Competency framework for patients with surgical jejunostomy: From theory to educational practice.

Abstract

Objectives: Patients with a jejunostomy use their tube daily in most cases, which exposes them to various complications. However, to our knowledge, the current literature is limited regarding available educational interventions or tools for these patients, and no specific competency framework for surgical jejunostomy has been developed yet. This project aimed to develop a unique and adapted competency framework for surgical jejunostomy patients through a multiprofessional and consensus-driven approach and to create a fun educational tool based on this framework to promote an effective educational approach.

Methods: A multidisciplinary working group was formed to develop the competency framework for patients with a surgical jejunostomy. Based on the identified priority competencies, an educational game was designed.

Results: Fifty-nine competencies were identified to constitute the competency framework: twenty-eight related to knowledge, sixteen related to know-how and fifteen related to attitudes, each divided into six items. Among these, twenty competencies were considered as priorities. The "Jejunostomy Game", an educational tool inspired by Trivial Pursuit® was developed for patients using a surgical jejunostomy tube for feeding.

Conclusion: This work appears essential to benefit both the patients and the various healthcare professionals who support them. It would be relevant to test the "Jejunostomy Game" to evaluate its effectiveness by measuring the knowledge and skills of patients.