10th EORNA Congress Stavanger, Norway | 12 - 15 May 2022 Round Table Sessions 30 RT11 An exploration of the perception of conflict among perioperative nursing staff in an acute Irish hospital (pre COVID-19) A. Burke1 1Sligo University Hospital, Nursing Administration, Sligo, Ireland Workplace conflict has been identified as a significant issue within the perioperative setting causing patient harm, surgical error, and sentinel events. The aim of this study was to identify the causes of conflict in the operating room as perceived by perioperative nursing staff, as there was a dearth of evidence of perioperative workplace conflict in the Irish setting. A qualitative study of 20 perioperative nurses using a semi-structured interview explored the perception of workplace conflict among perioperative nursing staff in an acute Irish Hospital. Data revealed a highly educated and vastly experienced nursing workforce. Perioperative nurses perceived perioperative workplace conflict occurred most days between various multidisciplinary members. The dominant causes of workplace conflict arose from competing organisational and public demands for acute surgical services. Precipitating factors were: limited resources, staff workload, and interpersonal relationships. Felt effects were mostly negative including job dissatisfaction, emotional responses, reduced theatre efficiency, interpersonal conflicts, suboptimal delivery of patient care and communication failures. Conflict resolution required time taken from patient care responsibilities, with collaboration and compromising as the most preferred strategies for conflict resolution. Nurses never used an avoiding strategy when conflict arose around a patient safety issue. Positive effects included problem solving, improvements to the quality of patient care, and team cohesion. The majority of nurses reported that they had not had conflict management training since graduate nurse training. Nurse resilience and coping methods were demonstrated by nurses with higher levels of clinical experience and professional development. Recommendations are for findings to be disseminated via organisational management structures within the Hospital, with multidisciplinary perioperative staff to receive education and training about acceptable professional workplace conduct and improved team communication. Also, the implementation of regular ongoing mandatory conflict resolution strategies, and continued professional development educational programmes, to enable awareness of a healthier working environment. Round Table: Beyond COVID: Challenges and solutions RT12 The impact of COVID-19 pandemic on nursing care provided in operating rooms F. Ferraiuolo1, A. Dante1, C. La Cerra1, A. Marcotullio1, L. Bertocchi1, V. Masotta1, C. Petrucci1, L. Lancia1 1University of L’Aquila, Department of Health, Life and Environmental Sciences, L’Aquila, Italy Objectives: The main aim of the study was to document the impact of COVID-19 pandemic on nursing care provided in operating rooms as perceived by a sample of Italian nurses. The secondary aim was to document the impact of COVID-19 pandemic on interpersonal relationships and stress levels of nurses. Methods: An explorative cross-sectional study was conducted involving nurses registered at the Italian Association of Nurses in Operating Teams (AICO) who participated at the 20th AICO Webinar National Congress. An ad hoc electronic survey was administered to collect socio-demographic data and information about the impact of the pandemic on nursing care, interpersonal relationships, and stress levels. Before data collection, the study aims were explained to nurses and their written informed consent was obtained. Results: One hundred and fifty-five nurses were enrolled. More than half were females, and the average age was just over 43 years old. Their professional experience in operating rooms was lasted in average 15 years, and the most of them were working as scrub nurses. About the 40% of participants perceived a significant change in both direct and indirect nursing care during the COVID-19 pandemic. These changes were mainly due to the application of specific protocols aimed at ensuring the safety of patients and healthcare workers during the perioperative period. Most of nurses perceived an increased workload and a significant negative change in their interpersonal relationships. In addition, an increase in the level of stress was perceived during the COVID-19 pandemic.
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