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

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 initia...

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Main Authors: Julie Gagnon, Julie Chartrand, Sebastian Probst, Michelle Lalonde
Format: Article
Language:English
Published: BMC 2024-05-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-024-02003-x
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author Julie Gagnon
Julie Chartrand
Sebastian Probst
Michelle Lalonde
author_facet Julie Gagnon
Julie Chartrand
Sebastian Probst
Michelle Lalonde
author_sort Julie Gagnon
collection DOAJ
description 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.
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spelling doaj-art-371f3d3042ef4cfbbb74b3ad49c4ed502025-01-19T12:16:19ZengBMCBMC Nursing1472-69552024-05-0123111110.1186/s12912-024-02003-xContent of a wound care mobile application for newly graduated nurses: an e-Delphi studyJulie Gagnon0Julie Chartrand1Sebastian Probst2Michelle Lalonde3School of Nursing, Faculty of Health Sciences, University of OttawaSchool of Nursing, Faculty of Health Sciences, University of OttawaHES-SO, University of Applied Sciences and Arts Western SwitzerlandSchool of Nursing, Faculty of Health Sciences, University of OttawaAbstract 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.https://doi.org/10.1186/s12912-024-02003-xConsensusDelphi TechniqueMobile ApplicationsNursesNursing careSmartphone
spellingShingle Julie Gagnon
Julie Chartrand
Sebastian Probst
Michelle Lalonde
Content of a wound care mobile application for newly graduated nurses: an e-Delphi study
BMC Nursing
Consensus
Delphi Technique
Mobile Applications
Nurses
Nursing care
Smartphone
title Content of a wound care mobile application for newly graduated nurses: an e-Delphi study
title_full Content of a wound care mobile application for newly graduated nurses: an e-Delphi study
title_fullStr Content of a wound care mobile application for newly graduated nurses: an e-Delphi study
title_full_unstemmed Content of a wound care mobile application for newly graduated nurses: an e-Delphi study
title_short Content of a wound care mobile application for newly graduated nurses: an e-Delphi study
title_sort content of a wound care mobile application for newly graduated nurses an e delphi study
topic Consensus
Delphi Technique
Mobile Applications
Nurses
Nursing care
Smartphone
url https://doi.org/10.1186/s12912-024-02003-x
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