Portfolio
Stage U2 – Scheper ziekenhuis Emmen
Afdeling Neurologie
10 september 2018 – 8 februari 2019
Stage U2
Neurologie afdeling
Scheper ziekenhuis Emmen
Docent begeleider
Praktijkopleider
Stagebegeleiders
School
1
, Voorwoord
Voor u ligt het portfolio dat ik heb opgesteld voor het afronden van mijn afstudeerstage in het
Scheper ziekenhuis te Emmen, op de afdeling neurologie. Met deze stage rond ik mijn opleiding
HBO-Verpleegkunde aan de Hanzehogeschool te Groningen af.
Op de afdeling neurologie heb ik de kans gekregen om veel te leren, zien en uitproberen. Ik heb
veel over neurologie geleerd, patiënten met CVA’s, hernia’s, Parkinson of MS, maar ook over
andere specialismen zoals interne- of longgeneeskunde. Ook heb ik de kans gekregen om niet
alleen op de verpleegafdeling te leren, maar om ook mee te kijken op bijvoorbeeld de operatie
kamers.
Ik wens u veel leesplezier.
2
,Inhoudsopgave
Voorwoord................................................................................................................................................... 2
Inleiding........................................................................................................................................................ 6
Leerdoelen.................................................................................................................................................... 7
Rol van zorgverlener..................................................................................................................................... 9
Rol van regisseur......................................................................................................................................... 12
Rol van ontwerper...................................................................................................................................... 15
Rol van coach.............................................................................................................................................. 17
Rol van beroepsontwikkelaar...................................................................................................................... 18
Literatuurlijst.............................................................................................................................................. 20
Bijlage 1: Patintuitwerking verpleegplan................................................................................................... 21
Stap 1: Oriintate op de situate............................................................................................................. 23
Situate................................................................................................................................................ 23
Background......................................................................................................................................... 23
Assesment........................................................................................................................................... 24
Recommendaton................................................................................................................................ 24
Stap 2: Klinische probleemstelling.......................................................................................................... 25
Stap 3: Aanvullend klinisch onderzoek.................................................................................................... 31
Stap 4: Klinisch beleid............................................................................................................................. 33
Stap 5: Klinisch verloop........................................................................................................................... 37
Stap 6: Nabeschouwing........................................................................................................................... 37
Verpleegplan volgens Carpenito............................................................................................................. 39
Literatuurlijst verpleegplan..................................................................................................................... 44
Bijlage 2: Zorgtraject................................................................................................................................... 45
Inleiding.................................................................................................................................................. 45
Pre-klinisch............................................................................................................................................. 45
Disciplines........................................................................................................................................... 45
Contnuïteit van zorg en multdisciplinaire samenwerking..................................................................45
Klinisch.................................................................................................................................................... 46
Disciplines........................................................................................................................................... 46
Contnuïteit van zorg en multdisciplinaire samenwerking..................................................................48
Post-klinisch............................................................................................................................................ 49
Disciplines........................................................................................................................................... 49
Contnuïteit van zorg en multdisciplinaire samenwerking..................................................................50
Wetgeving............................................................................................................................................... 51
3
, Wetgeving pre-klinische fase.............................................................................................................. 51
Wetgeving klinische fase..................................................................................................................... 51
Wetgeving post-klinische fase............................................................................................................. 52
Financiering............................................................................................................................................ 54
Financiering pre-klinische fase............................................................................................................ 54
Financiering klinische fase................................................................................................................... 54
Financiering post-klinische fase........................................................................................................... 54
Rol verpleegkunde stagiaire................................................................................................................ 55
Literatuurlijst zorgtraject........................................................................................................................ 56
Bijlage 3: Adviesnota................................................................................................................................... 57
Samenvatting.......................................................................................................................................... 58
Inleiding.................................................................................................................................................. 59
Probleem identicatet doel en vraagstelling...................................................................................... 60
Onderzoek en analyse............................................................................................................................. 62
Onderzoeksdesign............................................................................................................................... 62
Dataverzameling................................................................................................................................. 62
Resultaten en bevindingen..................................................................................................................... 65
Bevindingen enquête onderzoek......................................................................................................... 65
Bevindingen literatuurstudie............................................................................................................... 69
Conclusie en aanbeveling........................................................................................................................ 75
Conclusie............................................................................................................................................. 75
Aanbevelingen.................................................................................................................................... 78
Implementateplan................................................................................................................................. 79
De stappen van Grol en Wensing........................................................................................................ 79
Samenwerking........................................................................................................................................ 84
Literatuurlijst adviesnota........................................................................................................................ 85
Bijlage 4: Deskundigheidsbevorderingsplan................................................................................................ 87
Literatuurlijst deskundigheidsbevorderingsplan.................................................................................87
Bijlage 5: Coachingsplan............................................................................................................................. 88
Inleiding.................................................................................................................................................. 88
Visie op coachen..................................................................................................................................... 88
Het gesprek............................................................................................................................................. 89
Uitvoering van het coachingsgesprek...................................................................................................... 92
Samenwerking.................................................................................................................................... 94
Literatuurlijst.......................................................................................................................................... 94
Bijlage 6: Visiedocument............................................................................................................................. 96
Literatuurlijst...................................................................................................................................... 97
4
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