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Abstract
ABSTRACT Objective: to construct a mobile application in the mobile-learning format that favors learning, offering support to the nurse's clinical reasoning and decision-making in the prevention of adverse events related to the peripherally inserted central catheter in pediatrics. Method: the construction of the mobile-learning technological production took place between 2016 and 2020, following seven steps that included the Contextualized Instructional Designer. The content of the application was based on current scientific evidence, with the inclusion of guidelines, international and national directives; and was elaborated grounded on Problem-Based Learning. The project team involved the participation of two content experts, a programmer, and two graphic designers. Results: the application consists of a pediatric clinical case, which gives rise to six other cases, exploring six catheter maintenance procedure. When presenting the cases, the user is encouraged to perform a clinical evaluation and make a decision about the problem raised. So, when the user correctly chooses the clinical issue, there is a message of congratulations and they are encouraged to continue their learning. In opposition, when the user answers incorrectly, the software shows the adverse event that can affect the patient and a new evaluation and decision-making are encouraged. At the end of each procedure, there is an animation of the correct technique for better assimilation of the constructed knowledge. Conclusion: this type of mobile-learning application allows for knowledge dissemination and assists safe care to children using the peripherally inserted central catheters.
Highlights
Inserted Central Catheters (PICCs) are vital devices to promote pediatric patient care and are considered safe and reliable as a method to obtain an efficient central access[1,2]
This study aims to present the development and construction of an app referred to as PiccPed®, which seeks to support nurses’ decision-making regarding the prevention of Adverse Events (AEs) related to the maintenance of Peripherally Inserted Central Catheters (PICCs) in pediatrics
Contact was made with the Innovation Department of the Federal University of Santa Catarina (SINOVA/UFSC) to start Software registration. This process resulted in the PiccPed® m-learning app (Figure 1), which has the objective of favoring learning, supporting the nurse’s clinical reasoning and decision-making in the prevention of PICC-related AEs in Pediatrics
Summary
Inserted Central Catheters (PICCs) are vital devices to promote pediatric patient care and are considered safe and reliable as a method to obtain an efficient central access[1,2]. Complications about the use of the PICC are frequently reported in the literature, including the occurrence of obstruction, accidental removal, infection, rupture, malposition, catheter fracture, pulmonary embolism and thrombosis[3,4,5,6]. Such Adverse Events (AEs) were frequently evidenced, including a French retrospective study (91 PICCs in 74 patients), which found an AE rate of 13 (14.4%), where in 4 (4.4%) the outcome was considered serious[6]. Knowing that currently half of all the AEs are caused by some type of human error, the ICTs can have an important impact on the professional’s clinical reasoning and decision-making[10]
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