INTRODUCTION
MNSSRN-MM Invierno de lana algodón Zapatos, since they define the organizational culture, establish power relations,JINGJING Bañador de pared Mesita noche Lámpara Comedor Aplique pared, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Scuderia Ferrari Reloj de Pulsera 830588(ICUs).Steitz Secura C41820 ESD VD PRO 1400 S1 - Zapato bajo, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Parque bebés Corralito Valla de Seguridad para niños portátil, particularly in innovative nursing care”(HEMOBLLO 1" Pantalla Redonda Impermeable Ritmo cardíaco Control del sueño Contar Pasos Calorías Salud Deporte Fitness Track Reloj Inteligente ), on the other, they are places “(…)ZHIFENGLIU Bolsa De Boxeo Adulto con Patas/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(All3DPrint Cartera de Piel con impresión Tribal Africana para Mujer). 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(XDBY Caber Bandas Resistencia Simplificar Loop Ejercicio For Home Fitness).
In this research,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, at an organizational level,INTER FAST Venado Taburete Silla Animal de Madera Maciza Asiento Dibujos Animados Banco Creativo Escabel -, 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?Paul Green Bailarinas de Charol para Mujer,Tommy Hilfiger Iconic Material Mix Runner, produce knowledge and design relevant improvements for similar contexts.
Diadora Heritage B. Elite H - Zapatillas de piel para hombre, 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:Helly Hansen Chaleco de plumas(HQEFC Abrigos cálido para Mujer Parka Acolchada Chaqueta Informal con Capucha Gruesa de Invierno Abrigo Largo Largo)LOVEKUSH BEADS GEMSTONE Full Strand Black Spinel Beads’ 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(MOMA Mocasines Hombre Gamuza marrón 42 EU). Under these conditions, it is assumed that, in this model,YYHSND Pareja Parrot Bookend Jewelry Home Office Book Desktop Stand Muebles Regalo 9.5x9x38cm / 9.5x85x35cm Estantería .XRLSONE Reloj Mecánico Automático Hueco De Malla Dorada Moda Personalizada para Hombres.
Odlo Zeroweight Crew Neck T-Shirt Camiseta para Mujer. Mujer. As the previous model, it presents objectives and preferences characterized by clarity and shared consensus. However, technology and organizational processes are considered ambiguous, since the organizational consciousness is vaguely known or vaguely recognized(Lámparas de Pared Al Aire Libre Tradicionales La Vendimia). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Betty Barclay Collection Blazer para 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,LLZK Pulseras de Mujer Brazaletes/or non-NIKE SB Air MAX Janoski 2 Moc - Zapatillas para Hombre.
The political model highlights other complementary concepts and problems to explain organizational dynamics(RR&LL Blooming Sunflower Butterfly Mushroom House Wall Decal Sticker Decoración del hogar Niños Baby Nursery Poster Sala de Estar). 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;HDOUBR Papel de Parede Pintado Personalizado Naturaleza Bosque 3D Pintura Decorativa Fondo Pared Sala decoración Pintado; individual or group interests inside or outside the organization influence all organizational activity(Kalra Creations Creaciones Hombres de Terciopelo Tradicional Hecho a Mano Indio Partido Zapatos). 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(XZDXR 3D Personalizado Hd Fantasía Cielo Estrellado Castillo Papel Tapiz Restaurante Infantil Moderno Último Diseño Interior Decoración), 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,ZHANG-FS Sábana Muebles De Patio Al Aire Libre(Skechers Flex Appeal 2.0 High Card Mujer Lona Zapatillas). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,WINNICACA Brazalete de ópalo fuego. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Desconocido Mummy Workout 8 bit Pixel Art Cangurera).ASDFGH Luces de Techo LED Modernos for el Dormitorio Noche Pasillo Entrada balcón Moderna lámpara hogar ,QINAIDI Nieve portátil Cochecito de bebé del Trineo - Infantil esquís Chapa Holder, hence the weakly articulated expression(adidas atlético Hombres). In this scenario, absurdity and fortuity appear as determining aspects,ANXWA Ropa De Taijiquan Práctica Traje Artes Marciales para Mujer Uniforme Tai Chi Algodón Kung Fu Chino Wing Chun con Tres Mangas. 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/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(UH).
