The Effect of Using 3D Printers and Moulage on Improving Stoma Care

The Effect of Using 3D Printers and Moulage on Improving Stoma Care Knowledge and Skills in Nursing Students

When studies in the literature are examined, there are studies in which various methods are applied to students' stoma care knowledge and skills. Additionally, it is seen that there are studies using moulage or 3D printers as simulation applications in nursing education. However, there is no study on high-reality simulation application using 3D printer and moulage technique together.nIn this research, the effect of the stoma created with a 3D printer in a high-reality simulation on the stoma care knowledge and skills, satisfaction and self-confidence of nursing students will be examined by using the moulage technique. In addition, this application will be compared with nursing students' stoma care practices in the stoma model, which is classified as low-reality simulation. We think that our project will be unique in this field, as it uses current technological methods together in this planned research and is different from similar studies.

Study Overview

• Status: Not yet recruiting
• Conditions: Stoma Colostomy
• Intervention / Treatment: Other: Stoma Care

Detailed Description

A stoma is an opening created by inserting an organ into the skin using a surgical method. Colostomy, ileostomy and urostomy, in which excretion is provided through an opening created on the anterior wall of the abdomen outside normal anatomical pathways, are among the most commonly created stomas. Although stomas are created for various reasons, they are most commonly opened due to colorectal and bladder cancers.

According to the International Agency for Research on Cancer (IARC), colorectal cancer ranks 3rd and bladder cancer ranks 10th in all ages and genders. Although the exact number of individuals with a stoma worldwide is unknown, it is estimated that 18-35% of individuals diagnosed with cancer have to live with a stoma temporarily or permanently during the treatment process. In this regard, it is thought that the number of individuals with stoma will increase with the increase in colorectal and bladder cancers. This increase also increases the need for nursing care of individuals with stoma. Accordingly, it is important to provide this care skill to nursing students, who are the nurses of the future, during nursing education.

Nursing education; It includes multifaceted education and training activities including theoretical, laboratory and application areas. It is thought that students who gain sufficient knowledge and experience about stoma care during their studies provide effective care to individuals with stomas when they start working as professional nurses, and that their adaptation to stoma and quality of life increases with this care. Stoma care is among the basic nursing skills that nurses apply autonomously. While training student nurses on stoma care, methods that improve their cognitive, sensory and psychomotor skills should be used. In this context, with technological developments, various methods such as computer systems and simulation applications are becoming widespread in nursing education day by day.

• Study Type: Interventional
• Enrollment (Estimated): 76
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Volunteering to participate in research,
• Not taking the Surgical Diseases Nursing course before,
• Not having received stoma care training before,
• Not having observed stoma care in previous applied courses
• Giving both written and verbal permission to participate in the research

Exclusion Criteria:

• Refusal to participate in the research,
• Receiving training on stoma care,
• Observing or performing stoma care before,
• Having a high school or associate degree related to the field of health

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control group; The control group will perform stoma care using the low-reality simulation (stoma model) method.
Experimental: Experimental group; Students in the experimental group will perform stoma care using high-reality simulation (3D printing and moulage) method.	Other: Stoma Care; Nursing students practice stoma care with low and high fidelity simulation

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Knowledge Level Evaluation Form Regarding Stoma Care	Measuring stoma care knowledge	Pre-intervention and immediately after the intervention
Student Satisfaction and Self-Confidence Scale in Learning	Measuring satisfaction and self-confidence	Immediately after the intervention
Stoma Care Skill Grading Key	This tool consists of 23 items containing stoma care process steps. In the Rubric, the adequacy is scored between 0-2 (0- Insufficient, 1- Partially adequate, 2- Sufficient) for each process step. A minimum of 0 and a maximum of 46 points can be obtained from the Rubric. The total score received from the Rubric indicates the adequacy of stoma care skills.	Immediately after the intervention

Collaborators and Investigators

• Sponsor: Namik Kemal University
• Collaborators: TÜBİTAK

Publications and helpful links

General Publications

• Ambe PC, Kurz NR, Nitschke C, Odeh SF, Moslein G, Zirngibl H. Intestinal Ostomy. Dtsch Arztebl Int. 2018 Mar 16;115(11):182-187. doi: 10.3238/arztebl.2018.0182.
• Bucknall TK, Forbes H, Phillips NM, Hewitt NA, Cooper S, Bogossian F; FIRST2ACT Investigators. An analysis of nursing students' decision-making in teams during simulations of acute patient deterioration. J Adv Nurs. 2016 Oct;72(10):2482-94. doi: 10.1111/jan.13009. Epub 2016 Jun 5.

Helpful Links

• 12. International Agency for Research on Cancer (IARC), 2020. "Cancer Today"

Study record dates

Study Major Dates

• Study Start (Estimated): April 1, 2024
• Primary Completion (Estimated): May 1, 2024
• Study Completion (Estimated): October 1, 2024

Study Registration Dates

• First Submitted: March 16, 2024
• First Submitted That Met QC Criteria: March 21, 2024
• First Posted (Actual): March 22, 2024

Study Record Updates

• Last Update Posted (Actual): March 25, 2024
• Last Update Submitted That Met QC Criteria: March 22, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: stoma; nursing student; moulage; 3d printer
• Other Study ID Numbers: 3D moulage

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No