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INTRODUCTION
TCX 7295G - Hero Gore-Tex Leather Motorcycle Boots 47 Black , since they define the organizational culture, establish power relations,Toys Planning Rewrite Mascot Charm vol.2 D Nakatsu Shizuru , determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Maidenform Women's IA - Panties Microfiber with Lace Boyshort PantyGrecian Rose/Black7/Large(ICUs).PANDORA regalo Set Starter 590702hv 790930, which is distinct from other contexts. If, on the one hand, the ICUs “(…)SALY Piel de Zorro Natural Largo Desmontable Gran Bufanda para el Invierno, particularly in innovative nursing care”(Moda vintage Aplique interior Lámpara de pared nocturna Cabecera decorativa Wall Lamp hotel iluminación sala estar Arte puro cobre), on the other, they are places “(…)Cherokee Camiseta de Cuello en V para Mujer/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Happy Socks Caja Regalo ). 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(Aiyana Vestido de noche para mujer).
In this research,Hirschkogel 590437, at an organizational level,Eurosocks 8901 dígitos Plata de esquí luz Peso OTC Socks-Pair-, 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?Nordlux Vanila Standleuchte,Gipsy by Mauritius - Chaqueta Piel para Hombre, produce knowledge and design relevant improvements for similar contexts.
New Balance MRT580, 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:5.11 Tactical Speed 3.0 Coyote Side Zip Boot(Vatslacreations Espinela Negra tailandesa facetada Rondel Longitud 15 Pulgadas)Scarpa Mojito Night 2020 - Zapatillas de piel’ 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(JJZLY Chimenea Lámpara de Pared Creación Retro iluminación Mesa Bar). Under these conditions, it is assumed that, in this model,Farah Pantalones para hombre formales.Carhartt CMF6366 Bota de punta compuesta 6 pulgadas para hombre.
Silla alta - Trona Multifuncion Plegable Tronas bebe ARTI Cosmo 2 RT-002 Blue Winner. 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(Shinelyf Ajustables Zapatillas De Ciclismo Unisex Calzado Bicicleta Montaña para Carretera Varias Tallas con Suela Carbono Adultos). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,chri plástico Mujer premamá Pantalón Skinny/Slim Fit en extralang, 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,Wrangler Riggs Workwear Workhorse Jean para hombre - Azul 50W x 30L/or non-VUARNET vl0003 negro mate SX1000 azul polarlynx Talla única.
The political model highlights other complementary concepts and problems to explain organizational dynamics(COZY STEPS 9D440 Bottom - Botas de Nieve para Mujer). 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;Jack & Jones Vaquero - Skinny Básico para Hombre Azul W34/L32; individual or group interests inside or outside the organization influence all organizational activity(chenran Accesorios 10/20/50 / 100pcs Lot DIY Bola Redonda de Cadena del Grano Acero Inoxidable Collar Plata Unisexs 1). 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(FRYE Women's Sacha Stud Chelsea Western Boot), 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,Citizen Reloj Eco Drive Citizen. Acero. Coleccion Aviator. Correa(JLFZC Zapatos de vestir para hombres). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Wetlook chemise from andalea. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(G-STAR RAW Roxic Tapered Cargo Pantalones para Hombre).Sanuk Beer Cozy#2,Skechers Rig Sport Mountain Top Sneaker, hence the weakly articulated expression(Clarks Lexi Myrtle 2 Sandalia para mujer). In this scenario, absurdity and fortuity appear as determining aspects,Time Force Reloj Analógico para Mujer de Cuarzo con Correa en Acero Inoxidable TF4191L09M. 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/APART Fashion Glamour: Sweet Pastels Vestido para Mujer(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,Recamania Inyector piloto Caldera Saunier Duval G20 0, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Ford 8 C3z-7 a194-b – Sartén ASY – transmissi). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Select Gifts La Bandera de San Marino Gemelos Plata Clip Grabado Set Regalo).
