Application Development to Support the Diagnosis of Nurses in the Care of Surgical Patients

Abstract

Objective: to develop a mobile application to support nurses’ diagnostic reasoning in the care of surgical patients Method: this is applied research with technological production, carried out in a hospital in the metropolitan region of Espírito Santo, from September 2018 to December 2019. The study was divided into four stages: theoretical content elaboration through an integrative literature review of the main signs and symptoms observed in patients in the postoperative period of gastrointestinal, thoracic, head and neck surgeries, and cross-mapping between the signs and symptoms found in the literature review and NANDA International nursing diagnoses; development of 10 case studies that foster clinical and surgical situations elaborated according to nursing diagnoses mapped according to Lunney’s framework; assessment of case studies by experts using content validity index; and application construction in partnership with a graphic design expert by the User-Centered Design method. Results: the application CuidarTech®Cirúrgico presents four navigation options: 1) “Nursing Process” - displays theoretical contents; 2) “Nursing diagnoses and actions” - with nursing diagnoses and interventions to assist patients in the postoperative period of gastrointestinal, thoracic, head and neck surgeries; 3) “Case studies” - brings 10 validated studies to training clinical reasoning; and 4) “Credits” - executing team. Conclusion: the application is an unprecedented technology and constitutes an interactive support in the care and teaching of nurses’ Nursing Process and clinical reasoning.

Nurses’ Roles in mHealth App Development: Scoping Review

“…The characteristics of the included studies are summarized in Table 1 . Of the 157 included publications, 132 (84.1%) either described usability testing or were original research papers [ 32 - 49 , 51 , 52 , 55 , 56 , 58 - 65 , 67 - 75 , 77 - 81 , 83 , 85 - 87 , 89 - 107 , 110 , 112 - 117 , 119 - 124 , 126 , 129 , 130 , 132 - 134 , 136 , 138 , 140 - 145 , 147 - 160 , 162 - 169 , 171 - 173 , 175 - 187 ].…”

“…The remaining publications (7/157, 4.5%) were protocols or descriptions of theoretical frameworks [ 50 , 53 , 54 , 57 , 109 , 130 , 139 ]. A total of 34 countries were represented in the publications, most frequently Brazil (29/157, 18.5%) [ 36 , 37 , 40 , 45 , 48 , 60 , 61 , 65 , 70 , 83 , 87 , 114 , 115 , 117 , 120 , 134 , 136 , 138 , 142 , 143 , 152 - 154 , 157 , 163 , 165 , 177 , 182 , 183 ], the United States (26/157, 16.6%) [ 33 , 38 , 41 , 42 , 44 , 47 , 54 , 57 , 66 , 68 , 69 , 71 , 76 , 81 , 89 , 97 , 102 , 103 , 107 , 113 , 121 , 132 , 160 , 164 , 170 , 181 ], South Korea (10/157, 6.4%) [ 56 , 58 , 101 , 105 ...…”

“…This was followed by the role of informant or SME (106/157, 67.5%) [ 32 - 37 , 39 - 41 , 43 , 46 , 49 , 50 , 52 - 56 , 58 - 61 , 63 , 64 , 67 , 69 , 72 - 75 , 77 , 79 - 81 , 83 - 86 , 89 - 91 , 93 , 95 , 98 , 99 , 102 , 104 , 106 - 110 , 113 , 114 , 116 , 119 , 121 , 123 - 127 , 129 , 132 - 134 , 137 - 139 , 141 , 146 , 148 - 160 , 162 - 171 , 173 - 175 , 177 , 178 , 181 , 182 , 184 - 188 ], designer or creator (31/157, 19.7%) [ 42 , 45 , 56 , 57 , 72 , 78 , 88 , 92 ,…”

“…Nurses served in different roles across different phases of development. The most common co-occurrence was a nurse acting as an informant or SME during the requirements gathering phase (88/157, 56.1%) [ 32 - 37 , 39 - 41 , 43 , 46 , 49 , 50 , 52 - 56 , 58 , 59 , 61 , 63 , 64 , 67 , 72 - 75 , 77 , 79 - 81 , 83 , 84 , 86 , 89 - 91 , 95 , 98 , 99 , 102 , 104 , 106 - 110 , 114 , 116 , 119 , 123 - 126 , 129 , 132 , 134 , 136 - 138 , 146 , 148 , 150 , 153 - 155 , 158 - 160 , 162 - 171 , 173 , 178 , 181 , 184 - 188 ], closely followed by acting as an evaluator during the design and prototyping phase (84/157, 53.5%) [ 32 - 34 , 36 , 37 , 39 , 41 , 43 ,…”

“…The authors indicated that nurses took on between 1 and 4 roles within a development phase and more frequently took on a greater number of roles during earlier development phases. In total, 36% (12/33) of the publications describing the planning phase indicated nurses taking on >1 role [ 85 , 92 , 102 , 104 , 110 , 123 , 125 , 126 , 134 , 136 , 139 , 152 ]. Nurses taking on >1 role grew to 42 (43%) out of 98 publications in the requirements gathering phase [ 36 , 37 , 39 , 52 , 55 , 56 , 58 , 61 , 78 , 83 , 84 , 86 , 89 , 92 , 99 , 101 , 104 , 110 , 114 , 116 , 123 , 125 , 126 , 129 , 132 , 134 , 136 , 139 , 146 , 151 , 153 , 158 , 164 - 169 , 171 , 173 , 184 , 188 ] and 50 (44.6%) out of 112 publications in the design and prototyping phase [ 34 , 36 , 37 , 39 , 42 , 43 , 45 , 46 , 51 , 56 - 58 ,…”