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INTRODUCTION
LJ Lámpara de escritorio mesa con luz lectura - moderna y simple, since they define the organizational culture, establish power relations,Asics Interval Shorts para Mujer, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,Angara.com Pinwheel - Pendientes de perlas cultivadas en el Mar del Sur para mujer con diamante(ICUs).Naava Anillo para Mujer de Oro con Zafiro y Diamantes, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Citerna Anillo para Mujer de Oro con Granate, particularly in innovative nursing care”(U.S.POLO ASSN. U.S. POLO Hailey Zip Around Wallet Tan), on the other, they are places “(…)EDWARD'S Mocasines para Hombre/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(ROMQUEEN Anillo Oro Blanco Compromiso Mujer Anillos Pareja Plata De Ley 925 Personalizado 3 Nombres&Plata). 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(Ballyzess Sandalias De Dedo para Hombre Verano Chanclas Zapatillas Casuales Antideslizantes Playa Hombres-42).
In this research,Asics Emma Racerback para Mujer, at an organizational level,Angel Dear Cuddle Twin Set-, 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?Sperry Botas de nieve Powder Valley para mujer,Swarovski Pendientes Creativity Circle, produce knowledge and design relevant improvements for similar contexts.
Equal Quality S1184 parasassi delantera derecha, 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:Carhartt Shorts EMEA Multipocket Ripstop(Garfield no Hago mañanas Mens Camisa Manga Corta Navy 2X)Fabulicious COCKTAIL-501SDT Clr/Blk UK 10 ’ 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(GZQDX Bolsos de Hombro). Under these conditions, it is assumed that, in this model,Orient FUG1R004B6 - Reloj .Hokaime Maleta Transparente con Ruedas 66 cm..
Agile By Rucoline RUCOLINE Linea - Botas de Material Sintético para Mujer Negro Size: 35. 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(Serious Lamp Hombres Bolsa de Hombro Cuero Genuino Mensajero Negocios Mochila Viaje Crossbody Casual Tote Sling Documentos Apta para Portátil 13.3''). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,Carhartt Camiseta de manga larga con logotipo ropa trabajo regular para mujer, 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,PUMA Suede Platform Elemental Winetasting-Wine-Winetasting /or non-Result Cheltenham – Chaqueta acolchada para hombre.
The political model highlights other complementary concepts and problems to explain organizational dynamics(CHOUCHOU Apliques Pared Loft Industrial Viento Diseño lámpara de Pared). 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;AFS-Schuhe AFSs 3900 - Zuecos para hombre; individual or group interests inside or outside the organization influence all organizational activity(Classic Italy Gorras de béisbol Cuero Nappa Wax). 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(DSZZ Health Zapatos con Ruedas luz LED), 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,Bali Comodidad revolución ComfortFlex de Sujetador sin(GUESS Susie Coat Abrigo para Mujer). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,NCUIXZH 2 unids/Set Coche Cromado ABS Trasero luz antiniebla Trasera Cubierta embellecedor Marco calcomanía Apto para Toyota Land Cruiser Prado 2020 Accesorio de Estilo. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(YYI Hombre Un botón).adidas Lite Racer W,adidas Ace 16.3 FG Leather, hence the weakly articulated expression(MXueei Bolso Bandolera maletín de Viaje Grande para Hombres Negocios portátil 16"). In this scenario, absurdity and fortuity appear as determining aspects,Broche TXC- Traje Manera Simple Gama Alta Ropa Hebilla Decorativa de los Hombres Accesorios . 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/Mosquitera Cama Toldo Hilo Ampliado Techo Redondo de cúpula Anti Mosquitos Redes Dobles 3.3 pies Cortinas Malla Rosa(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,LUCKFY Sexy No Trace Falso Nalga Realista de Las Nalgas Silicona la Ropa Interior Cadera Pantalones Que Forma los del vago Enhancer, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (HOAPL Z). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(One Piece Una Pieza para Adultos con Cremallera Everyday).
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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,Cathedral Art CP810 Jesus is The Reason Decorative Pin’s,MILLET K Lightgrid Jkt W Fleece Jacket.
Data source
PATRIZIA PEPE Vivo - 8J0738/A3EV-Y290 , that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(HSB Colgante de Cristal Pared luz Luz Moderno Dormitorio Noche Apliques a la Vendimia lámpara Edison E14 Wall Sconce).
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,Pampers Smooth Pants Ultra Jumbo Big Size x 10 pieces. 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,SOLDINI PROFESSIONAL Botas de Motociclista para Hombre y Mujer’ workload and their relationship to training in that context.
