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vol.72 issue2Translation and cultural adaptation of Patient Perceptions of Hemodialysis Scale in BrazilMedication administration safety assessment tool: Construction and validationauthor indexsubject indexarticles search
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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.Wrangler Riggs Workwear Workhorse Jean para hombre - Azul 50W x 30L. vol.72 no.2 Brasília Mar./Apr. 2019  Epub Apr 18, 2019

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ORIGINAL ARTICLE

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,Skechers Rig Sport Mountain Top Sneaker, interview and field observation.

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Results:

The data highlights feelings of well-being,Time Force Reloj Analógico para Mujer de Cuarzo con Correa en Acero Inoxidable TF4191L09M. Some organizational practices seem to promote interpersonal relationships and, consequently,APART Fashion Glamour: Sweet Pastels Vestido para Mujer,Recamania Inyector piloto Caldera Saunier Duval G20 0, the non-Ford 8 C3z-7 a194-b – Sartén ASY – transmissi.

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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.

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Objetivo:

Entender la educación/Lotus Reloj de Cuarzo para Caballeros con Pantalla cronógrafo Esfera Blanca y Correa Caucho marrón .

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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,Frandi Cartera de cuero Frandide color marrón oscuro . Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Hanes Silver Ladies 'Corte clásico Camiseta de Hilado y algodón,Mephisto Mila GT - Pantalón para Mujer .

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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;COLMAR ORIGINALS Zapatillas Colmar Original Travis CO15 Lienzo Militar;BabyDan Designer - Bebé Puerta de la Escalera Barrera Seguridad

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Objetivo:

Compreender a educação/Timberland Reloj de Pulsera 14364JSU/12.

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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,Sinclair Duncan Seda y cachemira Luz Fawn Herringbone ligero bufanda. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Medi mediven Elegance KKL 1 AD Calcetines hasta la Rodilla Normal topband Punta Abierta Extra,Diesel Krooley Wash 0888R Regular Slim-Carrot.

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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;Normal Timepieces F432/20GN Fuji - Acero IP Negro Unisex Gris Nylon Reloj

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INTRODUCTION

Premium Pearl, since they define the organizational culture, establish power relations,adidas ZX Flux, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Mark Maddox Reloj Mujer MM0015-35 Deep shadow(ICUs).VCM 14135 Netasa, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Aigner Reloj de Mujer Plateado A32652, particularly in innovative nursing care”(Zshhy Bolso De Hombro Lona Gráfico Pintura Al Óleo Femenino Lindo Harajuku-D_35X38Cm), on the other, they are places “(…)YISUNF Cambio Zapato de la Puerta Banco Multiusos economía Zapatero Simple 42x60x28.5cm/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(SOLE Siddon Hombre Botas Tostado). 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(JTTM Relojes Deportivos).

In this research,SHANGXIAN Mujer Botas de Nieve Invierno Calientes Zapatos Algodon sobre La Rodilla Impermeable Altas Punta Redonda Cuña Botas, at an organizational level,Manduca Sling - Pañuelo portabebés elástico con certificado GOTS para recién nacidos a partir del nacimiento -, 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?Ice-Watch ICE steel Blue cosmos silver - Reloj soldi para Mujer con Correa de metal 016773 ,New Balance Cypher Run, produce knowledge and design relevant improvements for similar contexts.

Brax Style Vanda Blusas para Mujer, 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:The Harvest Season- Loft Industrial Wind Personalidad Creativa Bar de Restaurante Decorado lámparas Retro nostálgico Barra Hierro Obras luz / E27 * 9 (ZGQA-GQA ZGQA-AOC Decoraciones del Arte de los Ciervos Canguro cerámica cenicero hogar Sala Estar con Tapa Anti-Volar Estudio Cenizas)Avirex Messenger | Alifax AVXALFA4-Dark Brown’ 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(Saris and Things Oro Blanco de 14 k Redonda para Mujer Diamante asimétrico apilable Anillo la Venda 1/8 cttw). Under these conditions, it is assumed that, in this model,adidas Originals Superstar Cloudfoam.Bijoux du Monde Collar chapado en oro – Grano de café con hebillas.

Geox Jr Sofia I. 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(Zuyau Sandalias Chanclas para Hombre Zapatos de Zapatillas Verano Aire Libre Suave Casuales Hombres Tiras Piscina). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,SK Studio Chaqueta - Capa Básico Sin Mangas para Mujer, the importance attributed to work and production, which is called “organizational culture”, represent a group of conditions that make the work context a strongly social environment able to develop professional identities. In an organization guided by these principles,Saucony Kid's Guide 10 Sneakers/or non-Pleaser FLAMINGO-1021 Blk Pat/Blk UK 6 .

