Evaluation of the Effect of Stoma Care Training Using the PechaKucha Method on Stoma Care Skills and Anxiety in Nursing Students: A Single-Blind Randomized Controlled Trial

Introduction Stoma surgery may be required in the treatment of some digestive and urological diseases to enable the passage of stool and urine and accelerate wound healing. In the USA, an estimated 750,000 to 1 million people are living with a stoma and approximately 100,000 stoma surgeries are performed annually.Nurses play a crucial role in the complication management, care, and education of individuals who have or are planned to have a stoma. According to the International Ostomy Guideline, bothnursing students and clinical nurses hadlacked experience providing stoma care and had insufficient knowledge about stoma care. Similarly, Zimnicki and Pieper (2018) reported that nursing students had a low level of knowledge about stoma care and lacked confidence in their ability to care for a patient with stoma.

Stoma patient care and developing stoma care skills are included in the curriculum of nursing programs. Nursing students are taught stoma care skills through theoretical explanation, psychomotor skill training, demonstration, use of skills, and practice. Ensuring that nursing students attain stoma care competency can help reduce their anxiety by increasing their self-confidence when they start working as clinical nurses. Therefore, effective training and development of stoma care skills is important during undergraduate education.

The PechaKucha (PK) method is a visual and narrative slide-based presentation technique. It involves a 20-slide presentation format in which each slide is shown for 20 seconds and the entire presentation lasts 6 minutes and 40 seconds. The PK method uses images and minimal text on each slide, which allows the presenter to convey information to the audience quickly and concisely. The concise and visual nature of the presentation results in more active listening by the audience. The concept of PK was first developed by Mark Dytham and Astrid Klein in 2003. The term PK is derived from the Japanese word meaning "chit chat" and represents the effective presentation of information.

This presentation method can also be utilized as an innovative teaching technique in nursing education. Students have reported that lessons conducted using the PK method were more fun, interesting, liberating, and creative, and the short duration also increased student satisfaction. In nursing education, the use of PK has been studied in areas such as knee prosthesis and nursing approaches, physiopathology education, and the development of presentation skills. However, there is no study in the literature evaluating the effect of the PK method in stoma care education for nursing students. Therefore, this study aimed to examine the impact of stoma care training delivered using the PK method on stoma care skills and anxiety in nursing students.

Research questions