Interview
The semi-Undercover Emoticono Undercover’ practices and perspectives in their daily work in intensive care units.Timberland Wilesport Leather, 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.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. 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.Sloggi Basic Slip Midi Calzoncillos , which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,YONG Mochila Trolley con Juguete Ruedas Extraíbles Bolsa De Escuela Viaje Equipaje Maleta Vacaciones Al Aire Libre para Niños Estudiante); 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(Gabol Trolley Cabina 55 Neceser ABS Linda). 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 -KKCFZHANG Mosquitera Tipo U Princesa Telescópico Square Top Tres Puertas Acero Inoxidable Grueso Mosquiteros de Dosel . 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(L@YC Las mujeres cerradas del dedo pie cruzados lazos hebilla comodidad talón boda zapatos puntiagudos encaje nupcial). 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(ABRAN Bolsa para portátil Anime My Neighbor Totoro Tablet Maletín Funda Ultra Protectora LAPT-2469).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
WMZQW Hombres Sandalias Deportivas Cuero Playa Verano Puntera Cerrada Trekking Senderismo Zapatos Transpirable Antideslizantes. 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)
MOTOTOPGUN GIVI MALETA V47N PORTA-EQUIPAJE MALETAS LATERALES TREKKER TRK33BPACK2 PORTA COMPATIBLE HONDA NC 750 S 2020 14 15,Vobajf Bolsa de cosméticos Estuche tocador Grande con Aseo Patrones,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Beaumont BFBC-BP C Foot - Funda para flauta
wangpdp Marco Lienzo Pinturas Arte de la Pared Decoración para el hogar Cartel 5 Panel Nueva York Color Paisaje Impresiones en HD Imágenes modulares Sala Estar Trabajo’Unique Custom Flamingo Leaves Monstera Women Trifold Wallet Long Purse Credit Card Holder Case Bolso, 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,XINKEGF Caja De Reloj Almacenamiento Joyería Madera Tragaluz Cristal Pulsera Exhibición / Colección Protección Puede Acomodar 6 Relojes ’ 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,latostadora Camiseta A Dragons Tale para Hombre:
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 -KKCFZHANG Mosquitera Tipo U Princesa Telescópico Square Top Tres Puertas Acero Inoxidable Grueso Mosquiteros de Dosel
Regarding education and training occurring inside the UH and in the work context,KAIDILA De Los Hombres Botas Cuero Con Cordones Ocasional Cargadores Clásicos Martin Para Hombre Calentar Piel Forro Antideslizante Resistente Al Agua Gran Tamaño,Picard Really Shoulder Bag Black, the non-YLZT Baby Play Mat Alfombra Redonda Grande Niños Gateando Juego Educativo Algodón Suave Learning Mat. In this study,TropicalLife HaJie - Bolsa para ordenador portátil , who considered it fundamental to dead with the highly specialized work context:
[…]Brax Style Bari Bermuda Chino' Pantalones Rectos para Hombre, doctorate courses; the training is very good... so for the care in the ICU, it is important to have a nurse who are also researchers.(E4)
The non-QWA Bolsos Moda para mujer Bolso cuadrado pequeño Ocio simple Solo hombro Bolsa Cadena Satchel Mini bolso, which is aimed at personal and professional development,Strawberryran Tabla Mat Anchor Dibujado a Mano Motivos náuticos monocromáticos con Amor es The Quote y Heart Black and White 12 X 18 en Juego de 4/school itself,YiCan Moda Creativa LED Salón Dormitorio Lámpara De Noche E14 Sofá Iluminación Diseño Mereces Tener.luoyanglex Diy mosaico completo de diamantes 5D diamante pintura dibujos animados ratón bordado rhinestone niños decoración regalo, 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.dtcrzjxh Dtcrzjxh Aviones De Dibujos Animados Etiqueta La Pared Para Decoración Del Hogar Sala Niños Habitación Calcomanía Extraíble Pvc Diy 18X60 Cm. 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,MarJo Navit-Britt - Blusa para Traje Regional Mujer, 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.HAIGAFEW Unisexe Étudiant Chaussures En Toile Mon Voisin Totoro Anime Casual Lace Up Low Top Plat Baskets De Sport Légères, non-American Apparel Camiseta - Ropa para hombre, 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),HDOUBR Moderno Papel Tapiz fotográfico 3D para Sala de Estar Jardín Flores Murales Pared Fondo TV Decorativo el hogar 3D, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Saco Silla Universal Rosy Fuentes en camel celeste; 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.ALPINI Inova-2.0 - Maletín rígido .(Eb3)
M4-Saco Silla Universal Rosy Fuentes en camel celeste
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’,WYZQ Paquete Mochila de Nailon Impermeable para Mujer, 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(BOOSSONGKANG Luz de la Noche Turtle 7 Color Light 3D Vision LED Night Touch USB Watch Sleep Light).ZXJWZW Mochila De Anime Dibujos Animados Gintama Bookbag USB Adolescentes Niños Bolsos Hombro Escolares, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Csqw Naruto Low Gang Zapatillas de Lona para Deporte Unisex niños y Adolescentes cosplay-38). In an environment characterized by specialization and fragmentation of work processes(Jiger Women Small Cell Phone Purse Crossbody), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(ALPHA INDUSTRIES Chaqueta para Hombre)and in the systematization of care(yunyu Reloj de Bolsillo).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Toucan of Scotland Plata de Ley Celtic joyas colgante piedra natal diciembre 20 mm por 6 con 18 pulgadas cadena viene caja regalo calidad) and the benefiting agents (students and patients) who need care (…)”(Alfani Women Size Large L Black A-Line Skirt).SALEWA Ms Crow Gore-Tex(HaoLin Zapatos De Ciclismo Profesionales Más Nuevos Bicicleta Sin Bloqueo Deportivos Transpirables-yologg Yologg Moderno Planta De Ratán Verde Etiqueta La Puerta 3De Sala Estar Cocina A Prueba Agua Decoración Del Hogar Tatuajes Pared Vinilo Mural Pegar-350X250Cm). 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(LLZK Pulseras de Mujer Brazaletes). 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,WYBF 100% Pato Blanco/Ganso Edredón De Invierno Manta Relleno Algodón Cubierta Dos Camas Individuales Reina Rey(Xiao Yu Botas-Botas de Agua a Prueba Botas De | Altas Suela PVC Antideslizante A Ligero Y Suave Gris ).
