11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 ePosters 72 of both social and organizational phenomena and the way in which emotions shape our experience, both consciously and unconsciously. Analysis of data illuminated three major themes “An eyeopener”, “A safe room” and “A path into the employee group”. Each theme presented 3-4 subthemes that expanded the understanding of the themes above. “An eyeopener” • Reflect in others • Creating hope and individual development • Prepare for clinical practice “A safe room” • Containing as a method • Holding structure established a safe frame • Organizational support “A path” • In group out group • Learning as a social process • The need for transparency Conclusion: The units supported the informants by giving them the space and the time to reflect. The feelings and experiences they shared and reflected upon together, enabled them to practice double awareness in clinical practice. 398 Loaned instruments in perioperative care Jana Wichsova1 1 1University of Pardubice, Faculty of Health Studies, Pardubice, Czech Republic Background: Currently, most medical facilities use the loan of instrument sets mostly for spinal and orthopedic surgeries or new and uncommon procedures. Using the loaned instruments solves the problems with limited storage and investing in owning these expensive sets. But the loaned instruments in perioperative care also cause several hazards. Many challenges are associated with the management of loaner instrumentation. In some facilities, dealing with loaner items is a daily struggle that can have a profound effect on the department personnel’s productivity (SEAVEY, R., 2010). The following research is focused on this topic. Objectives: • What problems does the use of loaned instruments bring? • What are the cleanliness issues? • What are the completeness issues? • What is the problem with the functionality? Methods: Research methods: the qualitative interview and the quantitative questionnaire. Respondents: experienced perioperative nurses, managers of operating theatre from one teaching and one small hospital Methods: open coding, axial coding, selective coding, statistic methods Results: Interviews: Participants reported problems with missing instruments or implants, instrument transport, broken instruments, instrument cleanliness. Questionnaire: The results show that a significant part of the respondents declare a low possibility to check the surgical instruments before the operation and also incorrect number of instruments or implants. Seldom they receive damaged instruments. 61 % of respondents faced a situation where an instrument was missing.
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