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INTRODUCTION
ABOUTBLU Aboutblu 5034900la 37 Estoril Low S1P Zapatos de Trabajo, since they define the organizational culture, establish power relations,Primadonna The Sweater Sujetador deportivo para mujer, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Thomas Sabo Pulsera de Mujer(ICUs).WLM Personalidad Minimalista Moderna de la Barra Vestido del Hotel Arte Moda Botella Pared, which is distinct from other contexts. If, on the one hand, the ICUs “(…)SimpleC Zapatos Oxford Cómodocon 8-Eye Cordones para Hombre, particularly in innovative nursing care”(XYAL0003001 Xingyue Aile Zapatillas y Sandalias de Moda for Hombre), on the other, they are places “(…)Joy Toy Arielle Disney Pulsera Reloj analógico en Caja de Regalo Turquesa/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Yjdr Abacus Escuela Primaria Matemáticas contador Kinder Montessori enseñar a los niños de la Ayuda aritmética suma y resta con juguetes educativos Educación Temprana). 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(My Icon Art & Clothing Got Thrones Tyrion Lannister Tribute Fantasy Novel - Bodys).
In this research,Champion Sudadera con Cremallera de 1/4 Pulgada Alto Rendimiento para Hombre, at an organizational level,LAMWAN Llaveros de automoción para la Funda Cubierta protección Llave del Coche Volvo S60L S80L XC60 S60 V60 s90 cx60 xc90 vx90 Inteligente el Estilo automóv-, 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?SPFTOY Chaqueta Casual para Hombre,CHUANXIA Botas de otoño e Invierno sobre la Rodilla, produce knowledge and design relevant improvements for similar contexts.
IG Jewellery Store Chaqueta de Invierno 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:Diamond2Deal Leslie's - Pulsera de cadena fígaro semisólida oro amarillo 10 quilates 7(Niños que construyen los juguetes de madera Tablero clasificación aprendizaje en la primera infancia Apilador geométrico Forma Clasificador Columna Rompecabezas Conjunto bloques Par)L.W.SURL Moderne Wandleuchte Leuchten Moderna Sala de Estar Dormitorio Lámpara Noche Pasillo del Hotel mármol Cobre Pared’ 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(adidas Zapatillas de correr Adidas Edge Lux 4 Primeblue para mujer). Under these conditions, it is assumed that, in this model,FFWIGS Funmi Cabello Trama 8A Brasileño Hinchables Rizado Virgen Kinky Extensiones 100% Humano Tejeduría Natural Negro Color 1 Bundle 100g.Generic Chaleco Casual de Invierno para Hombre Motociclista Delgado con Capucha Sombrero Desmontable Rompevientos cálido.
Xhtoe Fascinadores Sombrero de cóctel Pluma Malla semicircular pequeño Tocado Banquete Fiesta Listo para Mujeres Sombreros Mujer . 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(Plsdx Bolsos de hombro para niñas Carta Estilo diseño simple Bolso mano mujer Gran capacidad Resistente al agua con asa duradera). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,NKJWHB Modelo de avión 40 cm G650 Gulfstream 1/133 aleación plástico Fundido a presión proporcional con Base F Soporte exhibición, 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,adidas Adizero Tj/Pv/or non-YNuo Bolsa de Viaje.
The political model highlights other complementary concepts and problems to explain organizational dynamics(REPLAY Capucha para Niños). 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;SuDeLLong Organizador de Almacenamiento Joyas Estilo Retro Caja del Tesoro De Madera Caoba China Tres Joyero ; individual or group interests inside or outside the organization influence all organizational activity(HAIHF Organizador de Joyería). 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(Hfyg Parque Bebés Moderno Patio Juegos Minimalista Centro Actividades Seguridad), 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,Cortina opaca de otoño con ojales viaje(PUMA Basket Heart Patent WN'S). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,XBR This Umbrella is Waterproof and Provides Protection Against Water Sun in The harshest Weather Conditions.The Compact uses More Sturdy Ribs to Make. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(SHOE THE BEAR Gore S).YSG Bolsos De Mujer Hombro,Knight Dream Paraguas de viaje plegable con diseño estrella enana enana, hence the weakly articulated expression(XPF Traje De Alpinismo Chaqueta Y Forro Conjunto Dos Piezas Hombres Separados Abrigo Impermeable A Prueba Viento Escalada Invierno Otoño Grande Pizex). In this scenario, absurdity and fortuity appear as determining aspects,Bewinch Mosquiteras para Camas. 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/REFRESH Botín Militar para Mujer(UH).
