Technology-Supported Learning Approaches in Stoma Care Education for Nursing Students: A Systematic Review

Zeynep Mete Merdin; Hülya Bulut

doi:10.59124/guhes.1972332

Technology-Supported Learning Approaches in Stoma Care Education for Nursing Students: A Systematic Review

Abstract

This systematic review aimed to identify the technology-supported learning approaches used in stoma care education for nursing students, evaluate their effects on learning outcomes, and examine their implementation characteristics, advantages, and limitations. Methods: The review was conducted in accordance with the PRISMA guidelines and registered in PROSPERO (CRD420261395533). A systematic search of PubMed, Scopus, Web of Science, ScienceDirect, Google Scholar, and DergiPark databases was conducted to identify studies published between 2016 and 2026. Methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools, while risk of bias was evaluated using Cochrane RoB 2 and ROBINS-I tools. Results: A total of 11 studies met the inclusion criteria. Identified interventions included simulation-based education, virtual reality (VR), serious game-based web applications, web-supported education, online/video-based learning, and digital presentation methods. Most studies reported positive effects on learning outcomes, particularly knowledge acquisition and skill development. Simulation-based interventions were found to improve self-efficacy, self-confidence, and communication skills. High-fidelity simulation and standardized patient applications appeared to be more effective than low-fidelity approaches. Serious game-based and web-supported approaches were associated with improved knowledge retention and greater student engagement. Follow-up assessments in a limited number of studies suggested that technology-supported interventions may contribute to long-term knowledge retention. Conclusion: Technology-supported learning approaches appear effective in improving nursing students’ stoma care knowledge and skills. However, larger multicenter studies with longer follow-up periods are needed to strengthen the evidence.

Keywords

Supporting Institution

none

Ethical Statement

Since this study is a systematic review, ethics committee approval was not obtained and the study was carried out in accordance with ethical rules.

Thanks

none

References

Abselam-Ali, K., Capilla-Díaz, C., Reina-Prego, R., & Parra-González, M. E. (2025). Knowledge, self-efficacy, satisfaction and self-confidence of nursing students for stoma care using active learning methodologies: a quasi-experimental study of three arms. Investigación y Educación en Enfermería, 43(2). https://doi.org/10.17533/udea.iee.v43n2e06
Alharbi, A., Nurfianti, A., Mullen, R. F., McClure, J. D., & Miller, W. H. (2024). The effectiveness of simulation-based learning (SBL) on students’ knowledge and skills in nursing programs: a systematic review. BMC medical education, 24(1), 1099. https://doi.org/10.1186/s12909-024-06080-z
Altinbas, B. C., Çalık, K. Y., Erdöl, E. K., Kırkbir, İ. B., Güner, S. G., Tezel, M., & Bulut, H. K. (2025). The effect of simulation-based laboratory training on undergraduate nursing students’ clinical skill, satisfaction, and self-confidence. BMC nursing, 24(1), 1322. https://doi.org/10.1186/s12912-025-04004-w
Arslan, E., Amaç, H. Y., & Özkan, S. (2026). Assessing Two Different Simulation Methods to Train Nursing Students in Stoma Care Skills: A Randomized Controlled Study. Nurse Education in Practice, 104843. https://doi.org/10.1016/j.nepr.2026.104843
Barker, T. H., Stone, J. C., Sears, K., Klugar, M., Tufanaru, C., Leonardi-Bee, J., Aromataris, E., & Munn, Z. The revised JBI critical appraisal tool for the assessment of risk of bias for randomized controlled trials. JBI Evidence Synthesis. 2023;21(3):494-506 http://doi.org/10.11124/JBIES-22-00430
Barker, T. H., Habibi, N., Aromataris, E., Stone, J. C., Leonardi-Bee, J., & Sears, K., (2024) The revised JBI critical appraisal tool for the assessment of risk of bias quasi-experimental studies. JBI Evidence Synthesis.;22(3):378-88. http://doi.org/10.11124/JBIES-23-00268
Bird, A., Burch, J., & Thorpe, G. (2023). The role of the clinical nurse specialist in stoma care: a scoping review. British Journal of Nursing, 32(16), S6-S16. https://doi.org/10.12968/bjon.2023.32.16.S6
Chen, X., Song, Y., Li, X., & Zhao, X. (2026). Analysis of the effectiveness of SPOC combined with BOPPPS teaching method in stoma care training for nurses in neonatal intensive care units. BMC Medical Education, 26(1), 77. https://doi.org/10.1186/s12909-025-08379-x

