Portfolio PLP3
Name: Marloes Fieten
Student number: 398491
University in the Netherlands: Hanze University of Applied Sciences Groningen, bachelor of
nursing
University of Indonesia: Universitas Diponegoro
Supervisor Hanze: Sanne Heinen & Hyllan Weijer
Supervisor Undip: Bu Fitria & bu Yuni
Year: 4, semester 2
Date: 28-05-2023
Period: PLP3
,Table of contents
Introduction.................................................................................................................................................. 5
Chapter 1: Evaluation form and reflection justification of care........................................................................6
Chapter 2: Evaluation form and reflection securing quality and safety..........................................................14
Chapter 4: Evaluation form and reflection encouraging self management.....................................................26
Chapter 5: Evaluation form and reflection directing of care..........................................................................29
Chapter 6: Assignment justification of care................................................................................................... 32
Introduction................................................................................................................................................. 36
Chapter 1: Orientation to the situation......................................................................................................... 37
1.1: Case study...................................................................................................................................................37
1.2: SBAR............................................................................................................................................................37
Chapter 2: Understanding clinical problem................................................................................................... 47
2.1: The working diagnoses................................................................................................................................47
2.2: The care themes..........................................................................................................................................47
2.3: Elaboration of the care themes...................................................................................................................49
2.3.1: Mental functions..................................................................................................................................49
2.3.2: Respiration...........................................................................................................................................49
2.3.3: Circulation............................................................................................................................................50
2.3.4: Oxygenation of the heart....................................................................................................................51
2.3.5: Digestive system..................................................................................................................................52
2.3.6: Skin and immune functions.................................................................................................................52
2.3.7: Blood values.........................................................................................................................................53
2.3.8: Neurological functions.........................................................................................................................53
2.3.9: Thermoregulation system...................................................................................................................54
2.3.10: Activities and participation................................................................................................................54
2.4: ABCDE method............................................................................................................................................55
Chapter 3: Additional research..................................................................................................................... 57
3.1: Anamnesis...................................................................................................................................................57
3.2: Physical examination..................................................................................................................................57
3.3: Lab...............................................................................................................................................................57
3.5: Blood gas.....................................................................................................................................................57
3.6: Imaging examination..................................................................................................................................58
3.7: Mantoux......................................................................................................................................................58
3.8: PCR test.......................................................................................................................................................58
3.9: Consultation................................................................................................................................................58
3.10: Conclusion.................................................................................................................................................59
Chapter 4: Clinical policy.............................................................................................................................. 60
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, 4.1: Clustering....................................................................................................................................................60
4.2: Prioritize......................................................................................................................................................61
4.3: Diagnosis.....................................................................................................................................................62
4.4: Nursing treatment goals.............................................................................................................................63
4.5: Interventions...............................................................................................................................................64
4.6: Information and communication technology (ICT) interventions...............................................................66
4.7: Evaluation...................................................................................................................................................67
Chapter 5: Clinical course............................................................................................................................. 69
5.1: Desired situation.........................................................................................................................................69
5.2: Unwanted situation.....................................................................................................................................69
Chapter 6: Review........................................................................................................................................ 70
6.1: Patient safety..............................................................................................................................................70
6.2: Quality of professional practice..................................................................................................................70
Chapter 7: Person-centered care and communication...................................................................................71
7.1: Shared decision making..............................................................................................................................71
7.2: What did I learn?.........................................................................................................................................71
7.2.1: Medical knowledge..............................................................................................................................71
7.2.2: Working with language barrier............................................................................................................71
7.2.3: Working with cultural differences and cultural sensitivity..................................................................71
7.2.4: Encounter own norms and values.......................................................................................................72
7.2.5: Mental health in Indonesia..................................................................................................................72
Chapter 8: Case discussion........................................................................................................................... 74
Literature..................................................................................................................................................... 75
Attachment 1: Medical methodology........................................................................................................... 79
Attachment 2: Complexity of practical situation........................................................................................... 82
Attachment 3: Feedback form case discussion.............................................................................................. 85
Attachment 4: Anti-plagiarism statement..................................................................................................... 86
