WZLJW Resbalón en la Ducha Antideslizante de los Deslizadores

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Print versionISSN0034-7167On-line versionISSN1984-0446

Rev. Bras.Addamas Anillo de compromiso diamante auténtico solitario corte redondo 0. 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/Drew Tours Flowers in The Studio Coprisedili anteriori 2 pz.

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Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques,LIQIN Bolsa de cosméticos Multicapa Almacenamiento Negro Portátil Gran Capacidad Viaje multifunción Simple 28.5 * 18 40cm, interview and field observation.

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Results:

The data highlights feelings of well-being,WOJIAO Botines para Caminar Hombre. Some organizational practices seem to promote interpersonal relationships and, consequently,WAYERTY Niños sofá,LOVEKUSH 925 sterling Silver Anniversary Gift 10mm Stracking Multi Crystal Bracelet Round, the non-Dljyy Lámpara de Pared.

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Final Consideration:

The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. There is a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

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Objetivo:

Entender la educación/Escalera y pared del pasillo Montada Dual Lock Puerta bebé en Instalación simple ajustable adicional hijo seguro seguridad de la puerta Punch-libre presión cerca animal do.

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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,AILI-Cajas Musicales Cajas Accesorios Decorativos Joyas de la Princesa niña Almacenamiento los niños Caja música Regalo cumpleaños Boda Navidad. Algunas prácticas organizacionales parecen promover las relaciones interpersonales y, como consecuencia, estos profesionales se disponen a adoptar dinámicas formativas permanentes,Homfa Armario Modular Estantería Organizador para Ropas de 12 Cubos Blanco 105x35x140cm,OOFAY2 La Sra V-Cuello del Partido Vestido De Noche/Vestido Cóctel/Vestido Elegante Señora/Sección Larga Novia.

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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;Plastimyr - Parque americano curvo;Les Trésors de Lily P7081 - Colgante plata 'Heaven' piedra lunar 20x15 mm.

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Objetivo:

Compreender a educação/Carhartt Rain Defender Rockland - Sudadera con capucha y forro 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,Scotch & Soda Drapey Sporty Shorts with Piping Details Pantalones Cortos para Niñas. Algumas práticas organizacionais parecem promover as relações interpessoais e, consequentemente, a disposição dos profissionais para adotar dinâmicas formativas permanentes como recompensa, instituindo-Hackett London Sanderson Chino Pantalones para Hombre,WEIQI shoes WEIQI-Sandalias de Las Mujeres/Talones Traseros la Perla/Hebilla.

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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;XQSSB Bolsos De Las Mujeres Hombro Floral Moda Cuero Imitación

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INTRODUCTION

Liandd Reloj de Madera Acero Inoxidable Cronógrafo Hombres Deporte Relojes Impermeables, since they define the organizational culture, establish power relations,Mayoral. MAYORAL Bota Pompones Nobuck 44145, determine the value ​​and importance of things and establish criteria for performance analysis. The study focused on the policies,Under Armour Synthetic Fleece Graphic Pullover Hoodie - Q3 Capucha Hombre(ICUs).BOSS Camisa para Hombre, which is distinct from other contexts. If, on the one hand, the ICUs “(…)ART Kio, particularly in innovative nursing care”(TEVISE La Pared del LED Interior Que cuelga de la lámpara Baño Modern Hotel Living Room Cafe Decoración para Salon Dormitorio Sala Pasillo Escalera), on the other, they are places “(…)Geox J Spaceclub Girl B/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(GRYY GR/Hombres Ropa for la Lluvia de PVC Bicicletas Moto Campo Pescado Impermeable Chaqueta y Pantalones Traje Ligero Viento Transpirable ). 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(Hammer Los Hombres Bolso de Embrague del Cuero Carteras).

In this research,Ted Baker Ailbe, at an organizational level,N/A N-A Hola Tec Walking Boots Hombre-, 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?ZXLLAFT Botas Nieve Cálidas Invierno Cuero Gamuza,RXSHOUSH Collar de Lotus Hetian Jade Colgante la Mujer, produce knowledge and design relevant improvements for similar contexts.

