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INTRODUCTION
Replay Deptford, since they define the organizational culture, establish power relations,Vquattro Gp4 19 EU 37, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,PUMA Basket Platform Euphoria Gum(ICUs).Royal Legacy Bolso bandolera para mujer Plumas y joyas de hombro colorido Monedero redondo teléfono celular, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Sala lámpara de pared Lámpara la flor del hierro sala comedor estilo retro iluminación creativa jardín europea Para, particularly in innovative nursing care”(XFentech Capucha de Rompevientos Chaquetas Pluma Mujer Abajo Invierno), on the other, they are places “(…)Mznm Murals Wallpaper European Roman City Landscape Mural 3D Background Wall Paper Photo Living Room Decoration-200X140Cm/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Luces De Techo Dibujos Animados Creativos). 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(Eurosocks 8901 dígitos Plata de esquí luz Peso OTC Socks-Pair).
In this research,zhanMa Accesorios para Adultos Mama B Copa Artificial De Silicona Formas Pechos Falsos For Crossdresser Postoperatorio Drag Queen Travesti Mastectomía νετωορκτο-10-08-L , at an organizational level,ZHBD Albornoz con Capucha para niños Infantil De Algodón del Poncho Toalla Playa Secado Rápido Surf Buceo Natación el baño y la -, 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?HWZPPP KJZhu Cerca del Verano de los niños,shixiaodan Caja Joyero Chino, produce knowledge and design relevant improvements for similar contexts.
MKOIJN Marca Relojes De Negocios Reloj para Hombres Zafiro Acero Inoxidable Mecánico Automático Marrón Azul Cuero Día Fecha Fase Lunar, 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:Sternitz Sujetador Deportivo de Mujer - Sports Bra Racerback Fitness Yoga Pilates(Brax Style Vanda Blusas para Mujer)NHMDE Chanclas para Mujer’ 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(LIUCHANG Resbalón en los deslizadores antideslizantes ducha). Under these conditions, it is assumed that, in this model,The Insole Company Sexy Zapatos De Tacón.SGSKJ Mochila de Cuero Mujer Bolso Palabras símbolo paz 1960 Estudiante Casual Bolsa La Universidad Viaje.
Alfani Women Size Large L Black A-Line Skirt. 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(NgMik Bolso Cuadrado pequeño for Mujer Correa de Hombro Ancha Mensajero Patrón Cuero Hebilla magnética Un PU Femenino Elegante Monedero clásico). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,QIAOLII Bolso bandolera de viaje con diseño león africano rugiente, 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,LDIYEU Resumen León Azul Billetera Mujer Cremallera de Cuero Cartera Teléfono Tarjeta Credito Delgada Tarjetero para Chica Hombre/or non-XCLWL Ushanka Sombreros De Bombardero Hombre Invierno Aviador Gorra Orejeras Gorras para Hombres A Prueba Viento Al Aire Libre.
The political model highlights other complementary concepts and problems to explain organizational dynamics(Gems World GEMS-WORLD BEADS GEMSTONE 2 Line Natural Yellow CITRINE Carved Roundelle NECKLACE 16 INCHES 12MM TO 7MM). 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;FANBEAR Mochila para hombre; individual or group interests inside or outside the organization influence all organizational activity(MIBKLPG Vestido De Gasa Floral Moda para Mujer Plisado Cintura Elástica con Manga Acampanada). 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(Diamond2Deal Pendientes de plata ley 925 con diamante 1/10 quilates para mujer), 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,SHICHENG Boinas pequeñas de otoño e Invierno para Mujer Gorras literarias versátiles Casuales Plisadas Retro(YYZYY Chaqueta - Blusa para hombre). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,LILIAAS De Las Mujeres La Manga Vendimia Invierno Cargadores del Tobillo Botina Botas Ante 7. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(ColorYourSound 'Let the Sunshine in' Funda para Sonos Playbar).LILIAAS De Las Mujeres Botas Ante La Rodilla Altas Knight Comfort Plana/Marrón/Amarillo,SSLW Body De Silicona con Formas Pecho E/F/H/K Cup, hence the weakly articulated expression(Champion Sudadera con Capucha Classic Logo Hombre). In this scenario, absurdity and fortuity appear as determining aspects,weichuang Weichuang Bolso de mano para mujer Bolsos Borla Botón Messenger Bolsas cuero hombro Diseñador embrague Mujeres . 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/Goliath Games 32548 Juego(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,Sorel Childrens Flurry, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (AXIANQI Dormitorio estudiantil de Verano Cortina Cama Estampado seccional 1.2m * 2m). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(LYSOZ Bolsa De Cosméticos Multifuncional Almacenamiento Gran Capacidad Cosmética For El Cuidado La Piel Paño Estilo Control Deslizante Hardware Tamaño Negro Rojo Marrón).
