Amir Mirhaghi

Mashhad University of Medical Sciences

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Mohsen Ebrahimi

Mashhad University of Medical Sciences

Abbas Heydari

Mashhad University of Medical Sciences

Javad Malekzadeh

Mashhad University of Medical Sciences

Reza Mazlom

Iranshahr University

Hossein Karimi Moonaghi

Mashhad University of Medical Sciences

Amir Emami Zeydi

Mazandaran University of Medical Sciences

Hojjat Shafaee

Tehran University of Medical Sciences

Zohre Najafi

Shahid Beheshti University of Medical Sciences

Abbas Abbaszadeh

Shahid Beheshti University of Medical Sciences

Ali Abedi

Higher Education Complex Engineering Esfarāyen

Cooperative Institutions

Mashhad University of Medical Sciences

Iranshahr University

Tehran University of Medical Sciences

Shahid Beheshti University of Medical Sciences

Birjand University of Medical Sciences

Imam Reza Hospital

Higher Education Complex Engineering Esfarāyen

Sabzevar University of Medical Sciences

University of Social Welfare and Rehabilitation Sciences

Gonabad University of Medical Sciences

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Therapeutic relationship: Is it still heart of nursing?

Nursing Reports (2017)

Amir Mirhaghi Simin Sharafi Ali Bazzi Farzaneh Hasanzadeh

Relationship was introduced as an essential element of care since the beginning of theorizing in nursing. However therapeutic relationship has been conceptualized by different theorists, an integrated approach is not provided. This study aimed to perform a systematic review to explain the therapeutic relationship in the contemporary nursing practice. Electronic databases were searched from conception to October 2015 using keywords including therapeutic, relationship, communication, nurse, and patient. We used PRISMA guideline to report data. Original studies relevant to the therapeutic relationship were included. Exclusion criteria include abstracts that were irrelevant to the concept of study, grey literature and review and commentary articles. Disagreements between researchers were solved by consensus. Twenty studies were finally included into the review process. Data were organized into three categories including composition of therapeutic relationship, context of therapeutic relationship and confirmation of therapeutic relationship. The therapeutic relationship is composed of significant knowing and meaningful connecting with patients. Few studies confirmed applicability of therapeutic relationship in nursing practice. Therapeutic relationship ensures humanity to be preserved during nursing care and patients’ hospital stay; it faces with strong barriers such as nursing shortage. The nursing shortage seriously threatens the heart of nursing. Therapeutic relationship needs to be investigated further in order to be supported by evidence-based nursing in order to confirm the applicability of relationshipbased caring theories.

Therapeutic relationship

Nursing practice

Guideline

Economic shortage

Nurse–client relationship

Therapeutic approach

10.4081/nursrep.2017.6129

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Citations (11)

Is There Any Difference Between Maneuver Simulation and Scenario Workshop Learning about Radiation Triage?

Modern Care Journal (2022)

Mostafa Delsooz Seyed Reza Mazloum Amir Mirhaghi

Background: Very little information on maneuver simulations (MS) effectiveness in radiation triage (RT) training is currently available. Objectives: The present study aimed to compare the effect of MS and scenario workshops (SW) on rescuers' learning of RT. Methods: This quasi-experimental study was conducted on rescuers in July 2020. For this purpose, two military medical centers were randomized into two groups, intervention (MS) and control (SW). The main tool was the researcher-made Radiation Triage Knowledge Questionnaire (RTKQ). In this respect, the pre-test was performed using the RTKQ questionnaire. The first post-test, two weeks following the intervention, was also done through the RTKQ and the objective structured clinical examination (OSCE), and the second post-test was conducted four weeks after the intervention, only via the RTKQ. Results: In total, 30 rescuers with a mean age of 22 participated in this study. During the pre-test, the difference in knowledge between the two study groups (intervention and control) was not significant. In the first post-test, no significant difference was also observed in the levels of knowledge between MS and SW groups respectively (80.0 ± 8.9 vs. 79.3 ± 0.8), but the difference in skills between the study groups was significant (89.3 ± 10.3 vs. 61.3 ± 16.0). In the second post-test, there was a significant difference between the mean value of the levels of knowledge (76.0 ± 9.1 vs. 64.7 ± 10.9) and skills (written scenarios) (71.3 ± 9.9 vs. 54.0 ± 0.14) in two study groups. Conclusions: Both training methods improved RT knowledge and skills, but MT was more effective than SW in boosting and maintaining knowledge and skills up to one month after the intervention. The utilization of MS in RT training was also accompanied by greater effectiveness.

Triage

Mean difference

10.5812/modernc-129209

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Does Emergency Severity Index Predict Acuity Among Traumatic Brain Injury Patients?

Eurasian Journal of Emergency Medicine (2018)

Zohre Najafi Hossein Zakeri Abbas Abbaszadeh Mohsen Ebrahimi Amir Mirhaghi

10.5152/eajem.2018.24582

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Citations (4)

Errata

Acta Facultatis Medicae Naissensis (2015)

Amir Mirhaghi Hossein Karimi Moonaghi Simin Sharafi Amir Emami Zeydi

10.1515/afmnai-2015-0009

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Comparison between stroke triage scale and emergency severity Index to triage patients with neurological Complaints: A randomized clinical trial

International Emergency Nursing (2020)

Ali Abedi Amir Mirhaghi Mohsen Ebrahimi Seyyed Reza Mazloum

Triage

Stroke

Emergency nursing

10.1016/j.ienj.2020.100871

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Citations (4)

(A260) Triage Decision-Making in Intoxication

Prehospital and Disaster Medicine (2011)

