Dit pdf bestand omvat de uitwerking van module 9 veranderkunde en implementatie (BoN) via avans+.
Uitwerking volgens implementatiemodel van Wensing & Grol
in een keer behaald.
Integrale beroepsprestatie module 9
Veranderkunde en implementatie
Naam: Whitley Flecken
Mail: whitley.flecken@lzr.nl
School: Avans+ Hogeschool
Opleiding: Bachelor of Nursing (2,5 jaar)
Klas: BNVEN2122P2
Werkzaam bij: Laurentius Ziekenhuis
Roermond (LZR)
Verpleegafdeling:
Orthopedie/KNO/Kaakchirurgie en
Geriatrische Trauma Unit
BNVEN2122P2-VI
Docent en beoordelaar: Ray Vondenhoff
Werkbegeleider: Fenna Huijs
Praktijkbegeleider: Korneel van den Broek
Professioneel leiderschap docent: Janine
Doornbos
Deadline: 9 februari 2024 om 17:00 uur
Aantal woorden (max. 8000): 6990
0
,Voorwoord
Ter afsluiting van module 9 Veranderkunde en implementatie ligt voor u mijn integrale
beroepsprestatie. De implementatie is uitgevoerd binnen het Laurentius Ziekenhuis te
Roermond op de verpleegafdeling orthopedie. In het kader van de opleiding Bachelor of
Nursing via Avans+ ben ik op 24 november 2023 gestart met deze module.
Veel leesplezier gewenst!
Whitley Flecken
Roermond, 9 februari 2024
1
,Inhoudsopgave
.............................................................................................................................................. 0
Voorwoord ............................................................................................................................. 1
1. Inleiding .......................................................................................................................... 4
1.1 Verandermethode ........................................................................................................ 4
2. Veranderen .................................................................................................................... 5
2.1 Visie op veranderkunde ........................................................................................... 5
2.2 Verandertype ............................................................................................................... 5
2.3 Visie Laurentius Ziekenhuis en verpleegafdeling orthopedie ........................................ 6
2.4 Organisatiecultuur ........................................................................................................ 6
3. Stap 1: Ontwikkeling voorstel voor verandering .............................................................. 9
3.1 Aanleiding ............................................................................................................... 9
3.2 Veranderbehoefte ........................................................................................................ 9
3.3 Stakeholders analyse ..................................................................................................10
Tabel 1 Identificeren en categoriseren van de stakeholders ..........................................11
Tabel 2 Belangen tabel..................................................................................................11
3.4 Coalitie vorming – prioriteren van de stakeholders ......................................................12
Tabel 3 Coalitie .............................................................................................................12
4. Stap 2: Analyse feitelijke zorg........................................................................................14
4.1 Analyse huidige situatie ..........................................................................................14
4.2 Uitkomsten analyse enquête huidige situatie ..........................................................14
4.3 Probleemanalyse ........................................................................................................16
Figuur 1 Visgraatdiagram huidige situatie ......................................................................17
4.4 Gewenste situatie .......................................................................................................17
4.5 Hoofddoel, hoofdvraag, verbeterdoel en subdoelen ....................................................19
4.6 Kwaliteitsindicatoren ...................................................................................................19
Tabel 4 Kwaliteitsindicatoren verbeterdoel ....................................................................19
5. Stap 3: Probleemanalyse, doelgroep en setting ............................................................21
5.1 Analyse doelgroep ......................................................................................................21
5.2 Adoptiemodel van Rogers (1995) ................................................................................21
5.3 Teamprofiel volgens adoptiemodel van Rogers ..........................................................21
Figuur 3 Verdeling teamprofiel afdelingsverpleegkundigen ............................................22
5.4 Analyse teamcultuur ...................................................................................................22
5.5 Veranderbereidheid team ............................................................................................22
Tabel 5 Score veranderbereidheid ................................................................................23
5.6 Fase van verandering .................................................................................................23
Tabel 6 Fasen in het implementatieproces ....................................................................23
5.7 Analyse specifieke setting – bevorderende en belemmerende factoren ......................24
2
, Tabel 7 Beïnvloedende factoren voor implementatie .....................................................24
6. Stap 4: Ontwikkeling en selectie van interventies/strategieën ........................................25
6.1 Implementatiestrategie ................................................................................................25
Tabel 8 Veranderingsstrategieën en theorieën ..............................................................26
6.2 Implementatie .............................................................................................................29
6.3 Randvoorwaarden.......................................................................................................29
Tabel 9 Randvoorwaarden ............................................................................................29
7. Stap 5: Ontwikkeling, testen en uitvoering van het implementatieplan ...........................30
7.1 Implementatieactiviteiten.............................................................................................30
Tabel 10 Activiteiten middels PDCA cyclus ...................................................................31
8. Stap 6: Integratie in routines ..........................................................................................35
8.1 Borgen ........................................................................................................................35
8.2 Borgingsscan ..............................................................................................................35
8.3 Successen vieren........................................................................................................35
9. Stap 7: (Continue) evaluatie en (indien nodig) bijstelling van plan .................................37
9.1 Productevaluatie .........................................................................................................37
9.2 Procesevaluatie ..........................................................................................................39
9.3 Iteratieve aanpak ........................................................................................................40
Foto 1 en 2 Bewijslasten ...............................................................................................40
9.4 Reflectie op leermomenten .........................................................................................41
10. APA-literatuurlijst .......................................................................................................42
Bijlage 1 Uitslag kleurentest visie op veranderen..................................................................44
Bijlage 2 Cultuurmodel OCAI ................................................................................................46
Bijlage 3 Cultuurtype globale waarden .................................................................................47
Bijlage 4 Stakeholdersanalysematrix ....................................................................................48
Bijlage 5 Model van Rogers ..................................................................................................49
Bijlage 6 Vragenlijst DINAMO-model ....................................................................................50
Bijlage 7 NHS borgingsscan .................................................................................................54
Bijlage 8 Feedback patiënt ...................................................................................................58
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