{"id":2315,"date":"2024-02-14T18:11:39","date_gmt":"2024-02-14T18:11:39","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=2315"},"modified":"2025-09-01T09:25:41","modified_gmt":"2025-09-01T07:25:41","slug":"sygeplejerskers-erfaringer-med-to-early-warning-score-systemer-til-at-identificere-patienternes-forvaerring","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/02\/14\/sygeplejerskers-erfaringer-med-to-early-warning-score-systemer-til-at-identificere-patienternes-forvaerring\/","title":{"rendered":"Sygeplejerskers erfaringer med to \u2018Early Warning Score\u2019 systemer til at identificere patienternes forv\u00e6rring"},"content":{"rendered":"

\"\"<\/p>\n

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

Langkjaer CS, Bove DG, Nielsen PB, Iversen KK, Bestle MH, Bunkenborg G. Nurses’ Experiences and Perceptions of two Early Warning Score systems to Identify Patient Deterioration \u2013 A Focus Group Study. Nurs Open. 2021; 8: 1788\u20131796. <\/span>https:\/\/doi.org\/10.1002\/nop2.821<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>National Early Warning Score (NEWS) systemet anvendes i mange sundhedsv\u00e6sener p\u00e5 verdensplan, hvilket ogs\u00e5 g\u00e6lder det danske sundhedsv\u00e6sen. Brugen af Early Warning Score (EWS) systemer er kompleks og multifacetteret. Sygeplejerskers observationspraksis og det at efterleve EWS systemers handlingsalgoritme kan v\u00e6re udfordrende. Projekt Individual Early Warning Score blev udviklet i 2018, og en standardiseret Individual Early Warning Score (I-EWS) blev udviklet, hvor plejepersonalets kliniske risikovurdering systematisk kunne inkluderes vha. Sundhedsplatformen.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Et fokusgruppestudie, der havde til form\u00e5l at udforske og forst\u00e5 sygeplejerskers erfaringer med og opfattelser af NEWS og I-EWS til at identificere patientforv\u00e6rring. De seks fokusgrupper blev analyseret med en induktiv indholdsanalyse.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Et tema og fire kategorier blev identificeret. Tema: Meningsfuld til at opspore patientforv\u00e6rring, men for\u00e5rsager frustration p\u00e5 grund af manglende fleksibilitet. Kategorier: (a) Tv\u00e6rprofessionalt samarbejde styrket gennem brugen af EWS systemer, (b) Forbedret faglig udvikling og kommunikation blandt sygeplejersker ved brug af EWS systemer, (c) Opsporing af patientforv\u00e6rring ved at integrere sygeplejerskers kliniske blik ved brug af EWS systemer og (d) \u00c6ndringer og frygt for at beg\u00e5 fejl ved brug af EWS systemer.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Hverken den kliniske risikovurdering eller scoringssystemerne alene kunne opspore patientforv\u00e6rring. Det var interaktionen mellem scoringssystemerne og den kliniske risikovurdering, som indeholdt det kliniske blik, der sikrede opsporingen af patientforv\u00e6rring.<\/span><\/p>\n

Caroline Sophie Langkj\u00e6r Nielsen, Sygeplejerske, Cand. Cur., PhD-studerende, <\/span>caroline.sophie.langkjaer.nielsen@regionh.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

National Early Warning Score (NEWS) systemet anvendes i mange sundhedsv\u00e6sener p\u00e5 verdensplan, hvilket ogs\u00e5 g\u00e6lder det danske sundhedsv\u00e6sen. Brugen af Early Warning Score (EWS) systemer er kompleks og multifacetteret.<\/p>\n","protected":false},"author":4,"featured_media":12693,"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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