11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 ePosters 44 133 Reflection on practice situation - ROPS Helle Groenne Nilsen1, Louise Levring1 1, Christian Ishøi1, Lene Søndergaard Andersen2 1Regionshospitalet i Viborg, Viborg, Denmark, 2VIA University College - Campus Viborg, Viborg, Denmark Background: Students’ reflection in clinical practice is often practices in either an oral or written presentation based on a practice situation. Various models can be used as a frame of reference for reflection, for example the Pedagogical Reflection Model (PRM) (Færch & Bernild 2015) or Clinical Reflection Around Decision Making (KROB) (Grohe Thomsen 2019). Evaluations from both students and clinical supervisors show that the nursing student may find it challenging to understand the concept of reflection and furthermore the purpose of and the benefits from reflection, but also in practice how to reflect. Reflecting is a working method which, in clinical practice, must connect the student’s theoretical knowledge and clinical skills in order to achieve the competencies of the nursing profession. Result: Physical reflection tool has been prepared - ROPS; Reflection on Clinical Situations. ROPS has been prepared with inspiration from board games, where a board delimits a given clinical situation. There are also a number of pieces belonging to ROPS which represent the subject’s areas of need, theories, concepts and methods. Based on the individual’s health challenges and disease contexts, the board can be built based on the exact situation the student wants to reflect on using the associated pieces which can be put together in different ways. The tool allows for individual reflection as well as group-based reflection. Conclusion: ROPS has been developed and implemented over a period of 2 years and is tested for 1½ year on selected students and semesters with subsequent evaluation and development of the tool. Evaluations from students show that the tool creates an overview and structure for the students and that the students are generally enthusiastic about the tool. 138 Effect of interventions to increase early ambulation women with gynecological surgery: A systematic review, meta-analysis and GRADE profiles Ezgi ARSLAN1, Sultan Özkan2 1Student, Efeler, Turkey, 2Advisor, Nursing, AYDIN, Turkey Background: Various interventions have been tried to increase early ambulation and little is known about the content and method of interventions and their effectiveness on patient outcomes. Objectives: This study was conducted to determine the interventions related to early ambulation after gynecological surgery in the literature, to determine the effects of interventions on patient mobility, hospital stay, and postoperative pain, and to determine the clinical evidence for the effectiveness of interventions to increase clinical decision-making in postoperative early ambulation. Methods: The methodology of this study includes the systematic review, meta-analysis of randomized/non-randomized controlled trials, and the presentation of the evidence from these studies with a GRADE profile. Studies published between January 2002 and March 2023 were published using electronic databases PubMed, EBSCO, Web of Science, Cochrane and Turkey national databases scanned. Two independent researchers evaluated the quality of the studies using the Joanna Briggs Institute. Meta-analyses with random effects models were performed to evaluate the effectiveness of interventions using Comprehensive Meta-Analysis Software Version 4. Results: Preoperative patient education, exercise protocol, ambulation goal setting, and activity tracker use interventions were identified among the 6 articles that met the inclusion criteria. While the most commonly used method was patient education and ambulation goal setting, it was determined that the most common method of application was the use of verbal and written training materials and reminders. According to the meta-analysis results, the low quality of evidence of the preoperative patient education on mobilization related to the patient’s mobility (g=0.227, 95% Cl: -0.03 0.5; p=0.085), postoperative pain (g=0.150, 95% CI:-0.2, 0.5; p=0.4) was found to have no effect and reduced the length of hospital stay (g=-0.227, 95% CI: -0.45, -0.003; p=0.047). Conclusion: According to the results, postoperative mobilization programs given to patients undergoing gynecological surgery with different methods may increase postoperative patient mobilization.
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