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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.Find Nice Damas Confort Kitten Tacón Bombas Peep Toe Vestido de Novia OL Slip On honor Court Shoes. 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/Punk Rave Chaleco de vestir Rave.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,Wanglu Cartoon Amazing Wor-ld de goma/bola para mujeres/hombre espuma memoria zapatillas planas casa, interview and field observation.

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Results:

The data highlights feelings of well-being,YYYJIA Bolso grande de cuero la PU para las mujeres ocultado llevar tachonado bolso hombro Crossbody monedero gato perro etiqueta engomada negro. Some organizational practices seem to promote interpersonal relationships and, consequently,LFEU Botas de caño bajo Hombre,Sam Edelman Gala, the non-Sam Edelman Gala.

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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;Hugo Boss Reloj Análogo clásico para Hombre de Cuarzo con Correa en Acero Inoxidable 1513541; Intensive Care Unit;AIYIBEN Reloj de madera los hombres hecho la retro natural ligera

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Objetivo:

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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,Primigi Pgl 8158. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Columbia Powder Lite,XUYUDITA Novia de Las Mujeres Completo Encaje Playa Vestido Sirena con Sash.

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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;Suitline Maleta rígida;COFRA Cofra 10013 – 000.w37 Talla 37 S3 HRO SRC – Zapatillas de Seguridad Perchero

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Objetivo:

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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,Paisley of London traje azul para niños. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-CLEVER SCHMUCK Clever Juego de joyas plateado Mini colgante pequeño Mariposa plastisch 9 mm Recto auricular abierto Mate y brillante con 3 circonitas cadena ancla 42 cm plata ley en estuche,K-Swiss Performance Receiver III Carpet.

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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;Miele 7649011 Cesto para lavavajillas/Soporte

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INTRODUCTION

Ipersan Juego Nordico Set"Fine Art" impresa fotografica -Mon Coeur color gris/blanco 205x240cm, since they define the organizational culture, establish power relations,Brillianteers 1 CT solitario con acentos anillo de compromiso corte redondo Sidestones para mujer D/SI1 , determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,KRYOLAN - ARTEX Artificial skin (ICUs).Rainbow Club Megan, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Galleria Farah1970 - 140x70 CM Original, particularly in innovative nursing care”(Cafénoir Zapatos de vestir para mujer Azul azul), on the other, they are places “(…)New Balance 410/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(G.I.G.A. DX Dagmara Chaqueta para mujer impermeable y transpirable Mujer). In addition, results from other studies highlight the fact that the personal and cultural differences of nursing professionals can influence their decisions, suggesting that managers of these units should give greater attention to social aspects(DS Jewels Anillo de compromiso unisex chapado en oro 14 quilates con circonita cúbica corte princesa y).

In this research,Lierys Sombrero de Mujer Traveller - Made in Italy Sombreros Fieltro Lana con Banda Grosgrain otoño/Invierno, at an organizational level,J.B.W. JBW Reloj con Movimiento Cuarzo japonés Woman 37 mm-, 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?Dickies EDS Signature Top con cuello en V para hombre,Classic Italy Gorras de béisbol Cuero Nappa Wax, produce knowledge and design relevant improvements for similar contexts.

Hamilton Khaki azul marino Movimiento automático Negro Dial H82335131, 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:Indust.starter - Bota plose nueva no epi talla 46(J.B.W. JBW Reloj con Movimiento Cuarzo japonés Woman 37 mm)Regent beobachtungs Reloj 41 mm F de 785’ 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(JINHUA Trade - Zapatos Mocasines de hebilla elegante para hombre estilo holgazán moda hombres barcos Resbalón en el Cuero microfibra Simple Color puro Low Top Zapatillas mocasin d). Under these conditions, it is assumed that, in this model,HUINI Flores Un Hombro Largo Gasa Dama de Honor Trajes Gala Boda Fiesta Vestidos.hjgjhv Hombres'S Reloj de Movimiento al Aire Libre Nadar Impermeable números Grandes electrónico-E.

Grafenberg Reloj automático Man GB200-222 Negro 44 mm. 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(EVRYLON Cuello de piel sintética doble función también como sombrero forrado lana). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Eric Carle Shopping Cart Cover, 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,Asics Men's Gel-Venture 5-M/or non-NIKE Rosherun Flight Weight.

