7 Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress Symposia bacteria and a range of volatile organic compounds and gases. Viruses, including HIV, HPV and Hepatitis B are known to be present in plume and can be transmitted. Objectives: The aim of this study was to determine the perceptions, attitude and preventive practice among perioperative nurses toward surgical smoke hazards. Methods: A quantitative survey was conducted at hospitals of Thessaloniki in July 2023. A Questionnaire consisting of Likert Scale Multiple Choice Questions was used to collect data regarding Surgical Smoke. The statistical package SPSS version 27 was implemented for the statistical processing. Frequency tables and bar plots of percentages, oneway analysis of variance (ANOVA) test and independent samples for equality of means test (t-test) were the statistical techniques used. The sample size of this research included 201 perioperative nurses. Results: From the responses in 5 hospitals, it is concluded that there is 9% - 50% equipment of surgical smoke evacuation in operating theatres. Between 29% and 46% of perioperative nurses do not know about the existence of equipment of surgical smoke evacuation. Only 11% of operating room nurses are aware of a local policy for surgical smoke management being in place within their organization. Conclusion: Lack of effective management strategies, shortage of evacuation equipment and perioperative nurses unawareness of the existence of surgical smoke evacuation devices are some of the findings that cause barriers to the implementation and use of plume evacuation devices Symposium 3: Perioperative / Clinical practice 140 Presence in the cold room Johanne Søborg Hartmann1 1Rigshospitalet, 3043, København, Denmark Background: The first imprint with the perioperative nurse is important for the way patients feel in the operating room. The perioperative field is a highly technical and complex environment, where focus is on specialization and productivity. In this special room the patient might feel anxious and alien. The perioperative nurse has a special role keeping the patients’ needs in mind while mastering the complexities of the operating room. Objectives: The purpose of this study was to investigate perioperative nurses’ experiences with presence in the patient encounter. Methods: To explore this, an explorative qualitative investigation comprising individual interviews with 10 perioperative nurses were applied. The philosophy of Merleau-Ponty was used as a theoretical starting point and a hermeneutic methodology as a qualitative frame. Results: Seven themes’ findings illuminated how presence has value, especially when patients experiences anxiety, or during complex and acute procedures. Presence requires nurses to be open towards perception, and to be able to balance between intimacy and distance in order to respect the patients’ different ways of managing feelings of loss of control. The themes were: ‘Offering touch as a sense of care’, ‘Opening a conversation’, ‘Daring to be in the moment’, ‘Feeling a time pressure’, ‘Focusing on technical skills’, ‘Being part of a team’ and ‘Creating habits’. Conclusion: The experience of presence is challenged by a task-centered care, which focusses on efficiency, productivity, specialization and technology. Improving practice requires change towards a more patient-centred care, both within the team in the operating room, and on a larger scale in how the healthcare system is organized.
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