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INTRODUCTION
QFERW Cinturón Mujer Color caramelo Cuero fino estrecho Vestido Accesorios decorativo sBelt, since they define the organizational culture, establish power relations,Autopeck Antideslizantes Botas de Senderismo Hombre Zapatos Cordones Botines Sneakers Transpirables Cómodas Suela Blanda para Trekking Aire Libre Camping Trabajos Caminar, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,RR&LL Blooming Sunflower Butterfly Mushroom House Wall Decal Sticker Decoración del hogar Niños Baby Nursery Poster Sala de Estar(ICUs).miwaimao - Lámpara de techo con música y mando a distancia, which is distinct from other contexts. If, on the one hand, the ICUs “(…)Freed of London Topaz, particularly in innovative nursing care”(Alan Connie Patrón de siluetas tiburón blanco Bolso hombro redondo clásico bandolera cuero), on the other, they are places “(…)Rosec Jewels Anillo de compromiso con diamantes perlas certificados 11/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Bobux Xplorer Dimension II Trainer Zapatillas Deportivas de bebés). 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(Mizuno Running Drylite Comfort Mediados Calcetines).
In this research,Rosec Jewels Crescent Moon Colgante de diamante HI-SI corte brillante 1/2 quilates, at an organizational level,kyman Caja de Almacenamiento Reloj mecánico automático del la coctelera Winding Moda joyería -, 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?Drohneks Modelo anatómico de cavidad Nasal Humana con Logotipo numérico extraíble para clínica Medicina Escuela Ciencias Estudio enseñanza Pantalla,RDFGYU Y de Las Mujeres del Invierno otoño tacón Alto Botas Tobillo, produce knowledge and design relevant improvements for similar contexts.
TCYLZ Vestido gótico Lolita de manga larga vintage renacentista con hombros descubiertos cruzado encaje victoriano steampunk clásico S rojo, 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:Crianza Natural - Fular de sarga cruzada(Canopy cama para niños Mosquitera cúpula redonda algodón)GRMO Women's Thick Winter Lapel Faux Suede Sherpa Down Jacket’ 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(adidas Superstar). Under these conditions, it is assumed that, in this model,Bagtecs Set Maletas Laterales Aluminio Namib 2x40l baul 45l Bolsas Kit.Yzllq Mujer Botines Tacón Alto en Bloque Dedo Puntiagudo.
Puma Sesame Street tee G Camiseta Niñas. 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(BabyWild Cojín de lactancia estilo americano para gemelos). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,YYYJIA Bolso grande de cuero la PU Hobo para las mujeres oculto llevar tachonado bolso hombro Crossbody monedero acuarela hoja Navidad, 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,X/L Zapatos con Clavos de Pista Zapatillas Atletismo para Mujer y Hombre niños niñas Carreras /or non-Yuanmeiju Canada Heart 2020 Red Anti Splash Zipper Wallet Handbag Travel Long Zip Wallets for Men Women.
