Authors (including presenting author) :
SHUM WYW(1), CHAN KKS(1), HO WS(1), WONG LS(1), WONG PHV(1)
Affiliation :
(1) Stoma and Wound Care Team, Queen Mary Hospital.
Keyword 1: :
Neonatal stoma care
Keyword 2: :
Cross-border collaboration
Keyword 3: :
Simulation-based education
Keyword 4: :
Pediatric surgery
Keyword 5: :
Enterostomal therapist
Introduction :
Neonatal stoma and peri‑stomal wound management presents unique challenges due to infants’ delicate skin and physiology. Complications such as wound infection, dehiscence, and skin breakdown can lead to prolonged hospitalization and increased morbidity. Nursing competency in evidence‑based stoma care is critical to preventing these adverse outcomes, yet hands‑on training in complex neonatal cases is often limited. To bridge this gap, a collaborative, simulation‑based educational project was launched between stoma care specialists from Hong Kong and a major tertiary hospital in Shenzhen.
Objectives :
This project aimed to: 1. Improve neonatal nurses’ practical competency in managing complicated stoma and peri‑stomal wound conditions through structured simulation; 2. Establish a platform for knowledge exchange and professional networking among nurses from different hospitals; 3. Demonstrate the effectiveness of a cross‑institutional collaborative model for specialized clinical training.
Methodology :
A half‑day simulation workshop was co‑organized by the Stoma & Wound Care Team of Queen Mary Hospital, Hong Kong, and the University of Hong Kong‑Shenzhen Hospital. Custom‑made, low‑fidelity simulators replicated lifelike stomal anatomy and wound scenarios. The workshop featured three interactive skill stations endorsed by pediatric surgeons (skin barrier customization, peristomal surgical wounds isolation, and refeeding-tube pouching management), followed by structured, facilitator-led debriefing sessions that connected simulation performance to clinical reasoning. Eighteen neonatal nurses from seven hospitals across Mainland China participated. Outcomes were evaluated using the validated Chinese version of the Student Satisfaction and Self‑Confidence in Learning scale (pre‑/post‑questionnaires), qualitative feedback, and direct facilitators’ observation.
Result & Outcome :
Quantitative results showed a significant rise in participants’ self‑confidence, with mean scores increasing from 87.6% pre‑workshop to 99.1% post‑workshop. Satisfaction was unanimous, scoring 100% on the satisfaction scale. Qualitative feedback consistently highlighted the workshop’s practicality, interactivity, realistic simulations, and the value of the guided debriefing in deepening understanding. Observational data confirmed successful skill acquisition across all three learning themes. Additionally, the workshop fostered a sustainable community of practice, enabling nurses from multiple institutions to share experiences and collaboratively problem‑solve complex clinical cases. This cross‑border collaborative simulation workshop effectively enhanced neonatal nurses’ competency and confidence in stoma and wound care. The success of the intervention was supported by experienced facilitators who led structured reflective debriefings, translating practical performance to reinforced clinical judgment. Beyond individual skill development, the project created a replicable model for inter‑hospital teamwork and simulation‑based training that promotes care standardization, ongoing professional support, and improved patient safety across institutions.
