Construction and validation of a clinical simulation scenario on intestinal elimination stomas
DOI:
https://doi.org/10.36517/2175-6783.20262796722Keywords:
Ostomy; Intestinal Elimination; Nursing; Simulation Training; Validation Study.Abstract
Objective: to develop and validate a clinical simulation scenario for intestinal elimination stoma. Methods: methodological study was conducted in two phases: the development and validation of the clinical simulation scenario by nine expert nurses. For validation, the Content Validity Index, the Scale-Level Content Validity Index by Mean, and the Modified Kappa Coefficient were used to determine the degree of agreement among the experts, in addition to the binomial test to assess the proportion of agreement. Results: the clinical simulation scenario showed high levels of agreement. All items evaluated in the domains of objectives, structure and presentation, relevance, and clarity obtained a Content Validity Index and a Modified Kappa Coefficient equal to 1.0. The test indicated satisfactory agreement among the experts, and the scenario was considered valid for use. Conclusion: the clinical simulation scenario developed provided evidence of content validity and high agreement among the experts, demonstrating its suitability for use in nurse training. Contributions to practice: the scenario can be replicated both in the clinical care setting as a continuing education strategy and in undergraduate and graduate nursing programs, with the potential to develop professional clinical competencies and skills.
Downloads
References
1. Endeshaw D, Tesfaye TD, Afewerk S, Adal O, Belayneh AG, Bogale EK, et al. Knowledge and practice of intestinal ostomy care among nurses in Bahir Dar City, Ethiopia: a cross-sectional study. SAGE Open Nurs. 2024;10:23779608241274205. doi: https://doi.org/10.1177/23779608241274205
2. Instituto Nacional de Câncer (BR). Estimativa 2023: incidência de câncer no Brasil [Internet]. 2023 [cited Mar 25, 2026]. Available from: https://www.inca.gov.br/publicacoes/livros/estimativa-2023-incidencia-de-cancer-no-brasil
3. Parini D, Bondurri AA, Bianchi PP, Carrano FM, Dionigi G, Boni L, et al. Surgical management of ostomy complications: a MISSTO-WSES mapping review. World J Emerg Surg. 2023;18(1):48. doi: https://doi.org/10.1186/s13017-023-00518-1
4. Ma LL, Zhang YJ, Yao JX, Zhang WY, Zhuang HR. Influencing factors associated with peristomal skin complications after colorectal ostomy surgery: a systematic review and meta-analysis. Wound Manag Prev. 2024;70(3). doi: https://doi.org/10.25270/wmp.23114
5. Abselam-Ali K, Capilla-Díaz C, Reina-Prego R, Parra-González ME. Knowledge, self-efficacy, satisfaction and self-confidence of nursing students for stoma care using active learning methodologies: a quasi-experimental study of three arms. Invest Educ Enferm. 2025;43(2):e06. doi: https://doi.org/10.17533/udea.iee.v43n2e06
6. Alharbi A, Nurfianti A, Mullen RF, McClure JD, Miller WH. The effectiveness of simulation-based learning on students’ knowledge and skills in nursing programs: a systematic review. BMC Med Educ. 2024;24(1):1099. doi: https://dx.doi.org/10.1186/s12909-024-06080-z
7. Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. Philadelphia: Lippincott Williams & Wilkins; 2021.
8. Paula MAB, Moraes JT. Consenso Brasileiro de Cuidados às Pessoas Adultas com Estomias de Eliminicação [Internet]. 2021 [cited Mar 14, 2026]. Available from: https://sobest.com.br/eventos/consenso-brasileiro-cuidados-com-estomias/
9. International Nursing Association for Clinical Simulation and Learning. Onward and upward: introducing the healthcare simulation standards of best practice. Clin Simul Nurs. 2021;58:1-4. doi: https://doi.org/10.1016/j.ecns.2021.08.006
10. Ferraz APCM, Belhot RV. Bloom’s taxonomy and its adequacy to define instructional objectives. Gest Prod. 2010;17(2):421-31. doi: https://doi.org/10.1590/S0104-530X201000020001513
11. Galdeano LE, Rossi LA, Zago MMF. Instructional script for the elaboration of a clinical case study. Rev Latino-Am Enfermagem. 2003;11(3):371-5. doi: 10.1590/S0104-11692003000300016
12. Fabri RP, Mazzo A, Martins JCA, Fonseca AS, Pedersoli CE, Miranda FBG, et al. Development of a theoretical-practical script for clinical simulation. Rev Esc Enferm USP. 2017;51:e03218. doi: https://doi.org/10.1590/S1980-220X2016265103218
13. Fehring RJ. Methods to validate nursing diagnoses. Heart Lung [Internet]. 1987 [cited Mar 14, 2026];16(6 Pt 1):625-9. Available from: https://pubmed.ncbi.nlm.nih.gov/3679856/
