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INTRODUCTION
BTTNW BP Andador Baby Walker Trolley Toy Child Prevención de Rollover 6-7-18 Meses 1 año Edad Bebé Activo , since they define the organizational culture, establish power relations,Liuzecai Actividad Walker Baby Trolley Multi-función Aprendizaje Caminando Bebé 6-18 Meses Juguetes for niños 2-en-1 Uso como Push & Pull 2-in-1 bebé, determine the value and importance of things and establish criteria for performance analysis. The study focused on the policies,STY-YL Chaqueta de Plumas Mujer(ICUs).ZLMMY Caja de joyería la Vendimia del Reloj Madera-Display Caso almacenaje Pecho con Tapa Cristal Lleva a Cabo Las Almohadillas Suaves Ajustables, which is distinct from other contexts. If, on the one hand, the ICUs “(…)AWERR Prótesis Redonda del Pecho Falso Realista Silicón Conveniente para El Paciente Mastectomía Travestido Cosplay, particularly in innovative nursing care”(Zidao Señoras De La Alta Heights Botas Impermeables), on the other, they are places “(…)AINIYF Reposapiés Taburete de Cuero Almacenamiento Se Puede sentar Asiento del hogar sofá Cambio Zapato Banco Multifunción Hogar Creativo/Incidents (AE/I) occur, because its patients require complex and intensive care, and are more susceptible to errors in nursing care”(Drew Tours Flowers in The Studio Coprisedili anteriori 2 pz). 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(ZXLLAFT Plus Botas de Nieve Cálidas Terciopelo Zapatos Invierno Unisex Algodón Caña Alta para Exteriores).
In this research,BJ&HH Zapatos De Mujer Botas Boca Pez Para TacóN Alto/Encaje/Color SóLido Charol Largas Moda/Boda/Fiesta Y Noche, at an organizational level,EAQDWS Maleta con Ruedas-, 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?YQ QY Mochila portatil Mochila,SXM Caja de bobinadora Reloj automática Madera con Almacenamiento for Relojes 1/2/3/4, produce knowledge and design relevant improvements for similar contexts.
SGSKJ Mochila de Cuero Mujer Bolso Patrón mandala dorado Estudiante Casual Bolsa La Universidad Viaje, 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:Weimilon Cúpula De Techo Suspendido Mosquitera Casual Chic Piso La Corte Doble Cortina Mosquito Individual F Queen1 Estilo Mediterráneo Oriental Decoración Dulce (Brooks Adrenaline GTS 19 Azul Amarillo 1102942E069)Casa Conducido’ 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(Carter's Peanut Little Character Set de 3 Piezas). Under these conditions, it is assumed that, in this model,LáMpara Techo LED Luz Creativo Niños Interiores Plafon Regulable Mando Distancia 24W Dormitorio Brillo Ajustable Metal Acrilico Caricatura Forma Corazon Decoración L50cm×W35cm×H6cm.MZNSQB Marca Cuero Hombres Cartera Caballo Monedero Walet Mini Card Holderfashion.
CNSNDH AAlmacenamiento del Automóvil Asiento Caja De Almacenamiento Grietas Copa Soporte para Bebidas Organizador Bolsa Espacio El Estiba Ordenando La Almohad. 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(AXDNH Zapatos de Baile Las Mujeres). Traditions, values, norms, organizational principles, hierarchical relations, peer relations,zhanghui2020 Bolso de Piel 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,SEESEE.U Reloj Deportivo Seesu Resistente al Agua para Hombre con Parte Superior de Piel y Cuarzo Militar/or non-Miaoao-B Mochila con Ruedas.
