8 11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 Symposia 225 Set-up of surgical instruments during emergency Cesarean section. Advantages and disadvantages of using a standardized set-up of the Mayo stand from the surgical nurse’s perspective. Linn Terese Ourom1, Bodil Ane Helland2, Brynhildur Gudmundsdottir2 1University of Agder, Department of Health and Nursing Science, kristiansand, 2University of Agder, Department of Health and Nursing Science, Norway Background: Surgical nurses have responsibility for the instruments during surgery. Losing control of the instruments can have negative consequences for the patient and the surgical team. Some hospitals use a standardized set-up of the Mayo stand for surgeries, including Cesarean Section. Purpose: To examine the surgical nurses’ experiences and attitudes regarding using a standardized set-up of the Mayo stand during emergency Cesarean section. Research question: What are the advantages and disadvantages of using a standardized set-up of the Mayo stand during emergency Cesarean section? Methods: We collected data through qualitative, semi-structured, in-depth interviews with 12 surgical nurses. Data was analyzed using Malterud’s systematic text condensation. Results: The analysis revealed 4 result categories and 12 subcategories. The most important thing for the participants was to keep control of the instruments. Standardized set-up proved most useful for the inexperienced surgical nurses, in acute situations, in cooperation with gynecologists and during concurrency conflicts. Some disadvantages emerged, such as that the implementation can be challenging, especially for the experienced and a standard does not suit all ergonomic needs and situations. Some disagreed whether individual adaptations to the set-up were an advantage or a disadvantage. They emphasized that a standardized set-up must never replace a counting control. Conclusion: Ideally, a standardized set-up can ensure the quality of optimal collaboration and make surgical nurses feel safe, regardless of experience. However, using a standard is not necessarily the best in all situations and can be challenging, especially during implementation. 318 The Effect of Virtual Reality Glasses Used During Colonoscopy on Vital Signs, Pain and Anxiety Level: A Study Protocol for Randomized Controlled Trial Esra KILINÇ AKMAN1, Ayfer Özbaş2 1Halic University Faculty of Health Sciences, Nursing, Istanbul, Turkey, 2Demiroğlu Bilim University Florence Nightingale Hospital School of Nursing, Istanbul, Turkey Background: Colonoscopy is a screening method used for screening, diagnosis, treatment and monitoring of colorectal and anal canal pathologies. Because it is an invasive and painful procedure, it causes psychological and physiological changes in the patient such as tension, irritability, increased blood pressure and pulse. Nurses are responsible for pain management by using pharmacological and non-pharmacological methods before, during and after the intervention in people who are exposed to painful procedures. Although distraction is one of the non-pharmacological methods, virtual reality glasses are a frequently used device in this context. Objectives: To determine the effect of virtual reality glasses used during colonoscopy on vital signs, pain and anxiety levels. Methods: The study was planned with 60 patients (experiment group:30, control group:30) in a pretest-posttest, randomized controlled experimental design. The study was carried out in the endoscopy unit of a hospital in Istanbul between September 2020 and September 2021. Data were collected with Descriptive Information Form, State-Trait Anxiety Scale, Visual Comparison Scale-Pain, Vital Signs Follow-up Form, and Satisfaction Form. Conclusion: As a result, it was found that there was a statistically significant difference between the experimental group and the control group after the procedure in terms of heart rate, anxiety and pain scores during the procedure in terms of vital signs of the virtual reality glasses used during the colonoscopy procedure. The use of virtual reality glasses is an effective non-pharmacological method to distract attention during painful and invasive procedures.
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