Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress Round Table Sessions 27 Round Table 3: Perioperative/clinical practice 215 Moving from participation towards partnership in the perioperative phase Mattsson Janet1 2, Antoniadou Irini3 1Bakkenteigen, Hovedinngang, health science, Horten, Norway, 2Karolinska, NVS, Huddinge, Sweden, 3KTH, Health informatics, stockholm, Sweden Background: Meeting with health care gets short before and after the operation.the difficulty at the day surgery is that preparation and information takes place in close proximity to the operation. Health professionals must not only take care of the child during the medical visit, but also of the accompanying parent, too. Parents ‘ participation in the perioperative care, sometimes unable to attend. Objectives: This study aims to investigate how parental involvement in the perioperative a process can be facilitated Methods: A qualitative design based on observations and interviews with semi structured questions with open answers. Results: The results conveyed involvement in the child’s perioperative process in diverse ways and to a different depth. This is highlighted in the theme Allowed with the under themes Security and Being accepted. However, the theme Exclusion with the under-theme Rejection revealed a non-caring approach where no caring relation could be established. Quotes from the transcribed material are used to highlight the results. Conclusion: The study’s findings confirm earlier studies in the perspective that information is of central importance in enabling parents to be involved in the perioperative process. The results showed that parents ‘ involvement in the perioperative process is a prerequisite for creating safety in the child and reducing concerns in connection with the operation. Parental involvement may be hindered by a conventional approach that does not include the child’s perspective. 333 Preoperative and postoperative fasting durations, and its association with discomfort among surgical patients; A descriptive study Oluwatomiwa Grace Adebowale1, Nurhan Bayraktar2 1Near East University, Faculty of Nursing, Nicosia-Mersin, 2Atilim University, School of Health Sciences, Ankara Background: Prolonged perioperative fasting is a risk factor for postoperative complications. It is important for health care workers to get acquainted with the updated perioperative fasting protocols using evidence-based approach. Objectives: The aim of this study is to determine the preoperative and postoperative fasting durations, and its association with discomfort among the surgical patients. Methods: This descriptive cross-sectional study was conducted on patients who undergoes elective surgery procedures at a city hospital in Nigeria between August and November, 2021. The 64 voluntary patients were composed the sample of the study, with an access rate of 87.7%. Data were collected through the use of a questionnaire developed by the researchers based on the guidelines of the American Society of Anesthesiology and Enhanced Recovery After Surgery protocols. Data were collected with self-completion method. Ethical committee approval and informed consent from the participants were obtained. Descriptive statistics, Spearman correlation, Cross tabulation and fisher’s exact test were used in the analysis of the data. Results: The minimum, maximum and mean preoperative fasting hours were eight, 13, and 10.78 (1.67) respectively. The minimum, maximum, and mean hours for postoperative fluid fasting were four, 24, and 10.88 (6.23); while that of postoperative meal were four, 24 and 13.16 (8.31) respectively. Regarding the intensity of preoperative discomforts experienced by patients, 53.1% of the participants experienced mild level of thirst. In terms of preoperative hunger, the intensity level with the highest number of patients was also mild (46.9%). Regarding postoperative discomforts, 42.2% experienced severe thirst. A 43.8% had a moderate level of hunger, followed by 40.6% severe hunger. Conclusion: Implementation of the revised guidelines to improve the patients’ surgical experiences is recommended.
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