{"id":1226,"date":"2024-01-30T16:00:07","date_gmt":"2024-01-30T16:00:07","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=1226"},"modified":"2025-07-14T20:00:30","modified_gmt":"2025-07-14T18:00:30","slug":"ernaeringsproblematikker-overses-eller-nedprioriteres-i-det-sektoropdelte-sundhedsvaesen","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/01\/30\/ernaeringsproblematikker-overses-eller-nedprioriteres-i-det-sektoropdelte-sundhedsvaesen\/","title":{"rendered":"Ern\u00e6ringsproblematikker overses eller nedprioriteres i det sektoropdelte sundhedsv\u00e6sen"},"content":{"rendered":"

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

Frederiksen, Karina Bengtsson Juul & Marcussen, Michael. Nutritional focus is key – a qualitative study exploring a primary care perspective on nutrition efforts for elderly malnourished patients transitioning from hospital to home. Clinical Nutrition Open Science. 2023 Nov; 52: 202-213. https:\/\/doi.org\/10.1016\/j.nutos.2023.11.003<\/a><\/span><\/p>\n

Introduktion
\n<\/span><\/strong>Pr\u00e6valensen af underern\u00e6ring blandt \u00e6ldre under og efter indl\u00e6ggelse p\u00e5 sygehus i Danmark er h\u00f8j. Underern\u00e6ring kan have store negative konsekvenser for den \u00e6ldre og de p\u00e5r\u00f8rende og er en stor byrde for samfundet rent \u00f8konomisk og ressourcem\u00e6ssigt. Ern\u00e6ringsindsatsen er kompleks og stiller store krav til tv\u00e6rfaglig og tv\u00e6rsektoriel organisering. P\u00e5 trods af diverse anbefalinger tyder det dog p\u00e5, at ern\u00e6ringsindsatsen i forbindelse med sektorovergang ikke er implementeret optimalt i praksis.<\/span> Form\u00e5let med studiet var derfor at unders\u00f8ge, hvorledes den eksisterende ern\u00e6ringsm\u00e6ssige praksis i forbindelse med udskrivelse af \u00e6ldre underern\u00e6rede patienter fra sygehus til prim\u00e6r sektor opleves af det kommunale sundhedspersonale.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Et kvalitativt f\u00e6nomenologisk inspireret studie af interviews med ti kommunalt ansatte sundhedspersoner fra fem kommuner i Region Sj\u00e6lland og Region Hovedstaden. Til analysen benyttes systematisk tekstkondensering.12<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Studiet identificerer 4 temaer og 8 undertemaer: (a) \u201dPrioritering af ern\u00e6ringsindsatser\u201d: manglende politisk og ledelsesm\u00e6ssig prioritering; andre fokusomr\u00e5der end ern\u00e6ring hos ikke-ern\u00e6ringsprofessionelle. (b) \u201dOrganisering\u201d: siloorganisering kan hindre tv\u00e6rsektoriel ern\u00e6ringsindsats; begr\u00e6nset kendskab og forst\u00e5else for hinandens ansvar og arbejdsomr\u00e5det p\u00e5 tv\u00e6rs af sektorer. (c) \u201dKommunikation og samarbejde\u201d: mangelfuld og tilf\u00e6ldig kommunikation komplicerer samarbejdet om ern\u00e6ringsindsatser; strukturelle og IT-m\u00e6ssige rammer besv\u00e6rligg\u00f8r kommunikationen. (d) \u201dViden, kompetencer og handlemuligheder\u201d: begr\u00e6nset ern\u00e6ringsviden og -kompetencer hos plejepersonalet; begr\u00e6nsede handlemuligheder hos plejepersonalet kan virke som en barriere for ern\u00e6ringsindsatsen.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Det kommunale sundhedspersonale oplever et manglende fokus p\u00e5 ern\u00e6ringsindsatser, b\u00e5de politisk og ledelsesm\u00e6ssigt. Manglende ressourcer samt begr\u00e6nset ern\u00e6ringsviden og -kompetencer blandt ikke-ern\u00e6ringsfagligt personale besv\u00e6rligg\u00f8r ern\u00e6ringsindsatsen. Et siloopdelt sundhedsv\u00e6sen med adskilte journalsystemer resulterer i manglende samarbejde og kommunikation p\u00e5 tv\u00e6rs af sektorer. Kortere indl\u00e6ggelser og \u00f8get specialisering kan medf\u00f8re, at ern\u00e6ringsproblematikker overses eller nedprioriteres.<\/span><\/p>\n

Karina Bengtsson Juul Frederiksen, Cand.scient.san. aut. klinisk di\u00e6tist. <\/span>karinabengtsson@icloud.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Pr\u00e6valensen af underern\u00e6ring blandt \u00e6ldre under og efter indl\u00e6ggelse p\u00e5 sygehus i Danmark er h\u00f8j. Underern\u00e6ring kan have store negative konsekvenser for den \u00e6ldre og de p\u00e5r\u00f8rende og er en stor byrde for samfundet rent \u00f8konomisk og ressourcem\u00e6ssigt. Ern\u00e6ringsindsatsen er kompleks og stiller store krav til tv\u00e6rfaglig og tv\u00e6rsektoriel organisering. P\u00e5 trods af diverse anbefalinger tyder det dog p\u00e5, at ern\u00e6ringsindsatsen i forbindelse med sektorovergang ikke er implementeret optimalt i praksis. Form\u00e5let med studiet var derfor at unders\u00f8ge, hvorledes den eksisterende ern\u00e6ringsm\u00e6ssige praksis i forbindelse med udskrivelse af \u00e6ldre underern\u00e6rede patienter fra sygehus til prim\u00e6r sektor opleves af det kommunale sundhedspersonale.<\/p>\n","protected":false},"author":2,"featured_media":12689,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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