VMS 7: Uitvoeren,
coördineren, organiseren en
verbeteren van zorg
Willems, Astrid
[BEDRIJFSNAAM] [Bedrijfsadres]
,Inhoudsopgave
Inleiding............................................................................................................................................4
Leeruitkomst 1..................................................................................................................................5
1.1 Gekozen methodieken verpleegkundige zorg vaststellen............................................................5
Verpleegkundig proces......................................................................................................................................5
Systematisch Rehabilitatiegericht handelen (SRH)...........................................................................................5
1.2 In kaart brengen zorgbehoefte....................................................................................................5
Stap 1: Anamnese.................................................................................................................................................6
Stap 2: Diagnosen stellen......................................................................................................................................7
Diagnosen met hoogste prioriteit.....................................................................................................................7
Stap 3: Doelen stellen............................................................................................................................................8
Doel 1.................................................................................................................................................................8
Doel 2.................................................................................................................................................................8
Doel 3.................................................................................................................................................................8
Stap 4: Interventies...............................................................................................................................................8
Stap 5: Uitvoeren interventies...............................................................................................................................9
Stap 6: Evalueren................................................................................................................................................10
1.3 Zorg rondom meerdere zorgvragers..........................................................................................10
Identiteit van zorgvrager....................................................................................................................................11
Culturele achtergrond.........................................................................................................................................11
Aandacht spirituele en zingevings aspecten.......................................................................................................11
Gespreksvoering..................................................................................................................................................12
Reflectie grenzen stellen.................................................................................................................................12
Leeruitkomst 2................................................................................................................................14
Eigen professionele verpleegkundige rol............................................................................................................14
2.1 Inschakelen passende professional............................................................................................14
Verschillende belangen.......................................................................................................................................15
Psychiater........................................................................................................................................................15
Psycholoog.......................................................................................................................................................15
Ambulante teams............................................................................................................................................15
Communiceren met andere zorgprofessionals...................................................................................................16
Reflectie EVV-dienst........................................................................................................................................16
2.2 Zorgcontext in groter perspectief..............................................................................................17
2.4 Formatieve feedback.................................................................................................................18
Leeruitkomst 3................................................................................................................................19
3.1 Ethisch dilemma........................................................................................................................19
Probleem.............................................................................................................................................................19
1
, Feiten...................................................................................................................................................................19
Medisch...........................................................................................................................................................19
Zorg gerelateerd..............................................................................................................................................20
Levensbeschouwelijk en psychosociaal..........................................................................................................20
Organisatorisch...............................................................................................................................................21
Juridisch...........................................................................................................................................................21
Morele waarden..................................................................................................................................................21
Welzijn van de cliënt.......................................................................................................................................21
Autonomie van patiënt...................................................................................................................................21
Rechtvaardigheid.............................................................................................................................................21
Andere waarden..............................................................................................................................................22
Verantwoordelijkheid van zorgverleners........................................................................................................22
Besluitvorming....................................................................................................................................................22
Reflectie...........................................................................................................................................................24
3.2 Feedback...................................................................................................................................24
Feedback van collega’s.......................................................................................................................................24
Formatieve feedback...........................................................................................................................................25
Leeruitkomst 4................................................................................................................................26
4.1 Oriëntatiefase............................................................................................................................26
Risico patiëntveiligheid.......................................................................................................................................26
Visie kliniek volwassenen................................................................................................................................27
4.2 Definitiefase..............................................................................................................................27
Verbeterpunt-mindmap......................................................................................................................................27
Doelstellingen..................................................................................................................................................28
Knoster................................................................................................................................................................29
Verbetermaatregelen..........................................................................................................................................29
4.3 Voorbereidingsfase....................................................................................................................30
veranderstrategie................................................................................................................................................30
Factoren die weerstand veroorzaken.............................................................................................................30
Stakeholdersanalyse........................................................................................................................................31
Literatuuronderzoek............................................................................................................................................31
4.4 Implementatie fase....................................................................................................................32
Plan van aanpak (korte versie)...........................................................................................................................32
4.5 Realisatiefase.............................................................................................................................33
4.6 Reflectie.....................................................................................................................................33
Bronnenlijst.....................................................................................................................................34
Bijlage A: Overzicht ziektebeelden......................................................................................................................39
Bijlage B: Complexiteit van zorg bepalen...........................................................................................................42
Bijlage C: Persoonlijk profiel................................................................................................................................44
2
, Bijlage D: Diagnosen...........................................................................................................................................46
Bijlage E: Medicatieschema................................................................................................................................48
Bijlage F: Dagschema..........................................................................................................................................49
Bijlage G: Enquêtes.............................................................................................................................................50
Bijlage H: Verbetermaatregelen.........................................................................................................................56
Bijlage I: Caluwé kleurentest...............................................................................................................................57
Bijlage J: Stakeholdersanalyse............................................................................................................................58
Bijlage K: Nieuwe checklist..................................................................................................................................59
Bijlage L: Plan van aanpak..................................................................................................................................65
Bijlage M: Instructiekaart...................................................................................................................................68
