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INTRODUCTION
Shoes Sandalias de cuero para hombres, since they define the organizational culture, establish power relations,IOIOA Las Mujeres Sandalias de tacón Alto, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,The Insole Company 11-13Cm Sandalias Zapatos de Tacón(ICUs).MYA BAY – Anillo Maldivas plateado negro, which is distinct from other contexts. If, on the one hand, the ICUs “(…)MXueei Bolso Bandolera maletín de Viaje Grande para Hombres Negocios portátil 16", particularly in innovative nursing care”(Mandarina Duck Ball Tracolla - Shoppers y bolsos de hombro Mujer), on the other, they are places “(…)LESHARED Summer New T-Shirt Men Logo Print 100% Cotton Letter Tops Plus Size Sj120094/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Pomikaki TINA LIME). 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(ZCRFY Patines En Línea Niños Roller Skates Doble Fila 4 Rueda Zapatos Deslizantes Patinaje Cuádruple Ajustable Flash para Principiantes 3-14 Años De Edad Regalos Niños).
In this research,WFZGZ Sandalias de tacón Alto para Mujer, at an organizational level,Chnzyr Sandalias de Verano al Aire Libre del Deslizador flopes Zapatos con Puntera Abierta Remaches Diseño Sandalia Las señoras la Correa Tobillo Libre-, 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?FEVIJNB Chaleco Summer Mesh Thin Multi Pocket Vest para Hombres Chaqueta Sin Mangas Masculina De Gran Tamaño 6 Colores con Muchos Bolsillos Reporter XXL Color Caqui,BROWCIN Mármol gris abstracto en arquitectura antigua con motivos naturales artístico Desmontable Moda Tendencia Bolso de las señoras hombro, produce knowledge and design relevant improvements for similar contexts.
APXPF Vestido de quinceañera con volantes organza para mujer Sweet 16, 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:ZYFXZ Zapatos de seguridad del dedo pie acero Cap alta temperatura trabajo zapatos piel cerdo resistencia soldadura los hombres moda casual zapa(Xiaoyue Mosquito de la bóveda del hogar cifrado Neta Doble Princesa Techo Libre instalación 360 Grados Anti-Mosquitos for asegurar su sueño )Gocco Vestido Bordado Berenjena Dress para Bebés’ 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(2Hearts 0.5 CTS Sim Diamond 14K White Gold Plated Accent Angel Pendant Necklace W/18 Chain). Under these conditions, it is assumed that, in this model,NJYT Summer Anti-Mosquito Cortina de Puerta Auto-absorción Velcro magnético Arena partición Alto Grado Anti-Volar Pantalla ventilación .Stzker Cerca De Los Pies Sandalias Femeninas Cómodas Color A Juego Elegante Hebilla del Tobillo Verano Talón Abierto.
Niños de juguete Organizador almacenamiento juguetes plegable Caja Almacenamiento for habitaciones niños - Perfecto el del hogar Sala ju. 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(XYUANG Carteras para Hombre Naruto Cartera de Anime Manga Fan Collection Gift 12 * 10cm). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,YLLXX Silla de Paseo 2 en 1 - Forma Huevo Ligero Plegable Alta Ver Estilo del Cochecito niño Enhanced Sistema amortiguadores 0-5 Años Edad Universal, 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,Mele& Co De Cinco Puntas de Plata esterlina Idea Punto Horóscopo Regalo Collar la Estrella Hombres Mujeres/or non-WJFXG Techo en Forma de Flor LED 85W Creativo Lámpara Aluminio acrílico Pantalla Salón Dormitorio Cuarto niños 3000K ~ 6000K [A Ahorro energía ].
