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Praktijkleren 4 Stageportfolio
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Dit is mijn stageportfolio van mijn vierde jaars stage.
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STAGEPORTFOLI Isabelle van OossanenStudentnummer: 1678909
Stagedocent: Marjolein van Wijk
GVE-4.PL4-17
O Inleverdatum: 26-11-20
Bachelor verpleegkunde Studiejaar 2020
Aantal woorden KR: 3762
Praktijkleren 4 Aantal woorden VL: 3278
Herkansing
,Voorwoord
Voor u ligt mijn stageportfolio. Dit portfolio is geschreven vanuit het ZIC ‘De Prinsenhof’ te Gouda. Dit
portfolio is onderdeel van mijn afstudeerstage voor de bachelor verpleegkunde aan de Hogeschool
Utrecht.
Ik wil bij deze graag mijn stagebegeleider vanuit de Hogeschool Utrecht, Marjolein van Wijk,
bedanken voor de begeleiding en hulp.
Ook wil ik graag mijn werkbegeleiders vanuit De Prinsenhof, Jos, Danny en Hans bedanken voor zijn
fijne begeleiding, hulp en steun. Ik vond het erg fijn om hem als mijn werkbegeleider te hebben.
Ik wens u veel plezier met het lezen van mijn stageportfolio.
Isabelle van Oossanen
Utrecht, 26 November 2020
1
,Inhoudsopgave
Voorwoord.................................................................................................................................................... 1
Eindevaluatieformulier canMEDS-rollen......................................................................................................... 4
Onderdeel 1. Klinisch redeneren t.b.v. een veranderde situatie....................................................................12
Stap 1. Probleem oriëntatie/klinisch beeld.........................................................................................................12
1.1 Casuïstiek.................................................................................................................................................13
1.2 SBARR.......................................................................................................................................................13
Stap 2. Probleemanalyse....................................................................................................................................16
2.1 Lichamelijke problemen..........................................................................................................................17
2.2 Psychosociale problemen........................................................................................................................17
Stap 3. Aanvullend onderzoek en diagnose........................................................................................................18
3.1 Aanvullend onderzoek.............................................................................................................................18
3.2 Differentiaal diagnose..............................................................................................................................19
Stap 4. Klinisch beleid.........................................................................................................................................19
Diagnose 1: Risico op instabiele glucosewaarden.........................................................................................19
Diagnose 2: Risico op ineffectieve ademhaling.............................................................................................20
Diagnose 3: Verstoorde denkprocessen........................................................................................................20
Diagnose 4: Functionele incontinentie..........................................................................................................20
Onderdeel 2: het klinisch redeneren t.b.v. het totale verpleegkundig proces................................................21
Stap 5. Klinisch verloop.......................................................................................................................................22
5.2 Mantelzorg, zelfmanagement en complicaties.......................................................................................22
Stap 6. Evaluatie.................................................................................................................................................23
6.1 Reflectie van het zorgproces samen met de zorgvrager.........................................................................23
6.2 Reflectie op het verloop van het zorgproces...........................................................................................23
6.3 Reflectie op het gebruik van het zorgdossier..........................................................................................23
Verpleegkundig leiderschap......................................................................................................................... 24
1. Voorbereiding op leiderschap.........................................................................................................................24
1.1 Definitie verpleegkundig leiderschap......................................................................................................24
1.2 Verpleegkundig leiderschap in het dagelijks werk..................................................................................24
1.3 Verpleegkundig leiderschap en kwaliteit van zorg op de afdeling..........................................................24
1.4 Verpleegkundig leiderschap en de kwaliteit van zorg op landelijk niveau.............................................25
1.5 Hoe ik verpleegkundig leiderschap heb getoond....................................................................................25
2. Onderzoeken van leiderschap.........................................................................................................................26
2.1 Inleiding...................................................................................................................................................26
2.2 Onderzoek................................................................................................................................................27
2.3 Stakeholders............................................................................................................................................27
3. Reflectie op mijn rol tijdens het interviewen..................................................................................................29
3.1 Reflectie op eigen rol...............................................................................................................................29
3.2 Ontwikkelpunten.....................................................................................................................................29
4. Advies..............................................................................................................................................................29
Bibliografie.................................................................................................................................................. 31
Bijlage 1. PowerPoint presentatie VPK leiderschap.......................................................................................32
Bijlage 2. Feedbackformulier presentatie..................................................................................................... 35
2
, Bijlage 3 Feedbackformulieren stakeholders................................................................................................39
Bijlage 4. Feedbackformulier klinisch redeneren...........................................................................................40
Bijlage 5. Feedbackformulier verpleegkundig leiderschap.............................................................................41
Bijlage 6. Bewijs deelname interprofessioneel klinisch redeneren................................................................42
.................................................................................................................................................................... 42
Bijlage 7. MMSE screening........................................................................................................................... 43
Bijlage 8. Montreal cognitive assessment screening......................................................................................44
Bijlage 9. Uitgewerkte interviews stakeholders............................................................................................ 45
3
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