de Freitas Morais, F. P., Fernandes dos Santos, P. H., & Frates Cauduro, F. L. (2021). Addressing themes related to stomatherapy in undergraduate nursing education: document analysis. Revista Estima, 19. https://doi.org/10.30886/estima.v19.1028_IN
Findik, U. Y., Yesilyurt, D. S., Unver, S., & Ozkan, Z. K. (2019). Effect of stoma model-based education on knowledge and skill levels of student nurses: a quasi-experimental study from Turkey. JPMA. The Journal of the Pakistan Medical Association, 69(10), 1496-1500. https://doi.org/10.5455/jpma.292930
Gause, G., Mokgaola, I. O., & Rakhudu, M. A. (2022). Technology usage for teaching and learning in nursing education: An integrative review. Curationis, 45(1), 2261. https://doi.org/10.4102/curationis.v45i1.2261
İncesu, O., & Ulupinar, S. (2023). The effect of self and peer assessment training on stoma care skills of nursing students: A randomised controlled experimental study. Nurse Education in Practice, 70, 103682. https://doi.org/10.1016/j.nepr.2023.103682
Kang, R., Zhang, B., Fu, S., Tong, L., Jin, S., Wang, Y., & Xiao, Q. (2025). Application of head-mounted display-based augmented and mixed reality in nursing education: a scoping review. BMC nursing, 24(1), 1150. https://doi.org/10.1186/s12912-025-03413-1
Kaplan, S., & Tüzer, H. (2020). Effect of web-assisted learning and peer learning on the stoma care-related knowledge and skills of nursing students. Cukurova Medical Journal, 45(2), 604-612. https://doi.org/10.17826/cumj.668515
Kerr, N. (2015). Ostomate-for-a-day: A novel pedagogy for teaching ostomy care to baccalaureate nursing students. Journal of Nursing Education, 54(8), 445-449. https://doi.org/10.3928/01484834-20150717-04
Kulakaç, N., & Çilingir, D. (2024). The effect of a serious game-based web application on stoma care education for nursing students: A randomized controlled trial. Teaching and Learning in Nursing, 19(1), e126-e132. https://doi.org/10.1016/j.teln.2023.10.001
Lucena, S. K. P., Freitas, L. S., Silva, I. P. D., Mesquita, S. K. D. C., Sena, J. F. D., Oliveira, A. C. D. S., & Costa, I. K. F. (2023). Efeıto da sımulação no conhecımento de estudantes de enfermagem sobre ırrıgação de colostomıa: estudo quase experımental. Texto & Contexto-Enfermagem, 32, e20230011. https://doi.org/10.1590/1980-265X-TCE-2023-0011pt
López-Medina, I. M., Sanz-Martos, S., Álvarez-García, C., Hueso-Montoro, C., Esteban-Burgos, A. A., & Álvarez-Nieto, C. (2025). Acquisition of nursing competencies using advanced clinical simulation and virtual reality: A pre-and post-intervention study. Teaching and Learning in Nursing. https://doi.org/10.1016/j.teln.2025.09.014
Mbombi, M. O., Bopape, M. A., Ravele, T., Ntho, T. A., Muthelo, L., Phukubye, T. A., & Mothiba, T. M. (2025). Applying an e-learning framework to explore learner nurses’ and nurse educators’ perceptions about technology platforms in nursing. PloS one, 20(3), e0312681. https://doi.org/10.1371/journal.pone.0312681
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., Stewart, L. A., Thomas, J., Tricco, A. C., Welch, V. A., Whiting, P., & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMC nursing, 372, n71. https://doi.org/10.1136/bmj.n71
Reed, K. S. (2012). Bags and blogs: creating an ostomy experience for nursing students. Rehabilitation Nursing Journal, 37(2), 62-65. http://doi.org/10.1002/RNJ.00011
Rezayi, S., Amanollahi, A., Shahmoradi, L., Rezaei, N., Katigari, M. R., Zolfaghari, M., & Manafi, B. (2022). Effects of technology-based educational tools on nursing learning outcomes in intensive care units: a systematic review and meta-analysis. BMC Medical Education, 22(1), 835. https://doi.org/10.1186/s12909-022-03810-z
Ryan, G. V., Callaghan, S., Rafferty, A., Higgins, M. F., Mangina, E., & McAuliffe, F. (2022). Learning outcomes of immersive technologies in health care student education: systematic review of literature. Journal of medical internet research, 24(2), e30082. https://doi.org/10.2196/30082
Sengul, T., Karadag, A., & Kilic, H. (2024). Exploring Nursing Students’ First Experiences Providing Wound and Ostomy Care to Patients: A Qualitative Study. Advances in Skin & Wound Care, 37(6), 304-310. http://doi.org/10.1097/ASW.0000000000000151
Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H. Y., Corbett, M. S., Eldridge, S. M., Emberson, J. R., Hernán, M. A., Hopewell, S., Hróbjartsson, A., Junqueira, D. R., Jüni, P., Kirkham, J. J., Lasserson, T., Li, T., & Higgins, J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ, 366, l4898. https://doi.org/10.1136/bmj.l4898
Sterne, J. A. C., Hernán, M. A., Reeves, B. C., Savović, J., Berkman, N. D., Viswanathan, M., Henry, D., Altman, D. G., Ansari, M. T., Boutron, I., Carpenter, J. R., Chan, A. W., Churchill, R., Deeks, J. J., Hróbjartsson, A., Kirkham, J., Jüni, P., Loke, Y. K., Pigott, T. D., & Higgins, J. P. T. (2016). ROBINS-I: A tool for assessing risk of bias in non-randomised studies of interventions. BMJ nursing, 355, i4919. https://doi.org/10.1136/bmj.i4919
Ursavaş, F. E., Özen, A. T., & Öz, G. Ö. (2024). 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. Nurse Education in Practice, 80, 104106. https://doi.org/10.1016/j.nepr.2024.104106
Uslu, Y., & Van Giersbergen, M. Y. (2023). The effects of manikin-based and standardized-patient simulation on clinical outcomes: a randomized prospective study. Cyprus Journal of Medical Sciences. http://doi.org/10.4274/cjms.2022.2022-12
Yildiz, T., Erden, D., Sabirli, C., & Malak, A. (2022). Colostomy and ileostomy care in nursing education: Which is more effective: Synchronous or asynchronous. The Journal of the Pakistan Medical Association, 72(8), 1553-7. https://doi.org/10.47391/JPMA.4029
Zimnicki, K., & Pieper, B. (2018). Assessment of Prelicensure Undergraduate Baccalaureate Nursing Students: Ostomy Knowledge, Skill Experiences, and Confidence in Care. Ostomy/Wound Management, 64(8), 35-42. https://doi.org/10.25270/owm.2018.8.3542.

