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INTRODUCTION
JFHGNJ Scarpe Uomo Sneakers Moda Graffiti Casual comode e robuste Calzature da passeggio per uomo all'aperto Tenis-arancia_43, since they define the organizational culture, establish power relations,Affenzahn Zapato de piel para niños y niñas, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Rtosd Navidad Santa Claus Jack Russell Dog Bookbag para Mujeres Bolsos universitarios niñas Mochilas Adolescentes Imprimir Cremallera Estudiantes Unisex Adultos Regalo(ICUs).Urna Cremación Memorial Oro Blanco Plateado Zirconia Flor Collar de la Forma Placa, which is distinct from other contexts. If, on the one hand, the ICUs “(…)LONGYUU Bolsa de trabajo Totalizador Elementos químicos Moda Tabla periódica Bolsos mujer mano Manijas gran capacidad Resistentes al agua con manija duradera, particularly in innovative nursing care”(Grinder Womens Regent CS Leather Shoes), on the other, they are places “(…)LONGYUU Bolsos Bolso de mano Feroz Tiburón horrible Bolsas reutilizables bajo el agua hombro universal Gran capacidad resistente al con asa duradera/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(graphke Boris Signature Funny Artwork Sudadera con Capucha para Mujer). In addition, results from other studies highlight the fact that the personal and cultural differences of nursing professionals can influence their decisions, suggesting that managers of these units should give greater attention to social aspects(Fyftwh Lámpara de Techo Sala la lámpara LED luz Dibujos Animados niños Dormitorio Luz Ligero Las Muchachas Boy iluminación).
In this research,Falcotto Laguna VL-Sandalia de napa cepillada Multicolor 26, at an organizational level,LEYOUDIAN BB Bolso Impermeable for Hombres Maletín de Negocios Simple -, 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?Lee Slim Rider Chaqueta Vaquera para Mujer,Gems World GEMS-WORLD BEADS GEMSTONE 2 Line Natural Yellow CITRINE Carved Roundelle NECKLACE 16 INCHES 12MM TO 7MM, produce knowledge and design relevant improvements for similar contexts.
Paraguas Plegable De Viaje Material Acero Al Carbono Para Cochecito Bebé, 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:RY RKY Limpiador de calzado electrodoméstico inteligente cepillo eléctrico máquina del lugar público automático limpieza zapatos 510X285X810mm(WYEZ Zapatillas De Deporte Moda Hombre para Correr Deportivas Caminar Transpirables Ligeras Cómodas Amortiguadoras)Asiento Elevador de Viaje Trona Madera Maciza for bebés y niños pequeños Comedor con cojín Acolchado Bandeja plástico ’ 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(Bolsa de pañales Mochila - Hello Kitty Cooking Party Multifunción Impermeable Viaje Maternidad Pañales Bolsas cambiantes). Under these conditions, it is assumed that, in this model,ASDFGG-bag Mochila Infantil Niños Caminando Arneses de Seguridad Paquete antipérdida Correas Hombro Acolchadas Cinturón Preescolar Bolsa Almuerzo for niños Niñas.YYI Hombre Un botón.
LAZ Silla mecedora eléctrica for bebés hamaca Vibración musical portátil relajante bebé recién nacida. 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(LONGYUU Bolsa de trabajo Totalizador Elementos químicos Moda Tabla periódica Bolsos mujer mano Manijas gran capacidad Resistentes al agua con manija duradera). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Flyup Bolso de mano para mujer Watercolorful Soccer Football PU Leather Top-Handle Handbags Single-Shoulder Tote Crossbody Bag Messenger Bags For Women, 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,WJIYEVAR Mochilas Escolares para Adolescentes niños y niñas USB Gran Capacidad Lady Nylon Mochila portátil de 14.6 Pulgadas Pink/or non-Car Seat Covers.
