{"id":23063,"date":"2026-02-05T11:40:17","date_gmt":"2026-02-05T10:40:17","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=23063"},"modified":"2026-02-05T11:40:17","modified_gmt":"2026-02-05T10:40:17","slug":"sygeplejerskers-udfordringer-ved-identificering-af-tryksaar-hos-patienter-med-hoejpigmenteret-hud-et-kvalitativt-litteraturstudie","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/02\/05\/sygeplejerskers-udfordringer-ved-identificering-af-tryksaar-hos-patienter-med-hoejpigmenteret-hud-et-kvalitativt-litteraturstudie\/","title":{"rendered":"Sygeplejerskers udfordringer ved identificering af tryks\u00e5r hos patienter med h\u00f8jpigmenteret hud &#8211; Et kvalitativt litteraturstudie"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-7454\" src=\"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/05\/30.png?resize=370%2C370&#038;quality=80&#038;ssl=1\" alt=\"\" width=\"370\" height=\"370\" srcset=\"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/05\/30.png?resize=300%2C300&amp;quality=80&amp;ssl=1 300w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/05\/30.png?resize=100%2C100&amp;quality=80&amp;ssl=1 100w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/05\/30.png?resize=600%2C600&amp;quality=80&amp;ssl=1 600w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/05\/30.png?resize=1024%2C1024&amp;quality=80&amp;ssl=1 1024w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/05\/30.png?resize=150%2C150&amp;quality=80&amp;ssl=1 150w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/05\/30.png?resize=768%2C768&amp;quality=80&amp;ssl=1 768w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/05\/30.png?resize=1536%2C1536&amp;quality=80&amp;ssl=1 1536w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/05\/30.png?resize=2048%2C2048&amp;quality=80&amp;ssl=1 2048w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/05\/30.png?w=3000&amp;quality=80&amp;ssl=1 3000w\" sizes=\"(max-width: 370px) 100vw, 370px\" \/><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"><em>Af Istahil Mohamoud Ibrahim<\/em>. Sygeplejerskeuddannelsen Vejle, UCL Erhvervsakademi og Professionsh\u00f8jskole. <\/span><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">BA-projekt afleveret 19.12.2025, Vejleder: Ren\u00e9e Halkj\u00e6r<\/span><\/p>\n<p><a class=\"fasc-button fasc-size-medium fasc-type-flat fasc-rounded-medium\" style=\"background-color: #33809e; color: #ffffff;\" target=\"_blank\" rel=\"noopener\" href=\"https:\/\/sygeplejevidenskab.dk\/wp-content\/uploads\/2026\/02\/BA0126-Tryksaar-og-hoejpigmenteret-hud.pdf\">Download Resume som pdf<\/a><\/p>\n<p><a class=\"fasc-button fasc-size-medium fasc-type-flat fasc-rounded-medium\" style=\"background-color: #33809e; color: #ffffff;\" target=\"_blank\" rel=\"noopener\" href=\"https:\/\/sygeplejevidenskab.dk\/wp-content\/uploads\/2026\/02\/BA-Tryksaar-og-Hoejpigmenteret-hud.-Litterturstudie.pdf\">Download BA-projektet<\/a><\/p>\n<div class=\"farve-boks\" style=\"border: 10px solid #bfe6f6; padding: 16px 32px; border-radius: 24px; color: black; margin-bottom: 32px;\">\n<p class=\"cvGsUA direction-ltr align-justify para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Resum\u00e9<br \/>\n<\/span><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Baggrund<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Tryks\u00e5r er en udbredt udfordring, hvor tidlig opsporing er afg\u00f8rende. Eksisterende retningslinjer baseres prim\u00e6rt p\u00e5 lavpigmenteret hud, hvilket er problematisk i et multikulturel Danmark og kan p\u00e5virke patienternes helbred og livskvalitet.<br \/>\n<\/span><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Form\u00e5l<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">At unders\u00f8ge hvilke udfordringer sygeplejersker oplever i identificering af tryks\u00e5r hos patienter med h\u00f8jpigmenteret hud.<br \/>\n<\/span><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Metode<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Et kvalitativt litteraturstudie med hermeneutisk afs\u00e6t. Empirien er analyseret manifest og induktivt ved tematisk analyse inspireret af Clarke og Braun.