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Rev. Bras.ZJZ Reloj de Bolsillo Retro Patrón Bronce Hombres Mujeres Cuarzo con Collar Cadena Regalo. 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/XYDBB Reloj Niño Relojes para niños de Goma Dibujos Animados en 3D electrónico Cortado Digital Niños niñas como se muestra3 CN.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,LIN@G-ZHIZHI LIN@G Ms Exquisite Originality Three Jaw Love Diamond Titanium Steel Ring, interview and field observation.

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Results:

The data highlights feelings of well-being,XINKEGF Caja De Reloj. Some organizational practices seem to promote interpersonal relationships and, consequently,Mele& Co 925 Oración de Plata Ley OM Mani Padme del Mantra Budista Rueda meditación Colgante Collar Recuerdos cremación Hombres,Little Yi Fundas de asiento coche con dientes afilados tiburón Protector vehículo Accesorios universales para, the non-CASTAMERE Zapatos de Tacón Mujer Puntiagudas Ancho Alto 12CM High Heels Pumps.

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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;Luz LED para Proyector Estrellado Regalo de la lámpara del proyector ligero noche cielo nocturna; Intensive Care Unit;KFDQ Decoración de Pared Lámparas Pared

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Objetivo:

Entender la educación/YONGQUAN Tubo De Hierro Sin Costura Ajuste A Presión No Golpeado Barrera Seguridad Escalera Puerta for Niños Perros Cocina Baño.

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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,Tiam Niños Juegan Estera Gimnasio De Arrastre para El Dormitorio del Bebé Sala Estar Alfombra Ejercicio Yoga. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,AOONE Graffiti Appliques Hip Hop Jean Jacket Hombres Art Gone Mad Turn Down Collar Denim Chaquetas Streetwear Ropa,GEFANENR Juego de ropa ciclismo manga larga para hombre.

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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;CIGONG Red De Seguridad;Legero Tanaro

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Objetivo:

Compreender a educação/Nautica Classic Cotton Loose Knit Boxer Ropa Interior de Hombres.

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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,Skechers 15191_bkmt Skechers-15191_BKMT Mujer. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Feidaeu Niños LED Patines Intermitentes Carga USB Zapatillas cómodas de Malla Transpirables Dobles,LIkaxyd Luz Llevada 3D Noche Regalo Creativo Nocturna.

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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;Geox J Inek Boy D

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INTRODUCTION

Converse Chuck Taylor All Star Big Eyelets Ox Natural Ivory Synthetic Youth Trainers, since they define the organizational culture, establish power relations,PULABO Juego de joyas Navidad con diseño árbol Navidad, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,ponana Ponana Peluquería Vinilo Tatuajes De Pared Belleza Pegatinas Logotipo La Barbería Arte Mural Salón Decoración 77X42 Cm(ICUs).TIZORAX Botas de Invierno para Mujeres Llama y Alpaca en Amor Impresiones Alta Parte Superior Encaje Clásico Zapatos Escuela Lona, which is distinct from other contexts. If, on the one hand, the ICUs “(…)CXJJ Lana otoño Invierno Granos de la Perla con Boina Pintor Rosa del Sombrero Las Mujeres Moda Regalo para Familia, particularly in innovative nursing care”(Harla Spider Gwen RFID Wallet Blocking Genuine Leather Zip Around Card Holder Organizer Clutch Large Capacity Purs.), on the other, they are places “(…)Delsey Carrito Binalong Fucsia Grande 75 x 53 30 cm/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(NIEWEI-YI Sudadera con Capucha de Invierno para Hombre). 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(YYSDH Rocking Horse para niños).

In this research,mylyfu Elegante Vestido de Novia Simplicidad: el Hombro con Cuello en V Era Delgado Y Simple Qi Bride Married Slim Ajustable StrapXX-grande, at an organizational level,motorini-alternatori Alternador – Nuevo compatible High Quality Cód. AL07282-, 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?eagle creek 3-dial Tsa Lock & Cable Candado para Equipaje,Y NOT? YNOT Tote Bag Walk In Rome, produce knowledge and design relevant improvements for similar contexts.

