Evidence map›Paper›PMID 42723128›Full record

ArticleJournal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society

Variability in Procedural Tasks and Decisions Made During Ostomy Pouching System Changes Performed by Nurses With Different Nursing Credentials: A Clinical Simulation Study.

Marketa Haughey, Melinda Harman, Casey S Hopkins, Hannah Gerlach, Leena Syed, William Bridges, Abigail Washburn, David M Neyens

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Article in Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marketa HaugheyMarketa Haughey, PhD , Department of Bioengineering, 301 Rhodes Engineering Research Center, Clemson University, Clemson, South Carolina.
Melinda HarmanMarketa Haughey, PhD , Department of Bioengineering, 301 Rhodes Engineering Research Center, Clemson University, Clemson, South Carolina.
Casey S HopkinsMarketa Haughey, PhD , Department of Bioengineering, 301 Rhodes Engineering Research Center, Clemson University, Clemson, South Carolina.
Hannah GerlachMarketa Haughey, PhD , Department of Bioengineering, 301 Rhodes Engineering Research Center, Clemson University, Clemson, South Carolina.
Leena SyedMarketa Haughey, PhD , Department of Bioengineering, 301 Rhodes Engineering Research Center, Clemson University, Clemson, South Carolina.
William BridgesMarketa Haughey, PhD , Department of Bioengineering, 301 Rhodes Engineering Research Center, Clemson University, Clemson, South Carolina.
Abigail WashburnMarketa Haughey, PhD , Department of Bioengineering, 301 Rhodes Engineering Research Center, Clemson University, Clemson, South Carolina.
David M NeyensMarketa Haughey, PhD , Department of Bioengineering, 301 Rhodes Engineering Research Center, Clemson University, Clemson, South Carolina.

Funding

Tissue Structural and Neural Remodeling in Human Sacroiliac JointP20GM121342 · NIGMS · CLEMSON UNIVERSITY · PI Peng Chen · 2018 to 2026
$24.7M
NIGMS NIH HHS P20 GM121342NIH/NIGMS P20GM121342Prisma Health Education and Research Institute Seed grant
6 · The paper itself

Abstract

purposeThe purpose of this study was to explore clinical practice and decisions made during ostomy pouching system changes and procedures performed by nurses with different nursing credentials using a validated metric-based clinical simulation procedure.

designExplanatory sequential mixed methods design. SUBJECTS AND

settingThe study population comprised 24 participants with different nursing credentials: 6 were certified ostomy care nurse specialists, 8 were registered nurses working in acute care, and 10 were senior baccalaureate student nurses. Data were collected between September 2021 and February 2024 at the Clinical Learning and Research Center within the Clemson University School of Nursing (Clemson, SC, USA).

methodsThis study used a validated metric-based clinical simulation procedure to assess tasks performed during ostomy pouching system changes, task duration, and supplies used. The simulated experience was followed by administration of the System Usability Scale and a structured debriefing interview. Two-way repeated-measure ANOVA, mixed-effects logistic regressions, and single factor ANOVA were used to analyze quantitative variables according to variable type. Content analysis was used to analyze debriefing interviews and comments made by the participants during the simulated experience.

resultsCertified nurses with expertise in ostomy management (CWOCN, CWON, COCN) spent significantly longer performing ostomy and peristomal skin care and pouching system changes tasks when compared with registered and student nurses. Differences between the nurse groups were observed for product selection, skin barrier sizing and adhesion, ostomy and peristomal skin care, along with infection control task categories. Scores on the perceived usability of ostomy pouching systems were above average for ostomy care specialists and registered nurses. Certified nurses with expertise in ostomy care had significantly higher perceived usability scores when compared with student nurses.

conclusionsVariability in psychomotor and critical thinking tasks were observed among 3 groups nurses with different credentials. This knowledge provides targets for expanding training of nurses in ostomy care.

Indexed as

CredentialingDecision MakingNursesOstomySimulation TrainingAdultClinical CompetenceFemaleHumansMaleBenner’s frameworkClinical simulationNursing educationOstomyOstomy pouching systemPeristomal skin complications

Identifiers

PMID42723128
PMCPMC13573830

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.