91 - ELPO App: Technological Innovation for Risk Assessment of Positioning Injuries
Clinical Issue: Patient positioning, when not performed as well as possible, can cause injury to various body systems. Thus, risk assessment is essential for the development of an individualized patient care plan promptly to prevent complications. The ELPO is a Evidence-Based Risk Assessment Scale for the development of injuries related to patient positioning that was built and validated in Brazil and has been widely used in clinical practice and in the scientific environment to streamline the work of nurses, facilitating the analysis of risk to develop injuries and ensuring the safety of the surgical patient. Using it digitally can make this process even easier. OBJECTIVE (S): The purpose of this study is to build an app for ELPO to use in Smartphones and Tablets. METHOD (S): This is a prototyping technology production that aims to build an educational mobile application through scientific rigor. PREPARATION AND PLANNING: The construction followed the contextualized instructional design model, using the XP (Extreme Programming) methodology which comprises the steps: listening (ELPO items and score), designing (“Astah UML” software modeling tool to diagram the models), code (use of programming tools such as NetBeans IDE to write code; Spring Tool Suite 4 to create microservices, access permissions control and other Backend related code; Postman to test and document the microservices created, IDE Visual Studio Code to build the front end, in order to organize and separate the files developed for web and mobile solutions) and test. Google Chrome, Postman tools and automated tests such as Test-Driven Development (TDD) was used for testing. ASSESSMENT AND IMPLEMENTATION: The ELPO App has been made available in its Beta version to be downloaded by Perioperative Nurses for practical implementation. It was evaluated as a simple, agile tool that assists in the decision making of the best care specific to the needs of the evaluated patient.
Results: The prototype developed was composed by concepts, risk factors, the main cares for each type of positioning, as well as the suggestion of prevention strategies associated with the ELPO score received by the patient. IMPLICATIONS FOR PERIOPERATIVE NURSING: The ELPO App is a technological tool that can facilitate nurses' decision making in clinical practice as a strategy for the implementation of Evidence-Based Practice.