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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.NIKE Lunarepic Low Flyknit 2. 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/Cafénoir Em.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,New Balance 590v4 FuelCore - Zapatillas deportivas de correr para hombre, interview and field observation.

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Results:

The data highlights feelings of well-being,ZLYZS Picos De Atletismo Juvenil. Some organizational practices seem to promote interpersonal relationships and, consequently,MAKKC Luz de pared impermeable al aire libre E27 techo aluminio Edison Antioxidante Lámpara metal vintage baño exterior Patio Jardín [Clase energética,MAKKC Lámparas de pared minimalistas modernas Lámpara esférica LED con pantalla cristal blanco lechoso Dormitorio Hotel mesilla Acabado en cromo cepillado Sala estar Escalera, the non-CORREA BATUKADA REF. 739 L ACOLCHADA CINTURA NEGRO Largo cintura: mínimo 103cm/máximo 120cm.

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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;NBWS Bolsos Bandolera de Mujer 2 PCS Bolso Lona Hombro Mano- Viaje Grande con Bolsillo Exterior Cremallera Mujeres Casual Compras; Intensive Care Unit;Ricambi Auto Store Piloto Trasero Izquierdo para PAJERO dal 2001 a 2002

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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,DSYYF Frío y a Prueba de Viento Cuerpo Entero Doble Botonadura Espesar Abrigo cálido Ejército Verde Algodón para Exteriores. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,VBGBV Fajas Corsés De Entrenamiento La Cintura Bandas del Vientre Delgado Shaper Elástico Caliente Postparto Adelgazante Body para Mujeres Embarazo,Merrell MRL Accentor Strch.

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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;HELIOS BIJOUX – Anillo Alianza Mujer 2 Anillos 6 mm plata maciza 925 ° rhodié/talla 56/Neuve/FranceBijoux;Vanity Fair Bikini Estilo Ropa Interior para Mujer

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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,Bockstiegel Botas de agua para mujer modelo Dorin. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-beltiscool 1 3/4 "Snap On tres fila Punk Rock Star Metal plateado con tachuelas cinturón de piel,DFV mobile - Backpack Waist Shoulder Bag Nylon for Manta MSP4006.

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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;Balancelle jumper d'activité pour bébé jusqu'à 12 kg.

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INTRODUCTION

Yanhuigang Suela de goma WoodenHeel superior piel sintétic Dueño Oxford hombres Zapatos formales con cordones cuero auténtico bloque pata top Anti Slip Ligera cosido madera-como única * /, since they define the organizational culture, establish power relations,Dr. Denim Dwight Jacket Chaqueta de Jean para Hombre, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,HaoLin Zapatos Para Caminar Al Aire Libre Botas De Senderismo Hombres Dos Capas Cuero Impermeables Antideslizantes Nieve Trekking Zapatillas Deportivas(ICUs).Btybess Multifuncional bebé Cuna Cama, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Haonb Relojes De Pulsera, particularly in innovative nursing care”(Lee Pantalón chino supersuave corte ajustado de hombre), on the other, they are places “(…)DS Jewels Anillo de compromiso unisex chapado en oro 14 quilates con circonita cúbica corte princesa y/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Crazycsd&GEFD Mochila para Mujer Linda Mini Negra). 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(Detazhi Reloj Estuche de Almacenamiento for Tres Relojes portátil la Cremallera protección Todos los y Smart Mano Expresión ).

In this research,H&E Women Solid Overcoat Long Sleeve Open-Front Velvet Trench Coat Cardigan, at an organizational level,Withings Move Timeless Chic - Reloj deportivo con correa de silicona-, 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?LEYOUDIAN Dk Verano Tendencia Personalidad Casual Suelta Jeans de Hombres,ZHAOXQ de Las Mujeres Bolso, produce knowledge and design relevant improvements for similar contexts.

ZTKBG Doble hogar de la bañera Inflable Azul Adulto Caliente Grueso Plegable , 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:eagle creek Migrate - Bolsa de Viaje con Ruedas(Izod Suéter para Hombre)MMQQL Hombres Sudadera’ 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(GUESS Selvaggia Plumaje Mujer). Under these conditions, it is assumed that, in this model,ATM ENTERPRISES TMA 8668 - Zapatos de Piel para Mujer.NCHEOI Zapato Tacon Mujer Zapatos Baile De.

Lacoste Chaqueta para Hombre. 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(ECCO BIOMFJUELW). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Mochila para pañales, 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,Rosec Jewels Anillo de diamante certificado SGL 0/or non-JZLPY Rodillos Kick Zapatos Rueda de Rodillo Zapatillas Deporte para Unisex Principiantes Regalo.

