Desenvolvimento de um protótipo de página web para uso da ferramenta Brighton Pediatric

Abstract

Infant mortality from preventable conditions still represents a global challenge for health systems, making it essential to improve strategies for early detection of clinical deterioration in hospitalized children. The Brighton Pediatric Early Warning Score (BPEWS) is a widely used tool for monitoring physiological parameters and identifying possible clinical worsenings, allowing interventions to be carried out more quickly and assertively. However, the effective implementation of this system can be hampered by barriers such as the lack of standardization in application, resistance among professionals to using technology and the need for continuous team training. Given this context, the present study aimed to develop an automated BPEWS spreadsheet on the Google platform, linked to a training website, train the nursing team to use the tool and evaluate its acceptance and intended use in the pediatric ward of a teaching hospital. The scarcity of studies exploring the automation and applicability of BPEWS in Brazil, as well as the absence of in-depth investigations into its acceptance by health professionals, reinforces the relevance of this research. The study followed a quantitative, descriptive and cross-sectional design, being conducted with 12 health professionals, including nurses, nursing technicians and physiotherapists, who work directly in pediatric care. Data collection took place in three stages: first, face-to-face training was carried out, in which participants had access to the educational website with theoretical content about BPEWS and its application in clinical routine; then, they were able to manipulate the automated spreadsheet, simulating real clinical scenarios to understand its functioning and applicability in the pediatric ward; finally, they responded to an online form, structured based on the Likert scale, containing questions that assessed perception of the training, applicability of the tool and intention to use it. The results demonstrated a high acceptance of the tool by health professionals, indicating that the training was effective in qualifying the team and that the automated spreadsheet was considered a practical and accessible solution. Most participants highlighted the ease of navigation and use of the tool, in addition to recognizing its relevance for pediatric patient safety and optimization of the clinical decision-making process. The intention to use the spreadsheet was also high, with professionals reporting that incorporating the tool into care practice could improve communication within the multidisciplinary team and minimize errors in clinical assessment. These findings corroborate international studies that demonstrate the effectiveness of BPEWS in reducing pediatric adverse events and reinforce the importance of adopting technological solutions to automate early warning systems. However, the study has some limitations, including the small sample size, which restricts the generalization of the results, and the absence of longitudinal follow-up, making it impossible to assess the impact of the tool in reducing negative clinical outcomes over time. It is concluded that the integration of automated systems in pediatric nursing practice can contribute to the early detection of clinical deterioration and strengthen patient safety, promoting greater assertiveness in interventions and a more efficient care flow. Continuous training of professionals and the implementation of accessible technologies are fundamental strategies to ensure the effective use of the tool and expand its benefits in the hospital context. It is recommended that future research evaluate the insertion of the automated BPEWS spreadsheet on a large scale, exploring its impact on different hospital profiles and investigating its possible integration into electronic clinical record systems.