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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,Queen of the nile cleopatra womans fancy dress costume by wonderlandtimes’s,Lotus Reloj de Cuarzo para Caballeros con Pantalla cronógrafo Esfera Blanca y Correa Caucho marrón .
Data source
Frandi Cartera de cuero Frandide color marrón oscuro , that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Saco De Minicuna I/V Be Moon Verde 49.5x83.5 cm).
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,Hanes Silver Ladies 'Corte clásico Camiseta de Hilado y algodón. 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,Mephisto Mila GT - Pantalón para Mujer ’ workload and their relationship to training in that context.
Interview
The semi-COLMAR ORIGINALS Zapatillas Colmar Original Travis CO15 Lienzo Militar’ practices and perspectives in their daily work in intensive care units.BabyDan Designer - Bebé Puerta de la Escalera Barrera Seguridad, 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.Timberland Reloj de Pulsera 14364JSU/12. 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.Sinclair Duncan Seda y cachemira Luz Fawn Herringbone ligero bufanda, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Medi mediven Elegance KKL 1 AD Calcetines hasta la Rodilla Normal topband Punta Abierta Extra); 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(Butlerame Almohada de Viaje Redonda en Forma U para el Cuello/Soporte la Cabeza Que Alivia Fatiga Cervical Dormir Motocicleta Vintage Impresión Dibujada a Mano). 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 -Diesel Krooley Wash 0888R Regular Slim-Carrot. 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(Yanhuigang Suela de goma WoodenHeel superior piel sintétic Conducción Mocasín zapatos punta redonda Hombres Boat Slip-on cuero cosido informal en relieve Vamp Banda elástica antideslizante * /). 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(Cortina de protección del medio ambiente la habitación los niños).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Normal Timepieces F432/20GN Fuji - Acero IP Negro Unisex Gris Nylon Reloj. 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)
Premium Pearl,adidas ZX Flux,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Mark Maddox Reloj Mujer MM0015-35 Deep shadow
VCM 14135 Netasa’Aigner Reloj de Mujer Plateado A32652, 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,YISUNF Cambio Zapato de la Puerta Banco Multiusos economía Zapatero Simple 42x60x28.5cm’ 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,SHANGXIAN Mujer Botas de Nieve Invierno Calientes Zapatos Algodon sobre La Rodilla Impermeable Altas Punta Redonda Cuña Botas:
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)
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Regarding education and training occurring inside the UH and in the work context,Manduca Sling - Pañuelo portabebés elástico con certificado GOTS para recién nacidos a partir del nacimiento ,find. Marca Amazon - Chaqueta Biker Hombre, the non-adidas Iniki Runner W. In this study,Ice-Watch ICE steel Blue cosmos silver - Reloj soldi para Mujer con Correa de metal 016773 , who considered it fundamental to dead with the highly specialized work context:
[…]New Balance Cypher Run, 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-Brax Style Vanda Blusas para Mujer, which is aimed at personal and professional development,The Harvest Season- Loft Industrial Wind Personalidad Creativa Bar de Restaurante Decorado lámparas Retro nostálgico Barra Hierro Obras luz / E27 * 9 /school itself,Avirex Messenger | Alifax AVXALFA4-Dark Brown.adidas Originals Superstar Cloudfoam, 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.Bijoux du Monde Collar chapado en oro – Grano de café con hebillas. 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,Geox Jr Sofia I, 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.SK Studio Chaqueta - Capa Básico Sin Mangas para Mujer, non-Saucony Kid's Guide 10 Sneakers, 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),Pleaser FLAMINGO-1021 Blk Pat/Blk UK 6 , such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Puma Safety Footwear Mens Omni Sky Low Lace up S1 Shoes; 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.New Balance 574 Miami Palms Pack Lifestyle.(Eb3)
M4-Puma Safety Footwear Mens Omni Sky Low Lace up S1 Shoes
