Simulation Based Educational Intervention for Enhancing Irrigation Skills of Nurses Caring for Patients With Cutaneous Continent Urinary Diversions and Orthotopic Neobladders

Abstract

PURPOSE:The purpose of this study was to investigate the effect of a nurse practitioner-led simulation-based education program on nursing knowledge and confi dence in the care of patients with a cutaneous continent urinary diversion (Indiana pouch) or orthotopic neobladder. DESIGN: Single-group, before-after study. SUBJECTS AND SETTING:The sample comprised 11 RNs practicing at New York Presbyterian Hospital in New York City. Subjects were predominantly female, ethnically diverse, and held a bachelor's degree. About half of the subjects had less than 3 years of experience, and more than half reported prior experience caring for patients with a urinary diversion. METHODS: Participants completed a demographic survey, and a continent urinary diversion confi dence survey and pretest measuring knowledge of nursing care of patients with a urinary diversion. Following baseline data collection, an educational session focused on the irrigation of a continent urinary diversion was made available for participants to review. An onsite simulation experience was scheduled several weeks later. Investigators provided education on proper irrigation of a continent urinary diversion and observed participants' skills when irrigating a continent urinary diversion on a high-fi delity simulated patient mannequin. The simulation intervention was followed by video replay and debrief providing feedback on each participant's performance. At the conclusion of the onsite simulation intervention, participants completed a postintervention confi dence survey and a knowledge posttest related to the care of a continent urinary diversion. The Wilcoxon signed rank test was used to analyze baseline and postintervention changes in nursing knowledge and confi dence. RESULTS: Participants achieved signifi cant improvements in knowledge ( P = .005) and confi dence ( P = .009) following the simulation-based educational intervention. CONCLUSIONS: A nurse practitioner-led simulation-based educational program for RNs caring for patients with continent urinary diversions demonstrates enhanced nursing knowledge and confi dence caring for patients with continent urinary diversions. We anticipate this experience will enhance care we provided to patients undergoing cystectomy and continent cutaneous urinary diversion or orthotopic neobladder construction.

The Effect of Simulation on Nursing Students' Knowledge About Colostomy Irrigation: A Quasi-Experimental Study

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Efeito Da Simulação No Conhecimento De Estudantes De Enfermagem Sobre Irrigação De Colostomia: Estudo Quase Experimental

“…Quanto à simulação clínica voltada para o ensino de cuidados com estomias, os resultados de estudo que investigou o efeito de intervenção baseada em simulação para enfermeiros sobre habilidades de irrigação de pacientes com derivações urinárias encontraram melhoras significantes no conhecimento (P = 0,005) e confiança (P = 0,009) após a intervenção 21 . Entretanto, ressalta-se que este ainda é um tema pouco explorado em estudos de intervenção educacionais, ainda que integre a matriz curricular de estudantes de enfermagem.…”