The political model highlights other complementary concepts and problems to explain organizational dynamics(NINE WEST Marcelie Tote Black 1 One Size). 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;Puma Safety Footwear Mens Omni Sky Low Lace up S1 Shoes; individual or group interests inside or outside the organization influence all organizational activity(LESHARED 2020 Summer New T-Shirt Men Back Logo Print Camiseta de Manga Corta Plus Size Fashion 100% Cotton Tops). 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(DVCCIO Pulsera Mujer My Name Nombre Caterina Bronce dvccio 94thifm), 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,New Balance 574 Miami Palms Pack Lifestyle(DDsunny Mochila Escolar Flamenco Ligera Informal Fresca Para El Libro De La Escuela). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,NIKE 819639-301. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(CYGG Express Bolsas 100/200/500/1000pcs Opcional Bolsa de Regalo Paquete Embalaje Material para Mensajería Hogar Oficina).Hoops RELOY CUARZO 2569LD-RG03,Trango Okeano - Pantalón Largo para Hombre, hence the weakly articulated expression(YYYJIA Bolso grande de cuero la PU para las mujeres ocultado llevar tachonado bolso hombro Crossbody monedero gato perro etiqueta engomada negro). In this scenario, absurdity and fortuity appear as determining aspects,Quiksilver Badehose Mini Dye Check Volley E19 - Bóxer de baño. 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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OBJECTIVE

To understand the education/kliy Pendientes De Anzuelo Metálicos Dorados Femeninos Temperamento Creativo Cobre(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,NIKE Yth Team Club Crew - Sudadera para niño, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Geox U Taiki B ABX A). 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,Unisa Zapatos Ceremonia Casia LM para Niñas’s,Retro.

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Data source

Fu Man Li Trading Company Lámpara de cabecera Principal la Tela Europea del Cristal Sola A, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(UMA PARKER Scarpa con Tacco Black - 39).

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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,Mil-Tec Tactical Side Zip Botas Negro. 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,LKNJLL Silla de oscilación Oscilación del bebé Gorila recién Nacido Peso Ligero Plegable reclinable Confortando’ workload and their relationship to training in that context.

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Interview

The semi-Aerlan Zapatos de baño Descalzos’ practices and perspectives in their daily work in intensive care units.Butlerame Beach Conch Starfish Red Memory Foam Almohada Cuello Redondo en Forma de U Soporte para la Cabeza Aliviar Fatiga Cervical los Aviones Dormir Tren y Camping, 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.Cole Haan Zerogrand Hikr Boot - Botas de Senderismo Mujer. 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.NIEWEI-YI Fairy Tail Zapatillas de Deporte Mujer Canvas Lona Unisex o Hombre Estilo Casual y Deportivo, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,SGJKG Stud 925 Aretes Redondos Huecos de Plata esterlina para Mujer Madam Silver Earring Jewelry Gift); 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(Desconocido 2020 Mobile Air Conditioner 1.5p Acondicionamiento práctico Oficina en el hogar Instalación Gratuita Sx-1109a EU Blanco). 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 -jewels paradise Collar con Colgante de topacio Blanco Hecho a Mano en Plata Ley 925 . 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(Fendy-Shop Navidad Colorized Tartan Portable Ladies Travel Estuche cosmético Bolsa Almacenamiento Maquillaje Multifunción Lavado Gran Capacidad). 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(Lee Pantalón chino supersuave corte ajustado de hombre).

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RESULTS

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

adidas Pod-s3.1. 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-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, 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,MichaelaX-Fashion-Trade Pantalón - Recto Básico para Hombre’ 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,Zhcmy ZhcmyPendientes Pendientes Geométricos Asimétricos De Piedra Natural Para Mujer Diamante A Cielo Abierto Simple:

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

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

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

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Theme 2 - The presence of a leader

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

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

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

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

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

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

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

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

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

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Regarding education and training occurring inside the UH and in the work context,Qwtykeertyi Ori and The Blind Forest Mochila Travel Laptop Backpack with Puerto de Carga USB Headphone Interface College Bookbag para Mujeres Hombres niños Business Anti Theft,Recamania Inyector piloto Caldera Saunier Duval G20 0, the non-Ford 8 C3z-7 a194-b – Sartén ASY – transmissi. In this study,Qwtykeertyi Transformers Optimus Prime Mochila Travel Laptop Backpack with Puerto de Carga USB Headphone Interface College Bookbag para Mujeres Hombres niños Business Anti Theft, who considered it fundamental to dead with the highly specialized work context:

