Innoveren in de palliatieve zorg
EVL 8.2
Studentnaam
Studentnummer
Werkplek
Opleiding Verpleegkunde deeltijd
Titel EVL Innoveren in de palliatieve zorg
Code EVL GWPAL82D21
Groepscode
Aantal woorden
Datum van inleveren 20-01-2025
Versie
Leerwerkbegeleider
Leerteambegeleider
,Voorwoord
2
,Inhoudsopgave
Voorwoord.............................................................................................................................................2
Leeswijzer...............................................................................................................................................5
Inleiding..................................................................................................................................................6
1 Probleemsignalering............................................................................................................................7
1.1 Doelgroep.....................................................................................................................................7
1.2 Het probleem................................................................................................................................7
2 De innovatie........................................................................................................................................8
2.1 Gekozen interventie.....................................................................................................................8
2.2 Evidence Based Practice...............................................................................................................8
2.3 Belanghebbenden.........................................................................................................................9
2.3.1 Microniveau.........................................................................................................................10
2.3.2 Mesoniveau.........................................................................................................................10
2.3.3 Macroniveau........................................................................................................................10
2.4 Inzet van een tool.......................................................................................................................10
3 Implementatieplan............................................................................................................................12
3.1 Randvoorwaarden......................................................................................................................12
3.1.1 Verandermanagement.........................................................................................................12
3.1.2 Kwaliteitszorg......................................................................................................................12
3.2 Urgentiebesef.............................................................................................................................13
3.3 Leidende coalitie.........................................................................................................................13
3.4 Visie en strategie ontwikkelen....................................................................................................14
3.5 Uitwerking PDCA-cyclus met de stappen van Kotter..................................................................14
3.5.1 Plan......................................................................................................................................14
3.5.2 Do........................................................................................................................................15
3.5.3 Check...................................................................................................................................17
3.5.4 Act........................................................................................................................................18
3.6 Verpleegkundig leiderschap.......................................................................................................19
Bronnenlijst..........................................................................................................................................20
Bijlage A – Feedbackformulier leerwerkbegeleider..............................................................................24
Bijlage B – Feedbackformulier leerwerkbegeleider presentatie...........................................................25
Bijlage C – Procesevaluatie...................................................................................................................28
Bijlage D – Enquête palliatieve zorg voor implementatie (nulmeting)..................................................29
Bijlage E – Vier domeinen van palliatieve zorg.....................................................................................31
3
, Bijlage F – Stakeholdersanalyse............................................................................................................32
Bijlage G – Eerste analyse 30 zorgdossiers (nulmeting)........................................................................34
Bijlage H – Formulier levenswensen, behandelwensen en behandelgrenzen......................................36
Bijlage I – Registratie Proactieve zorgplanning.....................................................................................43
Bijlage J – Enquête na implementatie...................................................................................................44
Bijlage K – Tweede analyse van 30 zorgdossiers...................................................................................46
Bijlage L – Ervaringen van drie zorgvragers..........................................................................................49
Bijlage M – Poster palliatieve zorg en proactieve zorgplanning...........................................................50
4
EVL 8.2
Studentnaam
Studentnummer
Werkplek
Opleiding Verpleegkunde deeltijd
Titel EVL Innoveren in de palliatieve zorg
Code EVL GWPAL82D21
Groepscode
Aantal woorden
Datum van inleveren 20-01-2025
Versie
Leerwerkbegeleider
Leerteambegeleider
,Voorwoord
2
,Inhoudsopgave
Voorwoord.............................................................................................................................................2
Leeswijzer...............................................................................................................................................5
Inleiding..................................................................................................................................................6
1 Probleemsignalering............................................................................................................................7
1.1 Doelgroep.....................................................................................................................................7
1.2 Het probleem................................................................................................................................7
2 De innovatie........................................................................................................................................8
2.1 Gekozen interventie.....................................................................................................................8
2.2 Evidence Based Practice...............................................................................................................8
2.3 Belanghebbenden.........................................................................................................................9
2.3.1 Microniveau.........................................................................................................................10
2.3.2 Mesoniveau.........................................................................................................................10
2.3.3 Macroniveau........................................................................................................................10
2.4 Inzet van een tool.......................................................................................................................10
3 Implementatieplan............................................................................................................................12
3.1 Randvoorwaarden......................................................................................................................12
3.1.1 Verandermanagement.........................................................................................................12
3.1.2 Kwaliteitszorg......................................................................................................................12
3.2 Urgentiebesef.............................................................................................................................13
3.3 Leidende coalitie.........................................................................................................................13
3.4 Visie en strategie ontwikkelen....................................................................................................14
3.5 Uitwerking PDCA-cyclus met de stappen van Kotter..................................................................14
3.5.1 Plan......................................................................................................................................14
3.5.2 Do........................................................................................................................................15
3.5.3 Check...................................................................................................................................17
3.5.4 Act........................................................................................................................................18
3.6 Verpleegkundig leiderschap.......................................................................................................19
Bronnenlijst..........................................................................................................................................20
Bijlage A – Feedbackformulier leerwerkbegeleider..............................................................................24
Bijlage B – Feedbackformulier leerwerkbegeleider presentatie...........................................................25
Bijlage C – Procesevaluatie...................................................................................................................28
Bijlage D – Enquête palliatieve zorg voor implementatie (nulmeting)..................................................29
Bijlage E – Vier domeinen van palliatieve zorg.....................................................................................31
3
, Bijlage F – Stakeholdersanalyse............................................................................................................32
Bijlage G – Eerste analyse 30 zorgdossiers (nulmeting)........................................................................34
Bijlage H – Formulier levenswensen, behandelwensen en behandelgrenzen......................................36
Bijlage I – Registratie Proactieve zorgplanning.....................................................................................43
Bijlage J – Enquête na implementatie...................................................................................................44
Bijlage K – Tweede analyse van 30 zorgdossiers...................................................................................46
Bijlage L – Ervaringen van drie zorgvragers..........................................................................................49
Bijlage M – Poster palliatieve zorg en proactieve zorgplanning...........................................................50
4
