Development and Evaluation of a Metric-based Clinical Simulation Procedure for Assessing Ostomy Care in Nursing...

Area of Science:

• Nursing Education
• Human Factors Engineering
• Clinical Skills Assessment

Background:

• Ostomy nursing care requires a deeper understanding of clinical decision-making and work practices to enhance nursing training.
• Current training methods may not adequately prepare nurses for the complexities of ostomy care.

Purpose of the Study:

• To develop and evaluate a novel metric-based simulation for assessing ostomy nursing care.
• To utilize a human factors approach to create a reliable and comprehensive simulation.

Main Methods:

• A needs assessment was conducted with eleven stakeholders.
• Six nurses performed simulated ostomy care procedures.
• Three independent observers assessed the reliability of the simulation using video review.

Main Results:

• The simulation captured key ostomy care tasks, including product selection, stoma care, baseplate application, and infection control.
• The video review process demonstrated high reliability for assessing both continuous (ICC≥0.96) and categorical (κ>0.96) variables.
• The simulation proved effective in characterizing diverse clinical decision-making and work practices.

Conclusions:

• The developed metric-based simulation is a suitable tool for evaluating ostomy nursing skills.
• This simulation can inform and improve ostomy nursing training programs.
• The findings support the use of simulation in assessing complex clinical skills in nursing.