Cursus diagnostiek, interventies en outcomes verpleegkunde (2018), gegeven door Prof. Beeckman. Inclusief alle notities van tijdens de les. Dankzij dit document behaalde ik 15/20 (eerste zit)
Diagnostiek, interventies en
outcome in Verpleegkunde
Dimitri Beeckman
2018 - 2019
,Inhoudsopgave
1 INLEIDING.......................................................................................................................................4
1.1 INLEIDING CURSUS............................................................................................................................4
1.2 DEFINITIE........................................................................................................................................4
1.3 NNN-TERMINOLOGIE.......................................................................................................................5
1.4 NURSING TERMINOLOGIE-BEWEGING....................................................................................................5
1.5 PREVALENTIE VAN HET DIAGNOSEDISCOURS...........................................................................................5
1.6 BEPERKINGEN VAN HET DIAGNOSTISCH DISCOURS....................................................................................6
1.7 DE OPDRACHT VAN DE VERPLEEGKUNDE................................................................................................6
1.8 DE TRADITIONELE OPVATTING OVER VERPLEEGKUNDIGE DIAGNOSTIEK..........................................................6
1.8.1 DEFINITIE..........................................................................................................................................6
1.8.2 DIAGNOSTICEREN...............................................................................................................................9
1.8.3 VALIDERING VAN VERPLEEGKUNDIGE DIAGNOSES....................................................................................11
1.8.4 CLASSIFICATIE VAN DIAGNOSES............................................................................................................12
2 IDENTIFICEREN EN BENOEMEN VAN VERPLEEGPROBLEMEN........................................................14
2.1 EENDUIDIGE TERMINOLOGIE EN HET LABELEN VAN DIAGNOSES.................................................................14
2.1.1 VERPLEEGKUNDIGE DIAGNOSES...........................................................................................................14
2.1.2 NANDA EN GORDON.........................................................................................................................14
2.1.3 WAAROM DIAGNOSTIEK?...................................................................................................................14
2.1.4 ICD EN DSM ALS VOORBEELDEN.........................................................................................................14
2.2 NANDA EN GORDON.......................................................................................................................15
2.3 HET DIAGNOSTISCH PROCES: DE RELATIE LEGGEN TUSSEN CUES EN VERSCHIJNSELEN......................................16
2.3.1 RELATIE TUSSEN CUES EN VERSCHIJNSELEN............................................................................................16
2.3.2 NANDA EN GORDON.........................................................................................................................16
2.3.3 INDUCTIEVE EN DEDUCTIEVE DIAGNOSTIEK.............................................................................................16
2.3.4 PROBLEEMKETTINGEN EN -WEBBEN......................................................................................................16
2.4 PROBLEMEN DIE OM AANGEPASTE DIAGNOSTISCHE STRATEGIEËN VRAGEN..................................................17
2.4.1 ACTUELE VERSUS POTENTIËLE PROBLEMEN............................................................................................17
2.4.2 NORMALE VERSUS AFWIJKENDE PROBLEMEN..........................................................................................17
2.4.3 GEBRUIK BESLISSINGSBOMEN - FLOWCHARTS.........................................................................................17
3 HOOFDSTUK 2: BEPALEN VAN DE OPDRACHT VAN DE VERPLEEGKUNDIGE ..................................19
3.1 INLEIDING.....................................................................................................................................19
3.2 WAT STAAT MIJ TE DOEN?...............................................................................................................19
3.2.1 ALGEMEEN......................................................................................................................................19
3.2.2 STURING VAN HET DIAGNOSISTISCH PROCES...........................................................................................19
3.2.3 GEGEVENS VERZAMELEN....................................................................................................................20
4 SCHALEN EN SCHAALONTWIKKELING...........................................................................................28
4.1 SCHALEN......................................................................................................................................28
4.2 RISICOSCHALEN..............................................................................................................................28
4.2.1 POTENTIEL̈ E PROBLEMEN / RISK DIAGNOSES...........................................................................................29
4.3 DIAGNOSTISCHE SCHALEN.................................................................................................................29
4.4 SCHALEN & SCHAALONTWIKKELING....................................................................................................29
4.4.1 TWEE TRADITIES VAN ASSESSMENT (=BEOORDELING)...............................................................................29
4.4.2 ONTWIKKELEN VAN ITEMS..................................................................................................................30
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,4.4.3 ONTWIKKELEN VAN ANTWOORDEN......................................................................................................33
