Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress Parallel Sessions 17 CONCLUSION: The low frequency and severity of this complications require the development of a systematic algorithm for the equipment removal and for the actions to be taken during a real emergency. The development and systematic practice of this algorithm will enable an effective resolution of such emergencies through its learning process by the entire surgical team, ensuring the patients safety and viability. 295 Strategies to deal with the future challenges of retaining expertise and recruiting new surgical nurses. Annette Kolding Roervik1 1Center for HR & Education, Postgraduate Competence Development, Hellerup, Denmark Background: Specialized nursing skills are essential to be able to carry out highly specialized surgical activity and to ensure qualified functioning of the emergency response. If the necessary skills are not present, it has consequences for patient safety and long waiting lists arise. Increasing challenges in recruiting qualified nurses and in retaining the specialized trained experienced surgical nurse staff in the Capital region of Denmark, resulted in a need for HR & Education to find a sustainable solution. Objectives: The task of preparing a strategy for retention and recruitment involved an even wider collaboration with the experienced and highly specialized nurses with postgraduate supervisor education. The strategy was to triangulate the collaborative effort between creating the effect of theoretical education offered by the University College, combined with multi-faceted learning activities to ensure transfer and consistency in theory and practice coordinated by the highly specialized nurses with supervisor skills. The close collaboration structure between HR, University college and the experienced surgical nurses with postgraduate education have strengthened and developed the specialized competences that are desired to be maintained. The three responsible units are mutually dependent on each other, and the effort with retention and recruitment cannot be separated. Conclusion: The need to retain and recruit nurses in the future healthcare system is a future challenge around the world. Attention must be drawn to ensuring a monitoring of the effort, an evaluation of the effect of the education and to ensure that the expert nurse’s competences are sufficiently updated. Collaboration with experienced highly specialized nurses with postgraduate supervisor skills are essential for succeeding in retaining specialist nurses and collaborative knowledge sharing is necessary. Parallel Session 4: Education 188 The Non-Technical Skills for Operating Room Nurses (NOTSORN) tool Irene Sirevaag1, Ingrid Tjoflåt1, Britt S. Hansen1, Brigid Gillespie2 3 1University of Stavanger, Faculty of Health Sciences, Norway, 2Gold Coast University Hospital, Nursing and Midwifery Education and Research Unit, Southport, Australia, 3Griffith University, School of Nursing and Midwifery, Southport, Australia Background: Research has shown that non-technical skills (NTS), defined as the cognitive, social, and personal resource skills that complement technical skills, are essential to patient safety in the operating room (OR). Behavioral marker systems operationalize NTS training and assessment and are valuable for the development of OR nurses’ NTS. Previous systems either apply to the entire surgical team, or only one of the OR nursing roles. Thus, they do not capture the NTS of instrument and circulating OR nurses. Objectives: The objective of this study was to develop a behavioral marker system specific to OR nurses’ NTS. Methods: The first step of the development of the Non-Technical Skills for Operating Room Nurses (NOTSORN) included a modified Delphi technique to identify NTS used by OR nurses. The expert panel was OR nurses with experience in the instrument and circulating nurse roles (N=106). A bilingual draft of NOTSORN was developed through an iterative process. In two rounds, expert panels (N=25) representing 9 countries assessed the relevance of the tool in English and Norwegian. Content validity was assessed using the Content Validity Index.
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