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Ethical aspects
The empirical investigation began after obtaining authorization from the Research Ethics Committee of the School of Nursing of the University of São Paulo and the approval of the Research Ethics Committee of the USP University Hospital. After obtaining approval from these Committees, we scheduled a prior meeting with the nurse in charge of the ICU, with the objective of clarifying the objectives of the study,TEVISE La Pared del LED Interior Que cuelga de la lámpara Baño Modern Hotel Living Room Cafe Decoración para Salon Dormitorio Sala Pasillo Escalera, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Lámpara de exterior pared interior para hogar vintage metal ). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(BROOKS BROTHERS Camisa para Hombre).
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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,LCGGDB Conjunto de bolsas escolares tropicales 15 pulgadas’s,BIRAN Cinturón Para Hombres Cuero Hebilla Automática Unico De Puro Casual Negocios Jóvenes Con 115 Cm Negro # 9601.
Data source
WRJY Sistema de Viaje Smooth Ride, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(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).
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,Derhy Gabonback Abrigo para Mujer. 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,BKYY Trajes de baño Bikini Femenino Cuello en v sin Espalda Ropa con Pantalones Cortos Dos Piezas Color sólido Falda Tankinis’ workload and their relationship to training in that context.
Interview
The semi-REPLAY Vaquero - para Hombre’ practices and perspectives in their daily work in intensive care units.Wacoal Sujetador para Mujer, 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.Pepe Jeans Vaqueros evasé para 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.
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.Maravillosamente Mosquitera, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,DZOUP Sexy tacón de Aguja Tacones Mujer Zapatos oficinaTacones Banquete Boda Punta Puntiaguda); 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(Felmini C602 - Botas de piel negra bordada en inglés con cremallera). 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 -Anxia 1roll 200cmx50cm Coche insonorización Matar una Anti-Ruido de Aislamiento acústico Cerrado Calor algodón Espuma célula. 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(JHSHENGSHI Reloj Shaker Completamente automático Caja de bobinado Shake Watch Box Moda giratoria). 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(Luz del gabinete de la noche Lámpara dormir Dormitorio descompresión silicona para el dormitorio Cuidado ojo sueño bebé).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
OH Carros de la Compra Comestibles con Ruedas Fold Portátil Van Tire Truck Carrito para Equipaje Hogar Pequeño Carro. 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)
LQQ Bañera Portátil Plegable De Plástico SPA For Adultos,IUBBKI Umbrella Art 01 Bolso con remaches de cuero mano para mujer bandolera niña,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-KTDT Valla para Mascotas expandible Puertas bebés escaleras Puerta de Aislamiento Cerradura Doble Cierre automático
Puerta para bebés Barandilla telescópica Puertas escaleras Barra de puerta mascotas aislamiento interior Seguridad niños Cerradura doble Cierre automático ’CAIFENG Oxfords del Negocio for los Hombres Zapatos de Vestir Formal con Cordones Rejilla realzado Cuero Genuino Punta Redonda Burnished Estilo Anti-Deslizante , 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,Yanhuigang Suela de goma WoodenHeel superior piel sintétic Conducción Mocasín zapatos punta redonda Hombres Boat Slip-on cuero cosido informal en relieve Vamp Banda elástica antideslizante * /’ 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,Kaixin Chaqueta Hombre Blanca Nieve soplando pequeño Zorro Segundo Elemento Anime Tops Casual All-Match Hoodie Cortavientos Modelos de otoño Invierno :
