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确定澳大利亚癫痫护士在癫痫管理中的角色和职责:研究方案。

Determining the role and responsibilities of the Australian epilepsy nurse in the management of epilepsy: a study protocol.

机构信息

Australian Institute of Health Innovation, Macquarie University, North Ryde, New South Wales, Australia

Australian Institute of Health Innovation, Macquarie University, North Ryde, New South Wales, Australia.

出版信息

BMJ Open. 2021 Jan 25;11(1):e043553. doi: 10.1136/bmjopen-2020-043553.

Abstract

INTRODUCTION

Epilepsy is a common neurological condition affecting between 3% and 3.5% of the Australian population at some point in their lifetime. The effective management of chronic and complex conditions such as epilepsy requires person-centred and coordinated care across sectors, from primary to tertiary healthcare. Internationally, epilepsy nurse specialists are frequently identified as playing a vital role in improving the integration of epilepsy care and enhancing patient self-management. This workforce has not been the focus of research in Australia to date.

METHODS AND ANALYSIS

This multistage mixed-method study examines the role and responsibilities of epilepsy nurses, particularly in primary and community care settings, across Australia, including through the provision of a nurse helpline service. A nationwide sample of 30 epilepsy nurses will be purposively recruited via advertisements distributed by epilepsy organisations and through word-of-mouth snowball sampling. Two stages (1 and 3) consist of a demographic questionnaire and semistructured interviews (individual or group) with epilepsy nurse participants, with the thematic data analysis from this work informing the areas for focus in stage 3. Stage 2 comprises of a retrospective descriptive analysis of phone call data from Epilepsy Action Australia's National Epilepsy Line service to identify types of users, their needs and reasons for using the service, and to characterise the range of activities undertaken by the nurse call takers.

ETHICS AND DISSEMINATION

Ethics approval for this study was granted by Macquarie University (HREC: 52020668117612). Findings of the study will be published through peer-reviewed journal articles and summary reports to key stakeholders, and disseminated through public forums and academic conference presentations. Study findings will also be communicated to people living with epilepsy and families.

摘要

简介

癫痫是一种常见的神经系统疾病,在澳大利亚,有 3%至 3.5%的人在其一生中的某个时候会受到影响。要有效管理癫痫等慢性和复杂疾病,需要在从初级到 tertiary 医疗保健的各个部门实现以人为本和协调的护理。在国际上,癫痫护士专家经常被认为在改善癫痫护理的整合和增强患者自我管理方面发挥着至关重要的作用。迄今为止,澳大利亚的研究并未关注这一劳动力。

方法和分析

本多阶段混合方法研究考察了澳大利亚各地癫痫护士的角色和职责,特别是在初级和社区护理环境中,包括通过提供护士热线服务。通过癫痫组织发布的广告和口碑传播的雪球抽样法,将在全国范围内有目的地招募 30 名癫痫护士。两个阶段(1 和 3)包括一个人口统计学问卷和对癫痫护士参与者的半结构化访谈(个人或小组),这项工作的主题数据分析将为第 3 阶段的重点领域提供信息。第 2 阶段包括对澳大利亚癫痫行动组织国家癫痫热线服务的电话数据进行回顾性描述性分析,以确定用户类型、他们的需求和使用服务的原因,并描述护士接听员所进行的各种活动。

伦理和传播

这项研究已获得麦考瑞大学伦理委员会的批准(HREC:52020668117612)。研究结果将通过同行评议的期刊文章和向主要利益相关者的总结报告发表,并通过公共论坛和学术会议演讲传播。研究结果还将传达给癫痫患者及其家属。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc15/7839898/2bf6bc25f010/bmjopen-2020-043553f01.jpg

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