DEVELOPMENT OF EDUCATIONAL TECHNOLOGY FOR TRANSCUTANEOUS PACEMAKER MANAGEMENT IN OLDER ADULTS UNDERGOING MOBILE PRE-HOSPITAL ASSISTANCE

Silveira, Simone Nogueira; Kuznier, Tatiane Prette; Betiolli, Susanne Elero; Pontes, Letícia; Garcia, Rosane Borges Ferreira; Adamovicz, Luany Caroline; Borba, Fabricia Lucca; Silva, Juliane Gomes da

doi:10.1590/1980-265X-TCE-2023-0054en

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Original article • Texto contexto - enferm. 32 • 2023 • https://doi.org/10.1590/1980-265X-TCE-2023-0054en copy

DEVELOPMENT OF EDUCATIONAL TECHNOLOGY FOR TRANSCUTANEOUS PACEMAKER MANAGEMENT IN OLDER ADULTS UNDERGOING MOBILE PRE-HOSPITAL ASSISTANCE

DESARROLLO DE UNA TECNOLOGÍA EDUCATIVA PARA EL MANEJO DE MARCAPASOS TRANSCUTÁNEOS EN ANCIANOS EN EL SERVICIO DE MÓVIL DE ATENCIÓN PREHOSPITALARIA

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to develop educational technology for nurses on transcutaneous pacemaker management in older adults undergoing mobile pre-hospital assistance.

Method:

a methodological study developed with the Advanced Support Units of the Mobile Urgency Care Service of the 2^nd Metropolitan Health Region of Paraná, Brazil, in three phases: 1) Pre-production - preparation of the video script; 2) Production - script validation by expert judges, storyboard development, voiceover recording and selection of images; and 3) Post-production - evaluation of the video by expert judges and diffusion. 51 specialist judge nurses took part in validation of the script; and 47 of them assessed the video. The data were collected between April and May 2022 using instruments with a Likert scale, via Google Forms. Descriptive statistics was applied for data analysis and a Content Validity Index of at least 0.78 was considered.

Results:

the judges suggested less technical language, inclusion of a scene and a correction referring to the positioning of the transcutaneous pacemaker adhesive pads. A 2D video lasting 8 minutes and 30 seconds was produced, which addressed actions and care measures in managing pacemakers in older adults. The following items were considered adequate: language, images, voiceover, duration, guidelines proposed and memorization of the messages (CVI=1.0).

Conclusion:

the educational technology developed was considered validated for nurses regarding the transcutaneous pacemaker management in older adults. The educational video can support decision-making in favor of patient and team safety and treatment efficacy, in order to qualify the assistance provided.

DESCRIPTORS:
Technology; Nursing; Education in health; Bradycardia; Artificial pacemaker; Older adult; Emergency medical services

Questions	*TA n	†A n	‡PA n	§I n	II CVI
Objectives
1. The information/content is consistent with the everyday needs of the technology target audience	30	21	0	0	1.0
2. The information/content is important for the quality of life and/or work of the technology target audience	32	19	0	0	1.0
3. It invites and/or instigates behavioral and attitudinal changes	22	24	4	1	0.90
4. It can circulate in the scientific environment of the area	34	17	0	0	1.0
5. It meets the objectives of institutions that serve/work with the technology target audience	25	26	0	0	1.0
¶S-CVI	0.98
Structure/Presentation
6. The technology is appropriate for the target audience	30	21	0	0	1.0
7. The messages are presented in a clear and objective way	29	21	1	0	0.98
8. The information presented is scientifically correct.	34	17	0	0	1.0
9. The material is appropriate to the sociocultural level of the proposed target audience	25	26	0	0	1.0
10. There is a logical sequence of the content proposed	31	20	0	0	1.0
11. The information is well-presented in agreement and spelling	27	22	2	0	0.96
12. The writing style corresponds to the target audience level of knowledge	29	21	1	0	0.98
¶S-CVI	0.98
Relevance
13. The topics portray key aspects that need to be strengthened	31	20	0	0	1.0
14. The technology allows generalization and transfer of learning to different contexts	31	19	1	0	0.98
15. The technology proposes knowledge construction	34	16	1	0	0.98
16. The technology addresses the subject matters necessary for the target audience’s knowledge	31	20	0	0	1.0
17. The technology is suitable for use by any professional with the target audience	24	27	0	0	1.0
¶S-CVI	0.99
¶S-CVI (Overall)	0.98

Questions	*TA n	†A n	‡D n	§TD n	¶CVI
1. Evaluate the assertions about the educational video you watched. It has easy-to-understand language	36	11	0	0	1.0
2. It uses the visual resources properly: the images chosen are easy to understand	33	14	0	0	1.0
3. It uses the audio resources properly: voiceover is clear and understandable	32	15	0	0	1.0
4. The content was distributed appropriately for the length of the video	28	19	0	0	1.0
5. It keeps the audience involved throughout the video	29	18	0	0	1.0
6. It conveys the guidelines proposed	35	12	0	0	1.0
7. It eases memorization of the messages	30	17	0	0	1.0
8. It can ease transcutaneous pacemaker management in older adults undergoing Mobile Pre-Hospital Assistance	34	13	0	0	1.0
9. All the information about nurses’ care measures in transcutaneous pacemaker management is correct	31	16	0	0	1.0
**S-CVI	1.0

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDING AUTHOR
Simone Nogueira Silveira sisinogueira@hotmail.com