{"id":2337,"date":"2024-02-14T18:42:08","date_gmt":"2024-02-14T18:42:08","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=2337"},"modified":"2025-07-14T19:46:27","modified_gmt":"2025-07-14T17:46:27","slug":"at-arbejde-med-en-personcentreret-intervention-i-gruppe-perspektiver-fra-facilitatorer-og-mennesker-med-psykisk-sygdom","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/02\/14\/at-arbejde-med-en-personcentreret-intervention-i-gruppe-perspektiver-fra-facilitatorer-og-mennesker-med-psykisk-sygdom\/","title":{"rendered":"At arbejde med en personcentreret intervention i gruppe: Perspektiver fra facilitatorer og mennesker med psykisk sygdom"},"content":{"rendered":"

\"\"<\/p>\n

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

Jensen K, Maties FM, Nissen HB, Christiansen J, J\u00f8rgensen R. \u201cUsefulness of working with a person\u2010centred intervention in a group: perspectives from facilitators and persons with mental illness\u201d, J Eval Clin Pract 2024 ; 1\u20109 <\/span>https:\/\/doi.org\/10.1111\/jep.13967<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>N\u00e5r nye interventioner implementeres i klinisk praksis, er det centralt at unders\u00f8ge og forst\u00e5 fremmende og h\u00e6mmende faktorer, der har betydning for implementeringsprocessen. Det er vigtigt at afd\u00e6kke perspektiver fra b\u00e5de sundhedsprofessionelle og patienter med henblik p\u00e5 at forbedre pr\u00e6misserne for udbredelse og implementering af en intervention. <\/span><\/p>\n

I Psykiatrien i Region Nordjylland arbejdes der kontinuerligt med implementering af den personcentrede og sygeplejefaglige metode Guidet Egen-Beslutning (GEB). Senest i et gruppeformat best\u00e5ende af to elementer; to sessioner med Opdagelsesgruppe fra The Tidal Model og ti sessioner af GEB. <\/span>Form\u00e5let med denne artikel var at evaluere gruppeinterventionen ud fra implementeringsfaktorerne \u201dadoption\u201d, \u201cacceptability\u201d og \u201cappropriateness\u201d.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Et kvalitativt interviewdesign blev anvendt. Der blev rekrutteret fire sygeplejersker med erfaring med individuelle GEB forl\u00f8b til at facilitere gruppeforl\u00f8bet. Ligeledes blev der til interventionen rekrutteret 24 deltagere med psykisk sygdom, der p\u00e5 det givne tidspunkt var i et ambulant psykiatrisk forl\u00f8b. Data blev indsamlet via tre individuelle interviews og \u00e9t gruppeinterview med facilitatorer samt 16 individuelle interviews med deltagerne. Data blev analyseret gennem indholdsanalyse.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Gruppeinterventionen blev set som anvendelig og meningsfuld at udf\u00f8re for facilitatorerne og at modtage for deltagerne. Der blev identificeret tre kategorier gennem analysen; (1) anvendelse af gruppeinterventionen i klinisk praksis, (2) at balancere facilitatorrollen og (3) etablere og opretholde en tryg relation.<\/span><\/p>\n

Konklusion og implikationer for praksis
\n<\/span><\/strong>Facilitatorer og de fleste deltagere fandt formen og strukturen af gruppeinterventionen anvendelig og meningsfuld. Opdagelseskort og reflektionsarkene sammen med peer-to-peer-interaktioner skabte en sikker ramme. Nogle deltagere faldt fra, da de ikke f\u00f8lte sig trygge i en gruppesituation. Facilitering af en gruppe kr\u00e6ver passende f\u00e6rdigheder og kvalifikationer hos facilitatorerne. Det stiller krav til organisationen om at sikre supervision og muligheden for peer-feedback og erfaringsudveksling mellem facilitatorer.<\/span><\/p>\n

Kira Jensen, Klinisk sygeplejespecialist, Psykiatrien Region Nordjylland, Sygeplejerske og Kandidat i sygepleje, Kira.Jensen@rn.dk<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

N\u00e5r nye interventioner implementeres i klinisk praksis, er det centralt at unders\u00f8ge og forst\u00e5 fremmende og h\u00e6mmende faktorer, der har betydning for implementeringsprocessen. Det er vigtigt at afd\u00e6kke perspektiver fra b\u00e5de sundhedsprofessionelle og patienter med henblik p\u00e5 at forbedre pr\u00e6misserne for udbredelse og implementering af en intervention.<\/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 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