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PL4 Stageportfolio
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Stageportfolio van PL4. Dit document bevat de opdracht klinisch redeneren en verpleegkundig leiderschap met bijbehorende bijlagen/uitwerkingen en presentatie. Beoordeeld met een 7!
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Portfolio praktijkleren 42020-2021
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Datum: 14-06-2021
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Evaluatieformulier CanMEDS-rollen.......................................................................................................3
Klinisch Redeneren.................................................................................................................................5
Onderdeel 1: klinisch redeneren t.b.v. een veranderende situatie........................................................7
Stap 1: Probleemoriëntatie/klinisch beeld.........................................................................................7
Introductie van de zorgvrager........................................................................................................7
Veranderende situatie volgens SBAR..............................................................................................8
Stap 2: Probleemanalyse..................................................................................................................10
Disfunctionele orgaansystemen...................................................................................................10
Psychische, (psycho)sociale, functionele en spirituele problematiek...........................................11
Stap 3: Aanvullend onderzoek en diagnose......................................................................................12
Lichamelijk neurologisch onderzoek.............................................................................................12
Beeldvormend onderzoek............................................................................................................13
PES................................................................................................................................................13
Stap 4: Klinisch beeld........................................................................................................................14
Onderdeel 2: Het klinisch redeneren t.b.v. het totale verpleegkundig proces.....................................17
Stap 5: Klinisch verloop.....................................................................................................................17
Korte termijn................................................................................................................................17
Lange termijn................................................................................................................................19
Stap 6: Evaluatie...............................................................................................................................20
Reflectie zorgproces.....................................................................................................................20
Reflectie zorgdossier.....................................................................................................................20
Bijlage...................................................................................................................................................21
1: Psychosociaal interview (SCEGS)..................................................................................................21
2: Glasgow Coma Scale (GCS of EMV)...............................................................................................22
Literatuurlijst........................................................................................................................................23
Verpleegkundig leiderschap.................................................................................................................25
Onderdeel 1: Kennismaken met leiderschap........................................................................................28
1.1 Wat is verpleegkundig leiderschap?...........................................................................................28
1.2 Persoonlijke blik op verpleegkundig leiderschap........................................................................30
1.3 Verpleegkundig leiderschap in de dagelijkse praktijk van verpleegkundigen.............................31
1.4 Verpleegkundig leiderschap bij het verbeteren van de kwaliteit van zorg op stage...................31
1.5 Verpleegkundig leiderschap en het verbeteren van de kwaliteit van zorg op organisatie- en
landelijk niveau.................................................................................................................................32
Organisatie niveau........................................................................................................................32
Landelijk niveau............................................................................................................................32
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, 1.6 Voorbeelden van verpleegkundig leiderschap door de student.................................................33
Onderdeel 2. Onderzoeken van leiderschap.........................................................................................34
2.1 Relevant thema voor de organisatie...........................................................................................34
2.2 Schaduwen van stakeholder.......................................................................................................34
2.3 Relevante ervaring en observaties opgedaan tijdens het schaduwen.......................................38
2.4 Verbinding tussen eigen ervaring, opgedane kennis en kwaliteit van patiëntenzorg.................39
2.5 Reflectie op eigen rol en gedrag tijdens het schaduwen............................................................40
2.6 Sterke- en ontwikkelpunten ten aanzien van verpleegkundig leiderschap.................................40
Literatuurlijst........................................................................................................................................41
Bijlage...................................................................................................................................................43
Feedbackformulier verpleegkundig leiderschap door werkbegeleider................................................44
Presentatie verpleegkundig leiderschap...............................................................................................45
Bewijs van deelname interprofessioneel klinisch redeneren...............................................................52
Evaluatieformulier CanMEDS-rollen
CanMEDS-rollen formulieren zouden hier ingevuld worden.
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