Müller Margrit, Jaggi Sabina, Kouriaichi Carina, Eggenschwiler Prisca, Mahrer-Imhof Romy
Pflege. 2010 Dec;23(6):385-91. doi: 10.1024/1012-5302/a000077.
Epilepsy is, after stroke, the second most prevalent neurological disease. The disease has a manifold etiology and symptoms and hence treatment options. From the patients who seek treatment in epilepsy centres, some suffer from psychogenic, non-epileptic seizures. Patient with epileptic seizures have to integrate a medication regimen into their lives, accept symptoms and change their life style to seizure preventing habits. Patients with non-epileptic seizures need psychotherapeutic treatment. Care has to be offered over long periods of time and needs to be tailored to very diverse patients' and family situations. Nurses in this field need broad knowledge about the diseases and treatments as well as enhanced skills in counselling and caring for these patients. Therefore the Swiss Epilepsy Centre in Zurich hired an Advanced Practice Nurse (APN) to increase patients' satisfaction with care and enhance nurses' skills and knowledge. This article analyses the work content of the advanced practice nurse and describes first experiences one year after the implementation of an APN-role. The APN worked half of her time in direct patient and family care. The rest of her work load concerned practice development in coaching and educating the nursing staff, being involved in projects and collaborating with the head nurse on specific topics. In conclusion, implementation of an advanced practice nurse has been shown to be beneficial since patients' feedback were very positive and the increase in nurses' skills and competencies has been assessed as noticeable.
癫痫是仅次于中风的第二大常见神经系统疾病。该疾病病因多样，症状和治疗方案也各不相同。在癫痫中心寻求治疗的患者中，有些患有心因性非癫痫性发作。患有癫痫性发作的患者必须将药物治疗方案融入生活，接受症状并改变生活方式以养成预防发作的习惯。患有非癫痫性发作的患者需要心理治疗。护理必须长期提供，并且需要根据非常多样化的患者和家庭情况进行调整。该领域的护士需要具备有关疾病和治疗的广泛知识，以及在咨询和护理这些患者方面的增强技能。因此，苏黎世的瑞士癫痫中心聘请了一名高级执业护士（APN），以提高患者对护理的满意度，并提升护士的技能和知识。本文分析了高级执业护士的工作内容，并描述了实施APN角色一年后的初步经验。APN将一半的时间用于直接护理患者和家属。她其余的工作量涉及指导和教育护理人员的实践发展、参与项目以及就特定主题与护士长合作。总之，事实证明，实施高级执业护士是有益的，因为患者的反馈非常积极，护士的技能和能力提升也很显著。