4.4.4 ITEMS SELECTEREN............................................................................................................................37
5 INTERVENTIES...............................................................................................................................40
5.1 WAT ZIJN INTERVENTIES?.................................................................................................................40
5.1.1 BEGRIPSVERKENNING........................................................................................................................40
5.1.2 DEFINITIES......................................................................................................................................40
5.1.3 VOORBEELDEN.................................................................................................................................41
5.1.4 CLASSIFICATIE VAN INTERVENTIES.........................................................................................................42
5.1.5 EEN CASE........................................................................................................................................42
5.1.6 VALIDERING VAN INTERVENTIES...........................................................................................................42
5.1.7 INTERVENTIES: EEN EENVOUDIGE TAAL..................................................................................................43
5.2 BESLISSINGEN OVER INTERVENTIES.....................................................................................................43
5.2.1 INTERVENTIES: HET ‘KIEZEN’ VAN INTERVENTIES......................................................................................43
5.2.2 GEFORMALISEERDE INTERVENTIES........................................................................................................46
5.3 SOORTEN INTERVENTIES...................................................................................................................47
5.3.1 INTERVENTIES VOLGENS AANGRIJPINGSPUNT..........................................................................................47
5.4 DE BELANGRIJKSTE TYPES VERPLEEGKUNDIGE INTERVENTIES.....................................................................51
5.4.1 BELANGRIJKSTE TYPES........................................................................................................................51
5.5 HET FORMALISEREN EN COMMUNICEREN VAN VERPLEEGKUNDIGE INTERVENTIES..........................................53
5.5.1 PROTOCOLLEN.................................................................................................................................54
5.5.2 FORMALISEREN VAN INTERVENTIES.......................................................................................................54
5.5.3 BESLUIT..........................................................................................................................................54
6 OUTCOMES...................................................................................................................................55
6.1 OUTCOMES: INLEIDING....................................................................................................................55
6.2 DOELEN, RESULTATEN, RESULTAATINDICATOREN EN OUTCOMES................................................................55
6.2.1 DOELEN..........................................................................................................................................55
6.2.2 INDICATOREN: OBSERVEERBARE “TEKENS” DIE TOELATEN TE BEPALEN OF DOEL BEREIKT IS..............................56
6.3 OUTCOMES: BELANG EN GEBRUIK......................................................................................................57
6.3.1 NEVENEFFECTEN...............................................................................................................................59
6.3.2 NOC-IOWA OUTCOMES...................................................................................................................60
6.3.3 NOC-IOWA OUTCOMES LABELS.........................................................................................................60
6.3.4 ICF EN OUTCOMES...........................................................................................................................61
6.4 OUTCOMES: PROXIMAAL EN DISTAAL..................................................................................................61
6.5 OUTCOMES...................................................................................................................................61
7 MOBIELE APPLICATIES, EEN UITDAGING IN DE TOEKOMSTIGE ZORG............................................63
7.1 MHEALTH.....................................................................................................................................63
7.2 KENMERKEN..................................................................................................................................63
7.3 SOORTEN TOEPASSINGEN.................................................................................................................63
7.4 VOORDELEN EN OBSTAKELS...............................................................................................................63
7.5 MHEALTH EN NEONATOLOGIE............................................................................................................64
7.6 IMPACT VAN MHEALTH INTERVENTIES VOOR DIVERSE DOELEINDEN............................................................64
7.7 MHEALTH INTERVENTIES MOEDER EN KIND...........................................................................................64
7.8 EHEALTH INTERVENTIES VOOR OUDERS OP NICU..................................................................................64
7.9 VOORSTELLING ONDERZOEKSPROJECT ‘NEOPARANT-APP’........................................................................64
7.10 USER-CENTERED DESIGN.................................................................................................................65
7.11 BELANG VAN EEN MULTIDISCIPLINAIR TEAM.......................................................................................65
7.12 CONCLUSIES................................................................................................................................65
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