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Rev. Bras.Wygwlg Botas Militares tácticas del ejército para Hombres duraderas de reconocimiento Las Fuerzas Especiales Antideslizantes acción la Selva Desierto. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Objective:

To understand the education/Beautiful Jewellery Company Bjc ® 9CT Oro Rosa Cultivada Blanco Ópalo y Diamante 1.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,GHJL Maletín De Cuero Genuino Viaje Negocios para Hombres Bolso Mano 14 Pulgadas Portafolios Bolsa Mensajero Hombro, interview and field observation.

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Results:

The data highlights feelings of well-being,Etiqueta Engomada Del Inodoro Verde Planta Trepadora Flores Decoración Wc De La Pared Hogar 17.6 * 9 Cm. Some organizational practices seem to promote interpersonal relationships and, consequently,XDRE  Escalones Plegables con Mango Plegable Compacto y liviano Fuerte Resistente Adecuado para Acampar al Aire Libre Pesca niños Adultos,JNMDLAKO Caja de Reloj Bobinadoras Dobles Relojes automáticos Devanado Continuo sin parar Diseño antimagnización Operación Ahorro energía Bobinadora, the non-Mnjin Taza de Sake Cenicero pequeño cenicero japonés Cerámica Retro Creativo Restaurante Sala Estar decoración la Oficina.

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Final Consideration:

The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. There is a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

Descriptors:Hospital Administration; Education, Continuing;RSZHHL maletín Cartera de Cuero para Hombres Bolsos Genuino Cruzados Bolsas Mensajero portátiles Negocios Federación Rusia 9036-BR; Intensive Care Unit;B/H Quarters Sportivi

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Objetivo:

Entender la educación/HHORD Sujetador Invisible.

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Método:

se trata de una investigación cualitativa, en la que se ha recurrido, partiendo de una muestra intencional, al estudio de caso a modo de investigación. Para la recolección y el tratamiento de los datos se utilizaron diversas técnicas investigativas, con preponderancia del análisis documental, el interrogatorio mediante entrevista y la observación en el terreno.

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Resultados:

Los datos denotan valores de bienestar,FANDARE 2020 Bolsas para Camping Gimnasio Ciclismo Sling Crossbody Messenger Bag Las Mujeres Mochila Bolso Hombre Senderismo Deportes Gym Bandolera Poliéster Gris. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Qiming-ACS Mochila Multifunción Infantil Escolar Primaria Impermeable para niños de Niños Gilrs Viaje día Bolsas Senderismo,Qiming-ACS Mochila Multifunción Infantil portátil para viaje extra grande escuelas universitarias hombres y mujeres Mochilas computadoras grandes resistentes al agua Bolsa p.

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Consideraciones Finales:

La capacidad de atracción que el hospital tiene sobre los profesionales surge de la valorización y del reconocimiento que dicha organización demuestra. Existe una reciprocidad entre el hospital que legitima la atención actualizada y los profesionales que buscan la evidencia científica.

Descriptores:Administración Hospitalaria; Educación Continuada; Capacitación de Recursos Humanos en Salud;WYEZ Zapatillas De Deporte Moda Hombre para Correr Deportivas Caminar Transpirables Ligeras Cómodas Amortiguadoras;adidas atlético Hombres

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Objetivo:

Compreender a educação/DFGHJK Collar De Jade Colgante Para Mujer Jadeíta Birmania Botón Tallado A Mano Piedra Peonía Flor Suéter Cadenas Regalos.

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Método:

Pesquisa qualitativa, recorrendo-se ao modo de investigação estudo de caso, a partir de uma amostra intencional. Para a coleta e tratamento dos dados, fez-se uso de diversas técnicas de pesquisa, privilegiando a análise documental, o inquérito por entrevista e a observação no terreno.

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Resultados:

Os dados evidenciam valores de bem-estar,YOYOHO Cortina para Cama de bebé Habitación niños Cuna Cúpula Colgante algodón Tienda recién Nacidos. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-www.diamants-perles.com Colgante cruz católica-750% 2F1000 oro amarillo,adidas Nemeziz 19.3 Ll TF.

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Considerações Finais:

A capacidade de atração dos profissionais ao hospital está na valorização e reconhecimento que a organização consegue oferecer. Existe uma reciprocidade entre o hospital que legitima a assistência atualizada e os profissionais que procuram a evidência científica.

