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

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2024-08-01 DOI:10.1016/j.ecns.2024.101579

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引用次数: 0

Abstract

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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开发和评估基于指标的临床模拟程序，用于评估护理实践中的造口护理

背景需要了解造口护理中的临床决策和工作实践，以支持扩大护理培训。目标开发和评估一种新的基于度量的模拟方法，用于使用人为因素方法评估造口护理。方法我们对造口护理和培训进行了需求评估，为造口器具更换程序开发了一种基于增强指标的模拟方法，并对其测量模拟任务的可靠性进行了统计评估。视频审查程序对连续变量（平均 ICC ≥0.96）和分类变量（平均 κ>0.96）的评估是可靠的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.

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