Enf. Feridas Mobile Application: Development and Preliminary Evaluation of a Digital Health Technology for the Management of Complex Wounds in Primary Health Care
DOI:
https://doi.org/10.36557/2674-9432.2026v5n4p301-314Keywords:
Enfermagem, Saúde Digital, Aplicativos Móveis, Atenção Primária à Saúde, Feridas Complexas.Abstract
Objective: To develop and preliminarily evaluate the usability and applicability of the Enf. Feridas mobile application in a care setting related to the management of people with Complex Wounds (CW) in Primary Health Care (PHC). Method: Methodological, applied, and descriptive study focused on the development of a digital health technology, followed by a preliminary evaluation of the usability and applicability of the tool in a real-world care setting. The evaluation involved six nurses and three nursing students during the care of 20 patients with CW in a PHC unit. Results: The application integrated functionalities related to patient registration, nursing consultation, clinical wound assessment, photographic documentation, and care prescription. Usability evaluation using the System Usability Scale (SUS) presented a mean score of 93 points. Participants reported ease of navigation, practicality in clinical documentation, and organization of clinical information. During the pilot test, a functionality for comparative monitoring of wound images was incorporated into the application. Conclusion: Enf. Feridas demonstrated adequate usability, acceptability, and preliminary applicability in a care setting, suggesting potential applicability of the technology for organizing nursing clinical records in PHC.
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1. Castillo VMS, Reyna RAS. Caracterização das feridas complexas em pacientes internados no Hospital das Clínicas de Boa Vista/RR, Brasil, no período de janeiro até junho de 2022. Rev Eletr Multidiscip Investig Cient. 2024;3(17):1-19. doi:10.56166/remici.v3n179924.
2. Santana ES, Assis ALC, Castro DSC, Melo GN, Costa BF. Tecnologias e práticas avançadas no cuidado em feridas crônicas: revisão integrativa. Rev JRG Estud Acad. 2024;7(15):1-15.
3. Brasil. Conselho Federal de Enfermagem. Resolução COFEN nº 567, de 7 de fevereiro de 2018. Regulamenta a atuação da equipe de enfermagem no cuidado às pessoas com feridas [Internet]. Brasília: COFEN; 2018 [cited 2026 May 1]. Available from: https://www.cofen.gov.br/ resolucao -cofenno-567-2018/?utm_source=chatgpt.com
4. Brasil. Conselho Federal de Enfermagem. Resolução COFEN nº 787, de 21 de agosto de 2025. Regulamenta a atuação da equipe de enfermagem na promoção, prevenção, tratamento e reabilitação de pessoas com lesões cutâneas [Internet]. Brasília: COFEN; 2025 [cited 2026 May 1]. Available from: https://www.cofen.gov.br/resolucao-cofen-no-787-de-21-de-agosto-de-2025/?utm_source=chatgpt.com
5. Lopes ROP, Chagas SR, Gomes ES, Barbosa JCA, Silva IR, Brandão MAG. Benchmarking mobile applications for the health of people with diabetes mellitus. Rev Lat Am Enfermagem. 2024;32:e4221. doi:10.1590/1518-8345.7182.4221.
6. Moungui HC, Nana-Djeunga HC, Anyiang CF, Cano M, Ruiz Postigo JA, Carrion C. Dissemination strategies for mHealth apps: systematic review. JMIR Mhealth Uhealth. 2024;12:e50293. doi:10.2196/50293.
7. Marcolino MS, Oliveira JAQ, D’Agostino M, Ribeiro AL, Alkmim MBM, Novillo-Ortiz D. The impact of mHealth interventions: systematic review of systematic reviews. JMIR Mhealth Uhealth. 2018;6(1):e23. doi:10.2196/mhealth.8873.
8. Polit DF, Beck CT. Fundamentals of nursing research: generating and assessing evidence for nursing practice. 10th ed. Philadelphia: Wolters Kluwer; 2021.
9. Maramba I, Chatterjee A, Newman C. Methods of usability testing in the development of eHealth applications: a scoping review. Int J Med Inform. 2019; 126:95-104. doi:10.1016/j.ijmedinf.2019.03.018.
10. Brooke J. SUS: a “quick and dirty” usability scale. In: Jordan PW, Thomas B, McClelland IL, Weerdmeester BA, editors. Usability evaluation in industry. London: Taylor & Francis; 1996. p. 189-194.
11. International Organization for Standardization. ISO 9241-210:2019. Ergonomics of human-system interaction: human-centred design for interactive systems. Geneva: ISO; 2019.
12. Nielsen J. Usability engineering. San Francisco: Morgan Kaufmann; 1993.
13. Free C, Phillips G, Watson L, et al. The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis. PLoS Med. 2013;10(1):e1001363. doi:10.1371/journal.pmed.1001363.
14. World Health Organization. Global strategy on digital health 2020-2025. Geneva: WHO; 2021.
15. Bangor A, Kortum PT, Miller JT. An empirical evaluation of the System Usability Scale. Int J Hum Comput Interact. 2008;24(6):574-594. doi:10.1080/10447310802205776.
16. Risling T. Educating the nurses of 2025: technology trends of the next decade. Nurse Educ Pract. 2017; 22:89-92. doi:10.1016/j.nepr.2016.12.007.
17. Frykberg RG, Banks J. Challenges in the treatment of chronic wounds. Adv Wound Care (New Rochelle). 2015;4(9):560-582. doi:10.1089/wound.2015.0635.
18. Wounds International. International best practice guidelines: wound management [Internet]. London: Wounds International; 2023 [cited 2026 May 17]. Available from: https://woundsinternational.com/best-practice-statements/
19. Dege T, Glatzel B, Borst V, et al. Patient-centered chronic wound care mobile apps: systematic identification, analysis, and assessment. JMIR Mhealth Uhealth. 2024;12:e51592. doi:10.2196/51592.
20. Gagnon J, Chartrand J, Probst S, et al. Content of a wound care mobile application for newly graduated nurses: an e-Delphi study. BMC Nurs. 2024; 23:331. doi:10.1186/s12912-024-02003-x.
21. Pontieri-Lewis V. Artificial intelligence: the role in wound care. J Wound Ostomy Continence Nurs. 2024;51(6):437. doi:10.1097/WON.0000000000001134.
22. Wang L, Pedersen PC, Strong DM, Tulu B, Agu E, Ignotz R. Smartphone-based wound assessment system for patients with diabetes. IEEE Trans Biomed Eng. 2024;71(2):489-500. doi:10.1109/TBME.2
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Copyright (c) 2026 Marilene Rivany Nunes, Denilson José Teixeira , Lorrâne Laisla de oliveira Souza , Elcimar dos Reis Caixeta, Mislene Dalila da Silva, Sinara de Queiroz Caixeta, Léa Poliane Moreira da Siva, Alice Cristina Silva Silva , Jessica Laís de Oliveira Pimenta , Isa Ribeiro de Oliveira Dantas

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