Vakkundige zorg in balans: Individuele en team kwaliteiten verbinden

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1 Vakkundige zorg in balans: Individuele en team kwaliteiten verbinden Professor in Clinical Nursing Clinical Schools

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3 Vakkundige Zorg Het is de ambitie van VWS om iedereen zo lang mogelijk gezond te houden en zieken zo snel mogelijk beter te maken. Ook wil het ministerie mensen met een beperking ondersteunen en maatschappelijke participatie bevorderen Is de zorg dan wel vakkundig genoeg om deze ambitie te bereiken?

4 In Balans Zijn we in balans? Of zijn we overbelast (druk, druk, druk)?

5 In Balans, of toch te druk? Thompson et al. The relationship between busyness and research utilization: it is about time J Clin Nurs 2008;17:

6 Individu of Team Team handball is a complex sport game that is determined by the individual performance of each player as well as tactical components and interaction of the team Wagner et al. Individual and Team Performance in Team-Handball: A Review. J Sports Scie Med 2014;13:

7 Individu of Team Wagner et al. Individual and Team Performance in Team-Handball: A Review. J Sports Scie Med 2014;13:

8 Individu of Team Wagner et al. Individual and Team Performance in Team-Handball: A Review. J Sports Scie Med 2014;13:

9 Verbinden Ik, u, wij en zij zorgen samen voor optimale zorg voor patiënt & familie individuele kwaliteiten team kwaliteiten

10 Verbinden Ik, u, wij en zij zorgen samen voor optimale zorg voor patiënt & familie zij zijn

11 Wat willen patienten 4 key areas Get the basic right don t leave it to chance Fit in with my life don t force me to fit in with yours Treat me as a person not a symptom Work with me as a partner not just a recipient Dept of Health. What matter to patients, public and staff. London, DoH 2007

12 Factoren voor verandering Demographic changes Changing pattern of disease Rising public & patient expectations Increased access and choice Shift to community-based care Advances in treatment Information society

13 ZORG in Balans zorg Zorg Onderwijs Research Verpleegkundigen gezondheid Patienten & onderwijs Gezondheid research

14 ZORG in Balans zorg Zorg Onderwijs Research Gezondheid Verpleegkundigen gezondheid Patienten & onderwijs research

15 Zorg in of uit Balans Care left undone: dus geen zorg geleverd? Ausserhofer et al. Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study BMJ Qual Saf 2014;23:

16 Zorg in of uit Balans Care left undone: dus geen zorg geleverd? Ausserhofer et al. Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study BMJ Qual Saf 2014;23:

17 ZORG in Balans zorg Zorg Onderwijs Research Gezondheid Verpleegkundigen gezondheid Patienten & onderwijs research

18 Onderwijs in Balans Onderwijs in balans voor de huidige praktijk? Simulatie onderwijs vs projectmatig werken Synergie opleidingen en praktijk

19 Onderwijs in Balans Share knowledge Standards for education Education is the most powerful weapon which you can use to change the world Nelson Mandela

20 ZORG in Balans zorg Zorg Patienten Onderwijs Research Gezondheid Verpleegkundigen gezondheid & onderwijs research

21 Clinical Schools in Clinical Settings Instead of a model where students and clinicians have to seek out information and opportunities, we take the information to them through drop-in clinics at each hospital With Plymouth University Professor Ruth Endacott (Exeter) Professor Bridie Kent (Truro) Professor Jos Latour (Taunton and Plymouth)

22 What we do Aim is to close the evidence-practice gap by bringing the University to places where care is delivered Objectives include: Increasing research capacity, skills, and outputs within nursing and midwifery professions Facilitating higher degree study, including research Offering opportunities to registered and student nurses and midwifes to experience research in action

23 An idea! Work underway Finished! How can the clinical school help? Work out and assist with: - Funding - Ethics approval Plan for trying it out: - One patient/bay/shift How will you know it works? What do you expect to happen? Act as a critical friend Identify possible measures Advise on data collection and analysis Link with similar work in other hospitals Assist with dissemination: - Local: Hospital newsletter, website - (Inter)national: conference abstract and article publication - Implementation plan - Plan for further study?

24 ZORG in Balans zorg Zorg Onderwijs Research Gezondheid gezond -heid Patienten & Verpleegkundigen onderwijs research

25 Gezondheid in Balans Meten we outcome?

26 Gezondheid in Balans Te weinig focus op interventies

27 Outcome knowledge building knowledge sharing key organisational factors structure Quality Care outcome process clinical standards quality & safety cost-effectiveness child parents healthcare professionals shared empowerment quality shared values shared policy making public authorities data patients family satisfaction Latour JM et al. the PICTURE project 2013

28 Uitdagingen Measure nursing outcome Attract high talented new nurses Built an all-graduate profession education Create attractive career path

29 Vakkundige zorg door teamspelers met passie en empathie

30 Samenvattend

31 Dank voor uw aandacht