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Gezondheidsbevorderingsplan PLP Bachelor $7.03
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Gezondheidsbevorderingsplan PLP Bachelor

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Gezondheidsbevorderingsplan (GB plan) over angst bij kanker. Geschreven door stagiaires op de afdelingen Interne Oncologie en Dagbehandeling in het ziekenhuis Isala te Zwolle, tijdens de module PLP bachelor.

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  • October 9, 2024
  • 70
  • 2024/2025
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,Voorwoord
Beste lezer,

Wij zijn … en …, beiden vierdejaars HBO Verpleegkunde studenten aan Hogeschool Windesheim.
Momenteel volgen wij onze Bachelor stage op de dagbehandeling en verpleegafdeling van het
Oncologisch Centrum in het Isala in Zwolle.

Voor deze stage hebben wij de opdracht gekregen om een gezondheidsbevorderingsplan te
ontwikkelen op basis van een praktijkcasus. Daarvoor is een specifiek gezondheidsprobleem gekozen
waar we onderzoek naar zullen doen en we zullen passende interventies bedenken om de
gezondheid van de patiënten te verbeteren. Daarbij richten wij ons in dit
gezondheidsbevorderingsplan op angst door alle gevolgen die komen kijken bij de diagnose
borstkanker en het daarbij voorkomen van ineffectieve coping. Wegens de privacy (AVG-wet) hebben
wij alle patiëntgegevens in dit gezondheidsbevorderingsplan geanonimiseerd.

In dit verslag wordt eerst het gezondheidsprobleem uiteengezet, gevolgd door een analyse van de
gedragsdeterminanten en de daaruit voortvloeiende interventies. Tot slot zullen we de borging en
onze reflecties beschrijven.




2

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

Hoofdstuk 1: Inleiding.................................................................................................................................... 5
1.1 Gezondheidsprobleem....................................................................................................................................5
1.2 Organisatie en afdelingen.............................................................................................................................7
1.3 Casus en PES...................................................................................................................................................9
1.3.1 Casus.......................................................................................................................................................9
1.3.2 Positieve gezondheid..............................................................................................................................9
1.4 Verpleegkundige diagnose (PES)..................................................................................................................10

Hoofdstuk 2: Gedragsanalyse....................................................................................................................... 12
2.1 Gedragsanalyse............................................................................................................................................12
2.1.2 Gedragsanalyse vanuit klinische expertise...........................................................................................15
2.1.3 Gedragsanalyse vanuit patiëntenperspectief.......................................................................................16
2.2 Het gedragsanalysemodel (ASE-model).......................................................................................................17
2.2.1. Onderbouwing keuze ASE-model........................................................................................................17
2.2.2. Conclusie ASE-model...........................................................................................................................17
2.2.3. ASE-model............................................................................................................................................17

Hoofdstuk 3: Interventies............................................................................................................................. 18
3.1 Literatuurstudie............................................................................................................................................18
3.2 Mogelijke verpleegkundige interventies......................................................................................................20
3.3 Gekozen verpleegkundige interventie..........................................................................................................21
3.4 Onderbouwing interventie vanuit EBP.........................................................................................................21
3.4.1 Wetenschappelijke literatuur...............................................................................................................21
3.4.3 Klinische expertise................................................................................................................................22

Hoofdstuk 4................................................................................................................................................. 25
4.1 Borging.........................................................................................................................................................25
4.1.1 PDDOEN-cyclus.....................................................................................................................................25
4.1.2 Kennis en vaardigheden van zorgvragers en verpleegkundigen...........................................................27

Literatuurlijst............................................................................................................................................... 29

Bijlagen........................................................................................................................................................ 34
Bijlage A: Sociale anamnese...............................................................................................................................34
Bijlage B: enquête klinische expertise................................................................................................................37
Bijlage C: vragen patiënten perspectief.............................................................................................................39
Bijlage D: Peerassessment H1 en H2..................................................................................................................40
Bijlage E: Level of evidence................................................................................................................................42
Bijlage F: Positieve Gezondheid..........................................................................................................................50
Bijlage G: Vragenlijst klinische expertise EBP-interventie..................................................................................53
Bijlage H: Vragenlijst wens van de patiënt EBP-interventie...............................................................................54
Bijlage J: Feedback H1 en H2..............................................................................................................................61

3

, Bijlage K: Beoordelingscriteria Gezondheidsbevorderingsplan..........................................................................64




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