14. Pasquali L. Instrumentação psicológica: fundamentos e práticas. Porto Alegre: Artmed; 2010.
15. Borges MS, Camacho TC, Cogo ALP. Construction and validation of an interprofessional simulated scenario for identification and management of sepsis. Rev Gaúcha Enferm. 2024;45:e20230223. doi: https://dx.doi.org/10.1590/1983-1447.2024.20230223
16. Yusoff MSB. ABC of content validation and content validity index calculation. Educ Med J. 2019;11(2):49-54. doi: http://doi.org/10.21315/eimj2019.11.2.6
17. Park O, Jeon M, Kim M, Kim B, Jeong H. Effects of a simulation-based patient safety education program. Healthcare (Basel). 2023;11(21):2824. doi: https://doi.org/10.3390/healthcare11212824
18. Daneshfar M, Moonaghi HK. Impact of clinical simulation on bridging theory-practice gap in nursing education: a systematic review. BMC Med Educ. 2025;25(1):1216. doi: https://doi.org/10.1186/s12909-025-07790-8
19. Meszaros MJ, Almeida AO, Silva RLFD, Eduardo AHA, Lima MHM, Oliveira-Kumakura ARS. Clinical simulation scenarios for the planning and management of infusion therapy by nurses. Rev Bras Enferm. 2023;76(6):e20230019. doi: https://doi.org/10.1590/0034-7167-2023-0019
20. Alameda-Cuesta A, Oter-Quintana C, Lizcano-Álvarez Á, Brito-Brito PR, Talavera-Sáez A, Cid-Expósito MG. NANDA-I and NOC Linkages for Six Psychosocial Nursing Diagnoses: a validation study. Issues Ment Health Nurs. 2024;45(12):1268-77. doi: https://doi.org/10.1080/01612840.2024.2400512
21. Souza VMAF, Lins SMSB, Bezerra PCL, Santana RF, Prado PR, Cardoso RB. Nursing diagnosis frail elderly syndrome: an integrative review. Rev Rene. 2023;24:e81342. doi: https://dx.doi.org/10.15253/2175-6783.20232481342
22. Duarte AM, Silva CMC, Barbieri-Figueiredo MDC. Construction and validation of a simulation scenario for teaching family-focused care in pediatric oncology. J Fam Nurs. 2025;31(2):89-105. doi: https://doi.org/10.1177/10748407231223768
23. Nogueira JWS, Magro MCS. Construction and validation of a scenario for recognizing sepsis. Rev Bras Enfer. 2023;76(4):e20220537. doi: https://doi.org/10.1590/0034-7167-2022-0537
24. Silva PN, Rocha IC, Silva A, Silva MMR, Katagiri S, Kamada I. Construction and validation of a telesimulation scenario. Rev Enferm Cent-Oeste Min. 2023;13:e4709. doi: https://doi.org/10.19175/recom.v13i1.4709
25. Haughey M, Harman M, Watson A, Goodwin C, Hines J, Sullivan K, et al. Development and evaluation of a metric-based clinical simulation procedure for assessing ostomy care in nursing practice. Clin Simul Nurs. 2024;94:101579. doi: https://doi.org/10.1016/j.ecns.2024.101579
26. Kai K, Shinoda H, Takeiri E, Hamada T, Chikubu M, Kodama Y, et al. Acceptance of virtual reality simulation training for stoma care. Cureus. 2024;16(7):e65465. doi: http://doi.org/10.7759/cureus.65465
27. Onder HE, Sari D. Improving pressure injury assessment skills of nursing students’ using in-situ simulation and moulage: a randomized controlled trial. BMC Nurs. 2025;24(1):1373. doi: https://doi.org/10.1186/s12912-025-04049
28. Soares FMM, Dutra SVO, Lima GK, Rodrigues ABFL, Magalhães DS, Negri EC, et al. Development and content validation of a nursing clinical simulation scenario. Int J Environ Res Public Health. 2024;21(8):1042. doi: https://doi.org/10.3390/ijerph21081042
Downloads
Published
Data Availability Statement
The authors declare that the data are available in full in the body of the article.
Issue
Section
License
Copyright (c) 2026 Núbia Pereira Pedreira, Érica Aquino da Silva, Elaine Thayna Trindade Costa, Marcos José Risuenho Brito Silva, Dione Seabra de Carvalho, Odenilce Vieira Pereira, Aline Maria Pereira Cruz Ramos

This work is licensed under a Creative Commons Attribution 4.0 International License.






