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BMC nursing
May 16, 2024;23 (1): 331.

Content of a wound care mobile application for newly graduated nurses: an e-Delphi study.

Julie Gagnon, Julie Chartrand, Sebastian Probst, Michelle Lalonde
Author Information
  1. Julie Gagnon: School of Nursing, Faculty of Health Sciences, University of Ottawa, 200 Lees Avenue, Ottawa, ON, K1N 6N5, Canada. jgagn156@uottawa.ca.
  2. Julie Chartrand: School of Nursing, Faculty of Health Sciences, University of Ottawa, 200 Lees Avenue, Ottawa, ON, K1N 6N5, Canada.
  3. Sebastian Probst: HES-SO, University of Applied Sciences and Arts Western Switzerland, 47 Avenue de Champel, Geneva, 1206, Switzerland.
  4. Michelle Lalonde: School of Nursing, Faculty of Health Sciences, University of Ottawa, 200 Lees Avenue, Ottawa, ON, K1N 6N5, Canada.
PMID: 38755617 DOI: 10.1186/s12912-024-02003-x

Abstract

BACKGROUND: Wound care represents a considerable challenge, especially for newly graduated nurses. The development of a mobile application is envisioned to improve knowledge transfer and facilitate evidence-based practice. The aim of this study was to establish expert consensus on the initial content of the algorithm for a wound care mobile application for newly graduated nurses.
METHODS: Experts participated in online surveys conducted in three rounds. Twenty-nine expert wound care nurses participated in the first round, and 25 participated in the two subsequent rounds. The first round, which was qualitative, included a mandatory open-ended question solicitating suggestions for items to be included in the mobile application. The responses underwent content analysis. The subsequent two rounds were quantitative, with experts being asked to rate their level of agreement on a 5-point Likert scale. These rounds were carried out iteratively, allowing experts to review their responses and see anonymized results from the previous round. We calculated the weighted kappa to determine the individual stability of responses within-subjects between the quantitative rounds. A consensus threshold of 80% was predetermined.
RESULTS: In total, 80 items were divided into 6 categories based on the results of the first round. Of these, 75 (93.75%) achieved consensus during the two subsequent rounds. Notably, 5 items (6.25%) did not reach consensus. The items with the highest consensus related to the signs and symptoms of infection, pressure ulcers, and the essential elements for healing. Conversely, items such as toe pressure measurement, wounds around drains, and frostbite failed to achieve consensus.
CONCLUSIONS: The results of this study will inform the development of the initial content of the algorithm for a wound care mobile application. Expert participation and their insights on infection-related matters have the potential to support evidence-based wound care practice. Ongoing debates surround items without consensus. Finally, this study establishes expert wound care nurses' perspectives on the competencies anticipated from newly graduated nurses.

Keywords

Consensus Delphi Technique Mobile Applications Nurses Nursing care Smartphone Wound Healing Wounds and injuries

