{"id":1812,"date":"2024-02-04T17:52:29","date_gmt":"2024-02-04T17:52:29","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=1812"},"modified":"2026-05-08T18:04:11","modified_gmt":"2026-05-08T16:04:11","slug":"mange-vikarer-giver-utrygt-arbejdsmiljoe","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/02\/04\/mange-vikarer-giver-utrygt-arbejdsmiljoe\/","title":{"rendered":"Mange vikarer giver utrygt arbejdsmilj\u00f8"},"content":{"rendered":"
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Hospitalsafdelinger med mangel p\u00e5 fastansatte sygeplejersker er afh\u00e6ngige af sygeplejerskevikarer, men brugen af et stort antal skiftende vikarer medvirker til oplevelsen af et utrygt arbejdsmilj\u00f8 for de fastansatte sygeplejersker<\/span><\/strong><\/p>\n

Caroline Liddy Voss Rasmussen <\/span>1<\/span><\/strong> Mie Fuglsang Hansen <\/span>2 <\/span><\/strong>Bibi H\u00f8lge-Hazelton <\/span>3<\/span><\/strong><\/p>\n

1<\/span><\/strong> Sygeplejerske, cand.soc.i socialt arbejde, klinisk sygeplejespecialist p\u00e5 Afdeling for graviditet, f\u00f8dsel og barsel, Rigshospitalet
\n<\/span>2 <\/span><\/strong>Sygeplejerske, cand.soc. i socialt arbejde, klinisk sygeplejespecialist p\u00e5 Afdeling for Led- og Knoglekirurgi, Rigshospitalet
\n<\/span>3 <\/span><\/strong>Professor i sygepleje ved Institut for Regional Sundhedsforskning, Syddansk Universitet og Sj\u00e6llands Universitetshospital<\/span><\/p>\n

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Manglen p\u00e5 sygeplejersker medf\u00f8rer et \u00f8get forbrug af sygeplejerskevikarer p\u00e5 mange hospitalsafdelinger. Denne kvalitative unders\u00f8gelse er foretaget med henblik p\u00e5 at forst\u00e5, hvordan et h\u00f8jt forbrug af sygeplejerskevikarer p\u00e5virker det psykosociale arbejdsmilj\u00f8 med udgangspunkt i de fastansatte sygeplejerskers oplevelser. Der er foretaget fire fokuserede feltobservationer samt semistrukturerede interviews med fem fastansatte sygeplejersker p\u00e5 en medicinsk afdeling med stor mangel p\u00e5 fastansatte sygeplejersker og et h\u00f8jt forbrug af sygeplejerskevikarer.
\n<\/span>De fastansatte sygeplejersker er enige om, at de er afh\u00e6ngige af sygeplejerskevikarernes arbejdskraft p\u00e5 grund af mangel p\u00e5 personale. Dog opleves det, at et stort antal skiftende sygeplejerskevikarer f\u00f8rer til manglende struktur og stor uforudsigelighed i hverdagen, samt bidrager til hyppige konflikter mellem fastansatte og vikarer. De fastansatte sygeplejersker har ofte mistillid til nye vikarer og til vikarer generelt, fordi de oplever, at de mangler kompetencer, ikke vil tage ansvar eller har en forkert indstilling til arbejdet. Tilstedev\u00e6relsen af sygeplejerskevikarer bidrager ofte til oplevelsen af et \u00f8get arbejdspres, fordi de fastansatte sygeplejersker bruger tid p\u00e5 opl\u00e6ring samt f\u00f8ler sig n\u00f8dsaget til at dobbelttjekke vikarers arbejde. Konklusionen er, at arbejdsmilj\u00f8et ofte opleves utrygt, n\u00e5r antallet af vikarer bliver h\u00f8jt, foruden at det f\u00f8les uretf\u00e6rdigt, at vikarerne f\u00e5r h\u00f8jere l\u00f8n, men ikke tager samme grad af ansvar.<\/span><\/p>\n

English a<\/strong>bstract <\/strong><\/h4>\n

\nHeavy reliance on agency nurses creates an unsafe work environment<\/strong><\/h5>\n

The shortage of registered nurses has led to a growing reliance on agency nurses in many hospital wards. This qualitative study explores how heavy reliance on agency nurses affects the psychosocial work environment, based on the experiences of permanently employed nurses in a medical ward with substantial staff shortages and extensive use of agency staff. Data were generated through four focused field observations and semi\u2011structured interviews with five permanent nurses.<\/p>\n

The permanent nurses acknowledge that they are dependent on agency nurses\u2019 labour due to the staffing deficit, yet they experience a large, constantly changing group of temporary nurses, resulting in a lack of structure, high unpredictability in daily work, and frequent conflicts between permanent staff and temps. They often express distrust towards new and unfamiliar agency nurses, whom they perceive as lacking competencies, avoiding responsibility or having the wrong attitude to the work. The presence of agency nurses is also experienced as an increasing workload, as permanent staff must spend time on training and feel obliged to double\u2011check their work.<\/p>\n

The study concludes that the work environment is often perceived as unsafe when the proportion of agency nurses becomes high, and that it is experienced as unfair that agency nurses receive higher pay without assuming the same level of responsibility.<\/p>\n

Keywords: <\/strong>Agency nurses, temporary nurses, psychosocial work environment, nurse shortage, conflicts, trust, workload, qualitative study.<\/p>\n<\/div>\n<\/div>\n

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