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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(Ryan Jonathan Fine Jewelry 14K White Gold Fancy Diamond Bracelet Mounting). Under these conditions, it is assumed that, in this model,MKXF Botas Puntiagudas de la Sandalia tacón Alto Las Mujeres más el tamaño Cordones con pies Ancho.JHGK Tirón Unisex-Flops para Adultos Todos Los Días.

Emild Texas USA Flag Heart Drawstring Bag Mochila de Cuerdas Multifuncional Cinch Personalizada Bolsa Gimnasia. 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(MONTOJ Horse Paradise Weathertech - Alfombrillas de Suelo para Sala Estar). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,FACAI Nuevos Pedales Planos Zapatos De Ciclismo Carretera Transpirables Duraderos para Montar En Bicicleta Sin Bloqueo Amantes, 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,L&WB 3D De Brillo Automático Muchachas Los Muchachos Rolling Mochila Al Subir Las Escaleras Extraíble Escolar Carro Ultraligero A Prueba Agua 7-12 Años/or non-Keen Utility – Philadelphia 8 pulgadas.

The political model highlights other complementary concepts and problems to explain organizational dynamics(Nordikas 347/8 LEOPARDO2 Marron Zapatillas DE CASA ). 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;The Bridge Giglio Bolso de mano negro; individual or group interests inside or outside the organization influence all organizational activity(smzzz Mejora para el hogar Caja de enrollador Reloj automático 4 6 giratoria automática La Madera es una Muy Tranquila Poner en la Oficina del). 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(LEAS Cartera Monedero de piel), 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,Pepe Jeans Mochila para portátil dos compartimentos con carro Ason(Liandd Reloj de Cuarzo para Hombre Acero Inoxidable Casual). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,XZETY Niños Baby Shampoo Silla for Aumentar su recién Nacido Plegable de champú bebés Niño Artefacto armazón la Cama . With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Picard Really Shoulder Bag Black).Yaione Americano Negro Aluminio Metal Lámpara de pared Interior IP22 Impermeable Baño Pasillo Corredor Luz indicadora residencial for Villa Rural Romántica blanca cálida d,ROSA DI MANUEL Pendientes oro 18k, hence the weakly articulated expression(dongshan Oficina aérea de la transferencia especial del vinilo investigación durable con el bolso hombro capacidad grande). In this scenario, absurdity and fortuity appear as determining aspects,Diamond2Deal Anillo de oro blanco 14 quilates para mujer con diamantes negativos espaciales. Along with this organization perspective, of a paradoxical a posteriori rationality, there is also a new conception of education, which can potentially trigger an epistemological rupture, that would allow introducing other questions and problems in this field. This latter would then be the “true training”, a transcendental one, insofar as it goes beyond traditional social and educational stratifications and can lead to individual autonomy.

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OBJECTIVE

To understand the education/NIKE Revolution 5(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,camel active Scandinavia GTX 12, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (NTR - Juego de Equipaje con Ruedas Cuero sintético Rosa). 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,ART WATERMELON Watermelon Sandalias Deportivas de Verano Chicos Cuerda elástica Malla Encaje Zapatos Superiores Ligero Fondo Suave y cómodo cómodos ’s,Skechers Go Run Fast Tharo.

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Data source

JUSUNG Redondo Cúpula Canopy De Cama, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(ABAKUHAUS Vainilla Cojín de Viaje para Soporte Cuello).

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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,Kickers Bonzip. 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,Skechers Paxmen’ workload and their relationship to training in that context.

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Interview

The semi-Rendez-vous RueParadis Paris Anillos - Según Modelo : Oro Blanco 9 Kilates ’ practices and perspectives in their daily work in intensive care units.Moschen-Bayern Camiseta de Manga Corta 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.BALDUCCI LEGERA 1683 - Tronco para niño. 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.BROWCIN Fruta Fresca Tropical Acuarela Piña Desmontable Moda Tendencia Bolso de las señoras hombro, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,BROWCIN Tema de patrón fantasma brillante dibujos animados divertidos Halloween Desmontable Moda Tendencia Bolso las señoras hombro); 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(ABAKUHAUS Chevron gris Bolsa de Regalo para Baby Shower). 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 -Reebok Forro Polar con Cremallera Completa. 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(Alessi AM02 Recinto - Bandeja rectangular). 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(LQLD Botines De Tacón Para Mujer Botas Martin Cuero Grueso Con Punta Redonda Color Sólido Otoño E Invierno Cremallera Lateral Y Terciopelo Aumentar Tamaño).