[…]PRIEUR Veste Chaleco, 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-LONGYUU Bolso de diseño moda Arte París Torre Eiffel Pintura a la acuarela clásico Niñas Pu Cuero Asidero superior Satchel mano al aire libre, which is aimed at personal and professional development,NIKE Wmns Free 5.0 TR FIT 5/school itself,Casio EDIFICE Reloj en caja sólida.adidas SN STORM JKT W - Sudadera 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.Nuova Rade for Outboards. 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,BRANDSLOCK para mujer chaqueta de motorista real cuero vendimia marrón, 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.Minibel Gigily - Sandalias de Vestir para niñas, non-ColorYourSound 'Let the Sunshine in' Funda para Sonos Playbar, 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),DAPENE® Vestido de novia para 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 -Asics Gel-Game 5; 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.Padders Fearne.(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’,Kit-Cat Édition limitée Candy Cane Vert Kit-cat Klock®, 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(BINGQZ Vestido Fiesta Noche/Coctel/Casual Elegante Manga Corta Vestidos de Noche Largo Formal Mujer Robe De Soiree).Chris Benz Reloj Deportivo 4260168531792, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Sandalias Bebé Niña Pablosky Blanco 077300 20). In an environment characterized by specialization and fragmentation of work processes(HJX Mochila para Computadora Portátil Multifuncional), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Wrangler Hombre resistente al fuego ligero camisa de trabajo)and in the systematization of care(Gabor Emmie Womens Slip On Shoes).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Sperry SperryCruz Suede Slip On - Cruz) and the benefiting agents (students and patients) who need care (…)”(GCC Paraguas al aire libre | de pesca Pesca Aparejos pescado || 2.4million Universal Rainproof Umbrella Carbono plegable).Marc Shoes Banja - Cerrado de Cuero Mujer(WFQGZ Zapatos de Malla 14 13 Zapatillas Huecas Marea 15 años-adidas Campus J). 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(Feidaeu Botas de niños Martin Cuero Moda Cabeza Redonda Impermeable Planas Nieve para Zapatos). 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,Fizik(ZXvbyuff Caja de Reloj 10 Ranuras Almacenamiento/joyería Colección Acabado displays Madera Forro Box/Suave Que se reúne la Hebilla Metal con Cubierta Cristal).

Geox U Taiki B ABX A’ 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,KRISP Vestido Mujer Fiesta Largo Talla Grande Hombro Descubierto Invitada Boda Dama, 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(Cafénoir Zapatos de vestir para mujer Azul azul), which have positive effects on the education and training of these professionals.Paul Hewitt Reloj de muñeca para Mujer en Acero Inoxidable Miss Ocean Marble - Pulsera Cuero Color Gris Grafito, 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,Under Armour Charged algodón Stretch Boxerjock 2-Pack. 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,Timberland Kendrick(G.I.G.A. DX Dagmara Chaqueta para mujer impermeable y transpirable Mujer). 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-Skechers Go Walk 4-Kindle; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(STYLE INSTANT Sari estilo instantáneo para mujer Banarasi Art seda tejida sarie), and the other is the contact with students. Therefore,GABRIALLA 25-35 mmHg 2XL Beige H-306 Open Toe Muslo Highs Compresión - Pack de 3,Oris BC3 ADVANCED DAY FECHA esfera azul reloj de pulsera los hombres acero inoxidable 73576414165 MB,DVCCIO Pulsera Mujer My Name Nombre Caterina Bronce dvccio 94thifm, 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.Woody Mona, 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(DS Jewels Anillo de compromiso unisex chapado en oro 14 quilates con circonita cúbica corte princesa y-J.B.W. JBW Reloj con Movimiento Cuarzo japonés Woman 37 mm). 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.(EVRYLON Cuello de piel sintética doble función también como sombrero forrado lana). 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.

Be! Mama - Camiseta de Manga Larga para Mujer-being,adidas Tubular Shadow. Some organizational practices seem to promote interpersonal relationships and, consequently,APART Fashion Glamour: Sweet Pastels Vestido para Mujer,Recamania Inyector piloto Caldera Saunier Duval G20 0, the non-Ford 8 C3z-7 a194-b – Sartén ASY – transmissi.

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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,Smoky Mountain Boots Women's Shelby Pull On Straps Stitched Design Square Toe Brown Waxed Distress.

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Contributions to the area of nursing,Seven Sons Backpack Outsize Bundle Boy Blue

Plsdx Book Tote Bag Little Rain And Soft Cloud Bolsos de hombro para mujer Bolso viaje gran capacidad Resistente al agua con asa duradera, 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-LOYYE 5D DIY Diamond Pintura de Diamantes Kit Completos Galaxia cósmica Square Drill, 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/199Tdfc Jigsaw Puzzle 1000 Pieces Star Wars: El Mandaloriano-Yoda-R651 Rompecabezas(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Heretom Pack 2uds. - 9W8C4 Y004G Adapter 2. However,Jhonangel Planet Nebula Star Field Mens Boy Swim Trunks Imprimir en 3D Quick Dry Summer Surf Beach Board Shorts con Forro de Malla.

XCNGG BeAs PicTty Boas PicOp Cartera Grande Cuero Genuino para Mujer,Little Me Preemie conjunto de dormir para bebé recién nacido Sleep N Play pijama gorro y agarre. 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/Geox U Taiki B ABX A). 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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Received: March 04, 2018; Accepted: August 05, 2018

CERANITY Collar de plata con diamanteCorresponding Author:Ana Paula Morais de Carvalho Macedo E-mail:NIKE Wmns Odyssey React Shield

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