University of Twente Student Theses


Aanbevelingen ten aanzien van de plannen om de oorzaken van de werkdrukte te verminderen op de FB dagbehandeling van MST

Amersfort, J. van and Vankan, L.M.A. (2011) Aanbevelingen ten aanzien van de plannen om de oorzaken van de werkdrukte te verminderen op de FB dagbehandeling van MST.

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Abstract:The Fb day treatment is a hospital department in MST where patients come from the specialism‟s internal medicine and gastroenterology. Between 8:15h and 17:15h patients are treated. There is an increase of demand, the number of patients that comes for a treatment, while the capacity remains the same. The capacity consists of treatment places and employees. There are 16 treatment places of which 14 are beds and two are chairs. In one of the rooms there are seven chairs of which two are destined as treatment place. The employees consist of two secretaries, two department-assistants, 11 nurses, a nurse in training and a nurse practitioner. The applied research question is: Which recommendations can be done with regard to the planning to reduce the causes of workload on the Fb day treatment? Different sub questions are formulated to answer the research question. Each sub question has its own method, varying from literature research to observations and interviews. There also have been visits to several other comparable hospitals. Because of the subjective nature of the perceived workload the nurses can experience positive or negative workload. There are different causes of workload on the Fb day treatment. Most causes lay outside of the influence able area of the nurses. These causes are mainly categorized in the cluster insufficient treatment rooms available. This occurs primarily between 10:00h and 12:00h and can be seen as peak load. During this time, extra capacity is used. From analysis is found that the use of extra capacity is unnecessary when another planning is used. Several recommendations are made to reduce the workload. The most important are: - Plan appointments from 8:15h. - Plan a maximum number of patients per time. - Patient preference should be less leading while planning. - In the planning beds should be empty for delays, unplanned patients, complications and emergency cases. - Planning based on protocol time plus a margin. - Hire an extra administrative employee that focuses on the planning. - Central registration of reactions on treatments.
Item Type:Essay (Bachelor)
Medisch Spectrum Twente
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:88 social and public administration
Programme:Health Sciences BSc (56553)
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