EORNA2022_Abstract Book

10th EORNA Congress Stavanger, Norway | 12 - 15 May 2022 Parallel Sessions 12 Parallel session: Scientific research - Shaping the nurse identity OP01 Nurse-led randomised controlled trials in the perioperative setting: a scoping review J. Munday1,2,3, N. Higgins1, S. Mathew1, L. Dalgleish1, A. Batterbury1,3, L. Burgess1, J. Campbell1, L. Delaney1, B. Griffin1, J. Hughes1, J. Ingleman1, S. Keogh1,3, F. Coyer1,3 1Centre for Healthcare Transformation / Queensland University of Technology, Kelvin Grove, Australia, 2University of Agder, Department of Health and Nursing Science, Kristiansand, Norway, 3Royal Brisbane and Women’s Hospital, Herston, Australia Objectives: The aim of this review was to identify domains of perioperative care in which nurse-led randomised controlled trials have been conducted, and issues impacting upon quality of research undertaken in this setting. Within the multidisciplinary perioperative setting, it is appropriate that nurses are at the frontline of driving care improvements and identifying research priorities. Methods: This scoping review was conducted in reference to Joanna Briggs Institute (JBI) scoping review methodology (Peters, Godfrey et al. 2015), by a collaborative group of acute care researchers and clinicians. A comprehensive search strategy found both published and unpublished nurse-led randomised controlled trials in the perioperative setting from 2014-2019. Full text screening, critical appraisal using the Joanna Briggs Institute Critical Appraisal tool for Randomised Controlled Trials (Joanna Briggs Institute., 2017) and data extraction were undertaken by independent paired reviewers. Studies were organised into subgroups according to the objectives. Results: From the 86 included studies, key areas where nurses have led randomised controlled trials include: patient or caregiver anxiety; postoperative pain relief; surgical site infection prevention: patient and caregiver knowledge; perioperative hypothermia prevention; postoperative nausea and vomiting, in addition to other diverse outcomes. Issues impacting upon quality (including poorly reported randomisation), and gaps for future investigation (including a focus on vulnerable populations), are evident. Conclusions: Nurse-led randomised controlled trials in the perioperative setting have focused on key areas of perioperative care. Yet, opportunities exist for nurses to lead experimental research in other perioperative priority areas, and within different populations that have been neglected, such as in the population of older adults undergoing surgery. References: Peters, M.D., Godfrey, C.M., Khalil, H., McInerney, P., Parker, D., Soares, C.B. (2015) Guidance for conducting systematic scoping reviews. International Journal of Evidence-Based Healthcare. 13(3):141-146. Joanna Briggs Institute. Checklist for Randomised Controlled Trials. https://joannabriggs.org/sites/default/files/2019-05/ JBI_RCTs_Appraisal_tool2017_0.pdf OP02 Unveiling tacit knowledge: non-technical skills in operating room nursing I. Sirevåg1 1University of Stavanger, Faculty of Health Sciences, Department of Caring and Ethics, Stavanger, Norway Objectives: Previous studies of the non-technical skills (NTS) of operating room (OR) nurses have primarily explored the skills of scrub nurses. The low volume of previous research including the circulating nurse warrants an exploration of the NTS used by scrub and circulating nurses. Thus, the aim of the study was to identify the NTS essential for OR nursing in the intraoperative timeframe. Methods: A three-round modified e-Delphi technique was used. Norwegian registered OR nurses (n=106) with a minimum of two-year experience (mean=17.1) were selected for the expert panel. Response rates in the three consecutive online surveys were 100%, 90.6%, and 84.4% respectively. Descriptive analysis was performed on the quantitative data while deductive thematic analysis based on crew resource management (CRM) theory was performed on the qualitative data. Consensus was determined by stability between rounds. Preliminary results: Consensus was obtained on which CRM categories are essential to OR nursing, and several novel NTS was identified in the qualitative data. The following list presents CRM categories with representative NTS: Situation awareness (SA): Uses all senses to gain SA; Has awareness towards wrong information; Are continually ‘One step ahead’. Leadership: Uses authority to promote patient safety; Shows competence in management; Considers consequences when planning activities.

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