Organization of comprehensive nursing care for patients with stomas: experience of applying simulation-based learning

The aim of the study was to enhance the professional competence of mid-level medical personnel in organizing comprehensive care for patients in outpatient settings, including individuals with different types of stomas.

Materials and Methods. The study was conducted at a simulation center with the participation of 211 nurses from departments of nursing care and palliative care. Within the framework of the training workshop «Organization of Home Nursing Care and Specifics of Stoma Care», a practice-oriented approach with elements of simulation-based learning was applied. The training included a theoretical part (review of regulatory documentation, characteristics of patients with stomas, and specifics of care in outpatient settings) and a practical part (simulation-based training on stoma care, prevention of complications, and documentation management). A questionnaire survey was conducted before and after training to assess its effectiveness.

Results. The analysis of questionnaire data showed an increase in the level of knowledge, confidence in practical skills, and readiness for independent management of patients with stomas. A selective final assessment of knowledge and skill retention based on 50 questionnaires demonstrated a high level of positive impact of the program on professional practice, confirming its practical significance. The need to expand the scope of practical training topics and to implement an interdisciplinary approach was identified.

Conclusion. The use of simulation-based learning in the training of mid-level medical personnel contributes to the development of professional competencies necessary for providing high-quality nursing care in outpatient settings, including for patients with stomas.

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