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Development and Evaluation of a Metric-based Clinical Simulation Procedure for Assessing Ostomy Care in Nursing
Marketa Haughey1, Melinda Harman1, Casey Hopkins2
1Dept. of Bioengineering, 301 Rhodes Engineering Research Center, Clemson University, Clemson, SC 29634 USA.
Background:
There is a need to understand the clinical decision-making and work practices within ostomy nursing care to support expanding nursing training.
Objective:
To develop and evaluate a new metric-based simulation for assessing ostomy nursing care using a human factors approach.
Sample:
This pilot study involved eleven stakeholders in the needs assessment, six nurse participants performing simulated ostomy care, and three independent observers assessing procedure reliability.
Method:
We conducted a needs assessment of ostomy nursing care and training, developed an enhanced metric-based simulation for ostomy appliance change procedures, and statistically evaluated its reliability for measuring the simulated tasks.
Results:
The enhanced metric-based simulation captured different tasks within four task categories: product selection; stoma and peristomal skin care; baseplate sizing and adhesion; and infection control strategies. The video review procedure was reliable for assessing continuous (average ICC≥0.96) and categorical (average κ>0.96) variables.
Conclusion:
The new metric-based simulation was suitable for characterizing a broad range of clinical decision-making and work practices in ostomy nursing care.
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