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Protocol for a randomised trial evaluating a preconception-early childhood telephone-based intervention with tailored e-health resources for women and their partners to optimise growth and development among children in Canada: a Healthy Life Trajectory Initiative (HeLTI Canada)

Abstract:
Objective: to publicize the “HCemCasa” application for nurses in management activities in primary health care. Method: descriptive and quantitative study, carried out with nurse managers from a city in the state of São Paulo, Brazil. Data collection took place from October 2020 to March 2021 and consisted of a questionnaire with open and closed questions after an educational activity to publicize the application's functions. Results: 20 nurses participated in the research, 55% of them with more than 10 years of experience in primary care, 80% were already familiar with the application, however, only 37.5% had already used it in their work process. Suggestions to improve the use of the application in primary care were given, such as: increasing the dissemination of the application to users and other team members, facilitating access to the password for users, improving the internet in the health unit. Conclusion: The nurses were already aware of the tool, however they had not included it in their activities. The lack of access to the login and password by patients was what hindered the use of the application in primary care. It is noteworthy that adequate communication promotes rationality in care, avoiding duplication of consultations and exams, in addition to being fundamental in the care and decision-making process.Objetivo: divulgar o aplicativo “HCemCasa” para enfermeiros em atividades de gerenciamento na atenção primária à saúde. Método: estudo descritivo e quantitativo, realizado com enfermeiros gerentes de uma cidade do estado de São Paulo, Brasil. A coleta de dados aconteceu de outubro de 2020 a março de 2021 e constou de questionário com questões abertas e fechadas após atividade educativa de divulgação das funções do aplicativo. Resultados: participaram da pesquisa 20 enfermeiros, 55% deles com mais de 10 anos de atuação na atenção primária, 80% já conheciam o aplicativo, porém, apenas 37,5% já o haviam utilizado no seu processo de trabalho. Sugestão para melhorar o uso do aplicativo na atenção primária foram dadas, como: aumentar a divulgação do aplicativo para os usuários e demais membros da equipe, facilitar o acesso à senha pelos usuários, melhoria da internet na unidade de saúde. Conclusão: Os enfermeiros já conheciam a ferramenta, entretanto não haviam a incluído em suas atividades. O desconhecimento de acesso ao login e senha pelos pacientes foi o dificultador para o uso do aplicativo na atenção primária. Ressalta-se que a comunicação adequada promove racionalidade no atendimento, evitando duplicidade de consultas e exames, além de ser fundamental no processo de cuidar e tomada de decisão
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1136/bmjopen-2020-046311

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Role:
Author
ORCID:
0000-0003-4158-9563
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Role:
Author
ORCID:
0000-0002-9680-0701
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Role:
Author
ORCID:
0000-0002-5680-7546


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Funder identifier:
10.13039/501100000024
Grant:
HLC-154502


Publisher:
BMJ Publishing Group
Journal:
BMJ Open More from this journal
Volume:
11
Issue:
2
Pages:
e046311-e046311
Publication date:
2021-02-10
Acceptance date:
2021-01-12
DOI:
EISSN:
2044-6055
ISSN:
2044-6055


Language:
Portuguese
Keywords:
Pubs id:
1280727
Local pid:
pubs:1280727
Source identifiers:
W3127363048
Deposit date:
2026-04-28
ARK identifier:
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