INNOVATION IN SIMULATION FOR CLINICAL TEACHING AND LEARNING: AN OSTOMY CARE SIMULATOR

Abstract

This study employs a mixed-methods research design using an explanatory-sequential approach with an instrument-development design. The researchers developed an innovative medical simulator for educational purposes based on the Imitationalism Theory, aiming to create a highly realistic simulator. 10 key informants and 28 simulator evaluators were selected through purposive sampling. The statistical analyses included mean, standard deviation, and the Wilcoxon signed-rank test. The development of the simulator was guided by the analysis of in-depth interview data. The findings from the interview indicate that, in terms of usability, the simulator must accurately represent the proportions and characteristics of ostomy wounds, maintain correct anatomical structures, and exhibit realistic skin thickness and softness. Additionally, the realistic ostomy shall be used for wound care training, and the simulator must feature a unique design distinct from existing simulators. Regarding aesthetic quality, the simulator must accurately depict the ostomy wound’s shape, proportions, coloration, and surface texture. The quality of the design was evaluated using the Content Validity Index (CVI) assessment form by three experts. In summary, all aspects meet the acceptable quality criteria, with iCVI ranging between 0.67-1.00. The quality of the developed simulator was further evaluated using the Wilcoxon signed-rank test. Results indicated that the aesthetic aspect yielded a test statistic of 404.000, while the usability aspect yielded 390.000, both with p-values less than .001. These findings suggest that the developed mannequin significantly exceeded the predetermined quality criteria at the .05 level of statistical significance.