{"id":26402,"date":"2026-09-14T12:51:19","date_gmt":"2026-09-14T10:51:19","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=26402"},"modified":"2026-09-14T12:51:19","modified_gmt":"2026-09-14T10:51:19","slug":"naervaer-i-det-kolde-rum-operationssygeplejerskers-erfaringer-at-balancere-teknisk-praecision-med-empatisk-omsorg","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/09\/14\/naervaer-i-det-kolde-rum-operationssygeplejerskers-erfaringer-at-balancere-teknisk-praecision-med-empatisk-omsorg\/","title":{"rendered":"N\u00e6rv\u00e6r i det kolde rum. Operationssygeplejerskers erfaringer – At balancere teknisk pr\u00e6cision med empatisk omsorg"},"content":{"rendered":"

\"\"<\/p>\n

Hartmann, J.S., Missel, M. and Martinsen, B. (2025), Being Present in an Impersonal Environment: A Qualitative Study of the Experiences of OR Nurses in Patient Encounters. AORN J, 122: 393-405. <\/span>https:\/\/doi.org\/10.1002\/aorn.14440<\/a><\/p>\n

Johanne S\u00f8borg Hartmann, sygeplejerske, MScN, ph.d.-studerende<\/em>. <\/span>johanne.soeborg.hartmann@regionh.dk<\/a><\/p>\n

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

Resum\u00e9<\/span><\/strong><\/p>\n

Introduktion
\n<\/span><\/strong>Patienter oplever ofte operationsstuen som angstfyldt og fremmedg\u00f8rende – de er nerv\u00f8se for indgrebet, bed\u00f8velsen, \u00e6ndret kropsbillede og postoperative smerter. Det sterile, teknisk pr\u00e6gede milj\u00f8 og den effektive arbejdsgang g\u00f8r det sv\u00e6rt at etablere en tillidsfuld, individuelt tilpasset sygepleje. I studiet er det prim\u00e6rt sygeplejen p\u00e5 operationsstuen som er unders\u00f8gt ud fra patienters og an\u00e6stesi-sygeplejerskers perspektiv, men operationssygeplejersker har ogs\u00e5 en central rolle.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Kvalitativt hermeneutisk studie med 16 semistrukturerede interviews af operationssygeplejersker, hvor f\u00f8lgende syv temaer blev identificeret:<\/span><\/p>\n

\u201dAt tilbyde ber\u00f8ring som et tegn p\u00e5 omsorg\u201d <\/span><\/strong>er en form for taktil empati, der skal skabe n\u00e6rv\u00e6r og ro. Det kr\u00e6ver kompetence at balancere n\u00e6rhed og distance, s\u00e5 patientens gr\u00e6nser respekteres.<\/span><\/p>\n

\u201dAt indlede en samtale\u201d <\/span><\/strong>er komplekst under tidspres. Sygeplejerskerne skal balancere samtalens dybde og vide, hvorn\u00e5r den b\u00f8r afrundes respektfuldt hvilket er s\u00e6rligt sv\u00e6rt i akutte situationer med h\u00f8jt tempo. F\u00e5, velvalgte ord blev brugt til at skabe h\u00e5b uden falske l\u00f8fter.<\/span><\/p>\n

\u201dAt turde v\u00e6re til stede i \u00f8jeblikket\u201d<\/span><\/strong> handler om at rumme patientens f\u00f8lelser, s\u00e5rbarhed og smerte. N\u00e6rv\u00e6r er vigtigt, men emotionel distance kan v\u00e6re lettere. Sygeplejerskerne beskrev en skr\u00f8belig balance mellem \u00e5benhed og professionalisme, hvor de beskytter b\u00e5de sig selv og patienten mod at blive overv\u00e6ldet.<\/span><\/p>\n

\u201dAt h\u00e5ndtere tidspres\u201d <\/span><\/strong>viste, hvordan produktivitetsfokus skaber et hektisk milj\u00f8, hvor effektivitet ofte prioriteres h\u00f8jest i teamet. Sygplejerskerne fors\u00f8gte alligevel at bevare n\u00e6rv\u00e6r og ro.<\/span><\/p>\n

\u201dAt balancere tekniske f\u00e6rdigheder<\/span><\/strong>\u201d<\/strong> er afg\u00f8rende for patientsikkerheden, men tekniske opgaver kan dominere og skabe distance til patienten – for eksempel n\u00e5r samtaler om udstyr og arbejdsgange foreg\u00e5r hen over hovedet p\u00e5 v\u00e5gne patienter.<\/span><\/p>\n

\u201dAt v\u00e6re en del af et team\u201d <\/span><\/strong>indebar en observerende, afventende rolle, hvor interaktionen med patienten tilpasses teamets tilstedev\u00e6relse. Skiftende omgivelser og komplekse teamdynamikker, herunder sp\u00e6ndinger, kunne forstyrre relationen til patienten.<\/span><\/p>\n

\u201dAt opbygge vaner\u201d<\/span><\/strong> rummer en dobbelthed: som uerfaren er n\u00e6rv\u00e6r sv\u00e6rt at forene med indl\u00e6ring af tekniske f\u00e6rdigheder, mens erfaring kan medf\u00f8re distance og mindre empati, n\u00e5r arbejdet bliver rutine. Balancen mellem erfaring, vane og \u00e5benhed skal genetableres i hvert patientm\u00f8de.<\/span><\/p>\n

Implikationer for klinisk praksis
\n<\/span><\/strong>Det tekniske arbejde skal bygge p\u00e5 h\u00f8j faglighed og erfaring, mens interaktionen med patienten b\u00f8r forene kropslig sikkerhed, intuition og \u00e5benhed. Den erfarne sygeplejerskes ideal er at balancere erfaringsbaseret og teknisk-teoretisk viden uden at tabe \u00e5benheden over for patienten. Klinisk praksis b\u00f8r derfor fremme refleksion, kritisk t\u00e6nkning og \u00e5benhed hos operationssygeplejersker for at underst\u00f8tte patientcentreret omsorg.<\/span><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Hartmann, J.S., Missel, M. and Martinsen, B. (2025), Being Present in an Impersonal Environment: A Qualitative Study of the Experiences 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