{"id":7751,"date":"2024-07-08T19:44:15","date_gmt":"2024-07-08T17:44:15","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=7751"},"modified":"2025-07-14T20:36:10","modified_gmt":"2025-07-14T18:36:10","slug":"tvaersektoriel-udveksling-af-sygeplejersker-et-interventionsstudie","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/07\/08\/tvaersektoriel-udveksling-af-sygeplejersker-et-interventionsstudie\/","title":{"rendered":"Tv\u00e6rsektoriel udveksling af sygeplejersker – et interventionsstudie"},"content":{"rendered":"

\"\"<\/p>\n

Download som PDF<\/a><\/p>\n

Jungdal A, Tousig CG, Christiansen TK, Birkelund L, S\u00f8rensen AN, Roskilde J, Birkelund R. \u201cCross-sectoral exchange of nurses: An intervention study\u201d. Scandinavian Journal of Caring Science 2024; 38(2):378-386 <\/span>https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/scs.13238<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>Sundhedspolitisk er der stor opm\u00e6rksomhed p\u00e5 samarbejdet mellem prim\u00e6r og sekund\u00e6re sundhedssektor specielt i relation til indl\u00e6ggelse og udskrivelse. Hurtigere udskrivelse, der har medf\u00f8rt st\u00f8rre kompleksitet i forhold til sygeplejeopgaver i borgerens hjem, har \u00f8get behovet for det tv\u00e6rsektorielle samarbejde. P\u00e5 trods af idealplaner for samarbejdet, viser forskningslitteraturen, at mangelfuld kommunikation er en velkendt problematik, der kan v\u00e6re en barriere for et sikkert forl\u00f8b for borgeren. Med den antagelse, at et bedre kendskab til hinandens arbejde, vil medf\u00f8re bedre samarbejde og kommunikation, blev der iv\u00e6rksat et tv\u00e6rsektorielt udvekslingsforl\u00f8b med sygeplejersker.
\n<\/span>Form\u00e5let var at unders\u00f8ge, hvilke barrierer for det gode patientforl\u00f8b, de involverede sygeplejersker tilskrev det tv\u00e6rsektorielle samarbejde, og hvilken betydning udvekslingen til modsatte sektor havde for dem.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Der blev udvekslet i alt 28 sygeplejersker, 14 fra en hjertemedicinsk afdeling og 14 fra den kommunale hjemmepleje. Sygeplejerskerne fulgte en kollega i modsatte sektor i det daglige arbejde. Efterf\u00f8lgende blev der afholdt seks fokusgruppeinterviews. Det transskriberede materiale blev analyseret med afs\u00e6t i Paul Ricoeurs fortolkningsteori.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Der fremkom to hovedtemaer med flere undertemaer:
\n<\/span>1) Udfordrende kommunikative forhold.<\/span><\/p>\n

Undertemaer: Mangelfuld digital kommunikation. Mangelfulde plejeforl\u00f8bsplaner og<\/span> udskrivelsesrapporter. Samtale fremmer forst\u00e5elsen. Udfordrende samarbejde og kommunikation med visitatorerne.
\n<\/span>2)Den oplevede betydning af udvekslingen.<\/span><\/p>\n

Undertemaer: – Relationer, fordomme og respekt. To forskellige verdener.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Den elektroniske kommunikation er mangelfuld og IT systemerne underst\u00f8tter ikke en tilstr\u00e6kkelig tv\u00e6rsektoriel kommunikation. Den organisatoriske model i den kommunale plejesektor er ufleksibel i forhold til bevillinger til borgernes aktuelle behov, og de fagprofessionelle oplever, at deres faglige vurderinger ikke anerkendes. Udvekslingen til modsatte sektor var en \u00f8jen\u00e5bner for sygeplejerskerne. De fik indsigt i – og respekt for hinandens arbejde og arbejdsvilk\u00e5r.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Udvekslingsprojektet har et potentiale til b\u00e5de at forbedre relationen og kommunikationen mellem sygeplejerskerne de to sektorer imellem til gavn for et bedre og mere sammenh\u00e6ngende patientforl\u00f8b.<\/span><\/p>\n

Anni Jungdal. Klinisk Sygeplejespecialist, cand.cur., Hjertesygdomme, SLB. Anni.Jungdal@rsyd.dk<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Sundhedspolitisk er der stor opm\u00e6rksomhed p\u00e5 samarbejdet mellem prim\u00e6r og sekund\u00e6re sundhedssektor specielt i relation til indl\u00e6ggelse og udskrivelse<\/p>\n","protected":false},"author":4,"featured_media":12683,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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