Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress ePosters 61 feelings, and thoughts on robotic surgery, working as a nurse in robotic surgery settings, responsibilities of nurses, and competence of nurses working in robotic surgery settings. Conclusion: Because the use of robotic surgery will expand in the future, it was suggested that the roles and responsibilities of nurses should be standardized, their working conditions should be improved, and standardized continuing education programs should be implemented. Determining nurses’ working conditions and roles in robotic assistive surgery settings by policymakers in legislation and regulations is crucial for improving the quality of nursing care and the outcomes of patients and healthcare organizations. 323 Non-Pharmacological Nursing Interventions in Postoperative Nausea and Vomiting: A Systematic Review Sevilay ŞENOL ÇELİK1, Hande Nur Arslan1 1Koç University, School of Nursing, Istanbul, Turkey Background: Postoperative nausea and vomiting (PONV) is one of the common problems after surgery. Evidence-based non-pharmacological nursing practices for the prevention and management of PONV are of great importance to reduce associated complications PONV and improve patients’ quality of life after surgery. Objective: The objective of this study was to assess the impact of non-pharmacological nursing interventions on PONV. Methods: This was a systematic review study. MEDLINE, Web of Science, Science-Direct, Tübitak-ULAKBİM, and TRDizin databases were searched for the following search terms, including “Postoperative Nausea and Vomiting,” “Nurse,” “Nursing,” “Non-Pharmacological Interventions” to identify non-pharmacological nursing interventions for PONV. A systematic review of English and Turkish articles published in the period between January 1, 2012 and April 26, 2022 was conducted. The PICOT-SD method was used to determine the compatibility of the articles with the Eligibility Criteria. Results: Forty-three of the 3247 articles obtained from databases fulfilled the eligibility criteria. In this study, it was determined that acupuncture and aromatherapy decreased the incidence of nausea and vomiting and increased the quality of life. Additionally, it was found that patients’ quality of life tended to improve along with reductions in postoperative complications. Conclusion: The results of this study support previous findings in the literature and demonstrate that non-pharmacological nursing interventions help reduce and prevent PONV. Based on these results, we suggest that non-pharmacological nursing interventions can be employed for the management of PONV in patients undergoing surgery. 324 OPINIONS AND EXPERIENCES OF PATIENTS USING STERNAL VESTS AFTER MEDIAN STERNOTOMY AND OF NURSES PROVIDING CARE FOR THESE PATIENTS: A MIXED METHOD STUDY Sevilay ŞENOL ÇELİK1, Hande Nur Arslan1, Mehmet Avcul1, Pınar Aktaş2, Zeynep Tanrıkulu1 1Koç University, School of Nursing, Istanbul, Turkey, 2Koç University Hospital, Istanbul, Turkey Background: The use of sternal vests after median sternotomy helps avoid mechanical complications, improves sternal healing, alleviates pain and increases patient autonomy because of improved patient comfort and early mobilization. However, it is also reported that the use of a sternal vest is not free of unfavorable consequences such as limitations in daily activities in association with the design of the sternal vest, pain and impaired comfort for patients. Objectives: This study aimed to evaluate the effectiveness of the sternal vest used after coronary artery bypass surgery and explore the patients’ experiences and challenges nurses face in the care process. Methods: This qualitative study was conducted in a single hospital. Participants included patients who underwent median sternotomy and their nurses. Patients were interviewed between the 3rd and 6th postoperative days, and a follow-up interview was conducted 15 days later to assess persisting issues. Nurses were interviewed once. Data were collected through semi-structured interviews and analyzed using content analysis. Results: Patients reported various problems and discomforts associated with using chest vests, including difficulty moving, pain, insomnia, shortness of breath, lacerations in the armpits, metallic wire tips hurting, and sweat-inducing.
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