{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T13:06:04Z","timestamp":1789477564551,"version":"build-2803163510"},"reference-count":49,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Minas Gerais State Research Support Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nurs. Rep.","Nursing Reports"],"abstract":"<jats:p>Objectives: This study aimed to develop and validate the content of an educational board game aimed at training nurses in the management of friction injuries. Methods: For the development of the game, the Contextualized Instructional Design model was adopted, encompassing the phases of analysis, planning, development, and implementation. The validation of the Friction Care game content involved the participation of 50 expert nurses, who applied the Delphi Technique. Data analysis was conducted using the Content Validity Coefficient (CVC), with the aim of ensuring the consistency and relevance of the proposed items. Results: In the first evaluation round, the judges rated the game\u2019s content as ranging from \u201cinadequate\u201d to \u201cfully adequate.\u201d After corrections based on the suggestions received, the material was resubmitted for analysis and then considered between \u201cadequate\u201d and \u201cfully adequate.\u201d The CVC ranged from 0.94 to 1.0 in the first evaluation and from 0.99 to 1.0 in the second, demonstrating high agreement among experts regarding the quality of the content. Conclusions: The game development and validation of the Friction Care game demonstrated its suitability as an educational resource for training nurses in the management of friction injuries.<\/jats:p>","DOI":"10.3390\/nursrep16090305","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:47:13Z","timestamp":1787849233000},"page":"305","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and Validation of the Content of a Mobile Digital Board-Game Application, Constituting a Playful Tool for the Management of Friction Injuries"],"prefix":"10.3390","volume":"16","author":[{"given":"Rafael Henrique","family":"Marinho","sequence":"first","affiliation":[{"name":"Professional Graduate Program in Applied Health Sciences, University of Sapuca\u00ed Valley, Pouso Alegre 37553-068, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"resources","vocabulary":"credit"},{"role":"software","vocabulary":"credit"},{"role":"validation","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"},{"role":"visualization","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1844-6284","authenticated-orcid":false,"given":"Edmundo Martins","family":"Junior","sequence":"additional","affiliation":[{"name":"Professional Graduate Program in Applied Health Sciences, University of Sapuca\u00ed Valley, Pouso Alegre 37553-068, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7315-4866","authenticated-orcid":false,"given":"Geraldo Magela","family":"Salom\u00e9","sequence":"additional","affiliation":[{"name":"Professional Graduate Program in Applied Health Sciences, University of Sapuca\u00ed Valley, Pouso Alegre 37553-068, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"},{"role":"funding-acquisition","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"software","vocabulary":"credit"},{"role":"resources","vocabulary":"credit"},{"role":"visualization","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"validation","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"103509","DOI":"10.1016\/j.ijnurstu.2019.103509","article-title":"Maintaining skin integrity in the aged: A systematic review","volume":"103","author":"Lahmann","year":"2020","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1111\/iwj.13340","article-title":"Models for predicting skin tears: A comparison","volume":"17","author":"Rayner","year":"2020","journal-title":"Int. Wound J."},{"key":"ref_3","first-page":"65","article-title":"Skin tears risk and prevalence associated to nursing interventions: A systematic review","volume":"31","year":"2025","journal-title":"Altern. Ther. Health Med."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Guan, A., Huang, Y., Guo, Y., Huang, H., Lv, J., Yang, C., Wei, S., and Chen, B. (2026). Risk factors for skin tears in the older adults: A systematic review and meta-analysis. Front. Public Health, 14.","DOI":"10.3389\/fpubh.2026.1880249"},{"key":"ref_5","first-page":"e1573","article-title":"Prevalence and incidence of friction injury in critically ill patients and patients in palliative care","volume":"29","author":"Moura","year":"2025","journal-title":"REME Rev. Min. Enferm."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e20180515","DOI":"10.1590\/1980-265x-tce-2018-0515","article-title":"Prevalence of friction injuries and associated factors in elderly patients in intensive care","volume":"29","author":"Vieira","year":"2020","journal-title":"Texto Contexto Enferm."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"101025","DOI":"10.1016\/j.jtv.2026.101025","article-title":"Prevalence and associated factors of skin tears among hospitalized older adults in a hospital in T\u00fcrkiye: A point prevalence study","volume":"35","author":"Koca","year":"2026","journal-title":"J. Tissue Viability"},{"key":"ref_8","unstructured":"Pasquali, L. (2017). Psychometrics: Test Theory in Psychology and Education, Vozes."},{"key":"ref_9","unstructured":"Filatro, A.C., and Piconez, S.C.B. (2004, January 6\u201310). Contextualized instructional design. Proceedings of the 11th International Conference on Distance Education, S\u00e3o Paulo, Brazil."