{"id":7143,"date":"2024-06-12T16:29:23","date_gmt":"2024-06-12T16:29:23","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=7143"},"modified":"2025-07-14T20:37:09","modified_gmt":"2025-07-14T18:37:09","slug":"hvordan-paavirker-en-sygeplejefaglig-kompetenceudvikling-paaroerendes-oplevelser-i-to-danske-traumecentre-en-tidsserieanalyse","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/06\/12\/hvordan-paavirker-en-sygeplejefaglig-kompetenceudvikling-paaroerendes-oplevelser-i-to-danske-traumecentre-en-tidsserieanalyse\/","title":{"rendered":"Hvordan p\u00e5virker en sygeplejefaglig kompetenceudvikling p\u00e5r\u00f8rendes oplevelser i to danske traumecentre? En tidsserieanalyse"},"content":{"rendered":"

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Mia Blaabjerg, Udviklingssygeplejerske og Traumekoordinator, BScN\/RN, MSc in Health Science, Research Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University, Denmark. <\/span>Emergency Department, Aarhus University Hospital, Denmark, Palle Juul-Jensens Boulevard 161, DK-8200 Aarhus N <\/span>E-mail: <\/span>miabjn@rm.dk<\/a><\/p>\n

Blaabjerg M, \u00c5g\u00e5rd AS, Lisby M. How does a nursing crisis management intervention impact relatives’ experiences in two trauma centres? A time-series study. Int J Nurs Stud Adv. 2024;6:100197. <\/span>https:\/\/doi.org\/10.1016\/j.ijnsa.2024.100197<\/a><\/p>\n

Baggrund
\n<\/span><\/strong>Traumesygeplejersker f\u00f8ler ofte, at de mangler kompetencer til at m\u00f8de kriseramte p\u00e5r\u00f8rende, og der er behov for at styrke deres kompetencer til kriseh\u00e5ndtering.<\/span><\/p>\n

Form\u00e5l
\n<\/span><\/strong>At unders\u00f8ge hvilken effekt sygeplejefaglig kompetenceudvikling i kriseh\u00e5ndtering kan have for p\u00e5r\u00f8rendes oplevelser.<\/span><\/p>\n

Design og settings
\n<\/span><\/strong>Et prospektivt interventionsstudie baseret p\u00e5 Interrupted Time Series analyser (ITS) af effekten af kompetenceudvikling i kriseh\u00e5ndtering, som blev gennemf\u00f8rt i Traumecentret p\u00e5 henholdsvis Aarhus og Aalborg Universitetshospital i 2020-2021.
\n<\/span>Deltagerne: p\u00e5r\u00f8rende (18+ \u00e5r) til kritiske syge eller tilskadekomne patienter (n=293).<\/span><\/p>\n

Metode
\n<\/span><\/strong>Sp\u00f8rgeskema (32 sp\u00f8rgsm\u00e5l) blev anvendt til dataindsamling. Tidsperioder: f\u00f8r-periode (6 m\u00e5neder), implementeringsperiode (3 m\u00e5neder), efter-periode (6 m\u00e5neder).
\n<\/span>Det prim\u00e6re outcome var den p\u00e5r\u00f8rendes samlede kvalitetsoplevelse af \u200b\u200binformation, inddragelse og st\u00f8tte m\u00e5lt p\u00e5 en VAS (0-10). \u00c6ndringerne i de sekund\u00e6re outcome blev m\u00e5lt med marginscores og risikoratio (RR), og blev b\u00e5de m\u00e5lt som v\u00e6gtede og ikke-v\u00e6gtede scores. I de v\u00e6gtede scores blev vigtigheden af \u200b\u200budsagnet medregnet.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Samlet set blev der ikke observeret forskelle mellem deltagernes karakteristika i de tre perioder. Sammenligning af implementerings- og efterperioden viste en signifikant positiv forskel mellem de p\u00e5r\u00f8rendes vurdering af kriseh\u00e5ndteringen [p=0,009]. Derudover steg sandsynligheden for at score >8 fra f\u00f8r til efter interventionen, signifikant [RR 1,21, 95% CI 1,16-1,27].
\n<\/span>Analyserne af de sekund\u00e6re outcomes viste, at den st\u00f8rste udvikling over tid var inddragelse af p\u00e5r\u00f8rende, [RR, 1,25 95% CI 1,15-1,35].
\n<\/span>Information havde st\u00f8rst effekt p\u00e5 p\u00e5r\u00f8rendes oplevelse af sygeplejerskers kriseh\u00e5ndtering og var samtidig det behovsomr\u00e5de, som p\u00e5r\u00f8rende ans\u00e5 for vigtigst. Information var dog ogs\u00e5 det behovsomr\u00e5de, der udviklede sig mindst.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Baseret p\u00e5 de udvalgte cut-off niveauer s\u00e5 interventionen ud til at have en positiv effekt p\u00e5 p\u00e5r\u00f8rendes oplevelser \u2013 s\u00e6rligt inddragelse af p\u00e5r\u00f8rende.
\n<\/span>Information var det behov, de p\u00e5r\u00f8rende ans\u00e5 for vigtigst, og det havde st\u00f8rst effekt p\u00e5 deres samlede oplevelse. Sygeplejerskers kompetencer til kriseh\u00e5ndtering b\u00f8r prioriteres i traumecentre og akutmodtagelser.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Download som PDF Mia Blaabjerg, Udviklingssygeplejerske og Traumekoordinator, BScN\/RN, MSc in Health Science, Research Center for Emergency Medicine, Department of 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