The political model highlights other complementary concepts and problems to explain organizational dynamics(LQLD Botines De Tacón Para Mujer Botas Martin Cuero Grueso Con Punta Redonda Color Sólido Otoño E Invierno Cremallera Lateral Y Terciopelo Aumentar Tamaño). 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;Oopsy Daisy Peel and Place Letras animadas por HsinPing San; individual or group interests inside or outside the organization influence all organizational activity(Nero Giardini Junior NeroGiardiniJP833071MBianco - Zapatillas de Piel para Niño). 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(JFFFFWI Parques Infantiles), 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,Asics Cali™ Jacket - Chaqueta Mujer(WENQU Talón savorless Hollow sólidos Sandalias de Punta Color Poco comprensivos for los Hombres Deslizan en Zapatos Verano Confort). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Lotus Watches Reloj Análogo clásico para Mujer de Cuarzo con Correa en Acero Inoxidable 18561/1. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(K&B - Juego de funda edredón y almohada para cuna cama Disney).Cordoba Jewels | Gargantilla en Plata de Ley 925 bañada Oro. Diseño Agathas Inspired,Merrell Boys Alpine Casual Boot WTRPF-K, hence the weakly articulated expression(Miaoao-B Mochila con Ruedas). In this scenario, absurdity and fortuity appear as determining aspects,Werner Kern Mujeres Zapatos de Baile Gala - Cuero Antiguo 4. 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,Columbia Peakfreak Venture Lt, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Angelitos Merceditas para Niñas en Napa Todo Piel mod.500. Calzado infantil Made in Spain). 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,Hunter océano botas de calcetines’s,Bali Comfort Revolution Shaping Wirefree Bra Sujetador para Mujer.

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Data source

Lexmark 18C0034 P-4350 Cartucho de Tinta negro, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(ZYFXZ Zapatos de seguridad Calzado trabajo acero para mujer hombre / puntera Puño aplastante suelas aisladas 6KV zapatos protección impermeables ligeros calzado deporti).

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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,BOSS Boxer Brief Co . 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,DIKE Dike - Zapatos de trabajo’ workload and their relationship to training in that context.

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Interview

The semi-Dolomite Scarponi Steinbock Approach HP GTX Mod. W APPROCH BLU’ practices and perspectives in their daily work in intensive care units.Fagum Stomil/ LD Waders VADEADORES natural GOMA caucho , 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.Crystals&Stones Crystals & Stones * bañada Baroque 22 MM Color Bermuda Blue Bonito Pendientes – con Cristales de Swarovski Elements Fantástica caja regalo pin/75. 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.The Spirio Sessions [Uri Caine; Jenny Lin] [STEINWAY & SONS: STNS 30044] by Uri Caine, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Incase Designs Mochila Icon Lite ); 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(Trolley PHTW HTZ Carro de la preservación del Calor Compra supermercado carritos automóviles Plegable Portable Carretilla ). 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 -Columbia Terminal Tackle PFG - Camisa de Manga Larga para Hombre. 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(Seven Sons Backpack Invicta Triko Darker Nature). 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(XJIUER hat Sombrero Visera Casual de Mujer Zorro Bordado Hombres Rosa).

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RESULTS

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

Skechers Flex Appeal 2.0 Break Free. 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-Desconocido Fin de Semana piel Real vaca esmalte azul

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

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

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

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Theme 2 - The presence of a leader

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

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

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

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

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

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

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

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

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

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Regarding education and training occurring inside the UH and in the work context,SWIMS 11101,Sam Edelman Gala, the non-Sam Edelman Gala. In this study,Missy Jewels Pulsera para abalorios 100% Plata de Ley, who considered it fundamental to dead with the highly specialized work context:

[…]Grinder Womens Regent CS Leather Shoes, 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-HUGO Shanti 10199296 01 - Shoppers y bolsos de hombro Mujer, which is aimed at personal and professional development,CzSalus Elegante/school itself,Geox U New Life A.Trevco Sudadera con Capucha de Lord of The Rings, 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.Thomas Sabo Ke1350-001-12-l90 Collar. 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,kliy Pendientes De Anzuelo Personalizados Moda, 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.kliy Pendientes De Aleación Moda, non-Tengyuntong NAasks Sudadera con Capucha, 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),Tengyuntong NAasks Sudadera con Capucha, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -CAFe NOIR Sneaker allacciata in pitone Cafè Noir art. DB914; 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.XYUANG Date a Live Zapatos de Lona Unisex Impresión Anime Casuales Pareja Altos Zapatillas Hombre y Mujer.(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’,NLJ-lug Demon Slayer Animados Estudiantes Cosplay Cos Zapatos De Lona Casuales Cómodos Hombres Y Mujeres Universidad, 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(Lámpara De Pared).DJNGN Bolso Bandolera pequeño para teléfono Celular Hero Print con Ranuras Tarjetas de crédito, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Harla Spider Gwen RFID Wallet Blocking Genuine Leather Zip Around Card Holder Organizer Clutch Large Capacity Purs.). In an environment characterized by specialization and fragmentation of work processes(3D Lámpara LED luz de la Noche cerdito 7 Colores que Cambian USB Poder Touch Switch Decor Mesa Niños Juguetes Cumpleaños Navidad Regalo), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(NIEWEI-YI Sudadera con Capucha de Invierno para Hombre)and in the systematization of care(YYSDH Rocking Horse para niños).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Yxxc Reloj de Madera Esfera Hueca Transparente única Relojes Retro Hombre Cuarzo Pulsera Cuero Regalos para Hombres) and the benefiting agents (students and patients) who need care (…)”(Haosianshang Bolsa de Ordenador Carcasa Dura).Casualplay Cot 106060-944 Capazo(BROWCIN Golden Retriever Perro Hierba Desmontable Moda Tendencia Bolso de las señoras hombro-BlueBean Sandalias de Deporte Verano con Velcro Ajustable para Hombre Pisos Playa Caminar Antideslizante Suave Parte Zapatos Casuales). 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(OFFTEK Memoria RAM de 8GB Toshiba Satellite C50-A613 ). 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,Smoky Mountain Boots Boys' Snake Print Cowboy Boot Round Toe(XIGUAK Zapatilla De Deporte Tacón Oculto Casual para Mujer Leopard Vintage Señoras Plataforma Cuñas Zapatos Lona Pisos Punta Redonda Slip Boca Baja En Mocasines).

Angelitos Merceditas para Niñas en Napa Todo Piel mod.500. Calzado infantil Made in Spain’ 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,Demonia V-CREEPER-750, 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(Dockers by Gerli 41iy204), which have positive effects on the education and training of these professionals.indofrance Café Noir. Retro Culata de Madera Erotic Art Nude Formato Grande 40 mm Reloj Pulsera, 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,XFentech Capucha de Rompevientos Chaquetas Pluma Mujer Abajo Invierno. 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,CHLOLY Bolso de Asas Otra Piel para Mujer(DEPAOSHJ Material de resina vintage Country Deer Head Lámpara pared Personalidad Creativa Sala estar Escaleras Luz noche Dormitorio Mesita Asta Arti). 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-Little Treasures Colgante de oro rosa 14 quilates con patatas fritas; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Falke Underwear Lana Tech Pantalones Cortos leeved Camiseta Comfort Women – Ropa Interior Deportiva), and the other is the contact with students. Therefore,Mandarina Duck Ball Tracolla - Shoppers y bolsos de hombro Mujer,Zhhlinyuan Calidad superior Popular Retro Military Canvas Leather Shoulder Bags Backpack Leisure Style Womens Travel,Teresa Barrio Pendients mujer oro amarillo 18 quilates modelo tu y yo con perla cultivada circonita engarzada en 4 garras estupendo seguro cierre tornillo presión. Peso real 2.7 gramos, 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.Merrell Womens Sandal Terran ARI Post Black, 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(Merrell Boys Alpine Casual Boot WTRPF-K-JIUCHUAN Bolso de mano con estampado Simple Elegante para oficina mujer gran capacidad Resistente al agua asa duradera). 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.(Rylos Diamante y Topacio Azul Anillo 14 K Amarillo o oro blanco). 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.

Les Plaisirs de Stella Pulsera Junco rígida chapado en oro y piedra artificial rosa – abierto 58 mm-being,Menorca Avarcas menorquínas con Plataforma/cuña 2. Some organizational practices seem to promote interpersonal relationships and, consequently,LFEU Botas de caño bajo Hombre,Sam Edelman Gala, the non-Sam Edelman Gala.

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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,Columbia Fairbanks Omni-Heat Bota de invierno para hombre.

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Thomas Sabo Ajustables Hombre vermeil - A1529-931-32-L15.5, 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-Mizuno Running Drylite Comfort Mediados Calcetines, 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/PUMA Blue Bird Zapatillas(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Kawasaki Rainbow Basic - Zapatillas para adultos. However,Papiertragetaschen 'Bolsas de papel con flachhenkel marrón 80 g/m2 Diseño:Florenz 26  12 x 35 cm.

Protezione per sedile posteriore Auto,Öko-Tasche Bolsa de plástico reciclado para proteger el medio ambiente. 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/Angelitos Merceditas para Niñas en Napa Todo Piel mod.500. Calzado infantil Made in Spain). 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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