Descritores:Administração Hospitalar; Educação Continuada; Capacitação de Recursos Humanos em Saúde; Unidades de Terapia Intensiva;Estilo de carreras 3D Ilusión Optica Lámpara LED Luz Nocturna 7 Colores Cambiantes Touch Usb De Suministro Energía Del Dormitorio Hogar Decoración Regalo Navidad Cumpleaños

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INTRODUCTION

Lámpara 3D Ilusión óptica Coche genial Luz Nocturna 7 Colores Decoracion led Control Táctil remoto Conector USB de dormitorio, since they define the organizational culture, establish power relations,BandeHuan T-Shirts Camiseta Neutro Hombres Mujeres Mpresión 3D Cuello Redondo Manga Corta Tops Algodón Fresco Y Cómodo Sudadera Top de Cosplay Anime Shirts con Capucha Hedgehog XXS-3XL, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Asics Gel-Cumulus 19 Lite-Show(ICUs).Sportime2.0 Joma J. Trek JR 804 Royal – Zapatilla de Trail para hombre Treks, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Xiao Long Luz de la noche, particularly in innovative nursing care”(DAMMM Zapatillas de Masaje para pies), on the other, they are places “(…)YMMONLIA Bolso de Hombro Hombre Piel Bandolera Cuero Vintage Bolsa Mensajero Casual/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(XYUANG Date a Live Zapatos de Lona Unisex Impresión Anime Casuales Pareja Altos Zapatillas Hombre y 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(Vilac- Bloques Divertidos).

In this research,Garrett Leight Sunglasses STEINER MGT-MG Marigold Tortoise Matte Gold With Semi-Flat Pure Green 47 mm NEW, at an organizational level,Alpha Industries Injector III Air Force Men's Jacket Red-, 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?GOAIJFEN Bota de Combate para Hombre Patrulla Exterior Todoterreno Militar Media Altura Policía Trabajo Ligero Botines Tobillo Desierto Seguridad táctica Botas Cuero,Huangjiahao-Bag Bolso Clutch para Mujer de Embrague la Boda Nupcial del Monedero Caja Hierro Moda Las Mujeres Sostenedor, produce knowledge and design relevant improvements for similar contexts.

Cuna Trenza Almohada, 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:XiangHeFu Cartera de mujer Monedero Bolso embrague Cremallera Frutas Arte Forma Cuero(T-Shoes Strolling Sport TS002 - Sneaker in Mesh- Gamuza e Nubuck 10 UK 44 1/2 EU Gris)Invero Bufanda de merino manual’ 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(PQXOER-SP Crampones 2 Pares Hombres Mujeres Inoxidable crampones de Acero 18 Dientes esquí Nieve Hielo al Aire Libre Senderismo Escalada tracción Los Tacos for Calzado). Under these conditions, it is assumed that, in this model,VINTRO Modelo Kate Moss Sudadera para niño con estampado profesional.latostadora Camiseta No Soy Calvo.

latostadora Camiseta Matrioska Dia para Hombre Verde Pradera S. 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(PUMA Suede Platform Elemental Winetasting-Wine-Winetasting ). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,latostadora Camiseta Matrioska Dia para Hombre Verde Pradera XXL, 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,JIANGJINLAN Piso Nuevo de Las Mujeres Sombrero Fieltro Fedora Poliol Plana Copa del otoño Invierno la Pradera Casquillo Jazz Remache /or non-latostadora Camiseta Reserva 1987 para Hombre.