<br \/>\n<\/span><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Resultater<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Tre temaer fremkom:<\/span><\/p>\n<ul>\n<li><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Strukturelle udfordringer<\/span><\/li>\n<li><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Kompetencer<\/span><\/li>\n<li><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Personlige udfordringer<\/span><\/li>\n<\/ul>\n<p class=\"cvGsUA direction-ltr align-justify para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Konklusion<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Sygeplejerskerne beskrev en r\u00e6kke udfordringer: undervisning og retningslinjer fokuserer prim\u00e6rt p\u00e5 lavpigmenteret hud, der opleves strukturel racisme, tryks\u00e5r hos patienter med h\u00f8jpigmenteret hud identificeres ofte sent, patientpopulationen er overvejende lavpigmenteret, og alternative vurderingsmetoder anvendes. F\u00f8lsomhed og tavshed omkring race p\u00e5virker ligeledes identificeringsprocessen. Samlet set understreges behovet for yderligere forskning.<br \/>\n<\/span><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Implikationer for klinisk praksis<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Tiltag i klinisk praksis udfoldes i to artikler og et lommekort, som er udgivet i Journal for Sygeplejevidenskab, samt en artikel i ugeskrift for L\u00e6ger:<\/span><\/p>\n<ul>\n<li><span style=\"color: #333399;\"><a class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" style=\"color: #333399;\" draggable=\"false\" href=\"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/06\/24\/sygeplejefaglige-observationer-af-hoejpigmenteret-hud-repraesentation-og-lighed-i-sundhed\/\" target=\"_blank\" rel=\"noopener\">Sygeplejefaglige observationer af h\u00f8jpigmenteret hud &#8211; repr\u00e6sentation og lighed i sundhed<\/a><\/span><\/li>\n<li><span style=\"color: #333399;\"><a class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" style=\"color: #333399;\" draggable=\"false\" href=\"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/10\/14\/systematisk-vurdering-af-kliniske-tegn-paa-hoejpigmenteret-hud\/\" target=\"_blank\" rel=\"noopener\">Lommekort: Systematisk vurdering af kliniske tegn p\u00e5 h\u00f8jpigmenteret h<\/a><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">ud<\/span><\/span><\/li>\n<li><span style=\"color: #333399;\"><a class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" style=\"color: #333399;\" draggable=\"false\" href=\"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/09\/10\/mind-the-gab-roedme-og-cyanose-kan-overses-paa-hoejpigmenteret-hud-redskaber-til-at-observere-huden-vil-hoejne-patientsikkerheden-og-boer-indfoeres-som-standart-paa-sygeplejerskeuddannelsen\/\" target=\"_blank\" rel=\"noopener\">Mind the Gab: R\u00f8dme og cyanose kan overses p\u00e5 h\u00f8jpigmenteret hud. -Redskaber til at observere huden vil h\u00f8jne patientsikkerheden og b\u00f8r indf\u00f8res som standart p\u00e5 sygeplejerskeuddannelsen<\/a><\/span><\/li>\n<li><span style=\"color: #333399;\"><a class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" style=\"color: #333399;\" draggable=\"false\" href=\"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/04\/17\/dermatologiske-sygdomme-hos-personer-med-moerkpigmenteret-hud\/\" target=\"_blank\" rel=\"noopener\">Dermatologiske sygdomme hos personer med m\u00f8rkpigmenteret hu<\/a><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">d<\/span><\/span><\/li>\n<\/ul>\n<p class=\"cvGsUA direction-ltr align-justify para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Kontaktoplysninger<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"><strong>:<\/strong> stahil Mohamoud Ibrahim.<\/span> <a class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" draggable=\"false\" href=\"mailto:Istahil.2001@hotmail.com\" target=\"_blank\" rel=\"noopener\">Istahil.2001@hotmail.com<\/a><\/p>\n<p class=\"cvGsUA direction-ltr align-justify para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Abstract<br \/>\n<\/span><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Background<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Pressure ulcers represent a widespread challenge, where early detection is crucial. Existing guidelines are primarily based on low-pigmented skin, which is problematic in a multicultural Denmark and may affect patients\u2019 health and quality of life.<br \/>\n<\/span><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Aim<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">To explore the challenges nurses face in identifying pressure ulcers in patients with highly pigmented skin.<br \/>\n<\/span><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Method<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">A qualitative literature review with a hermeneutic approach. The empirical material was analysed inductively and manifestly using thematic analysis, inspired by Clarke and Braun.