{"title":"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","authors":"Marketa Haughey BSc , Melinda Harman PhD , Casey Hopkins PhD, RN, WHNP-BC , Amanda Watson BSN , Corbin Goodwin BS , Jenna Hines BS , Katelyn Sullivan BSN , Chris Gonzaga BS , Abigail Washburn BSN, RN, CWOCN , David M. Neyens PhD MPH","doi":"10.1016/j.ecns.2024.101579","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>There is a need to understand the clinical decision-making and work practices within ostomy nursing care to support expanding nursing training.</p></div><div><h3>Objective</h3><p>To develop and evaluate a new metric-based simulation for assessing ostomy nursing care using a human factors approach.</p></div><div><h3>Sample</h3><p>This pilot study involved eleven stakeholders in the needs assessment, six nurse participants performing simulated ostomy care, and three independent observers assessing procedure reliability.</p></div><div><h3>Method</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>The new metric-based simulation was suitable for characterizing a broad range of clinical decision-making and work practices in ostomy nursing care.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"94 ","pages":"Article 101579"},"PeriodicalIF":3.4000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876139924000719/pdfft?md5=5fba833daacdf84c914e8716f9e976bc&pid=1-s2.0-S1876139924000719-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Development and Evaluation of a Metric-based Clinical Simulation Procedure for Assessing Ostomy Care in Nursing Practice\",\"authors\":\"Marketa Haughey BSc , Melinda Harman PhD , Casey Hopkins PhD, RN, WHNP-BC , Amanda Watson BSN , Corbin Goodwin BS , Jenna Hines BS , Katelyn Sullivan BSN , Chris Gonzaga BS , Abigail Washburn BSN, RN, CWOCN , David M. Neyens PhD MPH\",\"doi\":\"10.1016/j.ecns.2024.101579\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>There is a need to understand the clinical decision-making and work practices within ostomy nursing care to support expanding nursing training.</p></div><div><h3>Objective</h3><p>To develop and evaluate a new metric-based simulation for assessing ostomy nursing care using a human factors approach.</p></div><div><h3>Sample</h3><p>This pilot study involved eleven stakeholders in the needs assessment, six nurse participants performing simulated ostomy care, and three independent observers assessing procedure reliability.</p></div><div><h3>Method</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>The new metric-based simulation was suitable for characterizing a broad range of clinical decision-making and work practices in ostomy nursing care.</p></div>\",\"PeriodicalId\":48753,\"journal\":{\"name\":\"Clinical Simulation in Nursing\",\"volume\":\"94 \",\"pages\":\"Article 101579\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1876139924000719/pdfft?md5=5fba833daacdf84c914e8716f9e976bc&pid=1-s2.0-S1876139924000719-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Simulation in Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1876139924000719\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Simulation in Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1876139924000719","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Development and Evaluation of a Metric-based Clinical Simulation Procedure for Assessing Ostomy Care in Nursing Practice
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.
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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