{"id":2321,"date":"2024-02-14T18:14:55","date_gmt":"2024-02-14T18:14:55","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=2321"},"modified":"2025-09-01T09:25:00","modified_gmt":"2025-09-01T07:25:00","slug":"hvordan-anvender-sygeplejersker-national-early-warning-score-og-individual-early-warning-score-til-at-stoette-patient-risikovurdering-i-klinisk-praksis","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/02\/14\/hvordan-anvender-sygeplejersker-national-early-warning-score-og-individual-early-warning-score-til-at-stoette-patient-risikovurdering-i-klinisk-praksis\/","title":{"rendered":"Hvordan anvender sygeplejersker \u2018National Early Warning Score\u2019 og \u2018Individual Early Warning Score\u2019 til at st\u00f8tte patient-risikovurdering i klinisk praksis?"},"content":{"rendered":"

\"\"<\/p>\n

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

Langkjaer, C. S., Bundgaard, K., Bunkenborg, G., Nielsen, P. B., Iversen, K. K., Bestle, M. H., & <\/span>Bove, D. G. (2022). How nurses use National Early Warning Score and Individual Early Warning Score to support their patient risk assessment practice: A fieldwork study. Journal of Advanced Nursing, 00, 1\u20139. <\/span>https:\/\/doi.org\/10.1111\/jan.15547<\/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.
\n<\/span>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 i det elektroniske patientsystem SP (Sundhedsplatformen).<\/span><\/p>\n

Metode
\n<\/span><\/strong>Et feltstudie med 180 timers deltagerobservation med det form\u00e5l at udforske og beskrive, hvordan sygeplejersker anvender NEWS og I-EWS, og hvordan systemerne underst\u00f8tter sygeplejerskers observationspraksis. Deltagerobservationerne blev analyseret ved hj\u00e6lp af en etnografisk analyse.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Tre kategorier blev identificeret:
\n<\/span>(a) Effekt p\u00e5 sygeplejepraksis
\n<\/span>(b) NEWS kr\u00e6ver lokale tilpasninger
\n<\/span>(c) I-EWS p\u00e5virker sygeplejerskers faglighed.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Resultaterne viste, at sygeplejerskerne opfattede NEWS og I-EWS som meningsfulde til at opspore patientforv\u00e6rring, fordi de underst\u00f8ttede sygeplejerskers kliniske observationspraksis og guidede deres risikovurdering. Sygeplejerskerne opfattede I-EWS som havende potentiale til at \u00f8ge fagligheden, da det gav sygeplejerskerne mulighed for at inddrage patientheterogenitet og den kliniske situation i deres risikovurderinger.
\n<\/span>Fundene afsl\u00f8rede ogs\u00e5, at patientsikkerheden kan v\u00e6re truet, n\u00e5r EWS-m\u00e5linger blev uddelegeret til mindre erfarne medarbejdere.<\/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. Sygeplejerskers observationspraksis og det at efterleve EWS systemers handlingsalgoritme kan v\u00e6re udfordrende.<\/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 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":[160,13],"tags":[],"class_list":["post-2321","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kommunikation-dokumentation-og-sundhedsteknologi-resume-af-forskning","category-resume-af-forskning"],"acf":[],"jetpack_featured_media_url":"https:\/\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/11\/Fenomenologi-1.png","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/2321","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=2321"}],"version-history":[{"count":1,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/2321\/revisions"}],"predecessor-version":[{"id":17227,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/2321\/revisions\/17227"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media\/12693"}],"wp:attachment":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media?parent=2321"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/categories?post=2321"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/tags?post=2321"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}