
Master thesis
Erasmus University
Beleider:
Dr. Pleuntje Van Meer
Master Healthcare Management
Resultaat: 8.8
2021
Reflection on giving meaning to Intrgral Quality of Life
Tijdens mijn master Healthcare Management aan de Erasmus Universiteit in Rotterdam, deed ik onderzoek naar hoe zorgprofessionals bijdragen aan zingeving in het leven van mensen met dementie in de palliatieve fase.
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Ik schreef dit onderzoek in het engels. Op deze pagina kan je de engelse samenvatting vinden en een link naar de pdf van de thesis.
Samenvatting
Introduction: A Psychogeriatric resident at Zinzia Zorggroep is dependent on the help of the healthcare professionals for the experiences of Integral Quality of Life (IQL). For PG- residents, the role of the hcp is to interpret their needs in order to give meaning to IQL. However, it cannot be prevented that the actions of the healthcare professionals are influenced by their perception of what IQL must look like. Zinzia states that healthcare professionals struggle with this complexity, while they want to learn through openness in Reflexive spaces. Literature does calculate IQL quantitatively. However, that is not usable to understand how healthcare professionals give meaning to IQL through their perceptions and actions. Therefore, this topic was investigated qualitatively through the skill of reflexivity, with the question: “How do healthcare professionals who work for Zinzia, give meaning (through perception and action) to Integral Quality of Life of psychogeriatric residents, how do they reflect on this and what can these healthcare professionals and the policymakers of Zinzia learn from this research and what does reflexivity teach
me”? Theoretical Framework: The care ethics discourse gives insights into how healthcare professionals influence the process of ‘giving meaning to IQL’ because this discourse sees the resident, not as a patient with only biomedical needs. Besides, positive health gives insights. This re-conceptualization of health looks at health more integrally by considering social, physical, and psychological components of life. Healthcare professionals reflect on this in Reflexive spaces. Method: In this research, an Action Research approach was followed, in which the researcher has involved herself while trying to make connections with the persons studied and theorizing practice. This can be divided into first person- and second person Actions Research. Data were collected through interviews, observations, and journaling. Results: Healthcare professionals give meaning to IQL by involving the whole system around the resident. Teamwork is important because by using different perceptions about the resident's situation, they get a better understanding of what someone needs. They reflect on their contribution, the team, and the whole care process, in both formal- and informal settings. Discussion: Not every healthcare professional is aware of his/her influence on the care process. Therefore, training reflexivity among healthcare professionals is essential. Besides, I had a personal interest in this research, which could have resulted in an ‘overconfidence barrier’, or in a deeper investigation. Conclusion: Healthcare professionals have an eye for individual needs. They reflect on the question ‘what is good care?’
within Reflexive spaces. In this, the skill of reflexivity is essential to give meaning to IQL. Reflexivity gave insights into how I influenced the research process and how healthcare professionals influence the care process.