<br \/>\n<\/span><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Results<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Three themes emerged:<br \/>\n<\/span><\/p>\n<ul>\n<li><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Structural<\/span><\/li>\n<li><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Competence-related<\/span><\/li>\n<li><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Personal challenges<\/span><\/li>\n<\/ul>\n<p class=\"cvGsUA direction-ltr align-justify para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Conclusion<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">The nurses described several challenges: teaching and guidelines primarily focus on low-pigmented skin; structural racism is experienced; pressure ulcers in patients with highly pigmented skin are often identified late; the patient population is predominantly low-pigmented; and alternative assessment methods are used. Sensitivity and silence surrounding race likewise affect the identification process. Overall, the need for further research is emphasised.<br \/>\n<\/span><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Implications for clinical practice<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Initiatives in clinical practice are elaborated in two articles and a pocket card published in the Journal of Nursing Research &amp; Professional Knowledge and in an article in the Journal of the Danish Medical Association.<\/span><\/p>\n<ul>\n<li><a class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" draggable=\"false\" href=\"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/06\/24\/sygeplejefaglige-observationer-af-hoejpigmenteret-hud-repraesentation-og-lighed-i-sundhed\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #333399;\">Sygeplejefaglige observationer af h\u00f8jpigmenteret hud &#8211; repr\u00e6sentation og lighed i sundhed<\/span><\/a><\/li>\n<li><span style=\"color: #333399;\"><a class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" style=\"color: #333399;\" draggable=\"false\" href=\"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/10\/14\/systematisk-vurdering-af-kliniske-tegn-paa-hoejpigmenteret-hud\/\" target=\"_blank\" rel=\"noopener\">Lommekort: Systematisk vurdering af kliniske tegn p\u00e5 h\u00f8jpigmenteret h<\/a><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">ud<\/span><\/span><\/li>\n<li><span style=\"color: #333399;\"><a class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" style=\"color: #333399;\" draggable=\"false\" href=\"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/09\/10\/mind-the-gab-roedme-og-cyanose-kan-overses-paa-hoejpigmenteret-hud-redskaber-til-at-observere-huden-vil-hoejne-patientsikkerheden-og-boer-indfoeres-som-standart-paa-sygeplejerskeuddannelsen\/\" target=\"_blank\" rel=\"noopener\">Mind the Gab: R\u00f8dme og cyanose kan overses p\u00e5 h\u00f8jpigmenteret hud. -Redskaber til at observere huden vil h\u00f8jne patientsikkerheden og b\u00f8r indf\u00f8res som standart p\u00e5 sygeplejerskeuddannelsen<\/a><\/span><\/li>\n<li><span style=\"color: #333399;\"><a class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" style=\"color: #333399;\" draggable=\"false\" href=\"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/04\/17\/dermatologiske-sygdomme-hos-personer-med-moerkpigmenteret-hud\/\" target=\"_blank\" rel=\"noopener\">Dermatologiske sygdomme hos personer med m\u00f8rkpigmenteret hu<\/a><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">d<\/span><\/span><\/li>\n<\/ul>\n<p class=\"cvGsUA direction-ltr align-justify para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Contact Information<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\"><strong>:<\/strong> Stahil Mohamoud Ibrahim.<\/span><a class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" draggable=\"false\" href=\"mailto:Istahil.2001@hotmail.com\" target=\"_blank\" rel=\"noopener\"> Istahil.2001@hotmail.com<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Af Istahil Mohamoud Ibrahim. Sygeplejerskeuddannelsen Vejle, UCL Erhvervsakademi og Professionsh\u00f8jskole. BA-projekt afleveret 19.12.2025, Vejleder: Ren\u00e9e Halkj\u00e6r Download Resume som pdf [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":7454,"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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