Using Principles of Digital Development for a Smartphone App to Support Data Collection in Patients With Acute Myocardial Infarction and Physical Activity Intolerance : Case Study
©Diana Isabel Cáceres Rivera, Luz Mileyde Jaimes Rojas, Lyda Z Rojas, Diana Canon Gomez, David Andrés Castro Ruiz, Luis Alberto López Romero. Originally published in JMIR Formative Research (https://formative.jmir.org), 18.03.2024..
BACKGROUND: Advances in health have highlighted the need to implement technologies as a fundamental part of the diagnosis, treatment, and recovery of patients at risk of or with health alterations. For this purpose, digital platforms have demonstrated their applicability in the identification of care needs. Nursing is a fundamental component in the care of patients with cardiovascular disorders and plays a crucial role in diagnosing human responses to these health conditions. Consequently, the validation of nursing diagnoses through ongoing research processes has become a necessity that can significantly impact both patients and health care professionals.
OBJECTIVE: We aimed to describe the process of developing a mobile app to validate the nursing diagnosis "intolerance to physical activity" in patients with acute myocardial infarction.
METHODS: We describe the development and pilot-testing of a mobile system to support data collection for validating the nursing diagnosis of activity intolerance. This was a descriptive study conducted with 11 adults (aged ≥18 years) who attended a health institution for highly complex needs with a suspected diagnosis of coronary syndrome between August and September 2019 in Floridablanca, Colombia. An app for the clinical validation of activity intolerance (North American Nursing Diagnosis Association [NANDA] code 00092) in patients with acute coronary syndrome was developed in two steps: (1) operationalization of the nursing diagnosis and (2) the app development process, which included an evaluation of the initial requirements, development and digitization of the forms, and a pilot test. The agreement level between the 2 evaluating nurses was evaluated with the κ index.
RESULTS: We developed a form that included sociodemographic data, hospital admission data, medical history, current pharmacological treatment, and thrombolysis in myocardial infarction risk score (TIMI-RS) and GRACE (Global Registry of Acute Coronary Events) scores. To identify the defining characteristics, we included official guidelines, physiological measurements, and scales such as the Piper fatigue scale and Borg scale. Participants in the pilot test (n=11) had an average age of 63.2 (SD 4.0) years and were 82% (9/11) men; 18% (2/11) had incomplete primary schooling. The agreement between the evaluators was approximately 80% for most of the defining characteristics. The most prevalent characteristics were exercise discomfort (10/11, 91%), weakness (7/11, 64%), dyspnea (3/11, 27%), abnormal heart rate in response to exercise (2/10, 20%), electrocardiogram abnormalities (1/10, 9%), and abnormal blood pressure in response to activity (1/10, 10%).
CONCLUSIONS: We developed a mobile app for validating the diagnosis of "activity intolerance." Its use will guarantee not only optimal data collection, minimizing errors to perform validation, but will also allow the identification of individual care needs.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:8 |
|---|---|
| Enthalten in: |
JMIR formative research - 8(2024) vom: 18. März, Seite e33868 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Cáceres Rivera, Diana Isabel [VerfasserIn] |
|---|
| Links: |
|---|
| Anmerkungen: |
Date Revised 04.04.2024 published: Electronic Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.2196/33868 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM369877071 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM369877071 | ||
| 003 | DE-627 | ||
| 005 | 20240404235042.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240318s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.2196/33868 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1364.xml |
| 035 | |a (DE-627)NLM369877071 | ||
| 035 | |a (NLM)38498019 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Cáceres Rivera, Diana Isabel |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Using Principles of Digital Development for a Smartphone App to Support Data Collection in Patients With Acute Myocardial Infarction and Physical Activity Intolerance |b Case Study |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 04.04.2024 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a ©Diana Isabel Cáceres Rivera, Luz Mileyde Jaimes Rojas, Lyda Z Rojas, Diana Canon Gomez, David Andrés Castro Ruiz, Luis Alberto López Romero. Originally published in JMIR Formative Research (https://formative.jmir.org), 18.03.2024. | ||