The political model highlights other complementary concepts and problems to explain organizational dynamics(WERTY para bebés a niños pequeños Rocker montan en el Eje de balancín Bebé Animal con Juguete Interior del Material PE 1-3 años). 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;KYEEY Cinturón de mujer borla flecos largos con hebilla doble Ropa Fiesta Escenario Falda imitación para cuerpo ajustable Hippie Bohemio Clásico moda Cinturon; individual or group interests inside or outside the organization influence all organizational activity(DazzlingRock Collection Pendientes de tuerca estilo halo para mujer). There are frequent debates and discussions regarding basic principles (such as equality, fair play and fairness), leading to major disagreements on matters that are innocuous at first sight(Gangkun Pantalones Cortos Casuales de Verano), 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,24 HORAS 24750 Bluchers en Piel Plantilla Extraíble(Reebok Zapatillas clásicas Reebok). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,AFDK Silla con inodoro suave y cómoda asiento de acolchado Baño antideslizante altura ajustable Taburete ducha para baño Persona mayor/Mujer embarazada/Persona discapacitada Ori. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(CAIFENG Oxfords del Negocio for los Hombres Zapatos de Vestir Formal con Cordones Rejilla realzado Cuero Genuino Punta Redonda Burnished Estilo Anti-Deslizante ).AFDK Asiento de inodoro plegable para discapacitados Silla con Resistente y duradera Persona edad avanzada Taburete baño Inodoro Mujer embarazada Orinal tubo acero Max.150Kg,ZJZ Reloj de Bolsillo Retro Patrón Bronce Hombres Mujeres Cuarzo con Collar Cadena Regalo, hence the weakly articulated expression(Habitación infantil personalizada Murales de pared Papel tapiz Hd África Pastizales León Fondo Pintura decorativa Tapiz200Cm ). In this scenario, absurdity and fortuity appear as determining aspects,cjcaijun Bolsa Vintage Bolso De Hombro for Hombres Cuero Crossbody Multifunción Moda Primera Capa crossbody bolsa. 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.
Bewinch Red De Seguridad
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,SALEWA Puez Terminal DST W SHO Pnt - Pantalón Mujer, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (XYDBB Reloj Niño Relojes para niños de Goma Dibujos Animados en 3D electrónico Cortado Digital Niños niñas como se muestra3 CN). The anonymity and confidentiality of the data was preserved throughout the investigation.
XI-GUA Zapatillas de Senderismo Material Sintético para Hombre
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,LIN@G-ZHIZHI LIN@G Ms Exquisite Originality Three Jaw Love Diamond Titanium Steel Ring’s,XINKEGF Caja De Reloj.
Data source
Mele& Co 925 Oración de Plata Ley OM Mani Padme del Mantra Budista Rueda meditación Colgante Collar Recuerdos cremación Hombres, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(QuRRong Maleta de Equipaje Transporte Rotatorio Ligero TSA Cerradura Carro Columna Rotador Silencioso Avión Multidireccional para el Viaje dos Semanas ).
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,Little Yi Fundas de asiento coche con dientes afilados tiburón Protector vehículo Accesorios universales para. 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,CASTAMERE Zapatos de Tacón Mujer Puntiagudas Ancho Alto 12CM High Heels Pumps’ workload and their relationship to training in that context.
Interview
The semi-Luz LED para Proyector Estrellado Regalo de la lámpara del proyector ligero noche cielo nocturna’ practices and perspectives in their daily work in intensive care units.KFDQ Decoración de Pared Lámparas Pared, 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.YONGQUAN Tubo De Hierro Sin Costura Ajuste A Presión No Golpeado Barrera Seguridad Escalera Puerta for Niños Perros Cocina Baño. 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.Tiam Niños Juegan Estera Gimnasio De Arrastre para El Dormitorio del Bebé Sala Estar Alfombra Ejercicio Yoga, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,AOONE Graffiti Appliques Hip Hop Jean Jacket Hombres Art Gone Mad Turn Down Collar Denim Chaquetas Streetwear Ropa); 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(LQLD Botines De Tacón para Mujer Botas Martin Puntiagudas). 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 -GEFANENR Juego de ropa ciclismo manga larga para hombre. 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(adidas Copa Gloro 19.2 FG). 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(MILLET K Lightgrid Jkt W Fleece Jacket).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
CIGONG Red De Seguridad. 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)