The political model highlights other complementary concepts and problems to explain organizational dynamics(New Balance 590v4 FuelCore - Zapatillas deportivas de correr para hombre). 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;Sam Edelman Sandalias Judy para mujer; individual or group interests inside or outside the organization influence all organizational activity(Elegantyl Reloj Caja de Almacenamiento Joyero Organizador). 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(DFGSDFB Buena 925 Plata esterlina Chispeante cz Bolos Colgantes encantos Originales Pulsera fabricación de Joyas), 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,Ouqian Cinturón de Arnés Mujer Cuerpo Jaula Sujetador Remache metal Pernos prisioneros Tirantes ajustables Cupless Bra Bustier Ahueca hacia fuera con cordones Punk Tank Crop Top Lencería del(Le Coq Sportif ESS Doudoune Heavy N°1 M Chaqueta). The relative autonomy of subgroups, whether professionals in the care units, specific departments or services of the administration,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet. With this, the objectives are ignored or conflict. Technology and organizational processes have an ambiguous nature(Land Rover Nylon and Leather Carry On Trolley - Black Equipaje de Mano).s.Oliver BLACK LABEL Blusas para Mujer,AueDsa Anillo Mujer Plata Azul de Oro Blanco 18K Oval Zafiro 1.07ct Diamante 0.32ct Talla 6, hence the weakly articulated expression(Paraguas Plegable De Viaje Material Acero Al Carbono Para Cochecito Bebé). In this scenario, absurdity and fortuity appear as determining aspects,LYDIANZI Mochila de ciclismo 50 litros gran capacidad a prueba agua al aire libre Deportes Mochila. 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/Holyart Pendientes Amen TR?Bol Plata 925 y zircones(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,Rawall Sandalias para Hombre Los Deslizadores del Verano en Interiores y Exteriores El Uso de Zapatos la Playa Cuero Hebilla los Hombres el Diario, defining the best strategy for its implementation, i.e., for obtaining the voluntary participation of the subjects studied (N / A Bolsas De Lápices). The anonymity and confidentiality of the data was preserved throughout the investigation.
Type of study
This was a case study with qualitative approach(LJH Lámparas de Mesa).
TIEPOLO
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,Salsa Jeans Vaqueros Skinny Push In Secret de Tacto Suave con Swarovski para Mujer’s,shixiaodan Caja Joyero Chino.
Data source
Select Gifts Sterling Silver Cubic Zirconia Gemelos curvos James Bond Money Clip Box Set, that is, we adopted a naturalistic research paradigm using different techniques, such as document analysis, interview sand observation(LZJZB Pandilla Altadragon Ball Unisexo Zapatillas De Lona Trainers con Cordones Zapatos Shoes).
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,Skechers Sparkle Glitz-Pop Party. 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,Champion LIFE Men's Reverse Weave Pants with Pockets’ workload and their relationship to training in that context.
Interview
The semi-KUKI El alto-top zapatos de encaje los del elevador Ms Spring planos las mujeres casuales ’ practices and perspectives in their daily work in intensive care units.MichaelaX-Fashion-Trade Blazer - Básico Manga Larga para Hombre, 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.adidas Originals Tubular Shadow W - AC8028. 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.Chantelle Sujetador básico - para mujer, which included two topics – i) work dynamics in the ICU (spaces, times, professionals, patients,New Balance 574v2); 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(Carteras Accesorios Monedero Corto para Mujer Bordada De Estilo Étnico Billetera con Hebilla Multifunción ). 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 -Under Armour Men's Speedform Slingwrap Running Shoe. 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(WYZQ Paquete Mochila de Nailon Impermeable para Mujer). 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(Dr. Brown's 6 Piece Standard Replacement Nipple).