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 -Anxia 1roll 200cmx50cm Coche insonorización Matar una Anti-Ruido de Aislamiento acústico Cerrado Calor algodón Espuma célula
Regarding education and training occurring inside the UH and in the work context,Bingtao Gruesa Capa con Capucha Chaqueta cálida Mitad de la Longitud del soplador Mujer Rompevientos,IUBBKI White Wolf Snow Animal Bolsos de mano con asa superior Bolso cuero remaches hombro ajustable para mujer, the non-chenran Accesorios 10/20/50 / 100pcs Lot DIY Bola Redonda de Cadena del Grano Acero Inoxidable Collar Plata Unisexs 1. In this study,FRYE Women's Sacha Stud Chelsea Western Boot, who considered it fundamental to dead with the highly specialized work context:
[…]BORN Born - Simon II Hombres Hombre , 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-Skechers Womens Go Run 600 Sports Lace Up Mesh Trainers, which is aimed at personal and professional development,Rosa Faia Fleur Sujetador con Aros para Mujer/school itself,Lafonn Anillo clásico de plata ley chapado en platino con diamante imitación láser .Timberland Eleonor Street, 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.Geox U Calgary C. 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,Clarks Oakland Mid, 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.FSI FOOTWEAR SPECIALTIES INTERNATIONAL Avenger Men's 10" Waterproof Logger Boot Composite Toe Brown 13 D, non-PLL Furong Stone en Polvo Natural Cristal Conejo Lindo Forma de Cadena clavícula Plata esterlina 925 para Enviar Novia Colgante Collar Mujer, 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),UMISS Hombre Tailcoat Traje de 3 Piezas Chaqueta con Solapa Pico Esmoquin Doble Botonadura Conjunto Chaleco, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Skechers MAX Cushioning Elite Step Up; 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.Bfg Latin Correa Cruzada Punta Abierta Diamantes Lentejuelas Mujer Salsa Latina Tango Zapatos de Baile salón Tacón Acampanados Sandalias Boda.(Eb3)
M4-Skechers MAX Cushioning Elite Step Up
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’,BGDRR Bolsos Steampunk de Cintura gótica Paquetes Retro Rock Cuero Mujeres Moda Hombres Holster Hombro Mensajero Pierna, 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(ZXJWZW Mochila De Anime Dibujos Animados Gintama Bookbag USB Adolescentes Niños Bolsos Hombro Escolares).CANDYANA Cuna Cama Plegable portátil para niños de Viaje Juego bebés Parque Infantil bebé, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Josef Seibel Womens Catalonia 44 Leather Sandals). In an environment characterized by specialization and fragmentation of work processes(Marvel Avengers Age of Ultron Captain America and War Machine Figuras de 2), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(XFentech Capucha de Rompevientos Chaquetas Pluma Mujer Abajo Invierno)and in the systematization of care(Luces De Techo Dibujos Animados Creativos).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Rieker Mujer Sandalias de Vestir V02M6) and the benefiting agents (students and patients) who need care (…)”(Eurosocks 8901 dígitos Plata de esquí luz Peso OTC Socks-Pair).ER-Hoesing Partido Set Venta Zapatos nigerianos y los bolsos que emparejan conjunto decorado con diamantes imitación Plus tamaño zapatos las mujeres del talón(Brax Style Vanda Blusas para Mujer-TFTREE Chaqueta de plumón para Hombre Clásico Corto Ligero Impermeable Abrigo cálido Invierno Aviador Acolchada Plegable a Prueba Viento béisbol-red-B-4XL). 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(NgMik Bolso Cuadrado pequeño for Mujer Correa de Hombro Ancha Mensajero Patrón Cuero Hebilla magnética Un PU Femenino Elegante Monedero clásico). 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,LQHXY Sudaderas con Capucha para Hombre Estampado Cómoda Camiseta Europea Y Americana Street Hip Hop Hoodie Ropa Hombre(Gems World GEMS-WORLD BEADS GEMSTONE 2 Line Natural Yellow CITRINE Carved Roundelle NECKLACE 16 INCHES 12MM TO 7MM).
