There is a need to understand the clinical decision-making and work practices within ostomy nursing care to support expanding nursing training. To develop and evaluate a new metric-based simulation for assessing ostomy nursing care using a human factors approach. This pilot study involved eleven stakeholders in the needs assessment, six nurse participants performing simulated ostomy care, and three independent observers assessing procedure reliability. 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. 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. The new metric-based simulation was suitable for characterizing a broad range of clinical decision-making and work practices in ostomy nursing care.

中文翻译：

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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


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。开发和评估一种新的基于度量的模拟，用于使用人为因素方法评估造口护理护理。这项试点研究涉及 11 名利益相关者参与需求评估，6 名护士参与者进行模拟造口护理，以及 3 名独立观察员评估手术可靠性。我们对造口护理和培训进行了需求评估，开发了一种增强的基于度量的造口器具更换程序模拟，并统计评估了其测量模拟任务的可靠性。增强的基于指标的模拟捕获了四个任务类别中的不同任务：产品选择；造口和造口周围皮肤护理；基板尺寸和附着力；和感染控制策略。视频审查程序对于评估连续（平均 ICC≥0.96）和分类（平均 κ>0.96）变量是可靠的。新的基于度量的模拟适用于描述造口护理中广泛的临床决策和工作实践。