Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress ePosters 47 196 Safe Surgery Checklist Türkiye: A Review of Theses Burçin Irmak1, Ayşe Gül Atay Doyğaci2 1Ordu University, Faculty of Health Sciences, Nursing Department Surgical Nursing, 2Başkent University, Operating Room Services Program, Ankara Background: The complete implementation of the Safe Surgery Checklist (SSC) is an important element in ensuring patient safety. Objectives: The aim of this study is to determine the postgraduate theses related to SSC in Türkiye. Methods: The study data were accessed on 8.7.2023 from the Council of Higher Education Thesis Center Database in Türkiye. Inclusion criteria of theses; full-text access and search terms include “safe surgery checklist” or “safe surgery”. 7 theses were included in the study. “Thesis Evaluation Form” was used to collect the data. The data were evaluated with descriptive statistical methods. Results: It was determined that theses (and=7) were carried out between 2012-2022 and all types of theses were master’s thesis. Inclusion criteria of theses; full-text access and search terms include “safe surgery checklist” or “safe surgery”. The number of samples in the theses was between 41-469. The study design of the theses was descriptive (n=6) or qualitative (n=1). The majority of the sample group consisted of health professionals (surgeon, nurse, anesthesiologist, anesthesia technician, surgery technician) in the operating room. In the theses, the opinions of the team on the safe surgical checklist, the status of the application of the list, and its effect on preventing the development of complications were discussed. Conclusion: It has been determined that a limited number of thesis studies have been conducted on the subject of SSC in Türkiye, and most of them were descriptive studies. In the theses, it is recommended that qualitative research methods conducted to reveal the experiences related to the subject and randomized controlled intervention studies with high level of evidence. 203 Hands Deserve Better. Systematic Review of Surgical Gloving Practice. Louise Dye1 2, Deborah Spratt3 1Norfolk and Norwich NHS Foundation Trust, Orthopaedic Theatres (Operating Room), Norwich, United Kingdom, 2Conformity Solutions Ltd, Yaxham, United Kingdom, 3Independent Consultant Background: Glove damage during surgery is defined as breaches to the aseptic barrier secondary to tears/rips, shear force, sharps puncture, needle-sticks and micro-perforations. Research studies have demonstrated that glove damage during surgery occurs at frequent time points, across multiple specialties and impacts all operating room personnel equally. The rational for this study: to determine the best available evidence describing four key fundamental principles of surgical gloving practice: appropriate glove fit, double gloving, indicator systems, glove change frequency during surgery. Objectives: Inform existing and future operating room personnel on the importance of appropriate gloving practice to optimize health care provider performance and ensure patient safety. Methods: A 4-arm systematic review of available literature was conducted during 2022 - 2023. A multi professional team of researchers’ including nurses and surgeons from different specialties as well as infection preventionists, collaborated to review the available literature using the following inclusion criteria: surgeries performed in an operating theatre, adult, pediatric and neonatal surgical populations. Each key fundamental principle formed the basis for research groups, evidence tables were cross referenced, abstract reviews and full text reviews for the included papers. All scored for strength of evidence and risk of bias using the John’s Hopkins, ROBIS 1.2 Systematic Review, ROB-2RCT and NewcastleOttowa non RCT assessment tools. Results: Recommendations for clinical practice change will be reported for those statements which reach 80% consensus by Delphi process and strength of the recommendation and evidence rational reported. When consensus not reached or where research evidence not available, the group will render expert opinion recommendation based on good practice standards suggesting opportunities for future research. Conclusion: This study will be published in late 2023. Study results will be significant for all operating room personnel, suppliers of surgical gloves and inform future research.
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