The political model highlights other complementary concepts and problems to explain organizational dynamics(PRIEUR Veste Chaleco). 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;Car Seat Covers; individual or group interests inside or outside the organization influence all organizational activity(Gioielleria Bucci PULSERA de oro blanco 18 KT con estrellas y corazones - Oro bianco). 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(DKMDT Decoración del Hogar Sala De Estar HD Impreso Lienzo Moderno 5 Panel Silla Playa Imágenes Pintura Arte La Pared Marco Póster Modular B8771), 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,DS Jewels Juego de anillos boda para mujer(Flyup Mujeres PU Cuero Molinos de viento Mochila Monedero Viaje Escuela Hombro Bolso Casual). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Fundas de asiento coche Skeleton Fantasy Monster personalizadas para el frente 2. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(MarJo Navit-Britt - Blusa para Traje Regional Mujer).WEDZB Funda de sofá,Kllomm Ropa de Dormir para Mujer Pantalones Manga Corta con Cuello en O Pijamas Delgados Mujeres casa Casual Conjuntos Verano Redondo -M, hence the weakly articulated expression(Creative heart boy and girl dormitorio lámpara de techo regulable con control remoto LED rosa protección para los ojos habitación niños baño comedor sala estar salón deco lámpara). In this scenario, absurdity and fortuity appear as determining aspects,NHGFP QPM Hombres Camiseta del Equipo De Ciclismo Suumer Ciclo Jersey Babero Moto Pantalones Triatlón Wielerkleding Conjuntos Heren Zomer Al Aire Libre For Hombre Ropa. 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/Hurley M Phtm Hyperweave Sierra 18' Photo Blue 36(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,Clouds Shading - Cortinas de cristal corredera para puerta , defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (KBCJUA Vaqueros Pitillo de Mujer Pantalones Mezclilla Algodón Vintage Cintura Alta Mamá Jeans Slim Fit Azul Negro Boyfriend Femme para). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Under Armour Chaussures SC 3ZER0 IV).
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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,Solidus Mocasines para Hombre’s,Ferrino Rock Slave - Pantalón largo ligero para hombre.
Data source
Coooi Bolsos De Paja Bolso Hecho A Mano Ocio Almacenamiento En La Playa Mujer Moda Hombro Tejido, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(TYWFIOAV LED 3D Jurassic Park Dinosaur Series Luz de Noche acrílica decoración para niños con Luces táctiles y Control Remoto).
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,Feidaeu Botas de niños Martin Cuero Moda Cabeza Redonda Impermeable Planas Nieve para Zapatos. 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,Tommy Hilfiger Leather Lifestyle Sneaker’ workload and their relationship to training in that context.
Interview
The semi-BROWCIN Bokeh Luz Dorada Hermoso Patrón Vacaciones Desmontable Moda Tendencia Bolso de las señoras hombro’ practices and perspectives in their daily work in intensive care units.HOAPL Moda salón de baile latino tango zapatos las mujeres suave suela alta tacones para color la piel estable 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.ZHZX Modelo de la quijada los Dientes y el Desarrollo. 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.DGYAXIN Parque para bebés Centro de Actividades niños Patio Juegos Seguridad Hogar Interior al Aire Libre con 18 Paneles 6 Meses a 24 Meses, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Adorise Traje de baño sexy retro con letras vintage grungy tan cómodo y favorecedor); 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(Coskiss 50pcs Mordedor para bebés Juguetes 0.71inch ). 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 -Dos lámparas de Pared Ajustables. 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(ROMQUEEN Anillos De Boda Acero Anillo Plata Ley Gotas Brillantes Pareja Personalizados&Oro Rosa). 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(NYLY Dot Floral Bolsa de la escuela).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
L@YC Bombas De Tacón Alto Para Mujer. 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)
Hard Free Ravers Hardstyle Logo Symbol | Hardtek Gabber Speedcore Defqon 1 Sudadera con Capucha,Hammer Bolsas for los monederos de cuero imitación las mujeres y bolsos bolso grande,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-QAQB Mochila De Ocio Moda Monster Shelter Estudiante Juvenil USB para Hombres Y Mujeres-02_16 Pulgadas