Amir Mirhaghi G.R. Mohammadi Masoumeh Asghari

Background and Aims Decision-making is the major component in triaging EDs patients. EDs Triage systems have applied different approaches to triaging intoxicated patients. Pros & Cons for these approaches need to be identified. Aim is to analysis management of intoxicated patients during various triage process. Methods Critical review includes five triage systems, Emergency Severity Index, Australasian Triage Scale, Canadian triage and Acuity Scale, Manchester Triage System and 5-tier Triage protocol. These systems have been analyzed via meta-synthesis in terms of evidence-based criteria, inclusiveness, specific application and practicability. Results General physiologic signs & symptoms were the gold standard for determining acuity in patients that have been applied by all triage systems. Conscious level, air way, respiratory status and circulation assessment were identified as major criteria in decision-making. 5-tier Triage protocol showed the most comprehensiveness characteristics to prioritizing intoxicated patients. Discussion Resources necessary for evidence-based performance to support nursing decisions in triaging intoxicated patients needs fundamentally to be developed. It`s necessary to develop National Triage Scale to approach intoxicated patients effectively.

Triage

Gold standard (test)

10.1017/s1049023x11002445

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Citations (1)

Stroke Triage Scales for Patients with Neurosensory Complaints: A Literature Review

The Neuroscience Journal of Shefaye Khatam (2023)

Ali Abedi Javad Sedaghati Ahmadreza Shamsabadi Zahra Poshtchaman Mohammad Rajabpoor

Introduction:Considering the need for emergency medical technicians and triage nurses to familiarize themselves with stroke triage tools for faster diagnosis and referral of patients, the present study was conducted with the aim of comparing the psychometric characteristics of stroke triage scales for patients with neurosensory complaints.Materials and Methods: In this review, the concept of electronic search based on PRISMA guidelines in reliable databases PubMed, Scopus, and Google Scholar search engines using the main keywords include triage, stroke, hospital, prehospital, emergency, tool, and scale in combination and individually were done from 1990 to 2022.Then, the data extraction included the name of the first author, the year of publication, the target population, the country, the name of the scale, the type of scale, and the components of the scale based on the checklist prepared by the researchers.Results: In general, the Twenty-five triage scales of this group of patients can be divided into two categories: pre-hospital stroke scales (including 18 scales) and hospital (including 7 scales), each of which has different psychometric characteristics.Scales, such as LAPSS, MAS, OPSS, and IPSS, which have covered stroke mimics, have high specificity.Scales, such as IPSS, which in addition to mimics examine vision status seem more comprehensive.Conclusion: Less comprehensive scales have high sensitivity and low specificity, and scales that cover stroke mimics have high specificity.The high incidence of strokes caused by the middle-occluded artery reduced the differences between the scales.

Triage

Stroke

10.61186/shefa.11.2.81

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Citations (3)

Recognizing Sudden Cardiac Arrest May Require More Than Two Questions during Telephone Triage: Developing a Complementary Checklist.

DOAJ (DOAJ: Directory of Open Access Journals) (2017)

Amir Mirhaghi Hojjat Shafaee Javad Malekzadeh Farzaneh Hasanzadeh

To develop decision-support tools to identify patients experiencing sudden cardiac arrest (SCA).Eighty calls related to SCA were content analyzed, and the contextual patterns that emerged were organized into a checklist. Two researchers independently analyzed the recorded calls and compared their findings. Eighteen dispatchers scored 20 cases (which included SCA and non-SCA cases) both with and without the checklist. Correct responses for each case and agreement among dispatchers have been reported.Eighty audio files (total time, 96 min) were analyzed, and a total of 602 codes were extracted from the text and recordings. The caller's tone of voice and presence or absence of background voices, calling for an ambulance and giving the dispatcher the address promptly, and description of the primary complaint and respirations accounted for 38%, 39%, and 23% of all codes, respectively. A 15-item complementary checklist has been developed. The mean percentages of correct responses were 66.9%+27.96% prior to the use of checklist and 80.05%+10.84% afterwards. Results of the independent t test for checklist scores showed that statistically significant differences were present between the SCA and non-SCA cases (t=5.88, df=18, p=0.000).Decision support tools can potentially increase the recognition rate of SCA cases, and therefore produce a higher rate of dispatcher-directed CPR.

Triage

Source

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Citations (4)

High Risk Criteria in Level 2 May Provide a Source of Disagreement in Emergency Severity Index

Bulletin of Emergency and Trauma (2019)

Amir Mirhaghi Mohsen Ebrahimi

10.29252/beat-070116

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Citations (1)

High Risk Criteria in Level 2 May Provide a Source of Disagreement in Emergency Severity Index.

DOAJ (DOAJ: Directory of Open Access Journals) (2019)

Amir Mirhaghi Mirhaghi Ebrahimi

Dear Editor, With great interest we have read the outstanding publication in the recent Bulletin of Emergency and Trauma issue by Ghafarypour-Jahrom et al. entitled Validity and Reliability of the Emergency Severity Index and Australasian Triage System in Pediatric Emergency Care of Mofid Children's Hospital in Iran [1]. We bring your attention to the results concerning the reliability of Emergency Severity Index (ESI) in the mentioned study that may provide a new understanding to lead clinical practice in emergency department (ED). The study used Cohen kappa values to report inter-rater reliability of Level 1 to 5 are 0.833, 0.777, 0.520, 0.850 and 0.883. The reliability coefficient for level 4, 5 and 1 is almost perfect (> 0.80) which is reported in other literature too [2].

10.29252/beat-0701016

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Citations (1)