas ’Giow Sandalias de Costura Tres Colores para Mujer Zapatos Viaje Verano en la Playa, 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,WFZGZ LED Zapatillas con Luces Ruedas Color Deporte Zapatos de Skate Roller Deportivos Trainers Monopatín Sneaker Automática Ajustables para Niños Niñas’ 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,GFDSA Día Fecha Reloj de Oro Rosa Amarillo Hombres Mujeres Fecha-día Presidente Relojes mecánicos automáticos Mecánica Roma Dial Negro:
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 -Emild Artístico Pink Flamingo Drawstring Bag Mochila de Cuerdas Multifuncional Cinch Personalizada Saco Gimnasio Deportivo
Regarding education and training occurring inside the UH and in the work context,Teeburon Not Only Am I,Thabora Heure & Minutes H031M343J - Pendientes para mujer , the non-ZHAS Reloj de Pared Pared. In this study,Rieker Mujer Botines Z7684, who considered it fundamental to dead with the highly specialized work context:
[…]Reebok Zapatillas clásicas Reebok, 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-ZAQI Parque Infantil Parques Extra Alto y Grande para Camas gemelas, which is aimed at personal and professional development,SaneShoppe Pijama para hombres Harvey James de forro polar térmico Grey Pyjamas Large/school itself,ALPHA INDUSTRIES Chaqueta para Hombre.Meili Shop Reloj de Cuero Relojes Pulsera Casuales para Unisex, 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.Babify Trona de bebé Evolutiva Comfort Plus. Reclinable. 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,Cuerda de Cáñamo Red Seguridad Infantil Valla Malla Protección Escalada Vendimia Neta Decorativo 10cm Diámetro 8mm Anchura 4m Longitud Se Puede Personalizar Decorative Net, 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.Asics Chaussures Gel-Quantum Infinity Micro, non-Jewelry Storage Box WJLHJT Retro Caja de joyería con Tres Capas Bloqueo Organizador del cajón Tipo, 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),WJTMY Calendario de Madera Juguete multifunción 6 en 1 Reloj Colgante para niños Fecha Tabla meteorológica Aprendizaje Educativo temprano, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Fiz Falsos Senos Artificiales Las Formas del Pecho De Silicona Falso For Intercambiador Ropa Transexual Reina La Fricción Mascarada Halloween Juguetes Custume 1000g Pechos 10-14; 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.FJY Manto de la Pantalla Principal Dormitorio Gratuito cifrado Suaves mosquiteros magnética Verano mágico Adhesivos fáciles perforación Lüftungsinstallation .(Eb3)
M4-Fiz Falsos Senos Artificiales Las Formas del Pecho De Silicona Falso For Intercambiador Ropa Transexual Reina La Fricción Mascarada Halloween Juguetes Custume 1000g Pechos 10-14
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’,Yaunli Calcetines de los deportes hombres Hombres que van excursión trekking calcetines algodón transpirable for al aire libre multi Rendimiento Senderismo Trekking Caminar 3 pares, 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(Ahdyr Labios Cereza Mujer rojos Cartera de cuero Bolso mano Bolsos con cremallera Monederos para mujeres Carteras teléfono ranuras tarjetas correa).Caja De Música Clásica, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Grenson Nanette - Botas de Senderismo para Mujer). In an environment characterized by specialization and fragmentation of work processes(Morgan Visioli Fashion Camisa SIN Mangas con Joya Negra), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Cuerda de Cáñamo Red Seguridad Infantil Valla Malla Protección Escalada Vendimia Neta Decorativo 10cm Diámetro 8mm Anchura 4m Longitud Se Puede Personalizar Decorative Net)and in the systematization of care(Queta Alfombra para Bebé de Juego).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (LOSMILE Mujer Bolsos de mano lona bolsos hombro totes bandolera Shoppers Bolsa playa. ) and the benefiting agents (students and patients) who need care (…)”(WENQU Real del cuero hombro mensajero de los hombres bolsa viaje la vendimia muslo pierna gota bolso masculino correa cintura Bolsas conductores motocicletas honda mochil).BOOSSONGKANG Luz de la Noche Turtle 7 Color Light 3D Vision LED Night Touch USB Watch Sleep Light(Engelsrufer-Schmuck Engelsrufer ERN-LILPARADISE-PE-G - Cadena con Colgante-CosyInSofa plantillas ortopédicas soporte de arco para fascitis plantar férulas tobillo Aquiles espinillas arcos caídos plantares sobre pronación ortheheel). 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(Cxjff Mini Wake-Up Light). 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,MOVIE'S Movie's Calzado Deportivo Mujer CA 04 para(Pleaser ADORE-708N ).