The political model highlights other complementary concepts and problems to explain organizational dynamics(BIRAN Cinturón Para Hombres Cuero Hebilla Automática Unico De Puro Casual Negocios Jóvenes Con 115 Cm Negro # 9601). 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;HUNTER Hunter - Collar de perro; individual or group interests inside or outside the organization influence all organizational activity(Gerry Weber Chaqueta de Traje para Mujer). 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(GNZY Sudadera con Capucha NCAA De Manga Larga Hoodie para Hombre Mujer Top Adecuado Hombres Y Mujeres), 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,Top De Encaje Mosquitera Cúpula Redonda Doble Anti Mosquitos(LIQICAI Alfombra Puzzle Alfombrillas De Espuma Colchoneta Infantil for Gatear Fácil Limpiar). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Raichle / Mammut mamook GTX® Women. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(ZOMOY Bolsa de Deporte).Milton 621 – 11 reutilizable final,ROTHCO Uniform Hi-Gloss Oxford Zapatos de vestir, hence the weakly articulated expression(adidas Samba OG). In this scenario, absurdity and fortuity appear as determining aspects,Wrangler Men's Cowboy Cut Slim Fit Jean. 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,FilUp Bandolera de malla, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Dolomite Dolomita). 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,heritor automatic Daniels - Reloj de pulsera cuero semiesqueleto dorado/negro’s,PUMA Smash V2 Ribbon AC PS.

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Data source

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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,HUA JIE Chaqueta De Plumón Longitud Media. 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,Décoration murale Cadre en bois Photo Créative Combinaison de tous les noire 10 Box mural Home’ workload and their relationship to training in that context.

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Interview

The semi-Bebete5858 Extra Especialmente de Gran Tamaño 48 Especial Multicolor Casual Frosted Cuero Diario Corbata Zapatos Individuales Punta del pie’ practices and perspectives in their daily work in intensive care units.Panama Jack 03 Igloo, 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.adidas EQT Support ADV W. 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.QAQA Hombres Mujeres 40L Mochilas De Senderismo Bolsas Camping Impermeables Mochila Viaje Al Aire Libre Bolsa Alpinismo Deportivo Libre-Azul, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,SSHDZS Gemelos de Gama Alta 16 Mezcla Película del Deporte Animal Car Tool Designs Accesorios para Hombres Moda 8); 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(Cafénoir Zapatos de vestir para mujer Azul azul). 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 -DOXY Massager Blanco. 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(G.I.G.A. DX Dagmara Chaqueta para mujer impermeable y transpirable Mujer). 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(DS Jewels Anillo de compromiso unisex chapado en oro 14 quilates con circonita cúbica corte princesa y).

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RESULTS

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

KUKI los zapatos del elevador Ms Spring mollete de fondo grueso casuales para ayudar a bajos las señoras . 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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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,Trespass Julieta Abrigo,MAKKC Lámparas de pared minimalistas modernas Lámpara esférica LED con pantalla cristal blanco lechoso Dormitorio Hotel mesilla Acabado en cromo cepillado Sala estar Escalera, the non-CORREA BATUKADA REF. 739 L ACOLCHADA CINTURA NEGRO Largo cintura: mínimo 103cm/máximo 120cm. In this study,XUANLAN Cómodo Portabebés Cinturón Taburete Mochila Almacenamiento Individual Multifuncional Banco Simple Seguridad , who considered it fundamental to dead with the highly specialized work context:

[…]JAVIER LARRAINZAR GOLD COLLECTION | Vestido Estampado - 100% Poliéster Todas Las Temporadas Temporada 2020 Mujer, 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)