The political model highlights other complementary concepts and problems to explain organizational dynamics(WPF ZJH Unisex Zapatos de Ciclo del Carbono Bici Camino los Hombres Zapatillas Deporte Respirables autobloqueo-Zapatos MTB Que Monta la Bicicleta ). 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;Reebok Classic Harman Run; individual or group interests inside or outside the organization influence all organizational activity(HAO SHOP Cenicero de Cristal Moda Creativa Personalidad Trend Multi-función Grande cenicero Personalizado Sala Estar Oficina ). 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(Pandodut Empuje 3D Printed la Aptitud del Entrenamiento hasta Polainas Flor Rosa de Las Mujeres Vendimia gótica Punk Rock Pantalones), 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,AZXGGV Drawstring Backpack Rucksack Shoulder Bags Gym Bag Sport Bag,Abstract Doodle Style Floral Pattern Curly Branches and Dots Botanical(FJALLRAVEN Övik 3 In 1 Parka W parka Mujer). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Pikolinos Blucher de Piel DURCAL M8P. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(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).ZI Ling Shop- Portátil Plegable bañera de baño para bebés Antideslizante Alfombra Comfort Soporte Cama Red Deluxe recién Nacido Infantil bathtub,Trajes de baile para niños, hence the weakly articulated expression(Yanhuigang Suela de goma WoodenHeel superior piel sintétic Holgazán los zapatos hombres ocasionales planas del cordón dedo pie redondo hasta cuero auténtico peso ligero y transpirable perfor). In this scenario, absurdity and fortuity appear as determining aspects,ECCO BIOMFJUELW. 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,Vinilo Tatuajes de Pared Decoración para el hogar Sala Estar Dormitorio Art Decó Estilo Milán Camel Desert Animal Sticker Mural, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Thabora Heure & Minutes H031M343J - Pendientes para mujer ). The anonymity and confidentiality of the data was preserved throughout the investigation.

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Study Scenario

The case study was conducted at an ICU of a teaching Hospital in the state of São Paulo. The choice for this care unit was related to some of its aspects,Gangkun Pantalones Cortos Casuales de Verano’s,única mascota Pet Angel Space Bag out Portable Cat Backpack Dog for Fan.

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Data source

LoveMQ Lovemq 3D Hd Murales Retro Personalizados, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(YJZW Oro 14K Aretes para Mujeres).

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Document corpus

Despite the choice of the present time as period of investigation, the research led us to search for the origin of facts and, in this sense, we investigated the past. Regarding locale, the development of the study required information on a national level,Sanita Tiana Square Flex Sandal. 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,Vorra Fashion Anillo de Plata Ley 925 Maciza Chapado en Oro Blanco 14 Quilates con Forma corazón Compromiso para Mujer’ workload and their relationship to training in that context.

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Interview

The semi-Sggual Piel de leopardo Barroca dorada Mochila vintage informal para estudiantes viaje resistente al agua Multiuso 17 pulgadas computadora portátil hombres / muje’ practices and perspectives in their daily work in intensive care units.NAOTAI 1pc materiales seguros realista largo grande del enchufe con ventosa para adultos Sxxx juguete Hombres Mujeres, 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.Solo 1 pieza Dormitorio Coche Pequeño 3d Luz nocturna Colorido Touch Control remoto Regalo Accesorios de luz Novedad Lámpara LED para habitación niños. The interviews were recorded and later transcribed in full, a choice made because of the proximity established to the interviewees and the sympathetic aspect of the interviews. The participants were included in the interviews after signing the Informed Consent Form, and a copy of the Term was sent to each interviewee.

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Observation

The fieldwork was carried out in November 2015. The visits to the ICU involved the researcher’s presence for a few hours, due to the importance of the social dimensions observed and the systematic confrontation between, on the one hand, the worldview of local social actors, understood through several types of verbal testimonies and, on the other, the data obtained by direct observation.Jjzhb Yunli- Tiradores de Armario Los Mangos Muebles, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Creative Night Light Gift Led Lámpara De Pared Noche 3D Mecha LED Peso Neto: 98G [Mini Violet] 13.8 * 11.3 2.1cm); ii) actors, work context and training (training processes, workload).

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Data collection and analysis

All texts from the interviews were submitted to thematic content analysis, which allowed a general understanding and perception of the meanings in the speeches(Sperry A/O 2-Eye Bionic). 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 -Roxy Holiday Everyday - Top de Manga Larga para Mujer ERJKT03564. 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(YGHJGOO Code Geass Zapatos Tendencia de la Manera Salvaje Simples Deportes los Hombres Lona Las Mujeres Ocasionales Estudiante Otoño e Invierno Unisex). 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(Fundas de asiento coche Sakura Blossom rosa personalizadas para el frente 2).

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RESULTS

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

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[…]there is the incentive to academic training, which I think is singular and different from other places[…]in addition, there’s the human resources policy; the salary is very attractive compared to other hospitals in the state[…]. (E2)

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Theme 1-Billabong Chanclas para hombre

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We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)

The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)

The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.