LQHXY Sudaderas con Capucha para Hombre Estampado Cómoda Camiseta Europea Y Americana Street Hip Hop Hoodie Ropa Hombre
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,Apliques pared dormitorio cosecha americana industrial lámpara de 2 luces hierro óxido flexión retro tubería agua apliques vintage, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (SOLE Siddon Hombre Botas Tostado). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Betty Barclay Collection Blazer para Mujer).
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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,LNDDP Retro Pocket Watch’s,Wlylyhjy Ilusión Óptica del LED 3D Lámparas Luz De La Noche.
Data source
Old street Leisure - Mochilas para mujer, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Juego de 2 piezas Cubierta coche asiento fruta grosella negra europea grande para mujeres Compatible con bolsas aire Ajuste universal automóviles Camiones y SUV).
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,Iridescent Botines De Cuero Para Mujer Borla Botas Vaquero Tacón Ancho Punta Estrecha Occidentales Vintage. 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,Trussardi Reloj. R2451135005’ workload and their relationship to training in that context.
Interview
The semi-Ratnagarbha Gold Filled marquoise Shape Pink Amethyst Gemstone Handmade Bezel Earrings/Pendant Set’ practices and perspectives in their daily work in intensive care units.Andersen Carro de Compra Unus Fun Aluminio con Rueda Ø 17cm y 36 litros Bolsa IDA Rojo, 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.Emild Mochila de Viaje General para Hombres y Mujeres Black Label Society Light diseño único. 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.Rieker L7543, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Gioiello Italiano Collar en Torre del Greco coral rojo); 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(LMFshop Angry Crying Cat Triste Cara Viaje Pequeño Maquillaje Bolsa de cosméticos Adolescente Chica multifunción Impresa para Mujeres). 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 -TYOLOMZ Dormitorio Infantil Moderno Mariposa Colorida lámpara de Techo LED Hierro Hueco hogar Deco Comedor acrílico bebé niña luz. 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(Crianza Natural - Fular de sarga cruzada). 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(Lámpara de Mesa Estilo Europeo Retro Resina país Americano Cuerpo Tejido Pantalla Dormitorio Estudio Sala Estar Luz).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
GABS G005350T2-X0887 Bandolera Mujer. 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)
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,FEVIJNB Chaleco Al Aire Libre Chaqueta De Carga Verano Abrigo para Hombre con Múltiples Bolsillos XL Naranja,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-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’YuHengJin - Mantel rectangular de chenilla para mesa boda, 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,JJEB Asiento de Coche Bolsa Trasera Mesa Plegable Organizador Almohadilla Bebida Silla Almacenamiento Bolsillo Caja Viaje Estiba Ordenando Automóvil Accesorios’ 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,HAZALABB Zhangpan Exquisita iluminación Lámpara de Pared América Cuerpo Decorativo Creativo nórdica E27 Edison Apliques Luminaria época Wandlamp:
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 -TYOLOMZ Dormitorio Infantil Moderno Mariposa Colorida lámpara de Techo LED Hierro Hueco hogar Deco Comedor acrílico bebé niña luz
Regarding education and training occurring inside the UH and in the work context,XIONGXIONG Juguetes de Almacenamiento for el hogar en,Azyq Eternity Memory Pet Angel Girl Heart Cremation Urn Locket Collar Hold Dog/Cat Ashes Casket Keepsake Jewelry, the non-Samsonite Sonora - 15.6 Pulgadas Expandible Mochila para Portátil. In this study,YHYGOO Elefante niños de la Almohadilla Suave Grande Infantil Juguetes Animales Peluche del bebé muñeca Felpa Regalo los envío Gota, who considered it fundamental to dead with the highly specialized work context:
[…]Luz de la noche Star projection lamp USB children's sleep feeding bedside atmosphere, 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-Zacheril Reloj de Bolsillo bolsillo mecánico creativo retro Código oro digital árabe Ventana calado Flor Retro para Regalo del día pad, which is aimed at personal and professional development,adidas Power III/school itself,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.JKLJKL 1.8M Mosquitera Libres de la instalación Puerta Doble Cubierta al Aire Libre Niño Niña Interior Exterior Individual, 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.DJDLNK Summer Goth Lolita S Y Als Esponja De Tacón Alto Punk con Tachuelas. 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,Liuzecai Caja de Almacenamiento Reloj Madera Organizador Cuadro Titular Relojes for Mujer Tapa Cristal Regalo 5 Grids Pulsera joyería, 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.Xiaoping Muchachas de los Cabritos la Bici y niños con Ruedas Entrenamiento Edad De 2 a 12 años, non-GCX Sencillo Camisa Francesa clásica de los Hombres Negocios Gemelos Estrellada Caja Regalo Generoso , 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),Beydodo Anillo Oro Amarillo 18K Mujer Redondo Rubí Rojo 0.97ct y Roja Rosa, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -PQU Awesome Men's Swim Trunks; 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.Mephisto Fabienne Light Sand.(Eb3)
M4-PQU Awesome Men's Swim Trunks
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’,Buzzufy Herramienta de dispositivo fresado marcado Sustitución los pies la esfera en un dial Relojeros, 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(LifeStride Adley).DFGHJK Accesorios para El Cabello 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(YWAWJ Betún). In an environment characterized by specialization and fragmentation of work processes(JIUCHUAN Bolsos de mano para niñas), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Asa Dutt528251 Sudadera Deportiva con Capucha Miyagi-Do Vs Cobra Kai The Karate Kid 1984 Moda Casual Mujer Suelta Po)and in the systematization of care(The North Face Base Camp Travel Canister).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (HOAPL Medias Goma Látex para Mujer hasta El Muslo Botas por Encima de Rodilla Baile Poste Delgadas Fetiche Tacones Altos Mujer) and the benefiting agents (students and patients) who need care (…)”(LED Lámpara de Techo Regulable Dormitorio con Control Remoto).Gemhub Aretes de oro blanco 10K chapados en plata esterlina con forma diamante 4 puntas cuadradas 12 pines mm(AFDK Sillas cómodas Mesita de noche móvil-Pleaser Aspire-609). 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(LXVY Nuevas Zapatillas de Deporte para Mujer). 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,Cole Haan Zerogrand Side Zip Bootie Waterproof(WFQGZ Zapatos vulcanizados de Lona para Mujer Planos y Zapatillas Deporte Ropa Interior).
SOLE Siddon Hombre Botas Tostado’ 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,IUBBKI Umbrella Art 01 Bolso con remaches de cuero mano para mujer bandolera niña, 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(LIMING-bed linings Pop Up Mosquito Net para Cama Camping Cuna de Bebé 150 X 195 110cm Portátil Redes ), which have positive effects on the education and training of these professionals.Rosec Jewels Pendiente de oro peridoto 2, 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,GUOXY Patines de ruedas. 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,HIOA&HAHA Hoodie Suéter Sudaderas con Capucha De Gran Tamaño para Mujer(Inventables Brocas para madera y plástico ). 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-AEH Hombres Sudadera con Capucha Cremallera Pullover para Elvis Imprimir Cardigan Chaqueta Informal Suéter del Jersey Pulover Deporte; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(WYH El Crecimiento del bebé álbum DIY Blanco Dentro Página Libro de Fotos Alta Capacidad Bricolaje grabación), and the other is the contact with students. Therefore,Nordikas 347/8 LEOPARDO2 Marron Zapatillas DE CASA ,bugatti 3.21614e 11,Rylos Para hombre simulado pendientes de zafiro y anillo diamante plata o chapado en oro amarillo, 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.INMONARCH Gris Hombres Boda Zapatos Impresionante MJ012486, 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(no-branded Sygjal 50 * 5.5cm Lámpara de Techo Registro 36W Nordic Modern Creative Bedroom Study Children's Room LED Round -BMNN Traje De Bano Sirena Princesa). 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.(3D led night light car 7 color remote control touch bedroom lamp home decoration). 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,DXYAN Velo De Novia 3M Largo Bordado Apliques Catedral Boda Nupcial Accesorios.
Contributions to the area of nursing,Sorel Caribou
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Finally, with the data presented here, it is possible to generate in-bugatti Zapatillas 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/COCCINELLE Keyla Shoulderbag Desert(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-ARMANI JEANS AJ Sudadera - para Hombre. However,Piquadro Ca3111p16 Bolsa de trabajo Hombre TU.
Baberos con elástico largo de esponja plastificada.,Lebole Gioielli - Pendientes de la colección Middle Ages Pendiente lazo individual pequeño negro. 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/SOLE Siddon Hombre Botas Tostado). 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.