11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 ePosters 58 315 Competencies and professional performance of the surgical nurse in Spain Natalia Pérez1, Rosario Merino-Ruiz2, Francisco José Rodríguez-Cortés3, Emilia Priego-Cubero4 1Reina Sofía University Hospital, Operating Room, Córdoba, Spain, 2San Agustín University Hospital, Operating Room, Jaén, Spain, 3Maimonides Biomedical Research Institute of Córdoba (IMIBIC), Deparment of Nursing, Córdoba, Spain, 4Reina Sofia University Hospital, Operating Room, Córdoba, Spain Background: In Spain, surgical nurses are those who carry out their activity in the surgical area, regardless of their training or job access criteria. The standards and recommendations of the Ministry of Health identify them as those in charge of providing surgical care as circulators, instrumentalists and URPA nurses. Likewise, the need for them to have training for the care of surgical patients is collected. This situation in Spain does not correspond to the European context, where specific training is defined and required to perform the functions of the surgical nurse. Objectives: Analyze the profile of the surgical nurse in Spain, describing and identifying her competencies in daily practice. Methods: Research project for a cross-sectional observational study of surgical nurses who carry out their daily practice in Spanish operating rooms. Data collection will be carried out using a questionnaire prepared in 3 phases: translation, validation by a group of experts and evaluation of psychometric properties (calculation of the Content Validity Index (CVI) at the item level (I-VC) and scale (S). -VC) and the Content Validity Coefficient (CVR). The study variables are based on the perioperative nursing study plan prepared by EORNA. It will be carried out respecting ethical regulations and prior informed consent. The calculation size The sample has been calculated using the GRANMO calculator. The data analysis will consist of calculating absolute/relative frequencies and confidence interval. Results: This project is based on the results obtained in a pilot study carried out in an autonomous community of Spain. No significant relationships were identified between nursing competencies and the experience/specific training variables. Conclusion: This study aims to be a tool to know the competencies of surgical nurses in Spain and to work specifically on those in which weaknesses are identified. 316 Surgeries after Falls in Elderly Individual:A Retrospective Study Büşra Eda Pakdemİr1 1, Meryem YAVUZ van GIERSBERGEN2 1EGE UNIVERSITY HOSPITAL, Emergency Medicine Department, İzmir, 2Ege University, Surgical Nursing Department, İzmir, Turkey Background: Falls are one of the leading causes of injuries, hospitalizations, and even fatalities among older adults. Objectives: This study aimed to investigate the causes of falls and fall-related surgical conditions in individuals aged 65 years and older, seeking medical attention at the emergency department after experiencing a fall. Methods: Conducted as a retrospective, cross-sectional, and descriptive study between March 2020 and December 2021, the research examined 2,502 patient files of elderly individuals who presented with a fall complaint during the specified period. Additionally, the study analyzed 581 patients who underwent fall-related surgeries. The research obtained the necessary ethical and institutional approvals, and measures were taken to ensure the privacy and confidentiality of personal data. Data were collected through a comprehensive questionnaire consisting of 26 questions. Results: The study’s findings revealed that a higher proportion of women (65.4%) experienced falls indoors, while a significant percentage of men (48.9%) fell outdoors. Following falls, 56.2% of individuals were diagnosed with fractures, and 40% presented soft tissue trauma. Furthermore, 28.1% of the studied individuals required hospitalization, with the orthopedics and traumatology service admitting the largest share (22.1%) of patients. Gender-based analysis demonstrated a notable difference in hospitalization rates, with 30.3% of women and 24.7% of men hospitalized due to falls. Women were found to be more vulnerable to severe injuries and fractures following falls, as their fracture rate was higher than that of men. Statistical analysis confirmed a significant difference in surgery rates based on age, with elderly individuals aged 75 and older exhibiting higher surgical rates than their younger counterparts. Conclusion: The findings from this research will provide valuable insights into the impact of falls on the health and wellbeing of elderly individuals, thus contributing to the development of evidence-based interventions and policies to enhance their safety and quality of life.
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