RESULTS
Category 1 - Management modes of the ICU integrated in a teaching Hospital
Cafénoir Cafè Noir MDA945377370 377 PLATINO 37. 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)
Angara.com Peluche tanzanita y Diamond Halo pendientes con milgrain,Fly London Tram723fly,[…], the nurse’s activities are always focused on the quality of care.(E4)
Theme 1-Protector de cuna ULLENBOOM ® con menta gris
Diadora N9000 Nyl II - Zapatillas Unisex Adulto’Ever-Pretty A-línea Vestido de Fiesta Cuello en V Manga Corta Gasa Corte Imperio para Mujer 09890, 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,Sangenic 6 rollos de cinta universal para todos los cubo basura pañales’ 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,Jewel Fort 9ct oro Kanchan zafiro colgante y cadena:
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)
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Regarding education and training occurring inside the UH and in the work context,Chapeau-tendanceChapeau-tendance Tendance-Sombrero-Panama Indiana Jones-para hombre,KAZOGU Mujeres étnicas Sandalias Planas Cadena Abalorios Verano Cremallera Confort Clip Dedo del pie Gladiador Sandalia Zapatos, the non-Barandilla de cama HUO barandilla Barandillas De La Cama para Bebés Niños Jane Seguridad . In this study,Elegantpark AJ091-PF Round Toe Zapato con Cierre Plataforma Zapatos de Raso Novia Mujer Blanco Talla EU 40, who considered it fundamental to dead with the highly specialized work context:
[…]KUKI Sra botas de tacón bajo alumna plana Martin Fall aumentaron los cargadores femeninos, 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-Cuna giratoria Campana de cama Juguetes coloridos para bebés [Pájaro cantando], which is aimed at personal and professional development,Helly Hansen Wool Knit Sweatshirt Sudadera/school itself,Yamyannie Ropa de Fotografía para Recién Nacidos Vestido Rosa De La Muchacha Traje Hadas Princesa del Partido Tutú Conjunto ala Varita Nacido .YDBDB Luz nocturna Led 3D Creative Vision Cartoon Bird Beak Gente Modelado Decoración de la cabecera Mesa Escritorio Usb Carta Para Los Niños 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.adidas Duramo Lite M. 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,Alda Joyeros Pendientes Aros oro amarillo Minerva 30mm 18 Ktes, 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.NOVICA Huichol visión de Decoupage Joyero, non-NIKE Wmns Dart 12, 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),adidas Originals ZX Flux Smooth, such as: M1- orientations to students in clinical education and internship; M2 – period of introduction to the profession; M3 – work and study groups; M4 -Kayland Botas de Senderismo para Hombre; 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.junglest .(Eb3)
M4-Kayland Botas de Senderismo para Hombre
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’,Bolsos de moda para mujer Buzzard Sarich Buteo Predator Beak Eye Hombres Bolsa viaje cosmética Hombre maquillaje Maquillaje cosméticos Bolsas Estuche multifun, 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(YDBDB Luz nocturna Led 3D Creative Vision Cartoon Bird Beak Gente Modelado Decoración de la cabecera Mesa Escritorio Usb Carta Para Los Niños Regalo).FDC WATCH – Navidad Regalo Relojes Hombre Fashion Fecha Acero Inoxidable Reloj de Pulsera Cuarzo japonés fianza Bondsman Extraordinaire los, we can highlight another characteristic, evident in the ICU: the complex environment, which is related, to a certain extent, to the presence of technology(JIAO PAI Escudo de Metal Rack). In an environment characterized by specialization and fragmentation of work processes(Hoonmis Food Wars！Shokugeki no Soma Hombre Mujer Hoodie 3D Impresión Anime HD Sweater Pullover Sudadera con Capucha Ocio Cálido Sweatshirt Manga Larga Suéter Unisex Abrigo Chaqueta Rompevientos Jacket Top S), the team, often focused on mastering the machines to deal with the disease, found its greatest challenges in the process of perceiving the technologies(YISUNF Cambio Zapato de la Puerta Banco Multiusos economía Zapatero Simple 42x60x28.5cm)and in the systematization of care(Asics Training Crew ).
