Assessment of the quality of a software application for the prevention of skin lesions in newborns*

Abstract

Objective: to assess the technical quality of a mobile application to support the nurse’s decision to prevent skin lesions in hospitalized newborns, according to the Product Quality Model. Method: a methodological study for technological assessment. The 20 evaluators, divided into two groups, 10 nurses and 10 information technology professionals, used the software, conducted tests based on two case studies, and evaluated six features and 23 sub-features of quality. The assessment was conducted by means of an online form. Data was analyzed through a specific formula and the items that obtained a concordance percentage over 70% were considered adequate. Results: the concordance percentages of the features in the groups of nurses and of information technology specialists were the following: functional adequacy (100%-98.9%), reliability (90%-100%), usability (93.2-85%), performance efficiency (100%-100%), compatibility (97.5-90%), and safety (94%-91%). In the assessment of the sub-features, only accessibility presented a percentage value below the desired one (70%-60%). Conclusion: the software has excellent technical quality to meet the needs of nurses in planning the care for the prevention of skin lesions of hospitalized newborns, brings important advances to neonatal care, contributes to the work process, expands knowledge, and promotes the professional’s clinical reasoning.

Alteration of skin condition in newborns admitted to neonatal intensive care: a concept analysis

“…On this scale, 3 is the worst score; and 9, the best. In addition, it is an easy-to-understand instrument that can be inserted into the nursing care practice at the NICU, contributing to standardizing the assessment of lesions and improving the quality of care provided (4,7) .…”

“…Given these structural specificities of the newborn's skin, the lower the gestational age, the higher the risk. So, the chances of infection may increase, which is the leading cause of neonatal morbidity and mortality, besides causing definitive scars and functional alterations (4) . Lesions tend to prolong hospitalization time and increase treatment costs.…”

“…Lesions tend to prolong hospitalization time and increase treatment costs. Thus, more than dealing with the principal diagnosis, managing the skin of the preterm newborn is fundamental while providing care (4) .…”

Cuidados de enfermagem a recém-nascido com infecção de sítio cirúrgico incisional profunda: relato de caso

“…A integridade do tegumento deve ser a métrica para alavancar a qualidade da assistência neonatal e, na prática clínica, o enfermeiro deve atualizar o conhecimento necessário a fim de executar o cuidado baseado em evidências com o RN. Para isso, pode utilizar tecnologias que ofereçam informações adequadas e auxiliem no processo de tomada de decisão (8) .…”

O uso de software na assistência de enfermagem – Revisão de literatura

“…Com isso, os profissionais da saúde têm que se atualizar sobre as novas formas de prestação de cuidados aos pacientes, além de compreender a importância do uso de novas tecnologias para o benefício e favorecimento das informações melhorando a qualidade do cuidado prestado a população. De outro modo, a gestão de dados para os enfermeiros é otimizada com o uso de softwares, tornando-a, assim, um trabalho mais limpo e prático, tanto no meio nacional como no meio internacional (Carlantonio, 2016;Mota et al, 2019;Santos et al, 2020).…”