{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T06:10:27Z","timestamp":1778911827099,"version":"3.51.4"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":134,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UID\/04279\/2025"],"award-info":[{"award-number":["UID\/04279\/2025"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Research and Practice"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Mobile applications that integrate clinical algorithms have the potential to standardize wound assessment and to support clinical decision\u2010making across assessment, diagnostic support, and therapeutic planning in complex wound care. This pilot study explored the feasibility of implementing such algorithms in a mobile application and examined concordance with nurse assessments and professional acceptance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A prospective multicenter pilot cohort study was conducted between June and October 2023 in rehabilitation units, outpatient clinics, primary healthcare, homecare, and hospitals. Adults aged \u2265\u200918\u2009years with pressure injuries\/pressure ulcers, venous leg ulcers, arterial ulcers, or diabetic foot ulcers were eligible. Nurses recorded data using the\n                      <jats:italic>CWS_Validation<\/jats:italic>\n                      application at three time points over 4\u2009weeks. Agreement between algorithm\u2010generated classifications and nurse assessments was analyzed using Cohen\u2019s kappa, Fleiss\u2019 kappa, and Krippendorff\u2019s alpha. Nurse adherence to therapeutic recommendations and perceptions of the alert system were also evaluated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 49 patients with 56 wounds (mean age\u2009=\u200979\u2009years) were included. Pressure injuries\/pressure ulcers were most prevalent (71.4%), particularly categories 3 (25%) and 4 (23.2%). The algorithm provided diagnoses for 46 wounds, with fair overall concordance with nurse assessments (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.41; 95% CI: 0.24\u20130.57). Adherence to therapeutic recommendations was high: 85.3% in complete monitoring and 90.3% in partial monitoring. Nurses rated the alert system positively (mean\u2009=\u20094.34, SD\u2009=\u20090.82) in complete monitoring sessions (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009109).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Clinical algorithms can be feasibly integrated into mobile applications and are well accepted by nurses across diverse care contexts. These preliminary findings highlight the potential of algorithm\u2010driven tools to support wound assessment and decision\u2010making, while underscoring the need for larger studies with more robust designs to confirm clinical impact.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/nrp\/1833733","type":"journal-article","created":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T05:34:47Z","timestamp":1778909687000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of Clinical Algorithms in Complex Wound Care: A Pilot Study on Feasibility and Professional Acceptance"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6701-3530","authenticated-orcid":false,"given":"Marques","family":"R.","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5867-8023","authenticated-orcid":false,"given":"Lopes","family":"M.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9262-0375","authenticated-orcid":false,"given":"Pais-Vieira","family":"C.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5330-779X","authenticated-orcid":false,"given":"Neves-Amado","family":"J.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6348-3316","authenticated-orcid":false,"given":"Alves","family":"P.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-022-00377-3"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12623"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12683"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.11.662"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2019.0946"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13364"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2010.19.6.48471"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2013.22.9.470"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13868"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1534734619853916"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38398.500764.8f"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocab123"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/cin.0000000000000627"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16052"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.3233\/shti190309"},{"key":"e_1_2_10_17_2","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1007\/978-1-4471-4474-8_22","volume-title":"Biomedical Informatics: Computer Applications in Health Care and Biomedicine","author":"Musen M. 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