Epilepsy Education for Nurses JANICE M. BUELOW, PHD, RN A SSOCIATE PROFESSOR OF NURSING CHAIR, A DULT HEALTH INDIANA UNIVERSITY SCHOOL OF NURSING

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Epilepsy Education for Nurses

J A N I C E M . B U E L O W , P H D , R N A S S O C I A T E P R O F E S S O R O F N U R S I N G C H A I R , A D U L T H E A L T H I N D I A N A U N I V E R S I T Y S C H O O L O F N U R S I N G

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Background

 Most research and reporting are from places outside

the U.S.

 Findings:

 gaps in knowledge regarding epilepsy in nursing students. a link between education and confidence in epilepsy

 a link between education and confidence in epilepsy management.

 much of nursing management takes place in settings where chronically ill patients reside or attend and where nurses tend to have the least training.

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The Nurses Role

 Nurses are involved in multiple disciplines  Nurse faculty recognize the overlap between

medicine and nursing

 The nurses overall role is to help patients achieve

their highest level of wellness despite their medical their highest level of wellness despite their medical diagnosis.

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Levels of Nursing Training

 Pre-licensure  ASN training  Diploma  BSN  Advanced-practice training  Advanced-practice training  Nurse Practitioners

 Clinical Nurse Specialists  Nurse Educators

 Nurse Administrators

 Doctoral preparation

 DNP  PhD

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Pre Licensure

 Trained as generalist

 Four levels of training can sit for boards

 Associate of Arts, Diploma, Bachelors, Masters (CNL).  Most epilepsy education takes place in

 Medical Surgical classes

 Neurological and psychiatric classes  Pharmacology classes

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Pre-licensure Education

 General description of seizure types.

 What to do in an emergency situation – “Status

Epilepticus”

 Education about anti epilepsy medication

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Advanced Practice

 Nurse Practitioners (NP)

 Clinical Nurse Specialists (CNS)  Nurse Educators

 Nurse Administrators  Nurse Administrators

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Certifications

 American Association of Neuroscience Nursing –

general neurology certification with small emphasis on epilepsy – not an APN certification.

 NP and CNS certification – Pediatrics, Adult,

Geriatrics, Acute care, Critical Care, Family, Geriatrics, Acute care, Critical Care, Family, Women’s Health, etc.

 Certifications typically populations instead of

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Doctoral Training

 Doctor of Nursing Practice (DNP) – tends to be

systems and clinically focused.

 PhD – terminal degree and like any other PhD –

focuses on research.

There are only a few PhD prepared nurses who focus

 There are only a few PhD prepared nurses who focus

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School Nurses

 Due to budget cuts, there are fewer school nurses

available.

 Often the first to recognize seizures in children and

in some states can give Diastat.

The Epilepsy Foundation and the School Nurses

 The Epilepsy Foundation and the School Nurses

Association have developed an education program for school nurses.

 School Nurses are especially important in settings

where children with epilepsy who also have intellectual disabilities.

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Training Available for Nurses

 Training from Specialty Organizations.  AANN has two products.

 The Guide to the Care of the Patient with Seizures  The Core Curriculum.

 The American Epilepsy Society (AES) has developed several  The American Epilepsy Society (AES) has developed several

interdisciplinary programs and programs from annual meetings are available on-line.

 Teleconsults

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Others

 The organization “Child Neurology Nurses”

 Epilepsy.com which includes a professional training

component.

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What’s Missing

 Educating nurses in self-management theory and

chronic illness management is rare.

 Much of the typical training addresses a medical

model.

At the generalist level, recognition of seizures is

 At the generalist level, recognition of seizures is

critical – but without first-hand experience, recognition is difficult.

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Recommendations

 Discussion and decisions regarding necessary

baseline information for generalist nurses.

 Education in self-management theory and chronic

disease management education is critical.

Certification for epilepsy management for both

 Certification for epilepsy management for both

nurses and APNs.

 Support and encourage nurses to be educated a the

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References

 Swiderska, N., Gondie, J., Joseph, J., Gibbs, J.,(2011). The prevalence and management of epilepsy in

secondary school pupils with and without special educational needs. Child: Care, Health, & Development. 37 (1): 96-102.

 Austin, J.K., Kakacek, J. R., Carr, D., (2010). Impact of training program on school nurses’ confidence level in managing and supporting students with epilepsy and seizures. The Journal of School Nursing. 26(6): 420-230.

 Muller, M., Jaggi, S., Kouriaichi, C., Eggenschwiler, P., Mahrer-Imhof, M. (2010). Scope of practice of an

advanced practice nurse at the Swiss epilepsy center. Pflege. 23(6): 385-91.

 Njamnshi, A.K., Tabah, E.N., Zoung-Kanyi Bissek, A., Yepnijio, F.N., Angwafor, S.A., Fidele, D., Fonsah, J.Y.,

Godwin, T., Njih, I.N., Njamnshi, V.L., Angwafo III, F.F., Muna, W.F.T., (2010). Knowledge, attitudes, and practices with respect to epilepsy among student nurses and laboratory assistants in the southwest region of Cameroon. Epilepsy and Behavior. 17: 381-388.

 Isler, A., Basbakkal, Z., Serdaroglu, G., Tosun, A., Polat, M., Gokben, S., Tekgul, H., (2008). Semiologic seizure

classification: the effectiveness of a modular education program for health professionals in pediatrics.

Epilepsy & Behavior. 13(2): 387-390.

 O’Dell, C., O’Hara, K., Kiel, S., McCullough, K., (2007). Emergency management of seizures in the school setting. Journal of School Nursing. 23(3): 158-165.

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