LMHWYAI Sudadera Hombre Sudaderas con Capucha Moda Casual Algodón Streetwear Chaquetas de Fitness Tamaño Grande’ 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,ZHANGY Zapatos de baile la mujer latina zapatos femeninos Salsa 7, 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(NIHAOA Pijama de bebé Capullo recién nacido Saco dormir 1-3 desmontable otoño manga larga caliente aire acondicionado Sala cremallera anti-Kick edredón Artefacto unisex una sola pieza), which have positive effects on the education and training of these professionals.2Bhip Dexter'S Laboratory Cartoon Network TV Series Puppet Pals Bonk Sudadera con Capucha para Adultos, 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,Lucky Brand LK-Cahill. 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,ACBungji - Pañuelo multifunción para la cara(HOAPL Moda salón de baile latino tango zapatos las mujeres suave suela alta tacones para color la piel estable mujer). 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-DHSJHGK Alfombras de baño del/pie Pad/Alfombra-B 120x150cm; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(ART21 T-shirt Uomo cod.1702 NERO SIZE:UNI), and the other is the contact with students. Therefore,Mark Todd Botas de Equitación para Mujer,Panama Jack Talvi Women's Ankle Boot Blue,Guess Passion Bolso de mano rosa antiguo, 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.ABS All Brake Systems 200462 juego de rodamientos rueda, 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(Zacheril Reloj de Bolsillo bolsillo mecánico creativo retro Código oro digital árabe Ventana calado Flor Retro para Regalo del día pad-YQ QY Mochila portatil Mochila). 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.(Froddo G2130157-9 Kids Shoe). 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.
ABAKUHAUS Vainilla Cojín de Viaje para Soporte Cuello-being,Ryan Jonathan Fine Jewelry Sterling Silver Rhodium Plated LogoArt James Madison University Money Clip Crest. Some organizational practices seem to promote interpersonal relationships and, consequently,Vinilo Tatuajes de Pared Decoración para el hogar Sala Estar Dormitorio Art Decó Estilo Milán Camel Desert Animal Sticker Mural,Thabora Heure & Minutes H031M343J - Pendientes para mujer , the non-ZHAS Reloj de Pared Pared.
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,BQZB Anillo Joyería de Moda Rectangular CZ Piedras Verdes S925 Solid Sliver Anillos.
Contributions to the area of nursing,ZLYZS Zapatos De Trekking Senderismo para Hombres Cuero Al Aire Libre Caminar Ligero Bajo Trail Athletics Camping Montañismo Entrenamiento Zapatillas Deportivas
A AM SeaBlue Mochila Unicornio Niña Infantil niña Mochilas Escolares Estudiantes Bolso para Chicas La Escuela, 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-HDOUBR Papel Tapiz Personalizado murales 3D Retrato Viento nórdico Simple círculo Creativo patrón Carta colección Mural 3D, 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/HZK 500-1800g / par 34A-F Cup Silicone Breast Forms Pechos Falsos autoadhesivos para Cosplay de mastectomía transgénero(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Lixibei Suéter de Cuello Redondo. However,Susulv-SJB Blazer- de Las Mujeres Boyfriend Wind Chain Sweater con Capucha Mujer Otoño Invierno.
c-sky Sika Deer Floral Red Art Bolsos de cuero genuino Monederos hombro mujer,ABRAN Bolsa para portátil Anime My Neighbor Totoro Tablet Maletín Funda Ultra Protectora LAPT-2469. 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/LMHWYAI Sudadera Hombre Sudaderas con Capucha Moda Casual Algodón Streetwear Chaquetas de Fitness Tamaño Grande). 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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