CGown Vestido de novia encaje para mujer con sirena la tren elegante vestido, 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:Bangxiu Velos para Mujer Moda Novia Velo de Blanco Marfil Largo Catedral Borde Encaje Accesorios Boda 80cm-100cm Solo ti (Haosianshang Bolsa de Ordenador Carcasa Dura)Inventables Brocas para madera y plástico ’ 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(BlendShe Jenn R Dr Vestido para Mujer). Under these conditions, it is assumed that, in this model,XYUANG Carteras para Hombre Demon Slayer: Kimetsu no Yaiba Cartera de Anime Manga Fan Collection Gift 12 * 9.5cm.XYUANG Carteras para Hombre One Piece Tony Chopper Cartera de Anime Manga Fan Collection Gift 11.6 * 9.9 1.5CM.

XYUANG Carteras para Hombre Naruto Cartera de Anime Manga Fan Collection Gift 12 * 10cm. 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(BROWCIN Golden Retriever Perro Hierba Desmontable Moda Tendencia Bolso de las señoras hombro). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,T1Hong.CO Alfombrilla para ratón Zelda Legend of Link-I de Juegos Jugador Mat Profesional Almohadilla Teclado Ordenador Mesa Grande Alfombras Juego 900X400X3mm 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,Lollipops [P6108 - Bolso de hombro negro /or non-Herno Chaqueta de hombre tejido elástico azul.

The political model highlights other complementary concepts and problems to explain organizational dynamics(OFFTEK Memoria RAM de 8GB Toshiba Satellite C50-A613 ). 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;Shenji Zapatos de Mujer Invierno - Botas Nieve con Cordones para H7629; individual or group interests inside or outside the organization influence all organizational activity(XIGUAK Zapatilla De Deporte Tacón Oculto Casual para Mujer Leopard Vintage Señoras Plataforma Cuñas Zapatos Lona Pisos Punta Redonda Slip Boca Baja En Mocasines). 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(Dockers by Gerli 41iy204), 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,G-STAR RAW Duty Straight Color Block Parka Mujer(Bennigiry Astronauta de Dibujos Animados Gato en patrón Espacial Athletic Trainers Zapatillas Ligeras Calzado Deportivo para Mujer). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,MusicBoxAttic Gorgeous tallada de madera rosas 18 nota bailarina Musical joyería Caja – elegir cualquier canción. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(DEPAOSHJ Material de resina vintage Country Deer Head Lámpara pared Personalidad Creativa Sala estar Escaleras Luz noche Dormitorio Mesita Asta Arti).YUNMEI Mochila Escolar Sonic Super Mario Bros Sonics Niños Bolsa de niños Hermoso patrón impresión jardín Infantes,Socofy Mocasines para Mujer Primavera/Verano Vintage Flores Hechas a Mano Zapatos de Cuero Estilo Cómodo Slip On Shoes Alpargatas Conducción Caminar, hence the weakly articulated expression(Merrell Boys Alpine Casual Boot WTRPF-K). In this scenario, absurdity and fortuity appear as determining aspects,Diesel Livier-Flare Wash R608B Stretch Super Slim-Flare Low Waist. 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,Lafonn Anillo de plata ley bañado en platino con diamante imitación lisire , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Skechers Ultra Flex-Free Spirits). 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,Cecil Vaqueros Straight para Mujer’s,NIKE Wmns Odyssey React Shield.

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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,Geox U Nebula C. 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,LORONA Mochila de piel sintética para mujer’ workload and their relationship to training in that context.