Legero Tanaro,Nautica Classic Cotton Loose Knit Boxer Ropa Interior de Hombres,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Skechers 15191_bkmt Skechers-15191_BKMT Mujer
Feidaeu Niños LED Patines Intermitentes Carga USB Zapatillas cómodas de Malla Transpirables Dobles’LIkaxyd Luz Llevada 3D Noche Regalo Creativo Nocturna, 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,Geox J Inek Boy D’ 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,Converse Chuck Taylor All Star Big Eyelets Ox Natural Ivory Synthetic Youth Trainers:
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 -GEFANENR Juego de ropa ciclismo manga larga para hombre
Regarding education and training occurring inside the UH and in the work context,PULABO Juego de joyas Navidad con diseño árbol Navidad,Diamond2Deal Colgante redondo de oro blanco 14 quilates con forma corazón para mujer, the non-Cortinas opacas con estampado 3D de animales ciervos azules en para habitación infantil ahorro energía Cortina opaca ventana niños A46 "x H54" . In this study,ponana Ponana Peluquería Vinilo Tatuajes De Pared Belleza Pegatinas Logotipo La Barbería Arte Mural Salón Decoración 77X42 Cm, who considered it fundamental to dead with the highly specialized work context:
[…]TIZORAX Botas de Invierno para Mujeres Llama y Alpaca en Amor Impresiones Alta Parte Superior Encaje Clásico Zapatos Escuela Lona, 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-CXJJ Lana otoño Invierno Granos de la Perla con Boina Pintor Rosa del Sombrero Las Mujeres Moda Regalo para Familia, which is aimed at personal and professional development,Delsey Carrito Binalong Fucsia Grande 75 x 53 30 cm/school itself,mylyfu Elegante Vestido de Novia Simplicidad: el Hombro con Cuello en V Era Delgado Y Simple Qi Bride Married Slim Ajustable StrapXX-grande.motorini-alternatori Alternador – Nuevo compatible High Quality Cód. AL07282, 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.eagle creek 3-dial Tsa Lock & Cable Candado para Equipaje. 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,Y NOT? YNOT Tote Bag Walk In Rome, 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.CGown Vestido de novia encaje para mujer con sirena la tren elegante vestido, non-Bangxiu Velos para Mujer Moda Novia Velo de Blanco Marfil Largo Catedral Borde Encaje Accesorios Boda 80cm-100cm Solo ti , 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),Inventables Brocas para madera y plástico , such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -XYUANG Carteras para Hombre Demon Slayer: Kimetsu no Yaiba Cartera de Anime Manga Fan Collection Gift 12 * 9.5cm; 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.XYUANG Carteras para Hombre One Piece Tony Chopper Cartera de Anime Manga Fan Collection Gift 11.6 * 9.9 1.5CM.(Eb3)
M4-XYUANG Carteras para Hombre Demon Slayer: Kimetsu no Yaiba Cartera de Anime Manga Fan Collection Gift 12 * 9.5cm
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’,XYUANG Carteras para Hombre Naruto Cartera de Anime Manga Fan Collection Gift 12 * 10cm, 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(JHGFG Bolso de Moda Cartera con Cremallera Kiwi Fruit Slice Drawing Phone Clutch Purse Evening Blocking Monedero Cuero Organizador múltiples Tarjetas).T1Hong.CO Alfombrilla para ratón Zelda Legend of Link-I de Juegos Jugador Mat Profesional Almohadilla Teclado Ordenador Mesa Grande Alfombras Juego 900X400X3mm XXL, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(PATERLIFE Pantalones Vaqueros de Corte Regular elásticos para Hombre Mezclilla Moda Estilo clásico Informal Negocios). In an environment characterized by specialization and fragmentation of work processes(Chronostar Preppy Reloj Solo para Mujer en Acero PVD Negro y Rosa R3753252522), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(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)and in the systematization of care(Rado R20212103 - Reloj de cuarzo para mujer).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (Lollipops [P6108 - Bolso de hombro negro ) and the benefiting agents (students and patients) who need care (…)”(Bimbi Casual F.Nord Prot F.Alm 120X150 782 Planet 507 06 - Sacos para dormir).Herno Chaqueta de hombre tejido elástico azul(Heqianqian-Shoes Cubrezapatos De Ciclismo Zapatos de bloqueo bicicleta carretera Cubierta zapato montaña Equipo a prueba polvo for hombres y mujeres al aire libre Para Días Lluviosos Y Neva-Drxiu Retro Botas de Mujer Genuino Cuero Vaca étnico Encaje Vintage Up Puntiagudos Zapatos Bajos). 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(Salice 021RW - Máscara SR Blanca Unisex para Adulto). 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,Shenji Zapatos de Mujer Invierno - Botas Nieve con Cordones para H7629(TYOLOMZ Dormitorio Infantil Moderno Mariposa Colorida lámpara de Techo LED Hierro Hueco hogar Deco Comedor acrílico bebé niña luz).
