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Beroepsbekwaam adviseren ten aanzien van bevordering van de kwaliteit van zorg

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  • Beroepsbekwaam Advies Uitbrengen Ten Aanzien Van Bevordering Van De Kwaliteit Van Zorg
  • Institution
  • Hogeschool Zeeland (HZ)

Hierbij de uitwerking van de afstudeeropdracht "Beroepsbekwaam advies uitbrengen ten aanzien van bevordering van de kwaliteit van zorg". Binnen dit verslag is er gekozen voor het onderwerp " Verbetering van communicatie in acute situaties". Als innovatie hiervoor is er bedacht om whiteboards te gaa...

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Document information

  • May 19, 2022
  • 52
  • 2021/2022
  • Thesis
  • X
  • Unknown

Subjects

  • scriptie
  • beroepsbekwaam adviseren
  • adviesrapport
  • cici framework
  • dimensies
  • hbo v
  • verpleegkunde
  • hoge school zeeland
  • hz

Written for

  • Hogeschool Zeeland (HZ)
  • HBO Verpleegkunde
  • Beroepsbekwaam Advies Uitbrengen Ten Aanzien Van Bevordering Van De Kwaliteit Van Zorg
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Adviesrapport – Verbetering van
communicatie in acute situaties aan de
hand van whiteboards




Figuur 1: Ziekenhuis whiteboard
Naam:
Naam deeltentamen: Adviesrapport
Cursusnaam: Beroepsbekwaam verpleegkundig adviseren
Cursuscode:
Afstudeerdocenten:
Inleverdatum:


1

,Voorwoord
Voor u ligt het adviesrapport “Verbetering van communicatie in acute situaties aan de hand van
whiteboards”. Dit is een praktijkgericht onderzoek dat is uitgevoerd binnen de Intensive Care (IC),
door middel van het afnemen van interviews en enquêtes. Dit adviesrapport is geschreven in het
kader van het afstuderen aan de opleiding Bachelor Verpleegkundige aan de HZ University of Applied
Sciences.




Inhoudsopgave
Voorwoord.................................................................................................................................................... 2

2

,1. Inleiding..................................................................................................................................................... 4

2. Gegevensverzameling................................................................................................................................ 7
2.1 Oriëntatie.......................................................................................................................................................8
2.1.1 Stakeholders................................................................................................................................................8
Verpleegkundigen van de Intensive Care........................................................................................................8
Operationeel leidinggevende (OLG) van de IC................................................................................................8
Intensivisten.....................................................................................................................................................8
Longarts, cardioloog en ziekenhuisarts...........................................................................................................8
Afdeling inkoop................................................................................................................................................8
Technische dienst............................................................................................................................................9
Inrichting..........................................................................................................................................................9
Ander ziekenhuis in Zuid-Nederland...............................................................................................................9
2.2 Onderzoeksmethodes.....................................................................................................................................9
2.2.1 Kwalitatieve onderzoeksmethode..........................................................................................................9
2.2.2 Kwantitatieve onderzoeksmethode.....................................................................................................10
2.3 Operationalisering van de gegevens aan de hand van het CICI-framework................................................11
2.3.1 Geografische determinant....................................................................................................................11
2.3.2 Epidemiologische determinant.............................................................................................................12
2.3.3 Sociaal-culturele determinant..............................................................................................................13
2.3.4 Sociaaleconomische determinant........................................................................................................15
2.3.5 Ethische determinant...........................................................................................................................15
2.3.6 Politieke determinant...........................................................................................................................16
2.3.7 Juridische determinant.........................................................................................................................17
2.4 Onderzoekskwaliteit.....................................................................................................................................17
2.4.1 Validiteit................................................................................................................................................17
2.4.2 Betrouwbaarheid..................................................................................................................................18

3. Analyse en implementatiediagnose.......................................................................................................... 18
3.1 Resultaten van de gegevensverzameling....................................................................................................18
3.1.1 Geografische determinant....................................................................................................................19
3.1.2 Epidemiologische determinant.............................................................................................................19
3.1.3 Sociaal-culturele determinant..............................................................................................................20
3.1.4 Sociaaleconomische determinant........................................................................................................23
3.1.5 Ethische determinant...........................................................................................................................24
3.1.6 Politieke determinant...........................................................................................................................25
3.1.7 Juridische determinant.........................................................................................................................26
3.2 Conclusie en GAP-analyse............................................................................................................................27
3.3 Implementatiediagnose...............................................................................................................................29

4. Implementatiestrategieën........................................................................................................................ 30
4.1 Implementatiestrategieën............................................................................................................................30
Informerende strategie.................................................................................................................................30
Motiverende en draagvlak vergrotende strategie........................................................................................30
Educatieve strategie......................................................................................................................................30
Organisatorische strategie.............................................................................................................................31
Faciliterende strategie...................................................................................................................................31
4.2 Activiteitenschema.......................................................................................................................................31
Fase 1: Oriëntatie...........................................................................................................................................31
Fase 2: Inzicht................................................................................................................................................32
Fase 3: Acceptatie..........................................................................................................................................32
Fase 4: Verandering.......................................................................................................................................33

3

, Fase 5: Behoud van de verandering..............................................................................................................33

5. Concreet implementatieplan.................................................................................................................... 34

Bronnenlijst................................................................................................................................................. 35

Bijlagen....................................................................................................................................................... 38
Bijlage 1: Akkoordverklaring onderwerpkeuze implementatieadvies...............................................................38
Bijlage 2: Topiclijsten interviews........................................................................................................................39
Bijlage 2.1: Operationeel Leidinggevende IC.................................................................................................39
Bijlage 2.2: Intensivist, cardioloog, longarts en ziekenhuisarts.....................................................................40
Bijlage 2.3 Technische dienst.........................................................................................................................40
Bijlage 2.4 Inrichting......................................................................................................................................40
Bijlage 2.5 Afdeling inkoop............................................................................................................................41
Bijlage 2.6 Ander ziekenhuis Zuid-Nederland................................................................................................41
Bijlage 3: Uitwerking interviews........................................................................................................................41
Bijlage 3.1 Interview OLG van de IC...............................................................................................................41
Bijlage 3.2 Interview intensivist/ cardioloog.................................................................................................43
Bijlage 3.3 Interview Longarts.......................................................................................................................44
Bijlage 3.4 Interview ziekenhuisarts..............................................................................................................44
Bijlage 3.5 Interview Technische dienst........................................................................................................45
Bijlage 3.6 Interview Inrichting......................................................................................................................45
Bijlage 3.7 Interview Afdeling inkoop............................................................................................................45
Bijlage 3.8 Interview ander ziekenhuis Zuid-Nederland................................................................................46
Bijlage 4: Enquêtes.............................................................................................................................................46
Bijlage 4.1 Enquête m.b.t. de implementatie van whiteboards in acute situaties............................................47
Bijlage 4.2 Enquête m.b.t de teamcultuur.........................................................................................................50




1. Inleiding
Goede en duidelijke communicatie is altijd al een belangrijk punt geweest binnen de
gezondheidszorg, maar door de toenemende veranderingen in de zorg wordt dit hedendaags steeds
belangrijker. Zorginstellingen willen de zelfredzaamheid van de patiënten vergroten en zetten daarbij
de patiënt centraal, maar door de steeds complexer wordende zorg is juist goede en duidelijke
communicatie tussen zorgprofessionals onderling nu essentiëler dan ooit (Prigge, 2019).



4

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