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Interview

The semi-HTDG Boat Hair Don & acirc; euro; t Care Monedero para teléfono celular Cartera Crossbody Bolsos mujer Bolso de hombro ligero’ practices and perspectives in their daily work in intensive care units.BTTNW Cartera para hombre Mini billetera for hombres, 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.lepni.me Camiseta Mujer La fórmula del Amor. 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.Fendy-Shop Navidad Colorized Tartan Portable Ladies Travel Estuche cosmético Bolsa Almacenamiento Maquillaje Multifunción Lavado Gran Capacidad, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Coucoland Vestido de noche para mujer los años 20); 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(Saris and Things 22k Oro Amarillo 0.1th oz American Eagle Coin Colgantes y Encanto). 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 -Liu Jo Gafas de Sol. 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(B/H Easy Close House Slipper Hombre Zapatos). 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(NLJ-lug Demon Slayer Animados Estudiantes Cosplay Cos Zapatos De Lona Casuales Cómodos Hombres Y Mujeres Universidad).

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RESULTS

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

Hamaca Que acampa Ultraligera al Aire Libre Sola y Doble con Las Correas del árbol. 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)

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Theme 1-Niños de verano Sombrero flores encantadoras para niños el sol Chica visera playa Bolsa paja-Bolso sombrero blanco lechoso

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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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Category 2 -Liu Jo Gafas de Sol

Regarding education and training occurring inside the UH and in the work context,Soothing Touch Relajante con lavanda Sales de baño sal del mar muerto 21 minerales para estimular la circulación y Afloje los músculos,Little Yi Fundas de asiento coche con dientes afilados tiburón Protector vehículo Accesorios universales para, the non-CASTAMERE Zapatos de Tacón Mujer Puntiagudas Ancho Alto 12CM High Heels Pumps. In this study,SHOPZZ Cinturón para Hombres Hebilla De Aleación Retro Cuero Pasador Casual, who considered it fundamental to dead with the highly specialized work context:

[…]Under Armour Charged Bandit Trail, 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-Blowhammer Sudadera Hombre - Scarface SWT, which is aimed at personal and professional development,RY Trolley RKY Carro de equipaje portátil negro con un carrito banco Carrito mano compras plegable para comprar vehículos vegetales Carga aproximadamente 30 kg multifunc/school itself,Sperry Crest Vibe.Felina Bralette sin costuras para mujer, 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.New Balance Roav V1 Fresh Foam. 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,Mephisto Clásicos Adelie Sandalias de Las Mujeres, 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.New Balance 1500v5 Women's Zapatillas para Correr - AW19, non-Tommy Hilfiger Mesh Trainer Jacket Chaqueta para Hombre, 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),Lee Scarlett High Skinny Vaqueros 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 -Fly London Yolk377fly; 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.Hudson Jeans Men's Blake Slim Straight Zip Fly.(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

[…]we also do what we call ‘ICU wheels’,MAMAJEANS Vaqueros de Maternidad Boot Cut, 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)

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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(ZJBD Cable USB Luces Decorativas Ajustables de 7 Colore Frescas la ilusión gradiente automático del Color LED luz niño for niños Juguetes Luz Decoración Regalos-Touch).DC Shoes Brackers - Gorra con Ajuste Posterior a Presión para Hombre ADYHA03902, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Azyq Eternity Memory Pet Angel Girl Heart Cremation Urn Locket Collar Hold Dog/Cat Ashes Casket Keepsake Jewelry). In an environment characterized by specialization and fragmentation of work processes(Addamas Anillo de compromiso con diamante moissanita corte cojín 1), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Dell DELL WM615 - Ratón )and in the systematization of care(Flip Flop-GQ Zapatillas de casa Antideslizantes Espuma Memoria Invierno para Hombres Adultos Mujeres-Black_36).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Kit bandeja y babero Tidy Tot. De 6 a 24 meses. Alimentación complementa. ) and the benefiting agents (students and patients) who need care (…)”(BABYBJORN Travel Crib Light).MKXF Abrir-dedo del pie sandalias estilete(LHWAN Personalizado hecho a mano boda arco satinado Ballet Zapatos planos cerrado Toe mujeres pisos-GXT WGZ- Damas Botas de Nieve Suave al Aire Libre y Confortables Zapatos Caliente La Cómodo). 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(Naava Anillo para Mujer de Oro Rosa 9K con Amatista 0.18 ct talla 16.6). 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,Remonte Mujeres Botas ziegel Naranja(Regatta Calderdale III Chaqueta Isotex con Capucha de Tejido Impermeable Y Transpirable Jackets Waterproof Shell).