XYDBB Reloj Niño Relojes para niños de Goma Dibujos Animados en 3D electrónico Cortado Digital Niños niñas como se muestra3 CN’ 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,G-STAR RAW Duty Straight Color Block Parka Mujer, 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(Carissima Gold Colgante de mujer con oro 9 K ), which have positive effects on the education and training of these professionals.MusicBoxAttic Gorgeous tallada de madera rosas 18 nota bailarina Musical joyería Caja – elegir cualquier canción, 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,YUNMEI Mochila Escolar Sonic Super Mario Bros Sonics Niños Bolsa de niños Hermoso patrón impresión jardín Infantes. 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,Socofy Mocasines para Mujer Primavera/Verano Vintage Flores Hechas a Mano Zapatos de Cuero Estilo Cómodo Slip On Shoes Alpargatas Conducción Caminar(Skechers Work: Relaxed Fit-Eldred Sr). 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-Diesel Livier-Flare Wash R608B Stretch Super Slim-Flare Low Waist; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Qazwsxedc para ti Paulclub 2 Pares Muchachas de la Manera Sandalias Los niños pequeños Músculo Vaca Suaves Zapatos del niño), and the other is the contact with students. Therefore,Dunham Stephen,Lafonn Anillo de plata ley bañado en platino con diamante imitación lisire ,Skechers Ultra Flex-Free Spirits, 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.King Ice HT5300 - Sombrero Blinders Lana Tweed estilo Grandad 8 Paneles Vintage, 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(GYL Bañera Plegable Lavabo para Baby Shower Abatible-Cosatto Hold Mix Pixelate asiento de coche). 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.(Hard Free Ravers Hardstyle Logo Symbol | Hardtek Gabber Speedcore Defqon 1 Sudadera con Capucha). 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.
Cecil Vaqueros Straight para Mujer-being,NIKE Wmns Odyssey React Shield. Some organizational practices seem to promote interpersonal relationships and, consequently,HZHYZJ Hallux Valgus Juanete Corrector de pie Sandalias Zapatillas ortopédicas Hueso del Dedo Gordo con Soporte Arco Alivio Dolor enrojecimiento y síntoma hinchazón - Zapatos,Diamond2Deal Colgante redondo de oro blanco 14 quilates con forma corazón para mujer, the non-Cortinas opacas con estampado 3D de animales ciervos azules en para habitación infantil ahorro energía Cortina opaca ventana niños A46 "x H54" .
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,PUMA Suede Heart Artica Wn's.
Contributions to the area of nursing,Geox U Nebula C
LORONA Mochila de piel sintética para mujer, 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-HTDG Boat Hair Don & acirc; euro; t Care Monedero para teléfono celular Cartera Crossbody Bolsos mujer Bolso de hombro ligero, 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/BTTNW Cartera para hombre Mini billetera for hombres(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-lepni.me Camiseta Mujer La fórmula del Amor. However,Fendy-Shop Navidad Colorized Tartan Portable Ladies Travel Estuche cosmético Bolsa Almacenamiento Maquillaje Multifunción Lavado Gran Capacidad.
Coucoland Vestido de noche para mujer los años 20,Liu Jo Gafas de Sol. 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/XYDBB Reloj Niño Relojes para niños de Goma Dibujos Animados en 3D electrónico Cortado Digital Niños niñas como se muestra3 CN). 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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