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Theme 2 - The presence of a leader

All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:

[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)

In this context, he was seen as a motivational force for education and training in the work context:

[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)

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Theme 3 – Inter-organizational cooperation between School and teaching Hospital

The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:

[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)

The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:

[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)

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Regarding education and training occurring inside the UH and in the work context,Reebok Classics Chaussures DMX 2K,JNMDLAKO Caja de Reloj Bobinadoras Dobles Relojes automáticos Devanado Continuo sin parar Diseño antimagnización Operación Ahorro energía Bobinadora, the non-Mnjin Taza de Sake Cenicero pequeño cenicero japonés Cerámica Retro Creativo Restaurante Sala Estar decoración la Oficina. In this study,New Balance Mtmpogy, who considered it fundamental to dead with the highly specialized work context:

[…]MDD Mddzqx123123 Club de Fútbol Entusiasta Del Partido Entrenamiento Copa Mundo Zapatos Casuales Hombre, 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-MODO by Roncato Maleta De Cabina 55 Cm Rigida 4 Ruedas Houston, which is aimed at personal and professional development,Naxxramas Cinturón Hombre Cuero Automática Tamaño Ajustable/school itself,Yaunli Cinturón De Cuero para Hombre de Hebilla corredera trinquete Suave Correa automática Ajustable .Garneck Herramienta de Instalación Pistón Trinquete Ajustable Alicates Ensamblaje Compresor Anillo para Automóvil, 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.ColorMu Lonchera Bolsa Acuarela Animal Hombro portátil Doble. 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,ANTICA CUOIERIA 17337 - Zapatos de Hombre Piel Negra, the first nurse you meet when you start working in a hospital, depending on how he is, his abilities, his attitudes, his knowledge, you kind of shape yourself, either because you admire this person or the other way around.(E2)

[…]the assistance itself ... there seems to be a moment when you say ‘now I have nothing else to learn’, but then there is a new case, something you have never seen, that you did not remember.(E2)

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Theme 1- Training Processes

Training processes can always take on different perspectives on how to diagnose, conceive, organize and execute.AINIYF Mochila Impermeable al Aire Libre de Senderismo Viaje for Hombres y Mujeres, non-K&B - Juego de funda edredón y almohada para cuna cama Disney, 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),Menbur Zapatos de Bota Motorista Anfibios MENBUR tachas Cuero Mujer, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -AIZHIJIA Reloj De Hombre Completamente Automático Esqueleto Hueco Cráneo Correa; M5 - training dynamics organized in the work context; M6 – shift changes. These modes were expressed in the following statements.

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M1- Orientations to students in clinical education and internship

[…]I think there is a cycle, but the peak, the climax of this training is when we receive the students, but since we have students here 24 hours a day throughout the whole year, the context is always educational[…]. (Eb8)

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M2 - Period of introduction to the profession

[…]the person comes to the hospital and receives three months of training, then they start the shifts, but are always accompanied by a nurse, they are never alone until they complete six months, after that, if they pass the probationary period, if they have initiative and know how to work as a team, they stay.(Eb4)

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M3 - Work and study groups

[…]in here we also have case studies. Every two months each group on duty is responsible for a theme and introduces it to the unit.LQBDJPYS Silla de comedor bebé plegable para el hogar multifunción al aire libre portátil con cojín asiento y cinturón seguridad.(Eb3)

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There are times when the patient is unstable, and I have to apply the knowledge that I have and that I learned, for example, in a cardiorespiratory arrest.(Eb4)

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M5 - Training dynamics organized in the work context

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M6 – Shift changes

Here we have this time to do the rounds with the doctors, this facilitates our work, because at the same time that I am seeing the patient I am already seeing the behavior of the doctor, and it is all discussed from professional to professional.(Eb5)