References

  1. JMIR Mhealth Uhealth. 2020 Jun 16;8(6):e14266 [PMID: 32470916]
  2. Int J Low Extrem Wounds. 2019 Sep;18(3):228-235 [PMID: 31198071]
  3. Rech Soins Infirm. 2021 Jan 13;(143):45-61 [PMID: 33485283]
  4. J Tissue Viability. 2022 Nov;31(4):567-574 [PMID: 36192302]
  5. Am J Public Health. 1984 Sep;74(9):979-83 [PMID: 6380323]
  6. ANS Adv Nurs Sci. 1984 Oct;7(1):72-7 [PMID: 6435511]
  7. J Adv Nurs. 2008 Apr;62(1):107-15 [PMID: 18352969]
  8. Palliat Med. 2017 Sep;31(8):684-706 [PMID: 28190381]
  9. J Adv Nurs. 2003 Feb;41(4):376-82 [PMID: 12581103]
  10. Int J Nurs Stud. 2001 Apr;38(2):195-200 [PMID: 11223060]
  11. Int J Environ Res Public Health. 2013 Nov 19;10(11):6199-214 [PMID: 24256739]
  12. Health Technol Assess. 1998;2(3):i-iv, 1-88 [PMID: 9561895]
  13. J Adv Nurs. 2000 Oct;32(4):1016-24 [PMID: 11095243]
  14. BMC Med Res Methodol. 2007 Nov 29;7:52 [PMID: 18045508]
  15. J Wound Care. 2019 Mar 1;23(Sup3a):S1-S50 [PMID: 30835604]
  16. J Clin Nurs. 2019 May;28(9-10):1643-1652 [PMID: 30589979]
  17. Adv Wound Care (New Rochelle). 2021 Nov;10(11):641-661 [PMID: 32320356]
  18. J Am Acad Dermatol. 2012 Nov;67(5):904-17 [PMID: 22387035]
  19. Adv Wound Care (New Rochelle). 2021 May;10(5):281-292 [PMID: 33733885]
  20. Ann Epidemiol. 2019 Jan;29:8-15 [PMID: 30497932]
  21. Int J Low Extrem Wounds. 2016 Dec;15(4):344-353 [PMID: 27881691]
  22. Nurs Res. 2018 Sep/Oct;67(5):404-410 [PMID: 30052591]
  23. J Clin Nurs. 2019 Nov;28(21-22):4021-4034 [PMID: 31294490]
  24. Br J Nurs. 2013 Nov 14-27;22(20):S18-23 [PMID: 24225506]
  25. Wound Repair Regen. 2012 May-Jun;20(3):284-93 [PMID: 22564224]
  26. J Contin Educ Nurs. 2008 Oct;39(10):441-50; quiz 451-2, 480 [PMID: 18990890]
  27. J Adv Nurs. 1994 Jun;19(6):1221-5 [PMID: 7930104]
  28. Can J Nurs Adm. 1994 Sep-Oct;7(3):29-42 [PMID: 7880844]
  29. PLoS One. 2018 Jul 30;13(7):e0201378 [PMID: 30059560]
  30. J Am Assoc Nurse Pract. 2019 Feb;31(2):110-115 [PMID: 30550390]
  31. Adv Skin Wound Care. 2021 Apr 01;34(4):183-195 [PMID: 33739948]
  32. J Clin Nurs. 2018 Jan;27(1-2):31-47 [PMID: 28252838]
  33. Front Public Health. 2020 Sep 22;8:457 [PMID: 33072683]
  34. J Wound Care. 2019 Mar 2;28(Sup3b):s4-s12 [PMID: 30840533]
  35. Br J Community Nurs. 2019 Dec 1;24(Sup12):S6-S11 [PMID: 31804882]
  36. BMC Med Res Methodol. 2020 Feb 10;20(1):28 [PMID: 32041541]
  37. BMJ. 1995 Aug 5;311(7001):376-80 [PMID: 7640549]
  38. Br J Community Nurs. 2004 Mar;9(3):110-4 [PMID: 15028996]
  39. Adv Skin Wound Care. 2022 Feb 01;35(2):87-94 [PMID: 35050917]
  40. J Wound Ostomy Continence Nurs. 2014 Jan-Feb;41(1):49-54 [PMID: 24280769]
  41. Nurse Educ Today. 2015 Aug;35(8):e1-7 [PMID: 25862073]
  42. Int Wound J. 2014 Dec;11(6):665-74 [PMID: 23374671]
  43. J Adv Nurs. 2006 Jan;53(2):205-12 [PMID: 16422719]
  44. Evid Based Nurs. 2020 Jul;23(3):68-69 [PMID: 32430290]
  45. Nurse Educ. 1994 Jul-Aug;19(4):9-11 [PMID: 7862302]
  46. BMC Med Res Methodol. 2005 Dec 01;5:37 [PMID: 16321161]
  47. J Wound Care. 2015 May 1;24(Sup5):S1-S44 [PMID: 29252079]
  48. J Adv Nurs. 2000 Oct;32(4):1008-15 [PMID: 11095242]
  49. Int Wound J. 2022 Nov;19(7):1769-1785 [PMID: 35607997]
  50. BMJ Open. 2019 Aug 15;9(8):e029954 [PMID: 31420394]
  51. Nurse Res. 2012;19(2):37-44 [PMID: 22338807]
  52. Nurse Educ Pract. 2018 Mar;29:1-7 [PMID: 29136543]
  53. Wound Repair Regen. 2019 Jan;27(1):114-125 [PMID: 30362646]
  54. J Nurs Adm. 2004 Jun;34(6):303-11 [PMID: 15190226]
  55. Intern Emerg Med. 2015 Apr;10(3):373-83 [PMID: 25430678]
  56. Value Health. 2018 Jan;21(1):27-32 [PMID: 29304937]
  57. JONAS Healthc Law Ethics Regul. 2006 Oct-Dec;8(4):110-5 [PMID: 17149038]
  58. Adv Skin Wound Care. 2021 Jun 1;34(6):1-6 [PMID: 33979824]
  59. Adv Skin Wound Care. 2016 Jan;29(1):32-46 [PMID: 26650095]
  60. J Adv Nurs. 1987 Nov;12(6):729-34 [PMID: 3320139]

Grants

  1. 202111FBD- 476880-67262/CIHR
  2. 2022-2023-BF2-319284/Fonds de Recherche du Qu��bec - Sant��
Journal Article

Word Cloud

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