Summary
Samenvatting Afstuderen Implementatieplan: Onderdeel scriptie
- Course
- Institution
In dit implementatieplan wordt er een kwaliteitsverbetering geschreven om de werkdruk en zorgzwaarte op de afdeling te verminderen.
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Afstuderen: ImplementatieEen kwaliteitsverbetering binnen het ziekenhuis voor een
gelijkwaardige werkverdeling en meer tijd voor de patiënt
Naam: -
Studentnummer: -
Groep: -
Eerste examinator: Dees van der Hoorn
Tweede examinator: Eveline Kruse
Studieonderdeel: Afstuderen: Implementatie
Studiegidsnummer: 4518AFIPPA
Aantal woorden: 3935 woorden
Datum: Dinsdag 25 mei 2021
Inhoudsopgave
Afstuderen: Implementatie............................................................................................................................ 1
,Een kwaliteitsverbetering binnen het ziekenhuis voor een gelijkwaardige werkverdeling en meer tijd voor de
patiënt.......................................................................................................................................................... 1
Naam: -.................................................................................................................................................................1
Studentnummer: -.................................................................................................................................................1
Groep: -.................................................................................................................................................................1
Eerste examinator: Dees van der Hoorn...............................................................................................................1
Tweede examinator: Eveline Kruse.......................................................................................................................1
Studieonderdeel: Afstuderen: Implementatie......................................................................................................1
Studiegidsnummer: 4518AFIPPA..........................................................................................................................1
Aantal woorden: 3935 woorden...........................................................................................................................1
Datum: Dinsdag 25 mei 2021...............................................................................................................................1
1.0 Inleiding................................................................................................................................................... 3
1.1 Het probleem..................................................................................................................................................3
Huidige werkwijze............................................................................................................................................4
Gewenste werkwijze........................................................................................................................................4
1.2 SMART doelstelling.........................................................................................................................................4
2.0 Achtergrondinformatie............................................................................................................................ 4
2.1 Patiëntengroep en setting..............................................................................................................................4
2.2 Betrokkenen en Stakeholders.........................................................................................................................5
Betrokkenen op macroniveau: (zorgverlening op internationaal niveau)......................................................5
Betrokkenen op mesoniveau (zorgverlening op organisatieniveau)..............................................................5
Betrokkenen op microniveau (zorgverlening op patiënten niveau)...............................................................5
3.0 Probleemanalyse..................................................................................................................................... 6
3.1 Huidige en gewenste werkwijze.....................................................................................................................6
Huidige werkwijze............................................................................................................................................6
Kwaliteitsverbetering.......................................................................................................................................6
Belangen voor patiënt en verpleegkundige....................................................................................................7
3.2 Doelgroep analyse..........................................................................................................................................7
Afdelingshoofd.................................................................................................................................................7
Senior verpleegkundigen.................................................................................................................................8
Verpleegkundig team......................................................................................................................................8
3.3 Context analyse..............................................................................................................................................9
Sociale context.................................................................................................................................................9
Organisatorische context...............................................................................................................................10
Financieel-economische context...................................................................................................................10
Juridische maatschappelijke context.............................................................................................................11
4.0 Implementatiediagnose.......................................................................................................................... 11
Bevorderende en belemmerende factoren kwaliteitsverbetering...............................................................11
5.0 Implementatiestrategieën...................................................................................................................... 12
5.1 Informerende strategie.................................................................................................................................12
5.2 Motiveren en draagvlak vergroten...............................................................................................................13
5.3 Organisatorische strategie...........................................................................................................................13
2
, 6.0 Tijdspad en activiteitenschema............................................................................................................... 13
7.0 Borging.................................................................................................................................................. 15
8.0 Evaluatie................................................................................................................................................ 15
Structuurindicator.........................................................................................................................................15
Procesindicatoren..........................................................................................................................................16
Uitkomstindicatoren......................................................................................................................................16
9.0 PDCA-overzicht...................................................................................................................................... 16
PLAN...................................................................................................................................................................16
De vernieuwde werkwijze.............................................................................................................................16
DO.......................................................................................................................................................................17
ACT......................................................................................................................................................................17
CHECK.................................................................................................................................................................17
Procesindicator..............................................................................................................................................17
Uitkomstindicator..........................................................................................................................................17
Bronnen...................................................................................................................................................... 17
Bijlage......................................................................................................................................................... 18
1. Enquête 1: Nulmeting.....................................................................................................................................18
2. Enquête 2: Evaluatie.......................................................................................................................................19
3. Boring checklist...............................................................................................................................................21
4. Poster..............................................................................................................................................................22
1.0 Inleiding
Dit implementatieplan wordt geschreven met behulp van het implementatiemodel van
Wensing en Grol en de ondersteunende handleiding van ZonMw (1, 2).
Op de Traumatologie in ziekenhuis X zijn veel patiënten opgenomen met heftige trauma’s.
Doordat de patiënten zware letsels hebben, is de zorg vaak erg intensief en heeft de zorg
voor deze patiënten veel aandacht nodig. De verpleegkundigen vangen deze zware zorg op
en streven ernaar om alle patiënten de zorg aan te bieden die ze nodig hebben
1.1 Het probleem
De opgenomen patiënten hebben zowel fysieke als mentale zorg nodig die voornamelijk
door de verpleegkundige wordt opgevangen, maar doordat de verpleging het vaak erg druk
heeft met andere patiënten komt het geregeld voor dat dit niet haalbaar is. Hierdoor geven
3
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