University of Groningen
Nursing in long-term institutional care
Tuinman, Astrid
DOI:
10.33612/diss.149061474
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Publication date: 2021
Link to publication in University of Groningen/UMCG research database
Citation for published version (APA):
Tuinman, A. (2021). Nursing in long-term institutional care: An examination of the process of care. University of Groningen. https://doi.org/10.33612/diss.149061474
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Stellingen
behorende bij het proefschrift
Nursing in long-term institutional care
An examination of the process of care Astrid Tuinman, 6 januari 2021
1. De onduidelijke functiedifferentiatie van het zorgpersoneel in de intramurale ouderenzorg beïnvloedt de kwaliteit van de zorg negatief (dit proefschrift).
2. Het inzetten van bachelor opgeleide verpleegkundigen zal bijdragen aan de kwaliteit van zorg.
3. De geleverde zorg in de intramurale ouderenzorg is eerder taakgericht dan persoonsgericht (dit proefschrift).
4. Het hebben van een visie op persoonsgerichte zorg is niet genoeg, er moet daadwerkelijk invulling aan worden gegeven.
5. Accurate verpleegkundige documentatie in het zorg(leef)plan van bewoners draagt bij aan persoonsgerichte zorg (dit proefschrift).
6. Het regelmatig beoordelen van zorg(leef)plannen door het zorgpersoneel zal bijdragen aan de implementatie en het naleven van richtlijnen met betrekking tot verpleegkundige en verzorgende verslaglegging.
7. Tekortkomingen in de samenhang van de verpleegkundige documentatie betekenen dat het zorgpersoneel onvoldoende competent is in het klinisch redeneren (dit proefschrift).
8. Kwaliteitsindicatoren moeten te beïnvloeden zijn door verpleegkundige interventies om uitspraken te kunnen doen over de relatie tussen zorgpersoneel en kwaliteit van zorguitkomsten (dit proefschrift).
9. Om uitspraken te kunnen doen over kwaliteit van zorg moet gegevensverzameling middels vragenlijsten en dossieronderzoek aangevuld worden met directe observaties van de zorgverlening (dit proefschrift).
10. Een visie op continue deskundigheidsbevordering van zorgpersoneel in de intramurale ouderenzorg is essentieel omdat initiële opleidingen onvoldoende opleiden om tegemoet te komen aan de complexe zorgbehoeften van bewoners.
11. Sometimes it is not enough that we do our best, we must do what is required (Sir Winston Churchill).
Propositions
accompanying the PhD dissertation
Nursing in long-term institutional care
An examination of the process of care Astrid Tuinman, 6 January 2021
1. Inadequate role differentiation between nursing staff in long-term institutional care negatively affects the quality of care (this dissertation).
2. The employment of bachelor educated nurses will contribute to the quality of care.
3. The nursing care provided in long-term institutional care is task-oriented rather than person-centered (this dissertation).
4. Beyond expressing a vision of person-centered care, implement it!
5. The accuracy of the nursing documentation in residents’ care plans contributes to the person-centeredness of care (this dissertation).
6. Regular assessments of care plans by nursing staff will contribute to the implementation and adherence of professional standards regarding nursing documentation.
7. Inadequacies in the coherence of nursing documentation imply that nursing staff lack sufficient clinical reasoning skills (this dissertation).
8. Quality indicators should be outcomes that are sensitive to nursing interventions to be able to make statements about the contribution of nursing staff to the quality of care (this dissertation).
9. To be able to make statements about the quality of care, the secondary quality outcome data derived from mandatory standardized surveys and/or reviewing recorded information will have to be supplemented with direct observations of the care that is provided.
10. A vision on ongoing professional education of nursing staff in long-term institutional care is essential as their initial education is not sufficient in meeting the complex care needs of residents.
11. Sometimes it is not enough that we do our best; we must do what is required (Sir Winston Churchill).
