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The Urostomy Care Skills Evaluation Tool: A scale development study
Hatice Merve Alptekin1, Öykü Kara2, Kübra Şengör3
1Kocaeli University, Faculty of Health Sciences, Department of Surgical Nursing, Kocaeli, Türkiye.
Aim:
This study was designed and implemented to develop a tool for evaluating the steps involved in urostomy care.
Background:
Providing effective urostomy care requires the acquisition of specific clinical skills. However, nursing education lacks standardized tools to assess these skills.
Design:
Methodological study.
Method:
This research was conducted at a nursing faculty in Istanbul from May-June 2023. The sample consisted of 140 nursing student enrolled in a surgical nursing course who met the inclusion criteria. Data for the study were collected via the "Personal Information Form," which consists of 10 questions about individual characteristics such as age, gender, academic performance and perspectives on the nursing profession and the "Urostomy Care Skills Evaluation Tool," a 28-step tool developed on the basis of the literature.
Results:
After the items for the evaluation tool were created, feedback was obtained from 10 experts and the content validity index was found to be sufficient (CVI: 0.978). The consistency among independent observers evaluating the tool's items was statistically significant and high (ICC: 0.995; p < 0.001). The testretest reliability of the tool also showed high consistency.
Conclusion:
The Urostomy Care Skills Evaluation Tool provides initial evidence of content validity and reliability for assessing urostomy care performance among nursing students in a simulation-based educational setting. The tool appears useful for evaluating training outcomes in undergraduate nursing education. However, further validation studies conducted in clinical settings and involving practicing nurses and caregivers are needed before broader applicability can be established.
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Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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Urine Studies II: Urine Culture and Sensitivity Test
Nursing Assessment of the Genitourinary System II: Inspection and Palpation

