Previously submitted to: JMIR Nursing (no longer under consideration since Mar 10, 2020)
Date Submitted: May 7, 2019
Open Peer Review Period: May 10, 2019 - Jul 5, 2019
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Quality Evaluation of a Mobile Application as a Learning Aid for Nurses and Students to identify and Care for Stroke Patients
Background:
Around the world there is a growing expansion in m-health due to the ease of access to mobile phones and broadband internet. The field of nursing care of the patient with stroke has proven to be receptive to this technological evolution, both for the identification of risk factors in the population, as well as in the training and certification of professionals in the nursing care of stroke patients. In this way, nurses participate not only as developers of technologies for care, but also with scientific validation, with results of support to health services and training.
Objective:
To evaluate the efficacy of a mobile application as a learning aid for nurses and nursing students to identify and care for stroke patients in a region of southern Brazil.
Methods:
A study on the development and technological evaluation of the instructional design stages of an application was conducted for the period from July to November 2017 in a region of southern Brazil. This involved two clinical cases according to Problem Based Learning and Persuasive Technology. The quality evaluation was based on the Learning Object Review Instrument (LORI®). The resulting data were processed and analyzed using the R® programming language version 3.4.3. We used descriptive statistics (mean, median, minimum value, maximum value, and standard deviation) to compare both groups and a non-parametric test with a 5% significance level.
Results:
The mean of the variables was high (described as "very good"). The variables including content quality, learning goal alignment, motivation, feedback, and adaptation were notable with averages ranging from 4.91 (± 0.28) to 4.97 (± 0.16). Statistical analyses demonstrated that there was agreement between the nurse and student groups for the variables motivation (0.012), presentation design (0.019), re-usability (0.18) and standards compliance (0.45).
Conclusions:
It was determined that the mSmartAVC application satisfies international quality certification criteria and improves the decision-making and clinical evaluation of nurses and students.
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