11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 Parallel Sessions 22 Parallel Session 6: Perioperative / clinical practice 192 Nurses’ experiences of patient care after bariatric surgery: a qualitative study Engin Koç1, Esra Eren2 1Kocaeli Ministry of Health 112 emergency assistance, 112 ambulance services, 2Istanbul Medipol University South Campus, nursing Background: After bariatric surgery, nurses should accurately and completely identify patients for safe and accurate nursing care practices. It is very important that the nursing care services provided to patients during the bariatric surgery process are specific to obese patients. Objectives: In this study, it was aimed to determine the experiences of nurses working in bariatric surgery clinics regarding postoperative patient care. Methods: The research is a phenomenological, qualitative research. The study was conducted with 8 nurses who care for patients after bariatric surgery in a private hospital. The data were collected using in-depth, face-to-face interview technique with a semi-structured interview form and a personal information form. The data obtained were analyzed using document and content analysis, thematic analysis, and metaphor method. Results: As a result of the participants sharing their experiences, the findings consisted of 3 themes, 9 sub-themes and 32 codes as views on obesity, views on bariatric surgery and views on caring for bariatric patients. Most of the nurses mentioned morbid obesity as a complex, challenging and time-consuming condition. Nurses’ descriptions of their bariatric surgical practice included their own personal experiences with weight, differences in their approaches to weight, and several specific components of care. Facilitators that helped nurses were identified as a patient’s motivation as well as access to and utilization of resources for the provision of care. Several conditions that hinder the delivery of care by nurses were identified, including patients’ adaptation to and maintenance of positive lifestyle changes, traumatic events, comorbidities, social and physical determinants of health. Conclusion: With the themes obtained, important information about post-bariatric surgery care was provided and it was recommended that nurses providing care in this field should receive specific in-service training and that courses related to this purpose should be included in the nursing undergraduate program. 187 The effect of the “knee prosthesis school” training program on patient expectations, anxiety, pain, functional status, quality of life and satisfaction Hatice Tunç1, Sevil Güler2 1Burdur Mehmet Akif Ersoy University Bucak Health School, Nursing Department, Burdur /Bucak, Turkey, 2Gazi University Nursing Faculty, Nursing Department, Ankara, Turkey Background: Patients who decide to have knee replacement surgery should be supported with perioperative training. Patient schools are one of the most effective methods in patient education. The effect of knee prosthesis school on patient outcomes is quite limited in the literature. Objectives: The aim of the study is that the evaluation the effect of the “Knee Prosthesis School” training program developed for knee arthroplasty patients on patient outcomes. Methods: The study was carried out as a quasi-experimental study. The research was conducted at Burdur Bucak State Hospital between April-2021 and September-2022 by including 82 patients (40-control, 42-experimental). The data of the study were collected using patient information form, patient expectations assessment form, hospital anxiety scale (HAD-A), brief pain inventory (BPI), functional assessment form, SF-36 quality-of-life scale, Newcastle nursing satisfaction scale, and complication assessment form in the both groups. Patients in the experimental group were included in the Knee Prosthesis School training program (one day before surgery, the postoperative first day, and 24 hours before discharge), and were followed at the same time as the control group. Results: This study showed significant differences between groups in terms of patients’ expectations, anxiety, pain, quality of life and complication rates (p<0,05). The preoperative expectations of the patients in the control and intervention groups were quite high, and there was a significant improvement in their anxiety, pain, quality of life and satisfaction levels, and functional status over time (p<0.05). The rate of meeting the control group’s expectations in the third month
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