},{"key":"ref_10","first-page":"e112","article-title":"A declara\u00e7\u00e3o PRISMA 2020: Updated guideline for reporting systematic reviews","volume":"46","author":"Page","year":"2022","journal-title":"Rev. Panam. Salud P\u00fablica"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1590\/S0104-11692007000300023","article-title":"The PICO strategy for the research question construction and evidence search","volume":"15","author":"Santos","year":"2007","journal-title":"Rev. Lat.-Am. Enferm."},{"key":"ref_12","unstructured":"Agency for Healthcare Research and Quality (2024, March 13). National Guideline Clearinghouse, Available online: https:\/\/www.guideline.gov\/."},{"key":"ref_13","first-page":"e3220","article-title":"Development of educational material for the prevention and treatment of friction injuries","volume":"18","year":"2020","journal-title":"ESTIMA"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"121","DOI":"10.12968\/jowc.2022.31.2.121","article-title":"Skin tears: Introducing best practice","volume":"31","author":"Fronzo","year":"2022","journal-title":"J. Wound Care"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"S22","DOI":"10.12968\/bjon.2023.32.Sup20.S22","article-title":"Prevention of skin tears: Intrinsic and extrinsic factors","volume":"32","year":"2023","journal-title":"Br. J. Nurs."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e70800","DOI":"10.1111\/iwj.70800","article-title":"Validation and Clinimetric Properties of Persian Version of the ISTAP Classification System","volume":"23","author":"Jafari","year":"2026","journal-title":"Int. Wound J."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1097\/01.ASW.0000434056.04071.68","article-title":"International Skin Tear Advisory Panel: A tool kit to aid in the prevention, assessment, and treatment of skin tears using a Simplified Classification System \u00a9","volume":"26","author":"LeBlanc","year":"2013","journal-title":"Adv. Skin Wound Care"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1111\/iwj.13271","article-title":"ISTAP classification for skin tears: Validation for Brazilian Portuguese","volume":"17","author":"Silva","year":"2020","journal-title":"Int. Wound J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"45","DOI":"10.7748\/ns.2023.e12066","article-title":"Preventing and recognising skin tears using a standardised approach","volume":"39","author":"Blackburn","year":"2024","journal-title":"Nurs. Stand."},{"key":"ref_20","first-page":"502358","article-title":"Prevention and treatment of skin tears using a class I medical device: A clinical case with multiple injuries","volume":"36","year":"2026","journal-title":"Enferm. Cl\u00ednica (Engl. Ed.)"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/01.ASW.0000405316.99011.95","article-title":"Skin tears: State of the science: Consensus statements for the prevention, prediction, assessment, and treatment of skin tears\u00a9","volume":"24","author":"LeBlanc","year":"2011","journal-title":"Adv. Skin Wound Care"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1097\/ASW.0000000000000078","article-title":"Skin Tear Management: A Multidisciplinary Education Project","volume":"37","author":"Ott","year":"2024","journal-title":"Adv. Ski. Wound Care"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e12455","DOI":"10.1111\/opn.12455","article-title":"What is the impact of skincare bundles on the development of skin tears in older adults? A systematic review","volume":"17","author":"Moore","year":"2022","journal-title":"Int. J. Older People Nurs."},{"key":"ref_24","first-page":"77","article-title":"Critical analysis of the consensus document on current advances in risk assessment, prevention, and treatment of skin tears: A response from ISTAP","volume":"25","author":"Samuriwo","year":"2024","journal-title":"J. Wound Manag."},{"key":"ref_25","first-page":"259","article-title":"The Delphi technique to validate nursing interventions","volume":"31","year":"1997","journal-title":"Rev. Esc. Enferm. USP"},{"key":"ref_26","unstructured":"Hair, J.F., Black, W.C., Babin, B.J., and Anderson, R.E. (2019). Multivariate Data Analysis, Cengage Learning. [8th ed.]."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Ceyhan, \u00d6., Ka\u00e7maz, H.Y., Ozen, B., Aslaner, H., and \u00d6kdem, A.F. (2025). Skin tears in older adults people receiving home care. BMC Geriatr., 26.","DOI":"10.1186\/s12877-025-06769-w"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1097\/ASW.0000000000000372","article-title":"Development and Validation of the International Skin Tear Advisory Panel Skin Tear Data Collection Tool","volume":"38","author":"Holloway","year":"2025","journal-title":"Adv. Skin Wound Care"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"5359","DOI":"10.1111\/jan.70149","article-title":"Development and Psychometric Evaluation of KAP-ST: A Knowledge, Attitude and Practice Instrument for Care Workers at Preventing Skin Tears","volume":"82","author":"Jiang","year":"2026","journal-title":"J. Adv. Nurs."