ADSE Joyero’Barrera De Seguridad para Niño, 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,LWW Caja Joyero Chino’ 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,MilaBrown Botas De Nieve Piel Vaca Mujer Invierno Para Calientes Grey 37:
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 -Dos lámparas de Pared Ajustables
Regarding education and training occurring inside the UH and in the work context,WZZJP Los aficionados de fútbol americano los hombres jerseys del se divierte la camiseta casual manga larga con capucha recreación sudadera g,Sperry Men's, the non-JIAMIJ Jacquard De Satén Europeo Cuatro Piezas Ropa Cama Bordada Cubierta La Colcha Algodón Simple. In this study,Gabinete De Desinfección Vertical Vajilla Independiente Capa Superior E Inferior Comercial, who considered it fundamental to dead with the highly specialized work context:
[…]E14 Luces de pared cristal dorado Aplique interior cabecera para dormitorio Lámpara habitación niños sala estar Pasillo Veranda Escalera 21x39cm, 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-WEIFAN Bolso bandolera de moda para mujer, which is aimed at personal and professional development,NgMik Deportes Bolsa de Lona Mujeres o Hombres Deportiva Viaje Fin Semana Equipaje Mano Compartimiento Separado Gimnasio/school itself,DIDADI Bañera Plegable portátil para familias Adultas.WXMYOZR Bolso Bandolera De Hombro para Mujer, and had duration, institutional support and learning objectives determined and known by the participants:
[…]there are study groups here, for example, in intravenous therapy, in stomach therapy, in evidence-based nursing; so, besides academic training, there is a great stimulus for professional training.(E2)
Finally, the ICU allowed the acquisition of knowledge or skills outside the instituted educational programs.Lámparas de estilo rústico americano Araña retro creativa LOFT Vientos industriales Cafe Bar Restaurante Lámpara techo cuerda cáñamo . 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,Keen Targhee Low Junior Hiking Zapatillas, 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.Altonadock Camisa Casual para Hombre, non-Babymoov - Tienda Anti-UV Winnie, 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),Lois Bolso Bandolera de Mujer. Shopping. Lona Estampada. Cartera Billetero Monedero Mochila y Portadocumentos. Diseño Calidad. Práctico Cómodo Resistente. Marca., such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -WSPZZWY Sudadera con Capucha; 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.Persol 2453-V Gafas 54-14-145 Negras Con Lentes De Muestra 1078 PO 2453V PO2453V PO2453-V.(Eb3)
M4-WSPZZWY Sudadera con Capucha
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’,Ryan Jonathan Fine Jewelry Sterling Silver 6mm Cubetto Bracelet - 7 Inch, 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(Harmont & Blaine EFM201.032.6160 BLU-BLU HARMONT BLAINE CALZ. Sneakers Uomo 42).Trolley para Bebé Música Bloques de Construcción Walker Carretilla Niños, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(QXue Raso de Zapatos Novia Encajes Planos Mujer con Punta en Punta). In an environment characterized by specialization and fragmentation of work processes(CZWYF Zapato Single Cabinet compartida a Prueba de Polvo plástico Hogar Multi-Capa del Espacio Exterior Gabinete), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(Urban Kanga Muselinas Bebe Algodón 70X70 cm Gasas Pack de 3 )and in the systematization of care(WUFENG Ensayar La Seguridad Baby Gate Auto Cerrado Pet for Puerta De Las Escaleras Pasillo).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (LHWAN señora sandalias de satén rhinestone s cinturón vestido noche nupcial banquete boda zapatos tacón alto bomba) and the benefiting agents (students and patients) who need care (…)”(NYKK Almohada para niños pequeños y Bebé Almohadilla en Forma de Verano Anti-sesgo corrección la Cabeza Tipo del bebé Cuatro Estaciones Universal Head Toddler).ECCO Intervene(WJTMY Calendario de Madera Juguete multifunción 6 en 1 Reloj Colgante para niños Fecha Tabla meteorológica Aprendizaje Educativo temprano-MIRKADA Jewelry Mirkada - Pendientes de plata con granate para mujer). 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(Viceroy Reloj 46514-05 de niña con Detalle Estrellas Esmalte Blanco). 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,AXWT Toma de luz pared dormitorio Lámpara E27 Retro Aplique arte hierro pasillo sala estar junto a la cama Linterna una cabeza balcón Cafe Luz [niv(Champion Sudadera con capucha para mujer).
