“Pediatrix Safe Kids”: Serious Game para educação de acompanhantes em segurança do paciente pediátrico

Abstract

Introduction: Actions to promote patients safety in the pediatric context have been increasingly implemente in clínical practice. However, even with the initiatives, the indicator of adverse event still high. One of the strategies for promoting pediatric patient safety is involving the accompanying in the health care process. When the accompanying is properly oriented and trained, they became a co-participant in patient safety, contributing to the detection and prevention of adverse events. Therefore, health education actions for this public in special become important tools. Among the education strategie are the serious games. However, there is a lack of cientific evidence regarding the effectiveness of serious games as an educational strategy for pediatric patient safety One approach to making the serious games available are the smarthphones, considering the wide availability of this tool among the population. Therefore, there is the need to create a mobile application in the serious game format and validate the contente of this strategy to promote the knowledge in patient safety in the pediatric contexto. Objective: Create mobile application in the serious game format to support the education of the accompanying about the action of pediatric patient safety. Method: There is a technological research developed by diferentes methods, that depends on the fase of the study. A scopus review and technological prospecting were conducted to support the development of the serious games mobile application. Focus groups with pediatric’s accompanying were done in order to identify their prior knowledge, as well as doubts and gaps in knowledge about patient safety. The development of the mobile application was based on Garret's Conceptual Model and was guided by the International Patient Safety Goals as a reference. Ather the development of the mobile application “Pediatrix Safe Kids”, the Validade of the contente was done by the judges. This Validade was guided by the 12 Pasquali’s criteria, using the 5-point Likert scale, in Delphi rounds. The experts' assessment of the “Pediatrix Safe Kids” followed the Content Validity Index (CVI), in witch items achieving a CVI ≥ 0.8 being considered acceptable. Both focus group participants and judges agreed to participate in the research by signing the Informed Consent Form. The project received financial resources from the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPQ). Results: The evidence identified in the scoping review highlighted the effectiveness of using serious games to promoting knowledge about patient safety. However, there was a lack of literature that was the addressed the use of this tool to engage the participantion of the accompanying in patient safety actions. In the search done this technological prospection, it was noted that mobile applications aimed at patient safety had limitations associeted with design and lacking playful features. Furthermore, a small

number of serious games aimed at the target the accompanying of pediatric’s patients. The design of this mobile application considered the content and thematic analysis of the speeches of the 19 participants in the focus groups, which occour in 06 meetings. The focus groups allowed the identification of actions of patient safety made by the accompanying, as well as doubts and important matters raised about International Patient Safety Goals. The serious games mobile application was developed in a quiz format, consisting of 07 blocks, being that, 06 blocks representing the International Patient Safety Goals and 01 the Challenge questions. The mobile application was named “Pediatrix Safe Kids” after studying the naming and visual identity of the tool. The content validation with the judges was done in 02 rounds of the Delphi method. In the 1st round, 07 items did not reach a CVI greater than 0.80. Therefore, the content of the mobile application was edited, and in the 2nd round all items achieved a CVI above 0.80. As a result, the two rounds showed that the content of the mobile application is relevant. Conclusion: A mobile application in the format of serious games named “Pediatrix Safe Kids” was developed to support education of the accompanyings about the pediatric patient safety. The content of the mobile application was considered valid by the judges, a situation that allows us to advance to the clínical validation stage. It is considered that the serious game “Pediatrix Safe Kids” has potential to support education of the accompanyings in pediatric patient safety. Furthermore, the need to continue the validation process with the application's target audience is highlighted. This step will contribute to possible adaptations of the content and a greater approximation of the users’ reality