Document Type : Original Article


Emergency Nurse, MSN Student, Isfahan University of Medical Sciences, Isfahan, Iran


BACKGROUND: Mobile health has the potential to revolutionize the role of educators by empowering
nurses to take more responsibility for their own learning. Hence, this study was designed to examine
the effect of mobile health method to emergency nurses’ knowledge about Emergency Severity
Index triage.
MATERIALS AND METHODS: A two groups’ pool blind quasi‑experimental study was performed
on emergency department nurses working in hospitals affiliated with Isfahan University of Medical
Sciences. The study was conducted from September to November 2014. Sample size was calculated
as 35 participants in each group (a total of seventy participants). Participants were divided into two
groups of mobile health and workshop, randomly. Participants’ knowledge score was collected
according to researcher‑made questionnaire with twenty questions. SPSS version 11.5 was used
to conduct statistical tests such as independent t‑test and paired t‑test for analyzing the data with
the significant level <0.05.
RESULTS: The results show that there was not any significant difference between the knowledge
scores of mobile health and workshop group before intervention, but there was a significant difference
after 2‑week intervention (P = 0.012).
CONCLUSION: The electronic program was an attractive education method for emergency nurses
because in these method educators by empowering nurses to take more responsibility for their own
learning. Hence, it is suggested that mobile health is used by authorities along with routine training,
due to its less cost and spending less time.


1. Tanabe P, Gimbel R, Yarnold PR, Adams JG. The Emergency
Severity Index (version 3) 5‑level triage system scores predict ED
resource consumption. J Emerg Nurs 2004;30:22‑9.
2. Arslanian‑Engoren C, Eagle KA, Hagerty B, Reits S. Emergency
department triage nurses’ self‑reported adherence with American
College of Cardiology/American Heart Association myocardial
infarction guidelines. J Cardiovasc Nurs 2011;26:408‑13.
3. Turbitt E, Freed GL. Use of a telenursing triage service by Victorian
parents attending the emergency department for their child’s
lower urgency condition. Emerg Med Australas 2015;27:558‑62.
4. Aghababaeian H, Sedaghat S, Tahery N, Moghaddam AS,
Maniei M, Bahrami N, et al. A comparative study of the effect
of triage training by role‑playing and educational video on the
knowledge and performance of emergency medical service staffs
in Iran. Prehosp Disaster Med 2013;28:605‑9.
5. Mirhaghi A, Roudbari M. A survey on knowledge level of the
nurses about hospital triage. Iranian Journal of Critical Care
Nursing (IJCCN) 2011;3:165-70.
6. Wilkinson A, Forbes A, Bloomfield J, Fincham Gee C. An
exploration of four web‑based open and flexible learning
modules in post‑registration nurse education. Int J Nurs Stud
7. Mohamadirizi S, Bahadoran P, Fahami F. Effect of E‑learning on
primigravida women’s satisfaction and awareness concerning
prenatal care. J Educ Health Promot 2014;3:13.
8. Mohamadirizi S, Fahami F, Bahadoran P. The effect of E‑Learning
education on primipar women’s knowledge about neonatal care.
Iran J Neonatol 2013;4:24‑7.
9. Mohamadirizi S, Shaygannejad V, Mohamadirizi S,
Tolou‑GhamariZ. The effect of electronic education on knowledge
of patients with multiple sclerosis. J Educ Health Promot
10. Fahami F, Mohamadirizi S, Bahadoran P. Effect of electronic
education on the awareness of women about post partum breast
feeding. Int J Pediatr 2014;2:57‑63.
11. Weinstein RS, Lopez AM, Joseph BA, Erps KA, Holcomb M,
Barker GP, et al. Telemedicine, telehealth, and mobile health
applications that work: Opportunities and barriers. Am J Med
12. Chioh MS, Yan CC, Tang KL, Mustaffa SM, Koh MG, Sim TW,
et al. The use of the personal digital assistant by nursing students
in the classroom and clinical practice: A questionnaire survey.
Singapore Nurs J 2013;40:38‑44.
13. George LE, Davidson LJ, Serapiglia CP, Barla S, Thotakura A.
Technology in nursing education: a study of PDA use by students.
J Prof Nurs 2010;26:371‑6.14. Schlairet MC. PDA-Assisted Simulated Clinical Experiences
in Undergraduate Nursing Education: A Pilot Study. Nursing
education perspectives. 2012;33:391-4.
15. Davis R, Surajballi V. Successful implementation and use of a
learning management system. J Contin Educ Nurs 2014;45:379‑81.
16. Mohamadirizi S, Bahrami B, Moradi F. Comparison of the effect of
electronic education and pamphlet on the knowledge of women
about their post partum hygiene. J Nurs Educ 2015;3:29‑36.
17. Langkamp DL, Hoshaw‑Woodard S, Boye ME, Lemeshow S.
Delays in receipt of immunizations in low‑birth‑weight children:
a nationally representative sample. Arch Pediatr Adolesc Med