Attachment 5: Extra report.......................................................................................................................... 87
Chapter 7: Assignment securing quality and safety.......................................................................................88
Introduction................................................................................................................................................. 92
Chapter 1: Theoretical framework................................................................................................................ 93
1.1: Introduction of the problem........................................................................................................................93
1.2: Problem statement......................................................................................................................................94
1.3: Research question.......................................................................................................................................95
Chapter 2: Methodology.............................................................................................................................. 96
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, 2.1: Literature research......................................................................................................................................96
2.1.1: Protocol hand hygiene.........................................................................................................................96
2.1.2: Protocol insertion of an infusion needle.............................................................................................96
2.2: Survey..........................................................................................................................................................97
Chapter 3: Outcome..................................................................................................................................... 98
3.1: Results.........................................................................................................................................................98
3.2: Conclusion...................................................................................................................................................98
3.3: Recommendation........................................................................................................................................99
Chapter 4: Implementation plan................................................................................................................. 100
4.1: Defining goals and target groups.............................................................................................................100
4.2: Target group analysis................................................................................................................................100
4.3: Renewal vetting.........................................................................................................................................101
4.4: Context......................................................................................................................................................102
4.5: Stategy......................................................................................................................................................102
4.6: Action plan and communicate approach..................................................................................................102
4.7: Evaluation.................................................................................................................................................103
4.8: Set to work................................................................................................................................................103
Chapter 5: Professional leadership............................................................................................................. 104
Literature................................................................................................................................................... 106
Attachment 1: Survey................................................................................................................................. 108
Attachment 2: Indonesian protocol disinfecting hands with alcohol............................................................110
Attachment 3: Indonesian protocol washing hands with soap.....................................................................111
Attachment 4: Indonesian protocol inserting an infusion needle.................................................................114
Attachment 1: Anti-plagiarism statement................................................................................................... 117
Attachment 2: Competence scan PLP3........................................................................................................ 118
4
Name: Marloes Fieten
Student number: 398491
University in the Netherlands: Hanze University of Applied Sciences Groningen, bachelor of
nursing
University of Indonesia: Universitas Diponegoro
Supervisor Hanze: Sanne Heinen & Hyllan Weijer
Supervisor Undip: Bu Fitria & bu Yuni
Year: 4, semester 2
Date: 28-05-2023
Period: PLP3
,Table of contents
Introduction.................................................................................................................................................. 5
Chapter 1: Evaluation form and reflection justification of care........................................................................6
Chapter 2: Evaluation form and reflection securing quality and safety..........................................................14
Chapter 4: Evaluation form and reflection encouraging self management.....................................................26
Chapter 5: Evaluation form and reflection directing of care..........................................................................29
Chapter 6: Assignment justification of care................................................................................................... 32
Introduction................................................................................................................................................. 36
Chapter 1: Orientation to the situation......................................................................................................... 37
1.1: Case study...................................................................................................................................................37
1.2: SBAR............................................................................................................................................................37
Chapter 2: Understanding clinical problem................................................................................................... 47
2.1: The working diagnoses................................................................................................................................47
2.2: The care themes..........................................................................................................................................47
2.3: Elaboration of the care themes...................................................................................................................49
2.3.1: Mental functions..................................................................................................................................49
2.3.2: Respiration...........................................................................................................................................49
2.3.3: Circulation............................................................................................................................................50
2.3.4: Oxygenation of the heart....................................................................................................................51
2.3.5: Digestive system..................................................................................................................................52
2.3.6: Skin and immune functions.................................................................................................................52
2.3.7: Blood values.........................................................................................................................................53
2.3.8: Neurological functions.........................................................................................................................53
2.3.9: Thermoregulation system...................................................................................................................54
2.3.10: Activities and participation................................................................................................................54
2.4: ABCDE method............................................................................................................................................55
Chapter 3: Additional research..................................................................................................................... 57
3.1: Anamnesis...................................................................................................................................................57
3.2: Physical examination..................................................................................................................................57
3.3: Lab...............................................................................................................................................................57
3.5: Blood gas.....................................................................................................................................................57
3.6: Imaging examination..................................................................................................................................58