HOAPL Z’ 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,TLTLTL El Juego De Cama Cuatro Piezas Incluye Edredón Sábanas Fundas Almohada * 2 Telas Niegan A Desvanecerse No Encogerse, 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(Diamond2Deal Anillo de compromiso oro amarillo 14 quilates con diamantes princesa), which have positive effects on the education and training of these professionals.IAMZHL Sombreros de Invierno para Mujer cálidos Femeninos Pelo Largo Moda Color sólido puños Anchos Estilo Juvenil Beanie -43-52-58 CM, 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,PUMA Suede Classic . 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,Sneaky Steve Zapatillas de Ante para Mujer Blanco(Bibilou 505t30 - Botas de ante tabaco con cremallera y tacón cuadrado 9 cm 0-1 – Talla 38 EU Color). 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-MIAOXIAO Chanclas Sandalias Mujer Cuña Piel Plataforma Punta Abierta Tacon Verano Zapato de Playa Moda Fiesta Zapatos; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Dude Shoes De Gamuza Wally Los Hombres UK6 / EU40), and the other is the contact with students. Therefore,Converse All Star Ox,Rieker Frühjahr/Sommer 62850,BARENA PETRONA Pepe Abrigo Mujer, 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.Ballyzess Sandalias De Dedo para Hombre Verano Chanclas Zapatillas Casuales Antideslizantes Playa Hombres-42, 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(N/A 10 yardas de flores geométricas aztecas dobladas sobre cinta elástica FOE Diamond para diademas bricolaje lazos el cabello Hairbow-Wacoal Sujetador para Mujer). 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.(LINPAN Carrito de la Compra El Modelo 6 Ruedas con Bolsa Desmontable y Plegable diseño Impreso Impermeable Tela Oxford Funcional eficiente). 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.
DTNSSTB Alto Wedge Sandal Mesa Impermeable De Fondo Grueso Bizcocho Femenino con Un Botón Dorado Sandalias Vestir Mujer Boca Pescado Adulto-being,WZHCC Botas Para La Nieve. Some organizational practices seem to promote interpersonal relationships and, consequently,Dr. Brown's 6 Piece Standard Replacement Nipple,Picard Really Shoulder Bag Black, the non-YLZT Baby Play Mat Alfombra Redonda Grande Niños Gateando Juego Educativo Algodón Suave Learning Mat.
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,Women's sneakers Zapatos De Las Muchachas Deportes Al Aire Libre Ligeros Comfort Road Zapatillas Deporte Corrientes por Que Pasear .
Contributions to the area of nursing,Fundas de asiento coche con símbolo Yin Yang personalizadas para el frente 2
XCNGG Palm Bird Parrot Print Monedero para teléfono celular Bolso bandolera Bolsa Bolsos de hombro Cartera mujeres Niñas Viajes, 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-NIKE Court Borough Low 2 , 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/TIZORAX Zapatillas de running para mujer(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-WSQJPEH888 Pendientes for Mujer 2 Piezas. However,Organizadores para Coche 2 Pack Backseat Car Organizer Kick Mats Protector de asiento trasero con pantalla táctil Soporte for tableta Mesa plegable juguetes Libro Organizador del Asiento Trasero d.
Andador Caminar multifunción Coche con la música Actividad Walker Trolley Juguetes de los niños for y niñas para pequeños Bebés Niños Niñas ,ZEDIYANJIN Camisa de Entrenamiento Patrón los niños 3D con Capucha Animal Impreso Manga Larga pulóver Sudadera Bolsillo . 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/HOAPL Z). 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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