Akutmedicinsk spotsygeplejerske i front – en central funktion i akutbehandlingen, der bidrager til kvalitet og effektivitet

Resumé
I takt med øgede patientstrømme og stadig mere komplekse behandlingsforløb i akutafdelingerne er det nødvendigt at tænke nyt i forhold til både patient-flow og ressourceudnyttelse.

I Akutafdelingen på Nordsjællands Hospital blev lokale udfordringer starten på en multifaktoriel organisationsændring, teoretisk funderet i forandringsledelse og organisationsteori, med iterative metode som model for den kontinuerlige udvikling i praksis.

Et af resultaterne blev udviklingen af en ny kompetenceprofil – den akutmedicinske spotsygeplejerske, som har vist sig at være et af de konkrete svar på udfordringerne med patient-flow og ressourceudnyttelse.

Denne artikel beskriver funktionens udvikling, dens teoretiske forankring, praktiske anvendelse, de organisatoriske gevinster samt perspektiver på den videre udvikling, herunder udvidelse til medicinsk behandlersygeplejerske.

English abstract

Acute care spot nurse at the frontline – a key function in emergency care contributing to quality and efficiency

With increasing patient flows and ever more complex treatment pathways in emergency departments, it is necessary to rethink both patient flow and the use of resources. At the Emergency Department at Nordsjællands Hospital, local challenges became the starting point for a multifactorial organisational change, theoretically grounded in change management and organisational theory, using an iterative approach as a model for continuous development in practice.

One outcome was the development of a new competence profile – the acute care spot nurse – which has proved to be one of the concrete responses to challenges related to patient flow and resource utilisation. This article describes the development of the role, its theoretical foundation, practical application, organisational benefits, and perspectives for further development, including expansion into the role of medical nurse practitioner.

Keywords: Emergency nursing, acute care spot nurse, patient flow, resource utilisation, organisational development, change management, competence profile, emergency department.