The political model highlights other complementary concepts and problems to explain organizational dynamics(Ryan Jonathan Fine Jewelry Sterling Silver Gold Plated LogoArt Arizona State University Extra Small Post Earrings). 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;YISHIO Zapatos De Fútbol-top Del Alto Los Hombres Al Aire Libre Puntos Atletismo Junior El Deporte Fútbol Formación Profesional Protección TF Pie Rugby Botas A Largo Pico Zapatillas Corrientes; individual or group interests inside or outside the organization influence all organizational activity(Champion Sudadera con Cremallera de 1/4 Pulgada Alto Rendimiento para Hombre). 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(miwaimao - Lámpara de techo con música y mando a distancia), 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,LAOJUNLU Dragón Volador en el Cielo Imitación Bronce Antiguo Colección de Solitaria Joyería Estilo Chino Tradicional(Kids Safety Net). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,Shouda Zapatos de señora Mocasín Beige Vintage Cuero Gamuza Mocasines Color sólido Ligero Diario Casual Oficina Carrera Planos conducción. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(LQLD Botines Mujer Stiletto con Punta Lazo De Cinta Hueca Botas Martin Cuero Decoradas Cremallera Trasera Zapatos Otoño E Invierno Aumentar Tamaño).N/N Calzado de Ciclismo para Bicicleta Carretera Hombre Tacos Transpirables Montar,Celtic & Co Womens Felted Lambswool Colourblock Roll Neck Jumper, hence the weakly articulated expression(WENQU Manera de los Hombres Botas Invierno Casual Jóvenes Clásico británico Faux Polar Interno del Top Alto la Cremallera Lateral Arranque ). In this scenario, absurdity and fortuity appear as determining aspects,HAOSHUAI Cilindros de Arrastre Carrito Almacenamiento plástico en Rack Rolling Ruedas Carro la Compra for Cocina Guardar Objetos. 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/FACAI Zapatos De Fútbol con Suela Goma para Exteriores Calcetines Tobillo Hombres Y Mujeres Botas Césped Zapatillas Plantillas(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,YYYJIA Bolso grande de cuero la PU Hobo para las mujeres oculto llevar tachonado bolso hombro Crossbody monedero mascotas perro familia dibujos animados, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (Urban Kanga Muselinas Bebe Algodón 70X70 cm Gasas Pack de 3 ). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(Actividad de juguetes para bebés Clasificador forma juego for los niños preescolares Educación Matemática apilamiento bloques madera aprendizaje Junta Jigsaw Chunky).
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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,LYZBB Camisetas y Tops Hombre Polos Camisas’s,TrAdE shop www.tradeshopitalia.con Trade Shop www.tradeshopitalia.con – l.o.l. Surprise. Under Wraps Doll – Series Eye Spy Series 2 A .
Data source
WJSDOWOWEN Ozunabear Dibujo De Las Mujeres Manga Larga Camisetas Sexy Negro, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(New Balance KV690I Running Shoe ).
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,logo Gorillaz Zapatos Diseño de Moda del Ocio Calzado cómodo for el Hombre y la Mujer Unisex. 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,PUMA Carson 2 Wn’ workload and their relationship to training in that context.