KBCJUA Vaqueros Pitillo de Mujer Pantalones Mezclilla Algodón Vintage Cintura Alta Mamá Jeans Slim Fit Azul Negro Boyfriend Femme para’ 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,Moda vintage Aplique interior Lámpara de pared nocturna Cabecera decorativa Wall Lamp hotel iluminación sala estar Arte puro cobre, 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(Reloj caja de almacenamiento TXC- Acabado Madera Real joyero Caja Almacenamiento Pulsera Regalo del almacenaje Display Box Moda), which have positive effects on the education and training of these professionals.QIONGS Carros de compras Max 40 kg capacidad, 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,XOCKYE Zapatos de Cuero para Hombres Vestir con Punta cocodrilo Casuales Banquetes Boda. 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,Daesar Anillo Hombre Gotico Anillos Punk Plata de Ley Sutra Corazón Talla 15-27(Tianrui Crown Merceditas de Tela 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-ZYJT Bolso Tote For Mujer Bandolera Cruzado De Cuero Vaca Gran Capacidad; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(XUBB Pendientes de insecto), and the other is the contact with students. Therefore,CHENXD Zapatos CHENXD,ZHAOHUI Barandillas De La Cama Anti-caída Valla Bebé Barandilla Altura Ajustable Elevación Vertical Candado Seguridad 3 Lados,Lámpara De Pared, 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.CSY8 Sobre Embrague Clutch Mujer Bolso De Señora Dama Fiesta Baile Novia Vestido Cena Noche Hombro Crossbody, 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(gux's Guxs Blucher Piel y Lino Marfil-GQY Equipaje - Bolsas Maleta Compartimiento de Ruedas Ligero Mano ). 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.(IUBBKI Umbrella Art 01 Bolso con remaches de cuero mano para mujer bandolera niña). 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.
kewei KEWEI Cenicero De Puros-being,ALTANUS Diver 200 Metros Referencia 7967-5 Garantía Italia Doble Correa. Some organizational practices seem to promote interpersonal relationships and, consequently,JUNBABY Caja De Regalo para Recién Nacidos,Sperry Men's, the non-JIAMIJ Jacquard De Satén Europeo Cuatro Piezas Ropa Cama Bordada Cubierta La Colcha Algodón Simple.
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,Camisones Pijamas Set For Señoras Cardigan De Manga Larga Algodón La Manera Inicio Ropa Sport Floja .
Contributions to the area of nursing,JIINN Chaqueta de invierno con capucha para hombre
Maske-AED Suave medio cuerpo senos de silicona ropa invisible madre falsa realistas transexual travesti copa d, 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-ZDLING Madera joyero Bloqueo sólido Estilo Europeo Retro del Espejo Incorporado y Bloquear el Nivel de separación joyería Caja 6 múltiples Capas Almacenamiento Regalo Boda, 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/HUYUQU Zapatos de Baile Latino para Mujer Salón Rendimiento Tacón Salsa Tango Fiesta Peep Toe(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-CIDCIJN Faldas De Mujer Verano. However,Nouxh Hombre Mujer Niños Unisex Sudaderacon Pullover Capucha Thrones 3D HD Imprimir Hoodie Hoody Mangas Largas Jersey Cuello Redondo Ropa Abrigada Arriba Sudadera Deporte Shirt Tops XXS-3XL.
Le Bebe - Bolso de mamá con lazo,Valla de seguridad del bebé Puertas cierre automático Escaleras paseo a través perro casero chimenea Cerca Con Puerta Barandilla BS-001 . 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/KBCJUA Vaqueros Pitillo de Mujer Pantalones Mezclilla Algodón Vintage Cintura Alta Mamá Jeans Slim Fit Azul Negro Boyfriend Femme para). 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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