Details

Primary Language

English

Subjects

Primary Health Care, Health Services and Systems (Other)

Journal Section

Systematic Reviews and Meta Analysis

Authors

Zeynep Mete Merdin ^*
0000-0002-5213-4110
Türkiye

Hülya Bulut
0000-0001-8241-989X
Türkiye

Publication Date

August 30, 2026

Submission Date

June 17, 2026

Acceptance Date

August 21, 2026

Published in Issue

Year 2026 Volume: 8 Number: 2

DOI

https://doi.org/10.59124/guhes.1972332

IZ

https://izlik.org/JA32LJ23XD

Cite

RIS / Bibtex

APA

Mete Merdin, Z., & Bulut, H. (2026). Technology-Supported Learning Approaches in Stoma Care Education for Nursing Students: A Systematic Review. Journal of Gazi University Health Sciences Institute, 8(2), 97-111. https://doi.org/10.59124/guhes.1972332

AMA

1.Mete Merdin Z, Bulut H. Technology-Supported Learning Approaches in Stoma Care Education for Nursing Students: A Systematic Review. GUHES. 2026;8(2):97-111. doi:10.59124/guhes.1972332

Chicago

Mete Merdin, Zeynep, and Hülya Bulut. 2026. “Technology-Supported Learning Approaches in Stoma Care Education for Nursing Students: A Systematic Review”. Journal of Gazi University Health Sciences Institute 8 (2): 97-111. https://doi.org/10.59124/guhes.1972332.

EndNote

Mete Merdin Z, Bulut H (August 1, 2026) Technology-Supported Learning Approaches in Stoma Care Education for Nursing Students: A Systematic Review. Journal of Gazi University Health Sciences Institute 8 2 97–111.

IEEE

[1]Z. Mete Merdin and H. Bulut, “Technology-Supported Learning Approaches in Stoma Care Education for Nursing Students: A Systematic Review”, GUHES, vol. 8, no. 2, pp. 97–111, Aug. 2026, doi: 10.59124/guhes.1972332.

ISNAD

Mete Merdin, Zeynep - Bulut, Hülya. “Technology-Supported Learning Approaches in Stoma Care Education for Nursing Students: A Systematic Review”. Journal of Gazi University Health Sciences Institute 8/2 (August 1, 2026): 97-111. https://doi.org/10.59124/guhes.1972332.

JAMA

1.Mete Merdin Z, Bulut H. Technology-Supported Learning Approaches in Stoma Care Education for Nursing Students: A Systematic Review. GUHES. 2026;8:97–111.

MLA

Mete Merdin, Zeynep, and Hülya Bulut. “Technology-Supported Learning Approaches in Stoma Care Education for Nursing Students: A Systematic Review”. Journal of Gazi University Health Sciences Institute, vol. 8, no. 2, Aug. 2026, pp. 97-111, doi:10.59124/guhes.1972332.

Vancouver

1.Zeynep Mete Merdin, Hülya Bulut. Technology-Supported Learning Approaches in Stoma Care Education for Nursing Students: A Systematic Review. GUHES. 2026 Aug. 1;8(2):97-111. doi:10.59124/guhes.1972332