3
coördineren, organiseren en
verbeteren van zorg
Willems, Astrid
[BEDRIJFSNAAM] [Bedrijfsadres]
,Inhoudsopgave
Inleiding............................................................................................................................................4
Leeruitkomst 1..................................................................................................................................5
1.1 Gekozen methodieken verpleegkundige zorg vaststellen............................................................5
Verpleegkundig proces......................................................................................................................................5
Systematisch Rehabilitatiegericht handelen (SRH)...........................................................................................5
1.2 In kaart brengen zorgbehoefte....................................................................................................5
Stap 1: Anamnese.................................................................................................................................................6
Stap 2: Diagnosen stellen......................................................................................................................................7
Diagnosen met hoogste prioriteit.....................................................................................................................7
Stap 3: Doelen stellen............................................................................................................................................8
Doel 1.................................................................................................................................................................8
Doel 2.................................................................................................................................................................8
Doel 3.................................................................................................................................................................8
Stap 4: Interventies...............................................................................................................................................8
Stap 5: Uitvoeren interventies...............................................................................................................................9
Stap 6: Evalueren................................................................................................................................................10
1.3 Zorg rondom meerdere zorgvragers..........................................................................................10
Identiteit van zorgvrager....................................................................................................................................11
Culturele achtergrond.........................................................................................................................................11
Aandacht spirituele en zingevings aspecten.......................................................................................................11
Gespreksvoering..................................................................................................................................................12
Reflectie grenzen stellen.................................................................................................................................12
Leeruitkomst 2................................................................................................................................14
Eigen professionele verpleegkundige rol............................................................................................................14
2.1 Inschakelen passende professional............................................................................................14
Verschillende belangen.......................................................................................................................................15
Psychiater........................................................................................................................................................15
Psycholoog.......................................................................................................................................................15
Ambulante teams............................................................................................................................................15
Communiceren met andere zorgprofessionals...................................................................................................16
Reflectie EVV-dienst........................................................................................................................................16
2.2 Zorgcontext in groter perspectief..............................................................................................17
2.4 Formatieve feedback.................................................................................................................18
Leeruitkomst 3................................................................................................................................19
3.1 Ethisch dilemma........................................................................................................................19
Probleem.............................................................................................................................................................19
1
, Feiten...................................................................................................................................................................19
Medisch...........................................................................................................................................................19
Zorg gerelateerd..............................................................................................................................................20
Levensbeschouwelijk en psychosociaal..........................................................................................................20
Organisatorisch...............................................................................................................................................21
Juridisch...........................................................................................................................................................21
Morele waarden..................................................................................................................................................21
Welzijn van de cliënt.......................................................................................................................................21
Autonomie van patiënt...................................................................................................................................21
Rechtvaardigheid.............................................................................................................................................21
Andere waarden..............................................................................................................................................22
Verantwoordelijkheid van zorgverleners........................................................................................................22
Besluitvorming....................................................................................................................................................22
Reflectie...........................................................................................................................................................24
3.2 Feedback...................................................................................................................................24
Feedback van collega’s.......................................................................................................................................24
Formatieve feedback...........................................................................................................................................25
Leeruitkomst 4................................................................................................................................26
4.1 Oriëntatiefase............................................................................................................................26
Risico patiëntveiligheid.......................................................................................................................................26
Visie kliniek volwassenen................................................................................................................................27
4.2 Definitiefase..............................................................................................................................27
Verbeterpunt-mindmap......................................................................................................................................27
Doelstellingen..................................................................................................................................................28
Knoster................................................................................................................................................................29
Verbetermaatregelen..........................................................................................................................................29
4.3 Voorbereidingsfase....................................................................................................................30
veranderstrategie................................................................................................................................................30
Factoren die weerstand veroorzaken.............................................................................................................30
Stakeholdersanalyse........................................................................................................................................31
Literatuuronderzoek............................................................................................................................................31
4.4 Implementatie fase....................................................................................................................32
Plan van aanpak (korte versie)...........................................................................................................................32
4.5 Realisatiefase.............................................................................................................................33
4.6 Reflectie.....................................................................................................................................33
Bronnenlijst.....................................................................................................................................34
Bijlage A: Overzicht ziektebeelden......................................................................................................................39
Bijlage B: Complexiteit van zorg bepalen...........................................................................................................42
Bijlage C: Persoonlijk profiel................................................................................................................................44
2
, Bijlage D: Diagnosen...........................................................................................................................................46
Bijlage E: Medicatieschema................................................................................................................................48
Bijlage F: Dagschema..........................................................................................................................................49
Bijlage G: Enquêtes.............................................................................................................................................50
Bijlage H: Verbetermaatregelen.........................................................................................................................56
Bijlage I: Caluwé kleurentest...............................................................................................................................57
Bijlage J: Stakeholdersanalyse............................................................................................................................58
Bijlage K: Nieuwe checklist..................................................................................................................................59
Bijlage L: Plan van aanpak..................................................................................................................................65
Bijlage M: Instructiekaart...................................................................................................................................68
3