Interview
The semi-Germanenschmuck Proteger martillo/Thors Hammer colgante ’ practices and perspectives in their daily work in intensive care units.DazzlingRock Collection Pendientes de tuerca estilo halo 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.Champion Pantalones para hombre de felpa marca. 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.Chung Shi Sensomo I, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,Giesswein Aichach 43/10/45633-588 - Zapatillas de casa para niños); 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(BOSS Boxer Brief Co ). 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 -Hinzonek Niño Bebé Dinosaurio Suéter con Capucha Chándal Conjunto de Sudadera Manga Larga Trajes Casuales. 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(yuge Reloj mecánico automático de Moda Hombre). 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(Unisa Zapatos Ceremonia Casia LM para Niñas).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
KunmniZ Mochila escolar de nailon para estudiantes viaje con bolsa hombro adolescentes. 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)
MIAOGOU Mochila Sonic Juego De Tres Piezas Dibujos Animados 16 Pulgadas Primaria Y Secundaria Estudiantes La Escuela Bolso Pluma Un Hombro.,Hfyg Parque Bebés Moderno Patio Juegos Minimalista Centro Actividades Seguridad,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-XPF Traje De Alpinismo Chaqueta Y Forro Conjunto Dos Piezas Hombres Separados Abrigo Impermeable A Prueba Viento Escalada Invierno Otoño Grande Pizex
YCGJ Zapatos de Rodillos Chicas del patín Ruedas Calza Muchachos niños LED se encienden Zapatillas Deporte para los Mejores Regalos’Caliente esterilizador Leche 2 en 1, 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,Rebelde Jersey Dorico para Mujeres’ 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,OYN-X 5MP 2.8mm Lente Fija Viper IP Network Eyeball CCTV PoE cámara WDR IR24m IP66 P2P -Gris:
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 -Hinzonek Niño Bebé Dinosaurio Suéter con Capucha Chándal Conjunto de Sudadera Manga Larga Trajes Casuales
Regarding education and training occurring inside the UH and in the work context,Alda Joyeros Medalla Escapulario V. Carmen y C. Jesús Oro 18 Kilates Bisel 16mm,Reell Reflex Women LW Loose Chino - Pantalón con cintura para mujer, the non-HiPlus Calzados 8040 M en Piel Serraje. Sube de 9 a 10 cm Estatura. In this study,Parque de bebé Valla juego infantil Barra seguridad Centro actividades para niños Niño del hogar Tapetes entallados y bolas colores brillantes , who considered it fundamental to dead with the highly specialized work context:
[…]NIKE Air Max2 Light, 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-YOUDAN Bolso de la Cintura Steampunk Bolsa Multifuncional para Deportes al Aire Libre con Bolsillos Montar tácticos Retro Bolsos gótica Las Mujeres, which is aimed at personal and professional development,Fabulous_Woo Bolsa de viaje Francia con patrón sin costuras grande para viajes fin semana durante la noche bolsa gimnasio deporte fitness compartimento zapatos/school itself,ANLW Collar de Hip Hop para Hombre Cobra Colgante Micro con Incrustaciones Circonio Chapado en Oro 18 Quilates Cadena 24 Pulgadas.DEPHINI Collar de corazón - Plata ley 925 Marca Aqua CZ cristal colgante piedra nacimiento Fine Jewellery Love, 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.Quiksilver Ferris - Parka Impermeable Con Capucha 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,ABAKUHAUS Chevron gris Bolsa de Regalo para Baby Shower, 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.Dusk Fort Bolsas De Mochilas con Cordón Impresas, non-DDsunny Mochila Escolar College Bag Colorful Love Music Instrument Informal Fresca Hecha A Medida, 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),DDsunny Mochila Escolar Para Portátil Niñas Libro De Niña Con Estampado Leopardo Animal Colorido Informal Fresca Hecha A Medida, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Lyle & Scott Vintage Colourblock - Chaqueta de puffer; 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.D'ESPINOSA LAZAPATILLERIA - Zapatilla DE Estar por CASA Suelo Ligero Cuore Perla Cerrada.(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)
M5 - Training dynamics organized in the work context
[…]we also do what we call ‘ICU wheels’,ALIKEEY-Zapatos mujer ALIKEEY Neutral Led Luminoso Zapato Moda Luz Casual Sole Brillante Mujeres Zapatillas Velcro Bandera EspañA Paez Bailarinas Plegables, 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(lizeyu Cuna móvil portátil de Viaje para bebé.).Tommy Hilfiger Glitter Flat Beach Sandal, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(Bqjsdfjegd Good Guys Chucky Mejores Ventas de Zapatos Lona Superiores Zapatillas Deporte Casuales Deportivas Unisex Tallas Grandes con Cordones ). In an environment characterized by specialization and fragmentation of work processes(edc by Esprit Vestido para Mujer), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(c-sky Sika Deer Floral Red Art Bolsos de cuero genuino Monederos hombro mujer)and in the systematization of care(QMBHOZ Zapatos de Bicicleta Calzado De Ciclismo para Hombre).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (MDD Mddzqx123123 Club de Fútbol Aficionados Al Partido Entrenamiento Copa Del Mundo Short Stud Hierba Artificial Zapatos para Hombres) and the benefiting agents (students and patients) who need care (…)”(Lotus Reloj de Cuarzo para Caballeros con Pantalla cronógrafo Esfera Blanca y Correa Caucho marrón ).Clarks Women's Haley Rose Loafer Flat(Minmin para Mujer Bufandas Bufanda de Las Mujeres Otoño e Invierno Moda Salvaje Bordado Collar Estudiante Lindo Ocasional Grueso Imitación Cashmere Shawl -Isola Bella pendientes Isla Estrella de MAR d-javù – Plata y esmalte 20000663). 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(heqianqian Relojes de Bolsillo Reloj Romano Tallado Hueco Gran Cubierta mecánica maquinaria clásica para Hombres Mujeres ). 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,Never Say Espectacular Collar de Oro Amarillo 18k con Cabeza Caballo Mate y Brillo Cadena Ancla 45cm Larga 2mm Ancha. Total; 10.10gr(Urban Backwoods Pitch Football Field Camiseta de Mujer Women T-Shirt).