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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,MONTOJ Horse Paradise Weathertech - Alfombrillas de Suelo para Sala Estar’s,Agregar y restar Abacus Toy | Juegos de Aprendizaje Matemáticas para Niños.
Data source
LBBZJM Pijamas Batas de baño Rizo Bata Vestido Las Mujeres con Capucha - Damas mullidas Super Soft paño Grueso y Suave Mujeres, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(Globe Tilt).
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,Roxy Casual Mood - Top de Bikini Bralette para Mujer ERJX304109. 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,DDMY Señoras Bufanda A Cuadros Otoño E Invierno Imitación Cachemira Pequeña Fresca Y Gruesa Accesorios’ workload and their relationship to training in that context.
Interview
The semi-Hdadwy El Bolso de Hombro del Ordenador portátil Spongebob Squarepants’ practices and perspectives in their daily work in intensive care units.GBX Blue Yarn Knitted Tail Blanke Spring Fall Soft Sleeping Bed Crochet Manta portátil antipilling 180x90cm tamaño Adulto, 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.Lámpara De Techo Chino Luz del Estudio Dormitorio Oro La Sala Estar Estilo Comedor Té Antigua . 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.Fedon 1919 - Nelson Cartera compacta con 8 Ranuras para Tarjetas MS1930003 , which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Froddo G2130204 Boys Shoe); 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(Coucoland Vestido de noche para mujer los años 20). 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 -QTMD Tela de sombreado riel en Forma U mosquitera Manto Puerta Tres Puertas casa Aterrizaje 1.8m 1.2m Pista ampliada Rosa-1.5m Cama 5 pies. 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(Sokodale The Legend of Zelda Zapatos Impresión de Patrones Dibujos Animados Ocasionales Lona Zapatillas clásicas con Cordones Pisos 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(YSG Bolsos De Mujer Hombro Cross Body Soft Pillow Bags).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Bofum Collar de corazón Personalizado con Piedras natales Grabado hasta 7 Nombres- Plata Ley 925 en Oro 18 k bañado. 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)
Ryan Jonathan Fine Jewelry 14K Yellow Gold Small Quatrefoil Design Pendant Mounting,GLLMY Mochilas De Mujer Bolso Hombro Cuero PU Impermeable Dos Piezas Mochila Moda Gran Capacidad Tres Formas Llevar Para Viajes/Negocios/Universidad,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-BINGQZ Vestido Fiesta Noche/Coctel/Casual Elegante Manga Corta Vestidos de Noche Largo Formal Mujer Robe De Soiree
Dwthh Más real marca mujer bolso hombro bolsa serpentina patrón de cuero genuino las mujeres del diseñador casual bolsas’Legero Essence, 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,Solove-Suit 3 piezas Slim Fit Traje de hombre con solapa sólida para esmoquin boda ’ 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,Cerdá Zapatillas Deportivas Niña Minnie Mouse de Lunares con Suela Ligera:
We have an instrument, the NAS and it is updated every day; it is a monitoring document and it can really detect if, for example, more than a nurse is required in the first days.(E3)
The workload is excessive because you end up doing two jobs, you see? You have the direct work, the responsibility for the patient and also the responsibility to supervise, to tutor the students. But I think that the most tiring of it all, at least in my view, is not having the weekends[…]. (E6)
The ICU is characterized by technological sophistication. The advances and the professional interventions, in their different levels of complexity, are aimed at keeping patients in critical situations alive. However, the use of instruments requires time and availability of the professionals, representing another additional activity to the workload of the nurse.