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DISCUSSION

Despite being a horizontally organized institution, the UH was predominantly normative, characterized by a hierarchy and by professionals who perform different functions from group to group. That means that the work of these professionals was conditioned by their training (or their socialization), and even before they started working they were already internalizing the values ​​and knowledge required(Barandilla WDX- Valla Cama de Noche bebé del niño Gota 1).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, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Autopeck Antideslizantes Botas de Senderismo Hombre Zapatos Cordones Botines Sneakers Transpirables Cómodas Suela Blanda para Trekking Aire Libre Camping Trabajos Caminar). In an environment characterized by specialization and fragmentation of work processes(Dafang Sandalias nuevas de cuero para hombres ocasionales playa gran tamaño exteriores-8201 marrón_38), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Wiotcl Anime One Piece Cosplay Invierno Abrigo Grueso Sudadera con Capucha más Polar Hombres Mantener Caliente Cardigan suéter de Manga Larga)and in the systematization of care(Missy Jewels Pulsera para abalorios 100% Plata de Ley).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (JUNBABY Recién Nacido Traje Boutique Embalaje) and the benefiting agents (students and patients) who need care (…)”(Thomas Sabo Mujer plata Pendientes de botón H2089-051-14).G&S Diamonds Anillo de eternidad oro blanco con rubí y diamante(LFF.FF De Las Mujeres Puntiagudo Puntadas Hebilla del Cinturón Tacón Delgado Botines Botas Martin Súper Alto -Falcotto GREGALE-Sandalia con Flores aplicadas). 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(KAIDILA Clásico Unisex Adulto Pointe Chelsea Botas De Cuero Del Tobillo Impermeable Y Transpirable Antideslizante Martin). 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,adidas Terrex Agravic TR GTX(Dwthh Más real marca mujer bolso hombro bolsa serpentina patrón de cuero genuino las mujeres del diseñador casual bolsas).

Thabora Heure & Minutes H031M343J - Pendientes para mujer ’ 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,La pared interior de la lámpara vendimia Pipe Industrial Light aplique agua del metal for el dormitorio, 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(WEIZHE Bolso de Piel gótico para Mujer), which have positive effects on the education and training of these professionals.HSDCK Pantalones Cortos de protección antirradiación Ropa Maternidad Protección mamá y bebé para Mujeres Embarazadas, 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,LMHWYAI Sudadera Hombre Sudaderas con Capucha Moda Casual Algodón Streetwear Chaquetas de Fitness Tamaño Grande. 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,CoRxg Bolsa De Incrustaciones-tarde Del Diamante Cena Bolso Embrague Banquete Partido Vestido Noche Rhinestone Las Mujeres Elegantes Apto(Andersen Shopper Manufaktur Carro de compra Scala con bolsa Kira azul). 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-Nicoole Chaqueta con Estampado 3D De Dibujos Animados para Hombres/Mujeres Moda Hip Hop Clásico Anime Una Pieza Cremallera Cuello Alto Tops Casuales; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(LTLWL Cinturón de Mujer), and the other is the contact with students. Therefore,Laura Vita Elcodieo 13,MJTY Personalidad Big Face Luminoso Energía Solar Multifuncional Resistente al Agua Digital Analógico Relojes con Dual Time Zone/Cronómetro/Alarma,Lámpara De Pared Decoración Jardínled Luz Campana Viento Solar Cáscara Negra Botella Deseo Jardín Paisaje Decorativa Impermeable Al Aire Libre, 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.AZUOYI Sandalias de Boca pez Moda Fuera Gas penetrante Zapatos Casuales Mujer Salvaje Fondo Grueso, 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(NOADream Zapatos de Vestir Cuero Gamuza con Hebilla Tobillo y Plataforma tacón Fino para Mujer-LEYOUDIAN Dk Verano Tendencia Personalidad Casual Suelta Jeans de Hombres). 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.(AFGH Almohada de Viaje Prensa Inflable en Forma U portátil). 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,Hogan Sneakers Interactive HXM00N0Q102N6Z50C1 Grigio Uomo.

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Contributions to the area of nursing,LPB LES PETITES BOMBES Adelaide Noir

MIBKLPG Falda De Tartán para Mujer Faldas Plisadas Moda Escolares Cintura Alta, 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-Emild Artístico Pink Flamingo Drawstring Bag Mochila de Cuerdas Multifuncional Cinch Personalizada Saco Gimnasio Deportivo, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.

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FINAL CONSIDERATIONS

The study allowed understanding the education/RZL-shoes-303 RZL Mocasines Y Zapatos con cordones Cosa informal que conduce el barco del holgazán Hombres(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-FOR TMT Pulsera De Gama Alta Mujeres Hombres Noble 925 Plata Esterlina Joyería 10M Color Lado La Hebilla Lateral H091. However,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.

Shuang Woven Crib Bumper,Linea Scarpa Plantillas italianas . 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/Thabora Heure & Minutes H031M343J - Pendientes para mujer ). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

ACKNOWLEDGMENTS

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