{"id":1240,"date":"2024-01-30T16:00:43","date_gmt":"2024-01-30T16:00:43","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=1240"},"modified":"2025-07-14T19:46:28","modified_gmt":"2025-07-14T17:46:28","slug":"kliniske-beslutningstagen-i-forbindelse-med-brug-af-akut-beroligende-tvangsmedicin-er-kompleks","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/01\/30\/kliniske-beslutningstagen-i-forbindelse-med-brug-af-akut-beroligende-tvangsmedicin-er-kompleks\/","title":{"rendered":"klinisk beslutningstagen i forbindelse med brug af akut beroligende tvangsmedicin er kompleks"},"content":{"rendered":"

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

Pedersen ML, Gildberg FA, Laulund R, J\u00f8rgensen K, Tingleff EB. Nurses’ clinical decision-making in the use of rapid tranquillization in adult mental health inpatient settings: An integrative review. Int J Ment Health Nurs. 2023;32(5):1274-88. DOI: 10.1111\/inm.13181<\/a><\/span><\/p>\n

Introduktion<\/span><\/strong> 
\n<\/span>Akut beroligende tvangsmedicin er en almindelig tvangsforanstaltning inden for psykiatrien, ofte udf\u00f8rt af sygeplejersker. For at forbedre psykiatrisk praksis er det afg\u00f8rende at forst\u00e5 sygeplejerskers kliniske beslutningstagen ved brug af akut beroligende tvangsmedicin. Form\u00e5let med denne litteraturgennemgang var derfor at analysere forskningslitteraturen vedr\u00f8rende sygeplejerskers kliniske beslutningstagen ved brug af akut beroligende tvangsmedicin p\u00e5 voksenpsykiatriske afdelinger.<\/span><\/p>\n

Metode<\/span> 
\n<\/span><\/strong>Litteraturgennemgangen blev udf\u00f8rt ved at f\u00f8lge metoden beskrevet af Whittemore og Knafl. Den systematiske s\u00f8gning blev udf\u00f8rt i fem bibliografiske databaser: APA PsycINFO, CINAHL Complete, Embase, PubMed og Scopus. Der blev ogs\u00e5 foretaget s\u00f8gninger efter gr\u00e5 litteratur via Google, OpenGrey og relevante hjemmesider. Derudover blev referencelisterne fra de inkluderede studier gennemg\u00e5et. Indholdsanalyse blev anvendt som analytisk metode.<\/span><\/p>\n

Resultater<\/span> 
\n<\/span><\/strong>Af de 11 inkluderede studier var ni kvalitative og to kvantitative. Indholdsanalysen resulterede i fire kategorier, hvori fundene blev indplaceret: (1) at blive opm\u00e6rksom p\u00e5 situationelle \u00e6ndringer og overveje alternativer, (2) at forhandle om frivillig medicin, (3) at administrere akut beroligende tvangsmedicin, (4) at v\u00e6re p\u00e5 den anden side.<\/span><\/p>\n

Konklusion<\/span><\/strong> 
\n<\/span>Forskningslitteraturen antyder, at sygeplejerskers kliniske beslutningstagen i forbindelse med brug af akut beroligende tvangsmedicin er kompleks og p\u00e5virkes af og\/eller er forbundet med forskellige faktorer i en dynamisk proces. Omr\u00e5det har dog kun modtaget begr\u00e6nset videnskabelig opm\u00e6rksomhed, hvilket afspejles i det begr\u00e6nsede antal inkluderede studier. Yderligere forskning kan bidrage til at belyse kompleksiteten af sygeplejerskers kliniske beslutningstagen og derved forbedre den psykiatriske praksis.<\/span><\/p>\n

Implikationer for praksis<\/span> 
\n<\/span><\/strong>Psykiatrisk praksis skal investere i uddannelse og tr\u00e6ning af sygeplejersker, der vil ruste dem bedre til den komplekse kliniske beslutning vedr\u00f8rende brug af akut beroligende tvangsmedicin. Kompleksiteten i processen tyder ogs\u00e5 p\u00e5 vigtigheden af l\u00f8bende klinisk evaluering for at identificere omr\u00e5der til forbedring.<\/span><\/p>\n

Projektet er st\u00f8ttet med en bevilling fra Novo Nordisk Fonden (NNF22OC0080419)<\/span><\/p>\n

Martin Locht Pedersen. Sygeplejerske, Cand.cur., Ph.d.-studerende, Retspsykiatrisk Forskningsenhed Middelfart, Institut for Regional Sundhedsforskning, Syddansk Universitet & Psykiatrisk Afdeling Middelfart, Psykiatrien i Region Syddanmark. martin.locht.pedersen@rsyd.dk<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Akut beroligende tvangsmedicin er en almindelig tvangsforanstaltning inden for psykiatrien, ofte udf\u00f8rt af sygeplejersker. For at forbedre psykiatrisk praksis er det afg\u00f8rende at forst\u00e5 sygeplejerskers kliniske beslutningstagen ved brug af akut beroligende tvangsmedicin. Form\u00e5let med denne litteraturgennemgang var derfor at analysere forskningslitteraturen vedr\u00f8rende sygeplejerskers kliniske beslutningstagen ved brug af akut beroligende tvangsmedicin p\u00e5 voksenpsykiatriske afdelinger.<\/p>\n","protected":false},"author":2,"featured_media":12678,"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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