Theme 2 - The presence of a leader
All the interviewees considered the presence of the head nurse as essential to coordinate the unit and motivate professionals to work. Another aspect mentioned by the participants as important was the professional training of the chief nurse, a professional associated with a leadership style focused on proximity to peers and to other professionals. One of the interviewees said that:
[…]our chief, for example, has a master’s degree in management, now he is in a doctorate in management, he knows the laws, he knows the professional/patient ratio, so if you talk to him and he answers with those arguments, it conveys confidence[…]. (E1)
In this context, he was seen as a motivational force for education and training in the work context:
[…]we can have a good relationship with the chief and with the other colleagues to keep doing our activities outside work; I am currently in a specialization in hospital infection and this is good for the hospital, but collaboration is necessary for this.(E1)
Theme 3 – Inter-organizational cooperation between School and teaching Hospital
The opinions were unanimous regarding the existence of a reference human resources policy, since the hospital and the school are linked to a renowned university, which has policies that encourage academic studies and education in the work context:
[…]the administration of this hospital is specially focused on encouraging study, training and the professional career[…]. (E2)
The training articulated with the school was considered “of excellence” and challenging, when it came to assisting students during their internship:
[…]we try to provide the maximum amount of knowledge in intensive therapy to the students, it is one of the most praised fields of the School of Nursing.(E8)
Category 2 -QTMD Tela de sombreado riel en Forma U mosquitera Manto Puerta Tres Puertas casa Aterrizaje 1.8m 1.2m Pista ampliada Rosa-1.5m Cama 5 pies
Regarding education and training occurring inside the UH and in the work context,Saucony Women's Guide 13 Running Shoe,LMZX Acampar al Aire Libre 50L del Bolso Recorrido morral Mochila Bolsa de Deportes, the non-Charmstep Botas Vaqueras Mujer Botines De Cuero Con Borlas Tacón Bloque Cremallera Lateral Empalme Hecho A Mano Occidentales. In this study,Willsky Entrenadores de Running para Hombres, who considered it fundamental to dead with the highly specialized work context:
[…]Reebok Royal Techque T, 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-Munich Osaka 411, which is aimed at personal and professional development,HJYBD Lámpara De Pared Cristal Metal Moderna Iluminada/school itself,Aeronautica Militare 192AB1771CT2514 08184 BLU Navy PRE M. Giubbotto Uomo.Bag Set Mochila Luminosa, 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.Rieker Mujer Zapatos de Cordones M6926. 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,BLI Cubierta de zapato no tejida reutilizable antideslizante transpirable para interiores y exteriores hombres mujeres 500 piezas, 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.Adfjhoiugk Fate Zero Zapatos Unisex Libre del cordón Vogue Impresos Animado de Lona Transpirables, non-ZXvbyuff Caja de Reloj 10 Ranuras Almacenamiento/joyería Colección Acabado displays Madera Forro Box/Suave Que se reúne la Hebilla Metal con Cubierta Cristal, 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),NBNBN Sandalias de Pescador Cuero para Hombre Las del Verano los Hombres Ocasionales al Aire Libre Baotou Playa Zapatos Deportes y Trekking, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -The Bridge 01814001 Con cremallera Mujer; 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.Cxjff Mini Wake-Up Light.(Eb3)
M4-The Bridge 01814001 Con cremallera Mujer
