10th EORNA Congress Stavanger, Norway | 12 - 15 May 2022 Parallel Sessions 20 studies OpenGrey, Open Access Theses and Dissertations, and RCAAP Portugal were systematically searched to find both published and unpublished studies from January 2007 to April 2021 available in English, Spanish and Portuguese. Two independent reviewers assessed records following the inclusion criteria. Results: Twenty-eight studies were included from a total of 4500 records identified. Family-centred educational interventions focused on explanations about pre and postoperative care, preparation of a child for surgery, strategies to facilitate children’s adaptation to the operating room environment, and providing parents with knowledge about equipment and procedures in the recovery area. DVDs, videos, games, booklets, leaflets, face-to-face teaching, tour visits and therapeutic play were used among the studies. Data from meta-analysis revealed that children/adolescents who benefited from educational interventions were significantly less anxious throughout the perioperative journey, demonstrated better compliance at induction of anaesthesia and displayed reduced postoperative pain intensity. No evidence was found regarding the effectiveness of these interventions in reducing postoperative maladaptive behaviours, such as sleep disturbances, eating or emotional disorders. Preoperative parental anxiety was also reduced, favouring family-centred educational interventions. Conclusions: Family-centred educational interventions must be considered in the management of anxiety and pain of children/adolescents and parents’ anxiety during their perioperative journey. OP16 ELPO APP: innovation tool for risk assessment of the development of patient positioning injuries C.M. Moraes1, r.c. Campos Pereira Silveira2, V. Brito Poveda3, N.O. Sawada4, C.M. Galvão2 1Federal University of Rio de Janeiro, Enfermagem, Macae, Brazil, 2University of Sao Paulo, Enfermagem, Ribeirão Preto, Brazil, 3University of Sao Paulo, Enfermagem, Sao Paulo, Brazil, 4Federal University of Alfenas, Enfermagem, Alfenas, Brazil Background: Patient Positioning when not performed in the best possible way, can cause injuries in several systems of the body. Thus, it is essential to assess the risks to design an individualized care plan for the patient on time to prevent complications. ELPO (Risk Assessment Scale to development of injuries related to patient positioning) as a valid and reliable tool widely used in perioperative clinical practice in Brazil. This project aimed to build an ELPO Scale Application for Smartphones and Tablets. Methodology: This is a technological development of an educational mobile application through scientific rigor. The construction followed the steps: contextualize (problem); Project; coding (use of programming tools); test. Results: The ELPO App was developed in two languages, the Portuguese version, and the English version, and can be downloaded for free on the digital platforms of mobile applications. ELPO has seven items that consider intrinsic and extrinsic risk factors for the development of injuries related to patient positioning. The ELPO App allows the selection of items interactively. The software sums the scores of the selected sub-items and at the end shows total scores and evidence-based care recommendations. From August to November of 2021 almost 4000 downloads were registered and the evaluation on mobile app’s stores is five stars. The use of ELPO can facilitate the work of the perioperative nurse, the analysis of who is the patient at greatest risk, directing care, and ensuring the safety of the surgical patient. Using this scale in digital format can make this process even easier. Conclusion: The ELPO App is a technological tool to assess the patient’s risk of developing injuries related to patient positioning and present Evidence Based Care Recommendations to guide the care. Are you ready to guarantee excellent care during patient positioning? Download the ELPO App and enjoy!
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