{"id":18467,"date":"2025-08-12T18:03:42","date_gmt":"2025-08-12T16:03:42","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=18467"},"modified":"2026-05-06T12:13:21","modified_gmt":"2026-05-06T10:13:21","slug":"akutmedicinsk-spotsygeplejerske-i-front-en-central-funktion-i-akutbehandlingen-der-bidrager-til-kvalitet-og-effektivitet","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/08\/12\/akutmedicinsk-spotsygeplejerske-i-front-en-central-funktion-i-akutbehandlingen-der-bidrager-til-kvalitet-og-effektivitet\/","title":{"rendered":"Akutmedicinsk spotsygeplejerske i front \u2013 en central funktion i akutbehandlingen, der bidrager til kvalitet og effektivitet"},"content":{"rendered":"
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Maria Omel Jellington<\/span>, MKS, Forskningssygeplejerske 1<\/strong>, Helle Bjergskov Seemann<\/span>,<\/span> Oversygeplejerske 1<\/strong>, Gry Rosenmai<\/span>, Oversygeplejerske 1<\/strong>, Simon Edske Knudsen, <\/span>Klinisk Sygeplejespecialist 1<\/strong>, Jesper Juul Larsen, <\/span>Chefl\u00e6ge 1<\/strong>, Thomas Andersen Schmidt,<\/span>\u00a0Professor, overl\u00e6ge, dr med. 1<\/strong>,2<\/strong><\/span><\/span><\/p>\n

1 <\/span><\/strong>Akutafdelingen Nordsj\u00e6llands Hospital, Hiller\u00f8d.<\/span> 2 <\/span><\/strong>Institut for Klinisk Medicin, K\u00f8benhavns Universitet.<\/span><\/p>\n

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Resum\u00e9
\n<\/span><\/strong>I takt med \u00f8gede patientstr\u00f8mme og stadig mere komplekse behandlingsforl\u00f8b i akutafdelingerne er det n\u00f8dvendigt at t\u00e6nke nyt i forhold til b\u00e5de patient-flow og ressourceudnyttelse.<\/span><\/p>\n

I Akutafdelingen p\u00e5 Nordsj\u00e6llands Hospital blev lokale udfordringer starten p\u00e5 en multifaktoriel organisations\u00e6ndring, teoretisk funderet i forandringsledelse og organisationsteori, med iterative metode som model for den kontinuerlige udvikling i praksis.<\/span><\/p>\n

Et af resultaterne blev udviklingen af en ny kompetenceprofil \u2013 den akutmedicinske spotsygeplejerske, som har vist sig at v\u00e6re et af de konkrete svar p\u00e5 udfordringerne med patient-flow og ressourceudnyttelse.<\/span><\/p>\n

Denne artikel beskriver funktionens udvikling, dens teoretiske forankring, praktiske anvendelse, de organisatoriske gevinster samt perspektiver p\u00e5 den videre udvikling, herunder udvidelse til medicinsk behandlersygeplejerske.<\/span><\/p>\n

English abstract<\/p>\n

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Acute care spot nurse at the frontline \u2013 a key function in emergency care contributing to quality and efficiency<\/strong><\/h5>\n

\nWith increasing patient flows and ever more complex treatment pathways in emergency departments, it is necessary to rethink both patient flow and the use of resources. At the Emergency Department at Nordsj\u00e6llands Hospital, local challenges became the starting point for a multifactorial organisational change, theoretically grounded in change management and organisational theory, using an iterative approach as a model for continuous development in practice.<\/p>\n

One outcome was the development of a new competence profile \u2013 the acute care spot nurse \u2013 which has proved to be one of the concrete responses to challenges related to patient flow and resource utilisation. This article describes the development of the role, its theoretical foundation, practical application, organisational benefits, and perspectives for further development, including expansion into the role of medical nurse practitioner.<\/p>\n

Keywords:<\/strong>\u00a0Emergency nursing, acute care spot nurse, patient flow, resource utilisation, organisational development, change management, competence profile, emergency department.<\/p>\n<\/div>\n

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