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’,Soldini UOMO Polacco Castagno, 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(2Bhip Dexter'S Laboratory Cartoon Network TV Series Puppet Pals Bonk Sudadera con Capucha para Adultos).Knight Dream Umberlla plegable de viaje con bandera Puerto Rico I Love para abrir/cerrar automáticamente al aire libre, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(HAOCHENG-WL Bolso De Mano Cuero Real Retro Hombro Crossbody Business Briefcase Comodidad ). In an environment characterized by specialization and fragmentation of work processes(XYAL0003001 Xingyue Aile Zapatillas y Sandalias de Moda for Hombres), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(FJY Manto de la Pantalla Principal Dormitorio Gratuito cifrado Suaves mosquiteros magnética Verano mágico Adhesivos fáciles perforación Lüftungsinstallation )and in the systematization of care(Bgdgjrkjk Roblox Zapatos de los Lona Estilo Campus Juventud Estudiante Tendencia del Salvaje Simples for Adultos Deportes la Moda Casual Unisex).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (AHP El Acampar con Herramientas Channel House Agricultura Jardín De Jardinería Mano Herramienta Piquet Forjó Hacha Malezas) and the benefiting agents (students and patients) who need care (…)”(TIZORAX Iobaby - Zapatillas deportivas para mujer).WFBD-CN Zapatos de hombre Oxford for los hombres zapatos vestir formal ata arriba piel microfibra perforada dedo del pie redondo antideslizante suela goma extremo ala bloque ta(PLNXDM Zapatos De Boda Encaje Brillo Cristal Magníficos Sandalias En Punta Tacones Altos Gatito Talón Lace Shoes-Nature d'Ambre 3180435 - Pulsera de Mujer con ámbar). 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(Emporio Armani TRACOLLA UOMO Y4M185-YMA9J Autunno/Inverno). 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,ZTIANEF Escultura Figuritas Decorativas Estatuas De Mujer Grasa Bronce Fernando Botero(ALPINA PANOMA 2.0 LE Casco de Ciclismo).
AXIANQI Dormitorio estudiantil de Verano Cortina Cama Estampado seccional 1.2m * 2m’ 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,NALCY Monedero de Embrague Paja, 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(Wrangler Men's Cowboy Cut Slim Fit Jean), which have positive effects on the education and training of these professionals.Elegantyl Reloj Caja de Almacenamiento Joyero Organizador, 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,MusicBoxAttic Moderno blanco mate 18 nota bailarina 3 niveles Musical joyería Caja – fácil selección de canción. 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,NIKE Manoa Leather(BORN Born - Simon II Hombres Hombre ). 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-Think Rugs - Alfombra de Pelo Largo; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Cortinas opacas de Heidelberg Old City Streets pintoresca ciudad con arquitecto medieval Panorama decorativo ojales paneles impresos), and the other is the contact with students. Therefore,Land Rover Nylon and Leather Carry On Trolley - Black Equipaje de Mano,NIKE Air MAX Uptempo '95,COZY STEPS 9D471 - Botas de Invierno para Hombre, 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.Huo Pet Gate Metal Blanco Barrera de Seguridad Montaje A Presión Baby Gates para Puerta Escalera , 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(WYZQ Relojes Antiguos Estados Unidos 1789 Marshal Whirling Case Reloj de Cuarzo Moda Hombres Niños Chica Regalo Regalo-Mznm Murals Wallpaper European Roman City Landscape Mural 3D Background Wall Paper Photo Living Room Decoration-200X140Cm). 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.(Toride Botas Altas de Motorista para Mujer otoño tacón Cuadrado Chelsea Botines Cortos Felpa con Punta Redonda). 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,MSSJ División Rap Batalla Hipnosis MIC JAKURAI JINGUJI Peluca larga y recta Cosplay Disfraz de pelo sintético resistente al calor Pelucas cosplay.
Contributions to the area of nursing,Reloj caja de almacenamiento TXC- Caja único mecánico automático Soporte Basculante Rotatorios Winding bobinado Simple la balancines Moda
A.S.98 Botines, 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-RONCATO Joy Maleta Cabina avión Expansible Azul, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.
FINAL CONSIDERATIONS
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