{"id":10053,"date":"2024-10-27T18:21:21","date_gmt":"2024-10-27T17:21:21","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=10053"},"modified":"2025-07-14T20:14:25","modified_gmt":"2025-07-14T18:14:25","slug":"tegn-og-symptomer-hos-indlagte-boern-og-unge-der-vaekker-sygeplejerskers-opmaerksomhed-en-kvalitativ-undersoegelse-i-danmark-og-norge","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/10\/27\/tegn-og-symptomer-hos-indlagte-boern-og-unge-der-vaekker-sygeplejerskers-opmaerksomhed-en-kvalitativ-undersoegelse-i-danmark-og-norge\/","title":{"rendered":"Tegn og symptomer hos indlagte b\u00f8rn og unge, der v\u00e6kker sygeplejerskers opm\u00e6rksomhed \u2013 En kvalitativ unders\u00f8gelse i Danmark og Norge"},"content":{"rendered":"

\"\"<\/p>\n

Download som PDF<\/a><\/p>\n

Jensen, C. S., Holmen, H., Winger, A., & Eg, M. (2025). Signs and symptoms in hospitalized children and adolescents’ triggering nurses’ awareness \u2013 A qualitative study across Denmark and Norway. International Journal of Nursing Studies, 161, 104918. <\/span>DOI: <\/span>10.1016\/j.ijnurstu.2024.104918<\/a><\/span><\/p>\n

Introduktion
\n<\/span><\/strong>Tidlig identifikation af kliniske \u00e6ndringer hos b\u00f8rn er afg\u00f8rende for at forhindre forv\u00e6rring. Selvom der findes standardiserede redskaber til tidlig opsporing af kritisk sygdom, er der en voksende anerkendelse af behovet for at tage subjektive faktorer i betragtning baseret p\u00e5 erfarne sygeplejerskers viden og intuition. <\/span>Form\u00e5let med dette studie var derfor at udforske hvilke tegn og symptomer, ud over vitale v\u00e6rdier, der v\u00e6kker sygeplejerskers bekymring vedr\u00f8rende forv\u00e6rring af indlagte b\u00f8rns kliniske tilstand.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Fire fokusgrupper med deltagelse af 29 sygeplejersker ansat p\u00e5 3 b\u00f8rne- og ungeafdelinger i Danmark og en sygeplejeafdeling p\u00e5 et universitet i Norge, der tilbyder postgraduate uddannelsesprogrammer for sundhedsprofessioner, der arbejder med b\u00f8rn og unge i hele Norge. <\/span>Data blev analyseret via kvalitativ indholdsanalyse.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Sygeplejerskers intuitive fornemmelse er ofte en tidlig indikator for forv\u00e6rring, selv f\u00f8r vitale v\u00e6rdier \u00e6ndrer sig. \u00c6ndringer i respiration, cirkulation, bevidsthedsniveau og ansigtsudtryk er specifikke indikatorer, der udl\u00f8ser bekymring. <\/span>Seks sygeplejeindikatorer for klinisk forv\u00e6rring blev identificeret. <\/span>Sygeplejerskers viden om b\u00f8rns kliniske tilstande p\u00e5virkes af sygeplejerskernes erfaring ligesom information fra for\u00e6ldre om barnets normale adf\u00e6rd betragtes som v\u00e6rdifulde. <\/span>Vi fandt at sygeplejersker i h\u00f8j grad stoler p\u00e5 deres intuition og kliniske erfaring ud over de vitale v\u00e6rdier. Denne intuitive f\u00f8lelse guider ofte deres vurderinger, is\u00e6r n\u00e5r de vitale v\u00e6rdier er normale.<\/span><\/p>\n

Diskussion og konklusion
\n<\/span><\/strong>Sygeplejerskerne tr\u00e6kker p\u00e5 deres erfaringer, intuition og interaktioner med for\u00e6ldre for at supplere vurderinger baseret p\u00e5 vitale v\u00e6rdier. Deres intuition, fungerer som et v\u00e6rdifuldt redskab, n\u00e5r vitale tegn ikke fuldt ud fanger barnets kliniske status, og kan anses som en fagspecifik kompetence.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Dette studie bidrager med viden, der forbedrer forst\u00e5elsen af, hvordan sygeplejersker identificerer potentiel forv\u00e6rring hos p\u00e6diatriske patienter. Det fremh\u00e6ver ligeledes den multifacetterede natur af sygeplejerskers vurderinger af kliniske tilstande hos indlagte b\u00f8rn og understreger sygeplejerskernes rolle i tidlig opsporing af kritisk sygdom og behovet for vurderinger, der g\u00e5r ud over vitale v\u00e6rdier.<\/span><\/p>\n

Claus Sixtus Jensen, lektor i sygepleje til b\u00f8rn og klinisk sygeplejespecialist. <\/span>claus.sixtus.jensen@clin.au.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Download som PDF Jensen, C. S., Holmen, H., Winger, A., & Eg, M. (2025). Signs and symptoms in hospitalized children 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