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/01.ASW.0000725180.14180.da","article-title":"Twice-Daily Moisturizer Application for Skin Tear Prevention among Older Adults in Acute Care","volume":"34","author":"Mornane","year":"2021","journal-title":"Adv. Ski. Wound Care"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.jtv.2022.11.006","article-title":"Risk of skin tears associated with nursing interventions: A systematic review","volume":"32","author":"Cilluffo","year":"2023","journal-title":"J. Tissue Viability"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"332","DOI":"10.12968\/jowc.2021.30.5.332","article-title":"Who should be the first responders for the management of skin tears?","volume":"30","author":"Hickey","year":"2021","journal-title":"J. Wound Care"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1111\/iwj.13604","article-title":"A pragmatic randomised controlled clinical study to evaluate the use of silicone dressings for the treatment of skin tears","volume":"19","author":"LeBlanc","year":"2022","journal-title":"Int. Wound J."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.jtv.2022.06.001","article-title":"The prevalence and factors associated with skin tears in hospitalized older adults: A point prevalence study","volume":"31","author":"Kahraman","year":"2022","journal-title":"J. Tissue Viability"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1097\/01.ASW.0000835124.90642.ce","article-title":"Reapproximating a Skin Tear Flap","volume":"35","author":"Holloway","year":"2022","journal-title":"Adv. Ski. Wound Care"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e35112","DOI":"10.1097\/MD.0000000000035112","article-title":"Multi-disciplinary management of type 1 and 2 skin tears using a silver-based hydrofiber dressing","volume":"102","author":"Chou","year":"2023","journal-title":"Medicine"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/j.jtv.2023.09.004","article-title":"Skin properties associated with skin tears in older adults: A case-control study","volume":"32","author":"Kacmaz","year":"2023","journal-title":"J. Tissue Viability"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e13229","DOI":"10.1111\/ijn.13229","article-title":"Healing rate of hospital-acquired skin tears using adhesive silicone foam versus meshed silicone interface dressings: A prospective, randomized, non-inferiority pilot study","volume":"30","author":"Fulbrook","year":"2023","journal-title":"Int. J. Nurs. Pract."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"eAPE03012","DOI":"10.37689\/acta-ape\/2021AO03012","article-title":"Algorithms for prevention and treatment of friction injury","volume":"34","author":"Pinheiro","year":"2021","journal-title":"Acta Paul. Enferm."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.gerinurse.2024.06.030","article-title":"Prediction models for skin tears in the elderly: A systematic review and meta-analysis","volume":"59","author":"Fan","year":"2024","journal-title":"Geriatr. Nurs."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1111\/iwj.12815","article-title":"Skin tears and risk factors assessment: A systematic review on evidence-based medicine","volume":"15","author":"Serra","year":"2018","journal-title":"Int. Wound J."},{"key":"ref_42","first-page":"e0421","article-title":"Skin tears in the elderly","volume":"19","author":"Spin","year":"2021","journal-title":"ESTIMA Braz. J. Enteros. Ther."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1412","DOI":"10.1111\/jan.16353","article-title":"Knowledge status of skin tear prevention and its demographic and occupational influencing factors: A national cross-sectional survey among nurses","volume":"81","author":"Jiang","year":"2024","journal-title":"J. Adv. Nurs."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1016\/j.jtv.2024.07.015","article-title":"The skin tears knowledge among geriatric ward nurses and associated factors: A cross-sectional study","volume":"33","author":"Hu","year":"2024","journal-title":"J. Tissue Viability"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1097\/01.ASW.0000717232.03041.69","article-title":"Risk Factors Associated with Skin Tear Development in the Canadian Long-term Care Population","volume":"34","author":"LeBlanc","year":"2021","journal-title":"Adv. Ski. Wound Care"},{"key":"ref_46","first-page":"e13131","article-title":"Skin tears in older patients in intensive care units: A multicentre point prevalence study","volume":"30","author":"Kahraman","year":"2024","journal-title":"Nurs. Crit. Care"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1097\/WON.0000000000000481","article-title":"Best Practice Recommendations for Prevention and Management of Skin Tears in Aged Skin: An Overview","volume":"45","author":"LeBlanc","year":"2018","journal-title":"J. Wound Ostomy Cont. Nurs."},{"key":"ref_48","first-page":"e-2025111","article-title":"Serious games developed for patient health education: A scoping review","volume":"16","author":"Soares","year":"2025","journal-title":"Enferm. Foco"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"e70240","DOI":"10.1111\/iwj.70240","article-title":"Educational Interventions to Improve Knowledge Among Nurses in the Prevention of Skin Tears in Hospitalised Adults and Older Adults: A Scoping Review","volume":"22","author":"Campos","year":"2025","journal-title":"Int. Wound J."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/16\/9\/305\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T12:23:15Z","timestamp":1789474995000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/16\/9\/305"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,27]]},"references-count":49,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["nursrep16090305"],"URL":"https:\/\/doi.org\/10.3390\/nursrep16090305","relation":{},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,27]]}}}