{"id":13832,"date":"2025-04-23T10:09:45","date_gmt":"2025-04-23T08:09:45","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=13832"},"modified":"2025-07-14T20:06:09","modified_gmt":"2025-07-14T18:06:09","slug":"faelles-beslutningstagning-shared-decision-making-forlaenger-ikke-noedvendigvis-konsultationstiden","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/04\/23\/faelles-beslutningstagning-shared-decision-making-forlaenger-ikke-noedvendigvis-konsultationstiden\/","title":{"rendered":"F\u00e6lles beslutningstagning \u2018Shared Decision Making\u2019 -forl\u00e6nger ikke n\u00f8dvendigvis konsultationstiden"},"content":{"rendered":"

\"\"<\/p>\n

Durand, M.-A., Carpenter, L., Mann, M., Benedetti, R., Arend, R., Back, A. L., … & Elwyn, G. (2023). Shared decision-making and consultation length: A systematic review and meta-analysis. Health Expectations, 26(6), 1844\u20131863.<\/span>https:\/\/pubmed.ncbi.nlm.nih.gov\/36434862\/<\/a><\/p>\n

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

Introduktion
\n<\/span><\/strong>F\u00e6lles beslutningstagning (Shared Decision Making, SDM) anses for at v\u00e6re en hj\u00f8rnesten i patientcentreret pleje, men mange klinikere t\u00f8ver med implementeringen. En ofte n\u00e6vnt barriere er frygten for \u00f8get konsultationstid.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Et forskerteam gennemf\u00f8rte et systematisk litteraturreview og metaanalyse baseret p\u00e5 PRISMA-retningslinjerne. 63 studier med i alt 14.469 patienter blev inkluderet, heraf 35 randomiserede kontrollerede studier. Konsultationstid blev defineret som varigheden af patient-kliniker-m\u00f8der om screening, diagnose eller behandling. SDM-interventioner omfattede beslutningsst\u00f8ttev\u00e6rkt\u00f8jer, klinikeruddannelse og kombinationer heraf.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Samlet viste analyserne, at SDM-interventioner kun i begr\u00e6nset omfang \u00f8gede konsultationstiden. St\u00f8rst forl\u00e6ngelse s\u00e5s i interventioner rettet mod klinikere alene (+1:30 min) og i prim\u00e6rsektoren (+2:05 min). Gruppebaserede og ikke-teoribaserede interventioner f\u00f8rte til signifikant l\u00e6ngere konsultationer. Tr\u00e6ning i SDM kunne initialt \u00f8ge varigheden, men stabiliseredes med erfaring.<\/span><\/p>\n

Diskussion og konklusion
\n<\/span><\/strong>Bekymringer om forl\u00e6ngede konsultationer ved SDM synes overdrevne. Evidensen viser, at teoribaserede og flerstrengede interventioner kan implementeres uden v\u00e6sentlig tidsm\u00e6ssig belastning.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>F\u00e6lles beslutningstagen kan med fordel integreres i klinisk praksis, n\u00e5r der afs\u00e6ttes tid til kompetenceudvikling og justering af arbejdsgange. Dette kan fremme mere inddragende og b\u00e6redygtig sundhedspleje \u2013 ogs\u00e5 i sygeplejerskers praksis.<\/span><\/p>\n

Nausheen Christoffersen, lektor, cand.cur., Institut for Sygeplejerske- og Ern\u00e6ringsuddannelser, K\u00f8benhavns Professionsh\u00f8jskole. <\/span>naus@kp.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Durand, M.-A., Carpenter, L., Mann, M., Benedetti, R., Arend, R., Back, A. L., … & Elwyn, G. (2023). Shared decision-making 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