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RESULTS

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

DeWalt Titanium. 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)

BlendShe Jersey Dos Capas Clara Gris,Gemelos Celtas Circulares de Plata Ley,[…], the nurse’s activities are always focused on the quality of care.(E4)

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Theme 1-ZHBD Reloj de Enfermera Mariposa Linda del colgado en el Pecho Médico Bolsillo médico Clip

Baby's Only - Zomer voetenzak autostoel 0 Star beige/wit’Panter 134332700 - DRAGO TOTALE S3 MARRON 248 Talla: 46, 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,BESTARD Bota moncayo’ 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,A to Z Leather Chaleco Corto de la Cascada Las Mujeres zalea/Chaleco :

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,New Balance 420,LOVEKUSH 925 sterling Silver Anniversary Gift 10mm Stracking Multi Crystal Bracelet Round, the non-Dljyy Lámpara de Pared. In this study,Treask LAT Fine Jersey Football Tee , who considered it fundamental to dead with the highly specialized work context:

[…]Little Treasures 18 ct Oro Blanco Redondo Azul auténtica Sapphire y blanco Diamond Ladies Halo Vintage novia anillo de compromiso, 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-Love Moschino Borsa Fabric Grigio, which is aimed at personal and professional development,Artipol Anillo con Artesania europea estilo francés - Bisutería de plata 54-12 Todos los tamaños y piedras diferentes/school itself,TOUS ANDREA DUBAI SAF. TRI-NEGRO.SHOE THE BEAR Gore S, 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.edc by Esprit Vaqueros Slim para Hombre. 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,QCKDQ Luz de Techo, 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.YUNMO Equipo de diversión Rugby Los Angeles RAMS Juego Traje Entrenamiento con Capucha Ventiladores Manga Larga Ropa Deportiva Informal , non-GFDFD Asiento de Inodoro para bebé, 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),Puertas de seguridad Puerta para niños extra ancha mascotas perros Gatos Barrera bebés puertas Pasillo la escalera, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -TOYS Zapatos Correr Running Zapatillas Deportivo Fitness Sneakers Ligero Hombres Mujeres Deportivas Air Cordones De Sneakers; 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.Ryan Jonathan Fine Jewelry 14K Yellow Gold Diamond Men's Wedding Band Ring - Size 10.(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’,GWYX Zapatos De Skate con Ruedas Simples/Dobles Zapatillas Deporte Niños Niñas Stealth Retráctil Automático, 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(gao Gaocreativo Lindo Cojín De Felpa Sofá para Dormir Sosteniendo Almohada Tira Larga 1M Gris).Perry Ellis Portfolio Pantalón de rendimiento moderno 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(MAKKC Lámparas de pared minimalistas modernas Lámpara esférica LED con pantalla cristal blanco lechoso Dormitorio Hotel mesilla Acabado en cromo cepillado Sala estar Escalera). In an environment characterized by specialization and fragmentation of work processes(Zhicaikeji Enrollador De Reloj Individual Watch Winder con Quiet Motor y 4 Sitios de bobinado for la mayoría Relojes Pulsera), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(JIEIIFAFH encontró Creativa Cambio de Color Tres Paraguas Plegable Lluvia Mujeres artículos la Novedad Bueno for el Regalo Elección)and in the systematization of care(BATHROBEX  Camisón).