3.7: Mantoux......................................................................................................................................................58
3.8: PCR test.......................................................................................................................................................58
3.9: Consultation................................................................................................................................................58
3.10: Conclusion.................................................................................................................................................59
Chapter 4: Clinical policy.............................................................................................................................. 60
2
, 4.1: Clustering....................................................................................................................................................60
4.2: Prioritize......................................................................................................................................................61
4.3: Diagnosis.....................................................................................................................................................62
4.4: Nursing treatment goals.............................................................................................................................63
4.5: Interventions...............................................................................................................................................64
4.6: Information and communication technology (ICT) interventions...............................................................66
4.7: Evaluation...................................................................................................................................................67
Chapter 5: Clinical course............................................................................................................................. 69
5.1: Desired situation.........................................................................................................................................69
5.2: Unwanted situation.....................................................................................................................................69
Chapter 6: Review........................................................................................................................................ 70
6.1: Patient safety..............................................................................................................................................70
6.2: Quality of professional practice..................................................................................................................70
Chapter 7: Person-centered care and communication...................................................................................71
7.1: Shared decision making..............................................................................................................................71
7.2: What did I learn?.........................................................................................................................................71
7.2.1: Medical knowledge..............................................................................................................................71
7.2.2: Working with language barrier............................................................................................................71
7.2.3: Working with cultural differences and cultural sensitivity..................................................................71
7.2.4: Encounter own norms and values.......................................................................................................72
7.2.5: Mental health in Indonesia..................................................................................................................72
Chapter 8: Case discussion........................................................................................................................... 74
Literature..................................................................................................................................................... 75
Attachment 1: Medical methodology........................................................................................................... 79
Attachment 2: Complexity of practical situation........................................................................................... 82
Attachment 3: Feedback form case discussion.............................................................................................. 85
Attachment 4: Anti-plagiarism statement..................................................................................................... 86
Attachment 5: Extra report.......................................................................................................................... 87
Chapter 7: Assignment securing quality and safety.......................................................................................88
Introduction................................................................................................................................................. 92
Chapter 1: Theoretical framework................................................................................................................ 93
1.1: Introduction of the problem........................................................................................................................93
1.2: Problem statement......................................................................................................................................94
1.3: Research question.......................................................................................................................................95
Chapter 2: Methodology.............................................................................................................................. 96
3
, 2.1: Literature research......................................................................................................................................96
2.1.1: Protocol hand hygiene.........................................................................................................................96
2.1.2: Protocol insertion of an infusion needle.............................................................................................96
2.2: Survey..........................................................................................................................................................97
Chapter 3: Outcome..................................................................................................................................... 98
3.1: Results.........................................................................................................................................................98
3.2: Conclusion...................................................................................................................................................98
3.3: Recommendation........................................................................................................................................99
Chapter 4: Implementation plan................................................................................................................. 100
4.1: Defining goals and target groups.............................................................................................................100
4.2: Target group analysis................................................................................................................................100
4.3: Renewal vetting.........................................................................................................................................101
4.4: Context......................................................................................................................................................102
4.5: Stategy......................................................................................................................................................102
4.6: Action plan and communicate approach..................................................................................................102
4.7: Evaluation.................................................................................................................................................103
4.8: Set to work................................................................................................................................................103
Chapter 5: Professional leadership............................................................................................................. 104
Literature................................................................................................................................................... 106
Attachment 1: Survey................................................................................................................................. 108
Attachment 2: Indonesian protocol disinfecting hands with alcohol............................................................110
Attachment 3: Indonesian protocol washing hands with soap.....................................................................111
Attachment 4: Indonesian protocol inserting an infusion needle.................................................................114
Attachment 1: Anti-plagiarism statement................................................................................................... 117
Attachment 2: Competence scan PLP3........................................................................................................ 118
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