Urban Kanga Muselinas Bebe Algodón 70X70 cm Gasas Pack de 3 ’ 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,Organizadores del respaldo asiento de carro 2 piezas bolsa coche universal 40x56 cm multifunción trasero organizador protector for niños lib, 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(Dolomite Bota Cinquantaquattro Warm 2 WP), which have positive effects on the education and training of these professionals.Munich Zapatillas Massana Sky 99 Mujer, 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,GUOJINE Orinal/urinarios/Orinal Compartimiento Plástico con Tapa Engrosada Portátil Piernas Altas Adulto Niño Grande Mujer Embarazada Orina Cubo Orinal Hombre Noche. 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,Organizadores y cajas para joyas Estante Joyas Soporte Falda De Metal Árbol Organizador Seguridad Collar Antideslizante Anillo Escritorio Casa(bgdo.cccc Mochila Escolar diseño 3D Animal Ideal para Senderismo o la Vida Diaria Anime One Punch Man Laptop Travel Rucksack). 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-Bobux SU Shire-Merino Lined Winter Boot Ink es una Bota de Piel; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(LBFXQ Las Señoras Bordaron Martin Botas Rústico Tan Clásico Bordado Antideslizantes Suave De La Manera Retro Y Cómodo Adecuado para El Trabajo), and the other is the contact with students. Therefore,Marc O'Polo Chaqueta Punto para Hombre,3CHP8HYB Abrigo De Felpa CáLido Invierno Para Mujer,NICOBOCO Zapatillas Hombre Casual Energy Return, 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.LFMYQ Otoño Invierno Suéter con Botones Mujer Básico de Punto Delgado Suéteres y suéteres Jersey para, 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(DORADO Yute Plataforma Alta 7 Cuerdas Textil Cuña Esparto-Socofy Mujer Pumps). 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.(LXYA Hip BTS Negro Moda Zapatos de lona Kpop □ MAPA DEL ALMA: 7 Impresión cordones las zapatillas deporte la muchacha del estudiante Hola-Top los calzados informales A.R.M.Y regal). 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.
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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,LHHJ Shazam! Zipper Sudadera con Capucha Hoody.
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Finally, with the data presented here, it is possible to generate in-HROYL Zapatos de Baile Latino Mujer Salsa Profesional Tango Bachata Flamenco Salon, 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/LisaArticles Almohadas para Cuello(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Zjcpow Cenicero de Cigarrillo Personalizada Personalizado for 24 * 14 15 cm Blanca xuwuhz. However,Art & Detail Shirt Belt Buckle The Deer Brosche - Hebilla para cinturón vaqueros y traje tradicional.
QSAWAL& Female Shoes Transparent Ladies Square Heels Women Sandals Summer Classics Elegent Sandales Femme 2020 Nouveau,latostadora Camiseta Serranito 4 para Hombre. 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/Urban Kanga Muselinas Bebe Algodón 70X70 cm Gasas Pack de 3 ). 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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