{"id":2308,"date":"2024-02-14T18:00:22","date_gmt":"2024-02-14T18:00:22","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=2308"},"modified":"2025-09-01T09:26:46","modified_gmt":"2025-09-01T07:26:46","slug":"en-narrativ-rejse-i-patientsikkerhedens-graenseland","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/02\/14\/en-narrativ-rejse-i-patientsikkerhedens-graenseland\/","title":{"rendered":"En narrativ rejse i patientsikkerhedens gr\u00e6nseland"},"content":{"rendered":"

\"\"<\/p>\n

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

Lauge Andersen L. A narrative journey into the borderland of patient safety: Toward an expanded, relational concept of safety. Qual Res Med Healthc. 2024 Jan 16;7(3):11496. doi: 10.4081\/qrmh.2023.11496. PMID: 38328348; PMCID: PMC10849031<\/a>.<\/span><\/p>\n

Baggrund
\n<\/span><\/strong>“Patientsikkerhed” defineres som “sikkerhed for patienter mod skade og risiko for skade i sundhedsv\u00e6senet” (Kvalitetsstyrelsen i Sundhedsv\u00e6senet, 2022, s. 28). Dette er en standardiseret, bred og generel definition af, hvad der t\u00e6ller som sikkerhed. I denne artikel bliver der argumenterer for en udvidet, relationel forst\u00e5else af begrebet patientsikkerhed, der fokuserer p\u00e5 den oplevede patientsikkerhed, idet projektet anerkender sikkerhed som afg\u00f8rende for alle grupper af patienter.<\/span><\/p>\n

Teoretisk og analytisk afs\u00e6t
\n<\/span><\/strong>Projektet tager afs\u00e6t i en dialogisk, kritisk-refleksiv tilgang og har fokus p\u00e5 sikkerhed i et somatisk hospitalsmilj\u00f8 i Danmark, som det opleves af mennesker med levede erfaring med psykiske lidelser. Sikkerhed viser sig i denne sammenh\u00e6ng ofte at v\u00e6re kompromitteret, hvilket bidrager til ulighed i sundhed for mennesker med psykiske lidelser. I projektet pr\u00e6senteres og analyseres to erfarings-eksperters narrativer om deres somatiske hospitalsindl\u00e6ggelse. I analysen bliver<\/span> der trukket p\u00e5 Franks dialogiske narrative analyse sammen med elementer fra Bakhtins dialogteori og Foucaults teori om magt og viden.<\/span><\/p>\n

Diskussion
\n<\/span><\/strong>Ved at s\u00e6tte de stemmer i forgrunden, der sj\u00e6ldent bliver spurgt og ofte ikke bliver h\u00f8rt, tilvejebringer den dialogiske narrative tilgang en indsigt i, hvordan “patientsikkerhed” udfolder sig gennem situerede meningsforhandlinger. Historiefort\u00e6llerne k\u00e6mper kontinuerligt for at passe ind og blive set som mennesker og for at modst\u00e5 de g\u00e6ngse offentlige narrativer om psykisk lidelse, der begr\u00e6nser deres handlerum og identitet. Diskussionen fremh\u00e6ver, hvordan utilsigtede emotionelle h\u00e6ndelser begr\u00e6nser fordelene ved patientsikkerhed for visse grupper i samfundet. Is\u00e6r skam, individualiseret ansvar og internaliseret mindrev\u00e6rd h\u00e6mmer lighed i sundhed.<\/span><\/p>\n

Perspektivering
\n<\/span><\/strong>Med afs\u00e6t i analysen foresl\u00e5s en kollaborativ, participatorisk tilgang til samproduktion af yderligere viden gennem f\u00e6lles analyse med mennesker med levet erfaring og sygeplejersker fra somatiske hospitalsafdelinger.<\/span><\/p>\n

Lisbeth Lauge Andersen. Specialuddannet psykiatrisk sygeplejerske, cand.scient.san. Adjunkt ved sygeplejerskeuddannelsen, UCL og PhD stipendiat ved RUC og REFAS, Region Sj\u00e6lland.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

“Patientsikkerhed” defineres som “sikkerhed for patienter mod skade og risiko for skade i sundhedsv\u00e6senet” (Kvalitetsstyrelsen i Sundhedsv\u00e6senet, 2022, s. 28). Dette er en standardiseret, bred og generel definition af, hvad der t\u00e6ller som sikkerhed. I denne artikel bliver der argumenterer for en udvidet, relationel forst\u00e5else af begrebet patientsikkerhed, der fokuserer p\u00e5 den oplevede<\/p>\n","protected":false},"author":4,"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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[161,13],"tags":[],"class_list":["post-2308","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-psykiatri-psykologi-resume-af-forskning","category-resume-af-forskning"],"acf":[],"jetpack_featured_media_url":"https:\/\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/04\/Psyke.png","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/2308","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/comments?post=2308"}],"version-history":[{"count":1,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/2308\/revisions"}],"predecessor-version":[{"id":17190,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/2308\/revisions\/17190"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media\/12678"}],"wp:attachment":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media?parent=2308"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/categories?post=2308"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/tags?post=2308"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}