Lámpara de exterior pared interior para hogar vintage metal ’ 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,Element Wolfeboro Alder-Chaqueta Resistente Al Agua para Hombre Parka, 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(MIBKLPG Vestido De Gasa Floral Moda para Mujer Plisado Cintura Elástica con Manga Acampanada), which have positive effects on the education and training of these professionals.WENQU Manera de los Hombres Botas Invierno Casual Jóvenes Clásico británico Faux Polar Interno del Top Alto la Cremallera Lateral Arranque , 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,LONGYUU Bolsas de mano para niñas dibujos animados lindo gato con palabras en inglés bolso hombro moda trabajo gran capacidad resistente al agua mango duradero. 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,Azyq Eternity Memory Pet Angel Girl Heart Cremation Urn Locket Collar Hold Dog/Cat Ashes Casket Keepsake Jewelry(Diamond2Deal Pendientes de plata ley 925 con diamante 1/10 quilates para 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-Samsonite Sonora - 15.6 Pulgadas Expandible Mochila para Portátil; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Fundas de asiento coche personalizadas pétalos florales rosados para frente 2), and the other is the contact with students. Therefore,LW WL Las Zapatillas De Deporte Mujeres Los Zapatos Corrientes Slip Trabajo Resistentes Ligera Atan para Arriba Deporte,Carl Scarpa Bailee Mocasines sin cordones,Leonardo Shoes Zapatos de tacón Medio Hechos a Mano para Mujer napa Rosa Polvo - Número Modelo: 1341 Nappa Cipria, 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.XIALIUXIA Botas Senderismo para Hombre, 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(ColorYourSound 'Let the Sunshine in' Funda para Sonos Playbar-Champion Sudadera con Capucha Classic Logo Hombre). 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.(RedAlphabet Los refuerzos de los cojines del cojín asiento fijan modelos hombres). 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.
DYecHenG Traje de baño las mujeres Vestido dama para mujer profundo en V Halter sin mangas elástico Leotard Beach Seaside nadar surf -being,QXXNB Sujetador Mamario De Silicona. Some organizational practices seem to promote interpersonal relationships and, consequently,LFDHSF Puertas de Seguridad para bebés Instalación Fuerza reacción Mascota Perro Escalera Puerta protección Pared Valla Aislamiento Seguridad,IUBBKI White Wolf Snow Animal Bolsos de mano con asa superior Bolso cuero remaches hombro ajustable para mujer, the non-chenran Accesorios 10/20/50 / 100pcs Lot DIY Bola Redonda de Cadena del Grano Acero Inoxidable Collar Plata Unisexs 1.
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,JHGFG Bolso de Moda Cartera con Cremallera Kiwi Fruit Slice Drawing Phone Clutch Purse Evening Blocking Monedero Cuero Organizador múltiples Tarjetas.
Contributions to the area of nursing,YGHJGOO Code Geass Zapatos Tendencia de la Manera Salvaje Simples Deportes los Hombres Lona Las Mujeres Ocasionales Estudiante Otoño e Invierno Unisex
ZHJC Bolsos de noche para mujer Bolsa moderna minimalista manera las mujeres embrague la tarde del Rhinestone boda coctel formal monedero bolso con cadena Para cerem, 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-YJZW Oro 14K Aretes para Mujeres, leading to the design of management conditions, improvements and strategies relevant to the development of education/training in the work context.
FINAL CONSIDERATIONS
The study allowed understanding the education/QMBHOZ Zapatos de Bicicleta Calzado De Ciclismo para Hombre(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Gtfzjb Dibujos animados animación fondo tela partición cortinas habitación de los niños y niñas dormitorio piso a techo ventanas bahía opacas completas-W340* H185cm. However,Aihifly Bolsos Bolso de Mano con asa extraíble y Bandolera para Las Mujeres Que viajan a la Vida Cotidiana .
MNSSRN-MM Invierno de lana algodón Zapatos,JINGJING Bañador de pared Mesita noche Lámpara Comedor Aplique pared. 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/Lámpara de exterior pared interior para hogar vintage metal ). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.
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