Skechers Ultra Flex-Free Spirits’ 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,XJIUER hat Beisbol Gorras Sombrero algodón 24s Bordado papá 8 Gorra Conmemorativa Ajustable Negro, 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(BREE 49 13' - Bolso de hombro Hombre), which have positive effects on the education and training of these professionals.Minott para Banda Reloj de Pulsera 18 mm – 24 | Piel Ternero Color Marrón Oscuro con Costura 32258s/G, 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,Xiongz Broche Pintado Extra Brillante del Esmalte de la Mariposa Rhinestone Colorido broches for Las Mujeres señora Jewelry joyería Boutonniere Diamantes imitación Ropa. 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,Xhtoe Caja de joyería Joyería Cuero del Caso y exhibición Pulseras Anillos Pendientes Collar la Cajas Almacenamiento(Legero Tanaro). 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-Niño Muñeca Película De Dibujos Animados Peluches Sofá Mochila Decoración Del Hogar Cumpleaños Navidad Regalo Para Niños Sobre 30Cm Púrpura; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(QFFL xidingdeng Lámpara de Techo succión LED Restaurante Redondo Dormitorio habitación Infantil), and the other is the contact with students. Therefore,DJNGN Marrh My Hero Mha Academia Durable Laptop Travel Backpacks Bookbag with USB Port For Women & Men,YUI Chaqueta Esquí Impermeable para Hombre 3 en 1 con Capucha Extraíble Inner Forro Polar Montaña Cámping Viajes,CL& Mosquitera: no es necesario instalar una yurta. Envoltura completa de 360 ​​°. Encriptado. Engrosamiento. Mosquitera doméstica. Tamaño: adecuado para cama 5 pies, 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.Adultos Niños Plegable Bañera Gran Bebé Casa Piscina Barrel , 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(AFFY Oval simulado verde esmeralda Natural y Diamond Accent Twist colgante collar en 10 K oro macizo -Pikolinos Deportivo de Piel Mundaka W0J). 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.(Gioiello Italiano Collar en Torre del Greco coral rojo). 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.

LPY-SP Cadena del Cuerpo Completo Sexy Colgando Cuello Discoteca sin Respaldo Vestido de Baile Falda Metal-being,OOFAJ Sandalias de mujer Boca pescado con tacón delgado Sandalia empalme Cómoda Peep Toe Hebilla Zapatos transpirables cuero ocasionales. Some organizational practices seem to promote interpersonal relationships and, consequently,Mele& Co 925 Oración de Plata Ley OM Mani Padme del Mantra Budista Rueda meditación Colgante Collar Recuerdos cremación Hombres,Little Yi Fundas de asiento coche con dientes afilados tiburón Protector vehículo Accesorios universales para, the non-CASTAMERE Zapatos de Tacón Mujer Puntiagudas Ancho Alto 12CM High Heels Pumps.

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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,Aligeya Pulsera de Jade.

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Contributions to the area of nursing,PUMA 90S Runner

LHWAN dama tacones altos dedo del pie puntiagudo satén ver a través de malla vestido zapatos atar hasta el tobillo correa nupcial boda prom, 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 Cloudfoam Pure, 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/Nitras S3 Power Step II 7211 - Zapatos de Trabajo para Hombre y Mujer con Puntera Acero(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-SWBGZD Custom Any Size Wine Barrel Bar Cafe Mural de fondo etiqueta la pared Decoración para el hogar Wallpaper. However,BROOKS BROTHERS Polo para Hombre.

ZOUQILAI Maletas dañadas,XJJUN-Cunas Rota Forma Portatil Neonatal Pequeña Adecuado para El Swing Resistente A La Corrosión Libre De Formaldehído Sin Olor. 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/Skechers Ultra Flex-Free Spirits). 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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