11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 ePoster Guided View 34 source. Inclusion criteria involved studies published online, without temporal or language restrictions, while exclusion criteria eliminated studies not aligned with the research question. The search was performed independently by two researchers. Results: Out of 286 articles, 28 satisfied the review criteria. These articles were selected and characterized, elucidating key preoperative recommendations for cardiac surgeries. These encompassed preoperative education, medication management, utilization of risk stratification scales, inspiratory muscle training, and specific preoperative tests. Conclusion: The identified recommendations demonstrated efficacy in promoting hemodynamic stability, alleviating patient fear and anxiety related to surgery, reducing arrhythmias, minimizing hospitalizations, lowering mortality rates, and mitigating postoperative complications. This comprehensive review provides valuable insights into evidence-based preoperative practices in cardiac surgery, offering a foundation for future research and clinical applications. 372 Quality Indicators Sensitive to Nursing Interventions in Ambulatory Surgery: Survey Development and Validation Joana Pinto1, Luís Sá1, António Amaral2 1Universidade Católica Portuguesa - Centro Regional do Porto, Porto, Portugal, 2ESEnfC - Nursing School of Coimbra - The Polo, Coimbra, Portugal Background: Assessing quality indicators in Ambulatory Surgery (AS) sensitive to nursing care, is essential for continuous quality improvement; for patient safety; to assess the operational efficiency of the Ambulatory Surgery Unit (ASU); for improving patient satisfaction; for risk management; and evidence-based decision-making. Objectives: To develop a questionnaire to assess quality indicators sensitive to nursing interventions in AS. Methods: The guidelines of Hill & Hill (2016) and Vilelas (2022) were used. A scoping review was conducted to find the best definition of the construct. The first step was listing all the research variables; then the number of questions to measure each variable was specified; thirdly, the items were operationalized as well as the general structuring of the questionnaire and analyzed its content validity using a focus group; a pre-test was performed on nurses working in ASUs. To conclude the process of developing the questionnaire, it will be validated on a representative sample of the population. Results: In the focus group, it was suggested that more detailed information on ethical issues be included in the participant information form; the sociodemographic data to be requested was discussed; adjustments were made to the Likert scales used, as well as changing the order in which some items were presented. In total, 7 questions were removed from the initial version, leaving 63 questions and one open-ended question, divided into the following sections: ASU Functioning and organization, Providing Nursing Care at the ASU, Teamwork and Training, Learning and Responding to Errors, Safety Events, Management, Leadership and Support for Nurses, Global Assessment and Comments. The pre-test involved 36 nurses working in ASU and no further changes were required. Conclusion: Developing this tool is essential to ensure the provision of safe, effective and patient-centered care, and to promote the continuous improvement of health services. 185 Intra-hospital transfer anxiety of patients in the neurosurgery intensive care unit: a prospective cohort study Baran Kuytak Ortahisar1, Yasemin Uslu2 1İstanbul University, Neurosurgery, İstanbul, Turkey, 2İstanbul University, Nursing Faculty, İstanbul, Turkey Background: Transferring a patient from the intensive care unit to different locations within the hospital can cause transfer anxiety. Transfer anxiety is an important factor that adversely affects various physiological and psychological parameters. Objectives: The aim of the study is to evaluate the intra-hospital transfer anxiety of patients in a neurosurgery intensive care unit and factors affecting it. Methods: This prospective cohort study was conducted between November 2021 and June 2022 in a neurosurgery intensive care unit in Istanbul. A total of 171 adult patients who stayed in the intensive care unit for at least 24 hours, with a Glasgow Coma Scale score of 14 and above and who had undergone their first intra-hospital transfer were included.
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