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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.
Nurse Education in Practice
|January 14, 2026
Summary
A new Urostomy Care Skills Evaluation Tool was developed and validated for nursing students. This tool assesses urostomy care performance in simulated settings, demonstrating good reliability and content validity for educational use.
Area of Science:
- Nursing Education
- Medical Device Development
- Clinical Skills Assessment
Background:
- Effective urostomy care necessitates specialized clinical skills.
- Standardized assessment tools are lacking in nursing education for urostomy care.
- This gap hinders the consistent evaluation of nursing students' proficiency.
Purpose of the Study:
- To develop and validate a tool for evaluating urostomy care steps.
- To provide a standardized method for assessing nursing students' urostomy care skills.
- To enhance the quality of urostomy care training in undergraduate nursing programs.
Main Methods:
- A methodological study was conducted with 140 nursing students.
- A 28-step Urostomy Care Skills Evaluation Tool was developed based on literature review.
- Data were collected using a personal information form and the developed evaluation tool.
Main Results:
- The Urostomy Care Skills Evaluation Tool achieved a high content validity index (CVI: 0.978) based on expert feedback.
- Inter-observer reliability (ICC: 0.995) and test-retest reliability were found to be high.
- The tool demonstrated strong statistical validity and consistency.
Conclusions:
- The Urostomy Care Skills Evaluation Tool shows initial evidence of validity and reliability for assessing urostomy care in simulation-based nursing education.
- The tool is potentially useful for evaluating training outcomes in undergraduate nursing.
- Further validation in clinical settings with practicing nurses is recommended for broader application.
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