Stavanger, Norway | 12 - 15 May 2022 10th EORNA Congress Symposia - Invited speakers 45 Guided Poster Walk P13 Educational interventions used with children, adolescents and parents in the perioperative: a systematic review protocol I. Martins Esteves1,2, M. Silva Coelho1, M. Pestana-Santos3,4,5, M. Reis Santos1,6,7 1Nursing School of Porto, Porto, Portugal, 2University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, United Kingdom, 3Portugal Centre for Evidence-Based Practice: a JBI Centre of Excellence, Coimbra, Portugal, 4Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra, Coimbra, Portugal, 5Coimbra University and Hospital Centre, Pediatric Department, Coimbra, Portugal, 6CINTESIS – Center for Health Technology and Services Research, Porto, Portugal, 7Instituto Ciências Biomédicas Abel Salazar – Universidade do Porto, Porto, Portugal Objectives: To synthetize which educational interventions are used with children, adolescents and parents in the perioperative. Introduction: Nearly 50 to 75% of children and adolescents undergoing surgery experience fear and anxiety during the preoperative period, emotions also common to parents. Educational interventions are recommended as a method to reduce perioperative anxiety, increase knowledge, satisfaction, improve attitude and behaviours. These should aim the child and adolescent, taking into consideration their stage of cognitive development, and also be centred on the family. Inclusion criteria: This review will consider studies whose participants are parents and their children – 6 to 12 years old - and adolescents – 13 to 19 years old - undergoing elective or scheduled surgery under general anaesthesia, regardless of the type of surgery. Day and/or ambulatory surgery will also be included. The participants must have been submitted to the educational interventions perioperatively. The main outcomes are pain and anxiety levels in children and adolescents and anxiety levels and satisfaction in parents. Experimental and quasi-experimental study designs will be considered for this review. Methods: This review will be conducted following the Joanna Briggs Institute methodology for systematic reviews of effectiveness. Databases for published and unpublished studies, available in English and Portuguese, from January 1st 2007 will be searched. There is no geographical or cultural limitation for the acceptance of studies. Titles, abstracts and full text of relevant studies will be independently assessed against the inclusion criteria, and two independent reviewers will critically appraise eligible studies. All selected studies, regardless of their assessment of methodological quality, will be presented in a tabular form. A narrative synthesis will accompany the results and, if possible, meta-analysis will be performed, and a Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Summary of Findings presented. P14 Nursing care in awake surgery in the surgical treatment of drug-resistant epilepsy in paediatric patients: a clinical case report G. Cecconi1, I. Franconi1, L. Gatti1, A. Ciangoli1, M. Fioretti2 1Sala Operatoria Ostetrico-Ginecologica e Pediatrica, Presidio Ospedaliero Materno-Infantile Salesi, AOU Ospedali Riuniti Ancona, Ancona, Italy, 2Sala Operatoria Cardio-Chirurgica Lancisi, AOU Ospedali Riuniti Ancona, Ancona, Italy Background: Awake surgery is an innovative neurosurgical technique that involves brain surgery on an alert and cooperative patient. This technique is used when the lesion affects the so-called eloquent cortex or areas of the brain that perform functions that need to be tested during surgery. Case presentation: 14 years old female patient suffering from drug-resistant epilepsy undergoing surgery to remove the epileptogenic lesion in awake surgery. It is essential to choose the best type of patient to undergo this technique, not only for their illness, but also for their ability to control anxiety and fear of pain. For the nurse in the operating room, a holistic view of the case is therefore necessary, keeping in mind the pathology, the patient’s maturity, anxiety and fear, and the family context. Primary objective of the case: not to make the intervention a traumatising event. The nurse who cared for the patient created a comfortable setting by making her listening to music, communicating continuously with her throughout surgery, helping her to relax and overcome moments of fear, answering her questions, and by never making her feel alone. Discussion: Awake surgery is an emotionally engaging experience for both the neurosurgeon and the patient as they both cooperate to achieve the same goal. No diagnostic test can accurately establish the function of the areas of the brain where the team is performing surgery, so, if the patient is alert, they can help eliminate the lesion by “guiding the surgeon’s hand”. The awake technique helps minimise post-operative neurological deficiencies, minimise the need for
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