Protótipo de tutorial mHealth no suporte à administração de quimioterápicos na leucemia linfocítica aguda pediátrica

Abstract

Introduction: In Brazil, cancer is the main cause of death from disease in children and adolescents aged 1 to 19 years and Leukemia is the most common type of cancer. Chemotherapy is the main treatment, and skilled nursing care during it involves the need for access to update technical information which is crucial to an effective treatment. However, there is still a considerable gap regarding the provision of training to nurses in this area. Thus, mHealth technology emerges as a means of quick access to useful information for this professional’s care practice. Objective: Develop a prototype application for a mobile device, for nurses, to support the administration of chemotherapy drugs in Pediatric Acute Lymphocytic Leukemia. Method: Applied methodological research, technological production, developed in six stages. In stages 1 (theme survey), 3 (prospecting themes) and 5 (content adequacy), a literature review was used to identify the necessary themes and content. In stage 2 (content identification), nurses working in pediatric oncology responded to the questionnaire developed using the RedCap® electronic data capture software to identify the specific needs of the target population. In stage 4 (content validation by experts), expert judges evaluated and validated the proposed content through the Google Forms platform. In step 6 (application prototyping), to create the application, the Experience Sampling and Programmed Intervention Method, ESPIM, platform was used. Results: In stage 1, four main themes were identified relating to doubts and insecurities in the child and youth QT scenario. Among them: physical assessment and hemodynamic monitoring, safety and chemotherapy administration process, chemotherapy administration procedures and toxicity and symptoms. In stage 2, 34 nurses participated, and 15 subtopics of interest emerged for inclusion in the application, with a CVI greater than 80%. Stage 3, carried out a survey of the content of each subtopic and was based on evidence, updated and safe information. Stage 4 had 13 expert judges and 120 criteria, only 5 did not reach the recommended CVI and then in stage 5, content adjustments were made. In stage 6, the construction of the prototype, several functions of the platform were used, such as: message, multiple choice and external application. Other strategies were used, such as media rotation and text fields to present additional information, references, sources or notes. In the end, we obtained 62 screens divided into 15 events within the platform. Final considerations: Creating a prototype requires a systematized process, based on safe and quality information. The use of mHealth technology can contribute to the development and ongoing education of nurses. The study can contribute to practice by guiding better care for children and adolescents with cancer undergoing chemotherapy treatment. In research, minimizing the existing knowledge gap in the area. And for teaching through discussion and dissemination of knowledge at undergraduate and postgraduate levels.