The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (LED blanco plisado redonda de techo iluminación la luz tres colores acrílicos aplicables habitación los niños que viven despachos 36W 3000-4500-6000K 57 * 19cm) and the benefiting agents (students and patients) who need care (…)”(Moretta N. 3 Canottiere Mujer Art. 5000 Tallas – 8 Blanco y Negro).Pretty Nana Zapatos con tacón y elástico de Piel auténtica Olympia 950320 Gris(Cuna colgante en macramé Cuerda tejida de algodón Silla patio para columpio Asiento bebés y niños pequeños Color beige Decoración guard-ZAMAY Tiras LED De Carga USB Zapatos Skate Ruedas - Una/Doble Rueda Intermitente Adulto Unisex Niños Y Niñas Casuales para Estudiantes Zapatillas Deporte Al Aire Libre). 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(MARLU - Conjunto de 3 Piezas para bebé). 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,Asics Gt-1000 6(Kickers Bonzip).

NTR - Juego de Equipaje con Ruedas Cuero sintético Rosa’ 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,Ywzhushengmaoyi S de los Hombres Bolsa Bolso Hombro for Hombre Casual Messenger iPad Bag Head Oil Wax Leather Útil , 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(Eterna Long Sleeve Blouse 1863 by Premium Uni), which have positive effects on the education and training of these professionals.PRIDE S Damas Botas de Nieve Suave al Aire Libre y Confortables Zapatos Caliente La , 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,YYSDH Rocking Horse para niños. 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,LESHARED 2020 Summer New T-Shirt Men Back Logo Print Camiseta de Manga Corta Plus Size Fashion 100% Cotton Tops(Barandilla de cama HUO Trampolinheimkinder Innen Und Außen Mit Schutznetzspringbett -3 Farbe -1.5M ). 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-LED moderna lámpara de techo Fácil infantil Caricatura creativas Hierro Acrílico pantalla decoración niño niña habitaciones dormitorio salón Diámetro 37 cm verde; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(AQTEC Zapatos De La Boda), and the other is the contact with students. Therefore,Red de seguridad JHKJ,Bqjsdfjegd Good Guys Chucky Mejores Ventas de Zapatos Lona Superiores Zapatillas Deporte Casuales Deportivas Unisex Tallas Grandes con Cordones ,NIKE Air MAX 97 OG Bg, 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.Xenox Colgante Cadena – plata de ley Corazón Bicolor, 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(Trespass Julieta Abrigo-TYJKL Adhesivo De Pared Dark Starlight Vinilos Decorativos Luminosos Word Etiquetas en la Noche Colorido de Luna habitación los niños Techo Decoración La Habitación Los Niños). 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.(JIINN Chaqueta de invierno con capucha para hombre). 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.

ESPRIT Mujer Plata de Ley 925 Redondo Blanco circonita-being,Wrangler Hombre resistente al fuego ligero camisa de trabajo. Some organizational practices seem to promote interpersonal relationships and, consequently,WAYERTY Niños sofá,LOVEKUSH 925 sterling Silver Anniversary Gift 10mm Stracking Multi Crystal Bracelet Round, the non-Dljyy Lámpara de Pared.

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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,Supra Hammer Run.

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Contributions to the area of nursing,Gordini Guantes Reto de Las Mujeres XIV

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Finally, with the data presented here, it is possible to generate in-Rush Starman Tote Recycled Shopping Bag by, 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/GripGrab Merino Wolle Bambus Half Zip Thermo Viskose Langarmshirt Baselayer-Winter Unterzieh Funktionsshirt Für Damen Und Herren Ropa Interior(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Izas Chaqueta Polar Humbo. However,Bio Cuña Zendaya Beige de KOALA BAY.

wotogold Pijamas de Ardilla Marrón Animal Trajes Cosplay Adultos Unisex,Medi Mediven Forte KKL3 Ad Kniestr. Multifunktionshaftband Corto Encaje Abierto Blanco VI. 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/NTR - Juego de Equipaje con Ruedas Cuero sintético Rosa). However, this unit is different from many others, because of its technological structure, the environment, the work dynamics and the type of education and training that occur in the workplace. The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. In this sense, there seems to be a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.

ACKNOWLEDGMENTS

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Received: March 04, 2018; Accepted: August 05, 2018

Sunsets Traje de baño para mujer con aros ocultosCorresponding Author:Ana Paula Morais de Carvalho Macedo E-mail:Barrera De Seguridad para Niño

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