{"id":2894,"date":"2024-03-10T20:15:40","date_gmt":"2024-03-10T20:15:40","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=2894"},"modified":"2026-05-11T19:57:36","modified_gmt":"2026-05-11T17:57:36","slug":"dansk-konsensus-betegnelse-og-definition-for-advance-care-planning-acp-oensker-for-fremtidig-pleje-og-behandling-fpb","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/03\/10\/dansk-konsensus-betegnelse-og-definition-for-advance-care-planning-acp-oensker-for-fremtidig-pleje-og-behandling-fpb\/","title":{"rendered":"Dansk konsensus-betegnelse og definition for Advance Care Planning (ACP): \u00d8nsker for Fremtidig Pleje og Behandling (FPB)"},"content":{"rendered":"
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Mette Asbj\u00f8rn Neergaard, overl\u00e6ge, klinisk professor, ph.d. <\/span>1,2<\/strong> <\/span>Emma Helledie, afdelingsl\u00e6ge <\/span>1
\n<\/span><\/strong>Brita J\u00f8rgensen, sygeplejerske, MKS <\/span>1 <\/span><\/strong>Helle Mathiesen, klinisk sygeplejespecialist <\/span>1
\n<\/span><\/strong>Mette Kj\u00e6rgaard Nielsen, praktiserende l\u00e6ge, postdoc, ph.d. <\/span>3<\/span><\/strong><\/p>\n

1 <\/span><\/strong>Enhed for Lindrende Behandling, Kr\u00e6ftafdelingen, Aarhus Universitetshospital, Aarhus
\n<\/span>2 <\/span><\/strong>Klinisk institut, Aarhus Universitet, Aarhus
\n<\/span>3 <\/span><\/strong>Forskningsenheden for Almen Praksis, Aarhus<\/span><\/p>\n

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Resum\u00e9
\n<\/span><\/strong>Form\u00e5l:<\/span><\/strong> Form\u00e5let med studiet var at opn\u00e5 national konsensus om en dansk betegnelse for Advance Care Planning (ACP) og at overs\u00e6tte den engelske definition til dansk efter international praksis for systematisk overs\u00e6ttelse.
\n<\/span>Baggrund:<\/span><\/strong> I Danmark har ACP efterh\u00e5nden vundet indpas i sundhedsv\u00e6senet, men der mangler konsensus om en dansk betegnelse og der er ikke lavet en systematisk overs\u00e6ttelse af den engelske definition.
\n<\/span>Metoder:<\/span><\/strong> Studiet bestod af et Delphi studie og en systematisk overs\u00e6ttelse af den engelske definition af ACP.
\n<\/span>Resultater<\/span><\/strong>:<\/strong> I Delphi studiet blev der sendt mails ud til danske interessenter for at f\u00e5 s\u00e5 mange forslag til danske betegnelser som muligt. Ekspertpanelet (29 personer) vurderede de 78 indkomne danske forslag til betegnelser p\u00e5 en 5-punkt likert-skala i 8 runder. I 9. runde blev den endelige betegnelse valgt ud af to resterende betegnelser og i 10. runde blev der valgt en dansk forkortelse.
\n<\/span>I den systematiske overs\u00e6ttelse blev fem standardiserede trin fulgt og \u00e6ndringer blev foretaget undervejs efter input fra bed\u00f8mmere i hvert trin.
\n<\/span>Konklusion:<\/span><\/strong> Den danske konsensus-betegnelse \u00d8nsker for Fremtidig Pleje og Behandling (FPB) blev fundet ved en Delphi-proces og en dansk definition af ACP blev lavet efter en systematisk overs\u00e6ttelse af den engelske definition. Der er s\u00e5ledes nu et grundlag for en ensretning i forhold til omtale og brug af ACP i Danmark.
\n<\/span>Klinisk relevans:<\/span><\/strong> N\u00e5r vi i klinikken indf\u00f8rer koncepter og begreber fra udlandet er det yderst vigtigt, at der er dansk konsensus om definitioner og sprogbrug. Denne artikel giver et eksempel p\u00e5, hvordan dette kan gribes an p\u00e5 en systematisk, forskningsbaseret m\u00e5de.<\/span><\/p>\n

English abstract<\/h5>\n


\nDanish consensus and definition for Advance Care Planning (ACP)<\/span><\/strong><\/h4>\n


\nAim
\n<\/span><\/strong>This study aimed to reach a national consensus on a Danish term for Advance Care Planning (ACP) and to translate the English definition into Danish using an internationally accepted method.
\n<\/span>Background
\n<\/span><\/strong>There is interest in incorporating ACP into Danish health care. However, confusion about the concept has limited the implementation, and ACP has no official Danish term or definition.
\n<\/span>Methods
\n<\/b>Two sub-studies were conducted: a Delphi study to reach consensus on a Danish term for ACP, and a systematic forward-backwards translation procedure to reach a Danish definition of ACP.
\n<\/span>Results
\n<\/span><\/strong>In the Delphi study, emails were sent to relevant Danish organisations and interested individuals to achieve a \u2018snowball effect\u2019 and gather as many suggestions as possible for a Danish term for ACP. An expert panel (29 persons) evaluated 78 unique suggestions for terms in nine Delphi rounds. When 19 suggestions remained, an online meeting of the expert panel was held to discuss desirable characteristics for the future term, after which<\/span>\u00a0the Delphi rounds continued until one term was selected. In the 10th round, an abbreviation of the Danish term for ACP was chosen. <\/span>In the systematic forward-backwards translation procedure, changes to the wording were made and documented in five steps. A primary focus was placed on ensuring loyalty to the source text while adapting to cultural norms.
\n<\/span>Conclusion
\n<\/span><\/strong>A Danish consensus term for ACP was reached, and a structured, culturally adapted definition was developed. This work may serve as a foundation to ensure alignment between the term and the definition of ACP, supporting the implementation of ACP in the Danish healthcare system.\u2003<\/span><\/p>\n

Keywords:\u00a0<\/span><\/strong>Advance Care Planning, Delphi study, Forward-Backwards translation, Palliative care<\/span><\/p>\n<\/div>\n<\/div>\n

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