EORNA2024_Abstract Book

Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress ePosters 53 283 Evaluating the Effectiveness of a Multimodal Educational Approach on OR Nurses’ Documentation Compliance and Accuracy using the AORN Surgical Wound Classification Algorithm Claudia Chanes1 1 1Baptist health South Florida, Surgery, Miami, United States Background: The Association of PeriOperative Registered Nurses (AORN) Surgical Wound Classification Decision Tree (SWCDT) was used as the evidence-based tool for standardizing OR nurses’ accurate assessment and documentation of SWC. A multimodal approach was used to educate nurses on the appropriate use of the SWCDT. The project was an evidence-based practice teaching initiative plan that used pre- and post-education intervention strategies. A surgical clinical nurse educator (CNE) reviewed the Surgical wound classification documentation (SWCD) and compared it with surgeon operative notes found inaccuracies. SWC is a crucial factor in the early identification of surgical site infection and reimbursement. Objectives: Review what is the impact of a SWC multimodal educational intervention on the accuracy and compliance with SWCD. Demonstrate competency in operating room nurses’ skills to enhance clinical outcomes. Methods: The intervention timeframe was April to July 2022. The learning methods consisted of a 1:1 session, a PowerPoint presentation, gaming (using Kahoot!), and lectures demonstrating appropriate assessment and correct documentation. To assess education effectiveness, nurses were invited to attend workshops with pre-and post-test and gaming (Kahoot!). Assessment of nursing documentation accuracy involved a review of charts by a CNE. SWCD in surgical operative notes was used as a point of comparison. If the same nurse had more than three inaccuracies in a week, the CNE provided 1:1 remediation. Results: Post-intervention average inaccuracy rate (August to September 2022) was 3.14%. This represents 31.77% decreased in SWCD inaccuracies. Conclusions/Discussion: The results of this project support using an evidence-based multimodal educational approach with just-in-time follow-ups as an effective method for nurses to learn the SWCD algorithm with subsequent improvements in the accuracy of nursing SWCD. The multimodal pedagogical strategies effectively cement knowledge and promote compliance with SWCD. Therefore, we recommend and encourage the adoption and use of various methods when designing and implementing education. 288 Investigation of the Relationship Between Perception of Discrimination and Attitudes Towards Refugee Children of Pediatric Surgery Nurses Adile Savsar1, Filiz Ogce1, Ceren Rabia Yilmaz1, Duygu Kİrteler1, Ebru Derİn1 1Izmir University Of Economics, Turkey Background: It has become more important to understand the attitudes and perceptions of discrimination towards refugees in health care services. Objectives: To examine the relationship between the perception of discrimination of pediatric surgical nurses and their attitudes towards refugee children. Methods: The population of this descriptive and cross-sectional study consisted of 680 pediatric surgical nurses. The sample of the study consisted of 206 pediatric surgical nurses. The data were collected between March-July 2023 with the “Socio-demographic and Occupational Characteristics Form”, “Nurses’ Perception of Discrimination Scale”, and “Attitudes Towards Refugee Children Scale “. Independent groups t test, One Way ANOVA and correlation analysis were used in the analysis of the data. Results: It was found that 78.2% of pediatric surgery nurses were women; 55.3% are married; 35.9% had children; 48.5% of the nurses worked in the neonatal intensive care unit; 53.4% were not satisfied with the patient profile; 34% of the nurses stated that they had too many problems in communicating with refugee children; 43.7% of them stated that the difficulties with refugee children due to cultural differences are high; 55.3% of them stated that the difficulties they experienced in the care and treatment practices for refugee children are high; 55.8% reported that refugee children had too many difficulties in meeting their needs. It was determined that nurses’ perception of discrimination was moderate (91.54±33.10; Min-Max:

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