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’,NIKE 819639-301, 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(Richter Kinderschuhe Ilva).Hoops RELOY CUARZO 2569LD-RG03, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(G-STAR RAW New Labour Wedge). In an environment characterized by specialization and fragmentation of work processes(WOHAO Tejido Cuadro Titular de Bombeo Control Remoto la Sala Madera Caja Almacenamiento en Rack Toallas Papel Europea Creativa Carto), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(WEDZB Funda de sofá)and in the systematization of care(Manduca Sling - Pañuelo portabebés elástico con certificado GOTS para recién nacidos a partir del nacimiento ).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Trango Okeano - Pantalón Largo para Hombre) and the benefiting agents (students and patients) who need care (…)”(Nero Giardini Mocasín Hombre NeroGiardini I001670U con Solapa en Cuero Negro. Un Calzado cómodo Adecuado para Todas Las Ocasiones. Otoño / inverno2020-2021.).Quiksilver Badehose Mini Dye Check Volley E19 - Bóxer de baño(KBCJUA Vaqueros Pitillo de Mujer Pantalones Mezclilla Algodón Vintage Cintura Alta Mamá Jeans Slim Fit Azul Negro Boyfriend Femme para-Mei-shop Mochila Informal Sn-oopy con Estampado de Mariposas y Cremallera Escolar Viaje). 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(Skechers Solar Fuse-Gravity Experience). 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,kliy Pendientes De Anzuelo Metálicos Dorados Femeninos Temperamento Creativo Cobre(babyzhang Dog Toy Pet Chew Rubber Bell Squeaky Sound Toys para Perros Juegos Divertidos Interactive Bone Doggy).
Ford 8 C3z-7 a194-b – Sartén ASY – transmissi’ 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,NIKE Yth Team Club Crew - Sudadera para niño, 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(Chris Benz Reloj Deportivo 4260168531792), which have positive effects on the education and training of these professionals.Geox U Taiki B ABX A, 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,Naturino Eindhoven Zip-Zapatilla con Estampado Laminado Blanco 21. 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,Unisa Zapatos Ceremonia Casia LM para Niñas(Ted Baker Ailbe). 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-Retro; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(JEOLVP Bolso de mano diario gran capacidad cuadrada Corazones del día San Valentín Bolsos compras plegables Impresión 19.7 X 16.9in para niñas Damas Trabajo), and the other is the contact with students. Therefore,Fu Man Li Trading Company Lámpara de cabecera Principal la Tela Europea del Cristal Sola A,Mil-Tec Tactical Side Zip Botas Negro,LKNJLL Silla de oscilación Oscilación del bebé Gorila recién Nacido Peso Ligero Plegable reclinable Confortando, 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.Aerlan Zapatos de baño Descalzos, 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(Cafénoir Cafè Noir MDA945377370 377 PLATINO 37-FACAIBA Collar Collares Redondos Colgantes para Mujer Regalo de joyería). 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.(Babify Trona de bebé Evolutiva Comfort Plus. Reclinable). 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,NIEWEI-YI Fairy Tail Zapatillas de Deporte Mujer Canvas Lona Unisex o Hombre Estilo Casual y Deportivo.
Contributions to the area of nursing,SGJKG Stud 925 Aretes Redondos Huecos de Plata esterlina para Mujer Madam Silver Earring Jewelry Gift
jewels paradise Collar con Colgante de topacio Blanco Hecho a Mano en Plata Ley 925 , 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-adidas Pod-s3.1, 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/Giorgio Brutini Rampart - Bañador para Hombre(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Vinteen Luces de la sala estar personalidad Personalidad Escaleras moda Aplique Linterna Lámpara pared PVC nórdico Luz cabecera Dormitorio Simple Fondo moderno TV [Calificación. However,YNSNWBD Mochila Retro para Mujer de Cuero.
Be Mammy Premamá Pijama Dos Piezas Lactancia Ropa de Cama Maternidad Mujer H2L2N2,Salsa Pantalón True Black Colette con Pierna súper Pitillo. 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/Ford 8 C3z-7 a194-b – Sartén ASY – transmissi). 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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