Stoma Education Methods and Nurse Learning Outcomes

Istanbul University - Cerrahpasa

Status: Completed

Conditions: Self Awareness; Standardized Patient; Nurse; Simulation Based Learning; Stoma Care Knowledge and Skills of Nurses

Treatments: Other: standardized-patient simulation; Other: a low-fidelity Prestan 2000 adult CPR mannequin modified with a play-dough stoma model

Study type: Interventional

Funder types: Other

Identifiers

NCT07061392

2024-KAEK-07

Details and patient eligibility

About

The goal of this randomized controlled trial was to determine whether stoma-care training using standardized patients, as compared with low-fidelity mannequins, improved meaningful learning self-awareness, perceived learning, and practical stoma-care skill levels in oncology nurses at a 600-bed tertiary oncology education and research hospital in Ankara, Turkey. The main questions it aimed to answer were:

Did standardized-patient simulation produce greater gains in meaningful learning self-awareness?

Did it yield higher perceived learning scores?

Did it result in larger improvements in stoma-care skill levels?

Researchers compared Group M (standardized patient) to Group K (low-fidelity mannequin) to evaluate which method more effectively enhanced nurses' cognitive and technical outcomes.

Participants completed a 10-item demographic and background survey, answered pre-training assessments on all three scales, attended a two-hour didactic session on stoma fundamentals and evidence-based care, received two hours of hands-on practice with their assigned modality, and completed immediate post-training assessments using the same instruments.

Enrollment: 87 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being a nursing graduate
• Working as a nurse in an oncology hospital for at least one year
• Working in inpatient units
• Actively providing care to patients with ostomies

Exclusion criteria

• Holding a managerial position
• Having taken a course or received certification on stoma care within the last six months
• Being pregnant, on unpaid leave, or on sick leave
• Participating in another study during the same period
• Incomplete completion of the data collection form
• Voluntary withdrawal from the study during the research period

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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87 participants in 2 patient groups

Intervention Arm (Group M)

Experimental group

Description:

Participants in Group M (45 enrolled; 43 analyzed) completed baseline assessments of meaningful learning self-awareness, perceived learning, stoma-care skills, and demographics. They attended a two-hour didactic session on stoma indications, perioperative care, and evidence-based practices. Immediately after, each nurse engaged in a two-hour standardized-patient simulation using realistic stoma moulage. Simulations followed INACSL standards, including a 15-minute pre-briefing, \~20-minute individual in-scenario practice with cueing, peer observation, and a 15-20-minute PEARLS debriefing. All outcome measures were repeated immediately post-training to evaluate short-term cognitive and technical gains.

Treatment:

Other: a low-fidelity Prestan 2000 adult CPR mannequin modified with a play-dough stoma model

Control Arm (Group K)

Experimental group

Description:

Group K participants (n = 45 enrolled; 44 analyzed) completed baseline assessments of meaningful learning self-awareness, perceived learning, stoma-care skills, and demographics, and attended the same two-hour didactic session as Group M. They then performed a two-hour stoma-care simulation in small groups on a low-fidelity Prestan 2000 CPR mannequin fitted with a play-dough stoma model. Sessions followed INACSL structure: a brief pre-briefing of objectives and materials; individual mannequin practice with cueing; peer observation in an adjacent area; and a PEARLS-guided debriefing. Outcome measures were repeated immediately post-training to assess short-term cognitive and technical performance.

Treatment:

Other: standardized-patient simulation