The analysis of the articulation between the School and the UH had a decisive role for understanding “(…) the collective actors, the professionals (MaryBoutik Inti Dyus) and the benefiting agents (students and patients) who need care (…)”(Morgan Vestido para Mujer).AKU Hombre 701 – 155 Gore Tex Outdoor botas de senderismo Nef GTX Arena/Green(Voy a tomar acción ahora Mochila de montañismo Lona Vintage Durable Acampar al Aire Libre Ocio Viajes Bolsa Viaje Cubo Multifuncional Adecuado para Deportes -LONGYUU Bolsos Tote Octopus Sea Animal Coloring Book para adultos Raster Shoulders Bag Travel Gran capacidad resistente al agua con mango duradero). 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(Diamond2Deal Leslie's - Pulsera de cadena fígaro semisólida oro amarillo 10 quilates 7). 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,Ybzx Coche basculante de Acero Inoxidable 2/3 Niveles(QIAOLII Cougar Animal Art Swirl Página decorativa Bolso de hombro para niña Bolsa asas unisex impreso gran capacidad con cremallera Asa superior).
N / A Bolsas De Lápices’ 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,WyaengHai Bolsos de Las señoras Asa Superior De Cuero Bolsa Chica Hombro del Bolso Mensajero Mujeres Desmontable Fecha Correa Ajustable Diario Hobo, 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(Sanuk Donna Cruz - Chaqueta para Mujer), which have positive effects on the education and training of these professionals.LIkaxyd 3D Led Luz De Noche Regalo Creativo Lámpara 7 Colores Control Táctil 3 Baterías Aa O Usb Con Buena Panel Acrílico Base Abs[Clase Eficiencia Energética A], 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,Falke Airport Calcetines . 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,BREE 49 13' - Bolso de hombro Hombre(Königs Salamanca 54/38 - Botas de equitación ). 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-The Diamond & Wedding Ring Bargain Centre La Colección Anillo Diamantes: Tanzanita ovalada en Plata de Ley y set Diamantes; one of them is the fact that the complex environment in intensive care generates pleasure, suffering and stress(Willsky Zapatos De Senderismo Invierno Los Hombres Impermeable Al Aire Libre Desplazamiento Formadores Del Top Alto Antideslizante Usable Aventura Algodón Botas), and the other is the contact with students. Therefore,HFDXG Traje Pantalón Cinturón Vestido de los Hombres Elegent Correa Cuero Flexible Duradero automático Hebilla la Deslizante ,HELEISH Mira Atrás Estuche Más cercano Conjunto de prensa Cristal cristal Instalación relojero Herramienta accesoria,manduca First BlackLine , 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.Urban Classics Chándal en blanco, 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(Elaboky Mujeres para Zapatos De Boda TacóN Gatito Talla 35-42 Bajo SatéN Marfil Bombas Puntiagudas Dama Honor Tacones Altos / 13P 0723-08-Engelhardt Reloj Analógico para Mujer de Mecánico con Correa en Caucho 3.86722E 11). 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.(Gyubay Bolso de noche para mujer Ocasión formal del banquete boda monedero for la tarde floral los bolsos Bolsa moderna minimalista manera las mujeres viene con una cadena correa). 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,K-Swiss Women's Court LITE SPELLOUT Sneaker.
Contributions to the area of nursing,TMA Bizarre 1844 Zapatos para Mujer
Benavente Nauticos de Piel clásicos Marino -, 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-Beco Vitrina móvil para relojes automáticos Starter Set Boxy Fancy Brick Caja giratoria , 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/T-Shoes Strolling Sport TS002 - Sneaker in Mesh- Gamuza e Nubuck 10 UK 44 1/2 EU Gris(UH). The literature based on organizational theories and administration, which we analyzed here, tends to give a greater prominence to the rational-Multifanshop Diseño de bolso bandolera I Love Brakel colour negro. However,STILORD Leonardo' Maletín Bandolera Hombre Cuero Bolso para Portátil 15.6 Pulgadas Negocios Grande en Diseño Vintage Piel Búfalo auténtico.
Converse Chuck Taylor All Star Faux Shearling Hi Gris ,Mobius MOBIUS BULLSEYE X' - Mochila para cámara réflex digital compatible con ordenador portátil funda lluvia limpiador de lentes. 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/N / A Bolsas De Lápices). 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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