| 520 | |a BACKGROUND: Advances in health have highlighted the need to implement technologies as a fundamental part of the diagnosis, treatment, and recovery of patients at risk of or with health alterations. For this purpose, digital platforms have demonstrated their applicability in the identification of care needs. Nursing is a fundamental component in the care of patients with cardiovascular disorders and plays a crucial role in diagnosing human responses to these health conditions. Consequently, the validation of nursing diagnoses through ongoing research processes has become a necessity that can significantly impact both patients and health care professionals | ||
| 520 | |a OBJECTIVE: We aimed to describe the process of developing a mobile app to validate the nursing diagnosis "intolerance to physical activity" in patients with acute myocardial infarction | ||
| 520 | |a METHODS: We describe the development and pilot-testing of a mobile system to support data collection for validating the nursing diagnosis of activity intolerance. This was a descriptive study conducted with 11 adults (aged ≥18 years) who attended a health institution for highly complex needs with a suspected diagnosis of coronary syndrome between August and September 2019 in Floridablanca, Colombia. An app for the clinical validation of activity intolerance (North American Nursing Diagnosis Association [NANDA] code 00092) in patients with acute coronary syndrome was developed in two steps: (1) operationalization of the nursing diagnosis and (2) the app development process, which included an evaluation of the initial requirements, development and digitization of the forms, and a pilot test. The agreement level between the 2 evaluating nurses was evaluated with the κ index | ||
| 520 | |a RESULTS: We developed a form that included sociodemographic data, hospital admission data, medical history, current pharmacological treatment, and thrombolysis in myocardial infarction risk score (TIMI-RS) and GRACE (Global Registry of Acute Coronary Events) scores. To identify the defining characteristics, we included official guidelines, physiological measurements, and scales such as the Piper fatigue scale and Borg scale. Participants in the pilot test (n=11) had an average age of 63.2 (SD 4.0) years and were 82% (9/11) men; 18% (2/11) had incomplete primary schooling. The agreement between the evaluators was approximately 80% for most of the defining characteristics. The most prevalent characteristics were exercise discomfort (10/11, 91%), weakness (7/11, 64%), dyspnea (3/11, 27%), abnormal heart rate in response to exercise (2/10, 20%), electrocardiogram abnormalities (1/10, 9%), and abnormal blood pressure in response to activity (1/10, 10%) | ||
| 520 | |a CONCLUSIONS: We developed a mobile app for validating the diagnosis of "activity intolerance." Its use will guarantee not only optimal data collection, minimizing errors to perform validation, but will also allow the identification of individual care needs | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a app | |
| 650 | 4 | |a applications of medical informatics | |
| 650 | 4 | |a coronary disease | |
| 650 | 4 | |a data collection | |
| 650 | 4 | |a development | |
| 650 | 4 | |a health care reform | |
| 650 | 4 | |a health data | |
| 650 | 4 | |a medical informatics | |
| 650 | 4 | |a medical informatics apps | |
| 650 | 4 | |a mobile app | |
| 650 | 4 | |a mobile applications | |
| 650 | 4 | |a nursing diagnosis | |
| 650 | 4 | |a nursing research | |
| 650 | 4 | |a research data | |
| 650 | 4 | |a software | |
| 650 | 4 | |a validation | |
| 700 | 1 | |a Rojas, Luz Mileyde Jaimes |e verfasserin |4 aut | |
| 700 | 1 | |a Rojas, Lyda Z |e verfasserin |4 aut | |
| 700 | 1 | |a Gomez, Diana Canon |e verfasserin |4 aut | |
| 700 | 1 | |a Castro Ruiz, David Andrés |e verfasserin |4 aut | |
| 700 | 1 | |a López Romero, Luis Alberto |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t JMIR formative research |d 2017 |g 8(2024) vom: 18. März, Seite e33868 |w (DE-627)NLM289551501 |x 2561-326X |7 nnns |
| 773 | 1 | 8 | |g volume:8 |g year:2024 |g day:18 |g month:03 |g pages:e33868 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.2196/33868 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 8 |j 2024 |b 18 |c 03 |h e33868 | ||