{"id":25845,"date":"2026-08-05T18:44:12","date_gmt":"2026-08-05T16:44:12","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=25845"},"modified":"2026-08-05T19:11:30","modified_gmt":"2026-08-05T17:11:30","slug":"at-haandtere-moralsk-belastning-og-moralsk-skade-hos-militaerveteraner","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/08\/05\/at-haandtere-moralsk-belastning-og-moralsk-skade-hos-militaerveteraner\/","title":{"rendered":"At h\u00e5ndtere moralsk belastning og moralsk skade hos milit\u00e6rveteraner"},"content":{"rendered":"

\"\"<\/p>\n

Olenick M, Clark N, Thomas K, Clements PT, Helmke L, Khati K, Germaine A. Navigating Moral Distress and Moral Injury in Military Veterans: Clinical Implications for Nursing Practice. In: Issues In Mental Health Nursing. 2026. <\/span>https:\/\/doi.org\/10.1080\/01612840.2025.2596209<\/a><\/p>\n

Martin Locht Pedersen. Sygeplejerske, Cand.cur., Ph.d.-studerende, Retspsykiatrisk Forskningsenhed Mid-delfart, Institut for Regional Sundhedsforskning, Syddansk Universitet & Psykiatrisk Afdeling Middelfart, Sygehus Lilleb\u00e6lt, Region Syddanmark<\/em>. <\/span>martin.locht.pedersen@rsyd.dk<\/a><\/p>\n

DOWNLOAD RESUM\u00c9<\/a><\/p>\n

Resum\u00e9
\n<\/span>Introduktion
\n<\/span><\/strong>Moralsk belastning (moral distress, MD) og moralsk skade (moral injury, MI) er potentielle konsekvenser af milit\u00e6rtjeneste og kan afspejle dybe f\u00f8lelsesm\u00e6ssige, psykologiske og spirituelle s\u00e5r hos milit\u00e6rveteraner. Mange milit\u00e6rveteraner fremst\u00e5r velfungerende udadtil, men er \u201dstill at war on the inside\u201d.<\/span> MD og MI er t\u00e6t forbundet med komplekse f\u00f8lgevirkninger, herunder \u00f8get selvmordsrisiko, PTSD, depression og undg\u00e5else af behandling. Dette understreger behovet for, at sygeplejersker p\u00e5 tv\u00e6rs af specialer kan identificere og h\u00e5ndtere disse tilstande.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Artiklen er en narrativ oversigtsartikel, der syntetiserer eksisterende forskning om MD og MI hos milit\u00e6rveteraner. Den pr\u00e6senterer en konceptuel ramme for begreberne og gennemg\u00e5r psykologiske og adf\u00e6rdsm\u00e6ssige manifestationer, screeningsredskaber, sygeplejeinterventioner, etiske aspekter, uddannelsesbehov og organisatoriske krav. Da der er tale om et narrativt review, beskrives der hverken en systematisk litteraturs\u00f8gning eller en kvalitetsvurdering af de inkluderede studier.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Milit\u00e6rveteraner uds\u00e6ttes hyppigt for potentielt moralsk skadende h\u00e6ndelser. MD kan opst\u00e5, n\u00e5r der optr\u00e6der konflikt mellem personlige v\u00e6rdier og milit\u00e6re handlinger eller ordrer. Ubehandlet kan MD blive kronisk og udvikle sig til MI med vedvarende f\u00f8lelsesm\u00e6ssige, psykologiske og spirituelle konsekvenser. Artiklen fremh\u00e6ver behovet for systematisk screening, traumebevidst og ikke-d\u00f8mmende kommunikation, terapeutisk n\u00e6rv\u00e6r, psykoedukation og tv\u00e6rprofessionelt samarbejde. Meningsskabelse, identitetsrekonstruktion og inddragelse af p\u00e5r\u00f8rende beskrives som centrale elementer i den moralske helingsproces.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>MD og MI kan have omfattende konsekvenser for milit\u00e6rveteraners mentale sundhed og kr\u00e6ver en helhedsorienteret sygeplejeindsats. Der er fortsat betydelige videnshuller, s\u00e6rligt vedr\u00f8rende sygeplejespecifikke interventioner og systematisk screening. Sygplejersker har en central rolle i tidlig identifikation, moralsk heling og milit\u00e6rveteraners reintegration.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Artiklen fremh\u00e6ver en r\u00e6kke tiltag, der kan styrke sygeplejerskers evne til at st\u00f8tte milit\u00e6rveteraner med MD og MI. H\u00e5ndtering af denne komplekse problemstilling kr\u00e6ver \u00f8get og l\u00f8bende uddannelse, implementering af screeningsredskaber, tv\u00e6rprofessionelt samarbejde og udvikling af evidensbaserede sygeplejeinterventioner for at forbedre pleje og behandling af milit\u00e6rveteraner.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Olenick M, Clark N, Thomas K, Clements PT, Helmke L, Khati K, Germaine A. Navigating Moral Distress and Moral Injury 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