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\begin{document}

\title{Do we form or deform? Qualitative Investigation in Public Hospitals of
Madrid}



\author[1]{María Jesús Gómez Camuñas}%
\author[1]{Purificación González Villanueva}%
\affil[1]{Affiliation not available}%


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  \date{May 15, 2024}


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\begin{abstract}
\emph{Background}: the creative capacities and the knowledge of the
employees are components of the intellectual capital of the company;
hence, their training is a key activity to achieve the objectives and
business growth. \emph{Objective}: To understand the meaning of learning
in the hospital from the experiences of its participants through the
inquiry of meanings. \emph{Method}: Qualitative design with an
ethnographic approach, which forms part of a wider research, on
organizational culture; carried out mainly in 2 public hospitals of the
Community of Madrid. The data has been collected for thirteen months. A
total of 23 in-depth interviews and 69 field sessions have been
conducted through the participant observation technique. \emph{Results}:
the worker and the student learn from what they see and hear. The great
hospital offers an unregulated education, dependent on the professional,
emphasizing that they learn everything. Some transmit the best and
others, even the humiliating ones, use them for dirty jobs, focusing on
the task and nullifying the possibility of thinking. They show a
reluctant attitude to teach the newcomer, even if they do, they do not
have to oppose their practice. In short, a learning in the variability,
which produces a rupture between theory and practice; staying with what
most convinces them, including negligence, which affects the patient's
safety. In the small hospital, it is a teaching based on a practice
based on scientific evidence and personalized attention, on knowing the
other. Clearly taught from the reception, to treat with caring patience
and co-responsibility in the care. The protagonists of both scenarios
agree that teaching and helping new people establish lasting and
important personal relationships to feel happy and want to be in that
service or hospital. \emph{Conclusion}: There are substantial
differences related to the size of the center, as to what and how the
student and the novel professional are formed. At the same time that the
meaning of value that these health organizations transmit to their
workers is inferred through the training, one orienting to the task and
the other to the person, either patient, professional or pupil and
therefore seeking the common benefit.%
\end{abstract}%



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