Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress ePosters 79 434 Making the invisible visible - psychological safety in work by using feedback Lea Kjaer Jensen1 1University Hospital of Copenhagen Hvidovre, Orthopedic Operating Theatre, Copenhagen Background: At Hvidovre Hospital Orthopedic Operation Theatre, reflection, as a method, is implemented to create security and visibility in the department’s existing culture and norms for newly hired colleagues. During the past two years, the department has gained 6 new employees. The concern was, how to link the colleagues to the department, in order to keep them attached to the department after completing their training. Statements from their formal 4-month interview with the mentor, showed that all the new employees had challenges in understanding the unspoken cultural norms and rules that existed in the department, even though they were already experienced nurses. The department works with mentoring based on psychologist Christian Harpelund’s theory of Onboarding, where reflection is part of the program in the intro period. The mentor and the manager were inspired to create a reflection forum for the group together with professor Steen Wackerhausen’s theory of reflection in practice. He talks about the need to be aware of the field of practice’s established conceptual resources, perspectives and room for action are put up for discussion. The mentor and the manager set out to create a safe space where the group, with the mentor, could talk freely about challenges and experiences in everyday work to make visible the invisible in the ordinary with a critical eye. Objectives: The purpose of the project is to gain knowledge if the group experience a greater degree of attachment to the department during their introduction period when reflection is used. Methods: After the introduction period and two reflection forums a semi-structured group interview were conducted, containing openminded questions Results: We are about to go through the results. They will be ready for presentation at the EORNA conference 2024. Provisional results shows that the employees feel psychologically safe and increased attachment to the department 435 Development programme Marie Colombo1, Kiki Soender2 1Hvidover hospital, Hvidovre, 2Hvidover hospital Background: When a patient goes through surgery, a highly specialized multidisciplinary surgical team are essential. If one member of the team is missing, the operation cannot be carried out. Data shows that in the future we will have a lack of operating nurses. We therefore need to find new ways to develop other professional groups who can contribute to fulfill the need of highly performing surgical teams. Objectives: We want to create a development program of skills and competencies for staff with other skills such as surgical technicians and social and health assistants who have their daily routine in the operating room. Methods: The development program lasts 6 months. It consists of daily training in sterile assisting with supervision by a mentor, workshops including theory, hands on instrumental learning and competency card. Our program is inspired from psychological security based on Bjarne Wahlgrens theory on transfer to creates the best conditions. Results: In a period of 6 months in 2023 we included 3 employees to the program. The employees, 2 social and health assistants and 1 surgical technician, have stated, that they experienced a safe learning environment where they are able to train their knowledge, skills, and competences to a higher level of performance in the surgical team. They find it motivating to be allowed to develop and become experienced and being able to contribute more to the team in the operating room. Conclusion: During the test period we experience more flexibility in the nursing team and less vulnerable programs in everyday life with less canceled operations. We find a more professional based critical approach to our nursing practice in the multidisciplinary team collaboration, and we see motivated nursing teams delivering a high level of patient safety and nursing.
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