{"id":25849,"date":"2026-08-05T19:19:56","date_gmt":"2026-08-05T17:19:56","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=25849"},"modified":"2026-08-05T19:19:56","modified_gmt":"2026-08-05T17:19:56","slug":"etniske-uligheder-i-klinisk-beslutningstagen-om-akut-beroligende-tvangsmedicin-i-retspsykiatrien-en-kvalitativ-undersoegelse","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/08\/05\/etniske-uligheder-i-klinisk-beslutningstagen-om-akut-beroligende-tvangsmedicin-i-retspsykiatrien-en-kvalitativ-undersoegelse\/","title":{"rendered":"Etniske uligheder i klinisk beslutningstagen om akut beroligende tvangsmedicin i retspsykiatrien: En kvalitativ unders\u00f8gelse"},"content":{"rendered":"

\"\"<\/p>\n

Pedersen ML, Baker J, Munk-Olsen T, Gildberg FA. Ethnic disparities in clinical decision-making for rapid tranquillisation in adult forensic mental health inpatient settings: a qualitative study. In: International Journal of Mental Health Nursing. 2026; 35(4):e70323. <\/span>https:\/\/doi.org\/10.1111\/inm.70323<\/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>Forskning indikerer, at etniske minoritetspersoner oftere uds\u00e6ttes for akut beroligende tvangsmedicin (ABT) end etniske majoritetspersoner. Dette studie unders\u00f8gte, hvordan personalets kliniske beslutningstagen vedr\u00f8rende ABT kan variere afh\u00e6ngigt af etnicitet, belyst gennem klinisk dokumentation i retspsykiatrien.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Et kvalitativt multipelt casestudie omfattende 19 ABT-forl\u00f8b i retspsykiatrien, opdelt efter f\u00f8deland som indikator for etnicitet (etniske minoritetspersoner vs. etniske majoritetspersoner, dvs. danskf\u00f8dte). Data fra klinisk dokumentation blev analyseret via indholdsanalyse med afs\u00e6t i en firekomponentramme for klinisk beslutningstagen.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>De overordnede m\u00f8nstre i anvendelsen af ABT var overvejende ens mellem grupperne. Der blev dog identificeret forskelle i den tidsm\u00e6ssige udvikling frem mod ABT, i forhandlings- og planl\u00e6gningsprocesser samt i dokumentationen af belastning, sv\u00e6rhedsgrad og risiko. Hos etniske minoritetspersoner blev eskalerende uro og adf\u00e6rd generelt registreret senere og t\u00e6ttere p\u00e5 tidspunktet for ABT, mens dette hos etniske majoritetspersoner hyppigere var dokumenteret over l\u00e6ngere tidsperioder. Dokumentationen af proaktiv planl\u00e6gning, forhandling om frivillig medicinering og eftersamtaler efter ABT var generelt begr\u00e6nset, men mindre fremtr\u00e6dende hos etniske minoritetspersoner. Personalets kliniske beslutningstagen fremstod som en iterativ og cyklisk proces, og gentagen anvendelse af ABT blev observeret i begge grupper.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Etnicitet kan have betydning for personalets kliniske beslutningstagen vedr\u00f8rende ABT i retspsykiatrien, hvor etniske uligheder synes at opst\u00e5 gennem kumulative, procesorienterede variationer gennem hele forl\u00f8bet. Der er behov for yderligere forskning for at bekr\u00e6fte og nuancere disse fund.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Studiet understreger behovet for \u00f8get opm\u00e6rksomhed p\u00e5 dokumentationspraksis, tidlig identifikation af eskalerende uro og adf\u00e6rd samt systematisk planl\u00e6gning og refleksion. Dette kan bidrage til at forebygge potentielle etniske uligheder i anvendelsen af ABT. Fremtidig forskning b\u00f8r unders\u00f8ge samspillet mellem etnicitet og andre faktorer i relation til klinisk beslutningstagen vedr\u00f8rende ABT.<\/span><\/p>\n

Projektet er st\u00f8ttet med en bevilling fra Novo Nordisk Fonden (NNF22OC0080419)<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Pedersen ML, Baker J, Munk-Olsen T, Gildberg FA. Ethnic disparities in clinical decision-making for rapid tranquillisation in adult forensic mental 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