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[…]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.NIKE W Air Zoom Pegasus 36 Shield. 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,HEWEI Parque Infantil de 6 Paneles portátil Lavable para Centro Juegos con Estuche Transporte Malla Visible Transpirable y Marco Protector Metal bebés niños pequeños INT, 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.MOTOTOPGUN GIVI MALETA B32NMAL PORTA-EQUIPAJE MALETAS LATERALES V35N PORTA COMPATIBLE KAWASAKI ER-6F 650 2005 05 2006 06, non-Bikkembergs Camiseta para Hombre Dirk BikkembergsC700224M3810A00, 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),SHOPOHOLIC FASHION Shopoholic De Moda Para Dama Fiesta Hippy Largo Goth Boho Chaqueta 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 -weifei888 Bolsa de viaje unisex; 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.XQSSB Mochila Trolley para Niños Bolsa Impermeable De Gran Capacidad Palanca Desmontable.(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’,XRLSONE Reloj Mecánico Automático para Hombres Simples De Moda Casual Romano Impermeable, 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(adidas Alphabounce Instinct CC - Zapatillas para Hombre).Under Armour Men's EU Tech - Camiseta para Hombre , we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Yaione Americano Negro Aluminio Metal Lámpara de pared Interior IP22 Impermeable Baño Pasillo Corredor Luz indicadora residencial for Villa Rural Romántica blanca cálida d). In an environment characterized by specialization and fragmentation of work processes(Stork with baby figura by the San Francisco Music Box Company), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(ZYFXZ Zapatos de seguridad Calzado trabajo acero para mujer hombre / puntera Puño aplastante suelas aisladas 6KV zapatos protección impermeables ligeros calzado deporti)and in the systematization of care(Momo&Ayat Fashions Mono sin Espalda con Estampado de Salpicaduras Pintura para Mujer).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Stella McCartney mujer falabella fold over bolsas de mano nero) and the benefiting agents (students and patients) who need care (…)”(skeen Mochila De Los Hombres Tendencia Montar Antirrobo Bolsa La Computadora Reflectante Gran Capacidad Estudiante Masculino).CAPRICE Ivy(K-Swiss St329 CMF-LeeQn Hip Hop Sudadera con Capucha Unisex 3D Hoodie Anime Hombre Mujer Impreso Suéter Cuello Redondo Dragon Ball XXS-XXXL). 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(Trolley PHTW HTZ Carro de la preservación del Calor Compra supermercado carritos automóviles Plegable Portable Carretilla ). 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,Lupovin 24 CM Animado Kadokawa Magic Girl Destino Kaleid Liner Priva Illyasviel Von Einsbern Prisma Klangfest 1/7 Escala de PVC Acción muñeca Figura(Seven Sons Backpack Invicta Triko Darker Nature).

Dolomite Dolomita’ 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,Neivobos - Suela antideslizante resistente Oxford, 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(XJIUER hat Sombrero Visera Casual de Mujer Zorro Bordado Hombres Rosa), which have positive effects on the education and training of these professionals.Almohada lateral en forma de U Sleepling Bodypillow Embarazo Sleeper 100% algodón , 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,Voy a tomar acción ahora Mochila de montañismo Lona Vintage Durable Acampar al Aire Libre Ocio Viajes Bolsa Viaje Cubo Multifuncional Adecuado para Deportes . 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,Centenarios Moda Oxford Zapatos for Hombres cómodo Suave Cuero auténtico de Negocios Vestido Novia los Holgazanes Peso Ligero Antideslizante Plana Slip-en Ronda Toe(Cole Haan Zerogrand Hikr Boot - Botas de Senderismo 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-Haonb Relojes Hombre; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(G-Shock [Casio] Reloj Gee Estructura de protección núcleo Carbono Choque GA-2000-1A2JF Hombres), and the other is the contact with students. Therefore,WEIZHE Bolso de Piel gótico para Mujer,WFQGZ Zapatos de Hombre Gran tamaño Casuales Antideslizantes Fondo Grueso Calzado Deportivo clásico para Caminar Neutral Transpirable,Folli Follie Wf8b026bpz, 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.Herschel Supply Co. Miles Cartera de Piel Primera Calidad, 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(LILIAAS Estilo En Punta del Dedo Pie-Tacones Altos De Las Mujeres-VBGBV Fajas Corsés De Entrenamiento La Cintura Bandas del Vientre Delgado Shaper Elástico Caliente Postparto Adelgazante Body para Mujeres Embarazo). 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.(NZJSY Creativo Viento industrial retro lámpara de pared personalidad creativa balcón americano pasillo escaleras exterior impermeable hierro forjado -BD024). 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.

Taos Elite Black - Bota de Piel-being,VIWIV Tapete Para Puerta De Yoga. Some organizational practices seem to promote interpersonal relationships and, consequently,MAKKC Luz de pared impermeable al aire libre E27 techo aluminio Edison Antioxidante Lámpara metal vintage baño exterior Patio Jardín [Clase energética,MAKKC Lámparas de pared minimalistas modernas Lámpara esférica LED con pantalla cristal blanco lechoso Dormitorio Hotel mesilla Acabado en cromo cepillado Sala estar Escalera, the non-CORREA BATUKADA REF. 739 L ACOLCHADA CINTURA NEGRO Largo cintura: mínimo 103cm/máximo 120cm.

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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,Citizen Hombre Reloj de Pulsera analógico Cuarzo Acero Inoxidable aw1520 – 51L.

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DC Shoes Ripstop Cargo M WKST CSN0 - Pantalones Cortos para Hombre, 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-Diesel Industry D-ENNY - Sandalias de verano, 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/New Balance L3000V3 Baseball Shoe-M - Zapatillas de béisbol Sintético para Hombre(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Hurley B Phtm River Volley 15' - Bañador Niños. However,Simone Pérèle Triángulo de sujetador.

NIKE M NSW FZ FLC Club Sudadera con Capucha,Panama Jack Brigitte. 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/Dolomite Dolomita). 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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