{"id":24517,"date":"2026-05-11T18:22:43","date_gmt":"2026-05-11T16:22:43","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=24517"},"modified":"2026-05-11T18:22:43","modified_gmt":"2026-05-11T16:22:43","slug":"cochrane-review-ingen-vaesentlig-forskel-naar-sygeplejersker-overtager-laegeopgaver","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/05\/11\/cochrane-review-ingen-vaesentlig-forskel-naar-sygeplejersker-overtager-laegeopgaver\/","title":{"rendered":"Cochrane-review: Ingen v\u00e6sentlig forskel n\u00e5r sygeplejersker overtager l\u00e6geopgaver"},"content":{"rendered":"

\"\"<\/p>\n

Toews M, et al. Substitution of nurses for physicians in the hospital setting for patient, process of care, and economic outcomes. Cochrane Database Syst Rev. 2026;Issue 2. <\/span>https:\/\/pubmed.ncbi.nlm.nih.gov\/41672426\/<\/a><\/p>\n

Af Maj Siercke, sygeplejerske, ph.d., chefredakt\u00f8r og stifter af Journal for Sygeplejevidenskab<\/em>. <\/span>maj@sygeplejevidenskab.dk<\/a><\/p>\n

DOWNLOAD RESUME<\/a><\/p>\n

Resum\u00e9
\n<\/span>Introduktion
\n<\/span><\/strong>En aldrende befolkning, mere komplekse sygdomsbilleder og stigende sundhedsudgifter \u00f8ger presset p\u00e5 hospitalsv\u00e6senet. Substitution af l\u00e6ger med sygeplejersker kan \u00f8ge tilg\u00e6ngeligheden af behandling for patienter, som ellers ville have lang ventetid p\u00e5 l\u00e6gevurdering.<\/p>\n

<\/span>Form\u00e5l
\n<\/span><\/strong>At unders\u00f8ge, hvordan substitution af l\u00e6ger med sygeplejersker i hospitalssektoren (indlagte og ambulante patienter) p\u00e5virker patientoutcomes, procesm\u00e5l og \u00f8konomiske outcomes, samt om effekterne varierer p\u00e5 tv\u00e6rs af lande, patientgrupper, sygdomsomr\u00e5der, interventionstyper og sygeplejerskefunktioner.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Reviewet inkluderede 82 randomiserede studier med i alt ca. 28.000 patienter, hvor specialist\u2011, avancerede og autoriserede sygeplejersker varetog opgaver, der ellers udf\u00f8res af yngre og erfarne l\u00e6ger inden for en r\u00e6kke medicinske specialer. Prim\u00e6re outcomes var d\u00f8delighed, patient-sikkerhedsh\u00e6ndelser og kliniske outcomes; vigtige sekund\u00e6re outcomes omfattede livskvalitet, self\u2011efficacy, behandlerens relative performance og direkte omkostninger. Resultaterne blev syntetiseret med meta\u2011analyser og narrativ syntese, og evidensens sikkerhed blev vurderet med GRADE.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Meta\u2011analyserne tyder p\u00e5, at der sandsynligvis er lille eller ingen forskel mellem sygeplejerske\u2011 og l\u00e6ge\u2011ledet behandling for d\u00f8delighed, livskvalitet, self\u2011efficacy og de fleste kliniske outcomes, og at patientsikkerhedsh\u00e6ndelser forekommer i nogenlunde samme omfang i de to grupper. For enkelte kliniske m\u00e5l s\u00e5s bedre resultater ved sygeplejerske\u2011l\u00e6ge\u2011substitution, mens andre m\u00e5l favoriserede l\u00e6ge\u2011ledet behandling. De \u00f8konomiske resultater var blandede og forbundet med betydelig usikkerhed, med b\u00e5de studier, der rapporterede lavere omkostninger, og studier med h\u00f8jere omkostninger.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Sygeplejersker \u2013 herunder avancerede og specialiserede funktioner \u2013 kan i de unders\u00f8gte hospitalskontekster levere behandling, der p\u00e5 centrale patientrelaterede outcomes generelt er sammenlignelig med l\u00e6gers behandling. Opgaveflytning fremst\u00e5r dermed som en mulig strategi i lyset af l\u00e6gemangel, men kr\u00e6ver samtidig opm\u00e6rksomhed p\u00e5 evidensens usikkerhed, \u00f8konomiske konsekvenser og p\u00e5virkning af sygeplejerskebemanding og arbejdsmilj\u00f8.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Toews M, et al. Substitution of nurses for physicians in the hospital setting for patient, process of care, and economic 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