Schultz Rebecca J, Shafer Patricia O, Owens Steve, Kakacek Jody, Farrell Kathleen
Texas Woman's University, United States; Baylor College of Medicine and Texas Children's Hospital, United States.
Osborne Health Consulting, United States.
Epilepsy Behav. 2023 Mar;140:109114. doi: 10.1016/j.yebeh.2023.109114. Epub 2023 Feb 11.
Many children with epilepsy experience seizures at school. School nurses must have the clinical expertise to deliver high-quality, safe care for students with epilepsy. However, in some regions of the U.S. access to interactive, epilepsy evidence-based education programs is limited. The objective of this project was to assess the feasibility of adapting the Epilepsy Foundation's (EFs) school nurse education program to the ECHO model and evaluate its impact on school nurse knowledge and self-efficacy in managing epilepsy in students with seizures and program satisfaction.
The EFs educational program for school nurses was adapted to the ECHO model and delivered by a team of interdisciplinary epilepsy specialists via videoconferencing. Retrospective post-program surveys were administered at program completion. Data from 32 participants with complete post-program surveys were used for the analysis of knowledge and confidence. Descriptive statistics and the sign test were conducted.
Participants were 166 school nurses from 13 states. The majority had > 15 years of school nurse experience and served schools in suburban or rural areas. Improvements in knowledge and confidence were reported on most survey items. The highest improvements in self-reported knowledge and confidence were in psychosocial aspects of care, comorbidities, and recognition of nonepileptic events. Program satisfaction was rated as high by over 90% of participants.
Telementoring using the ECHO methodology is a feasible modality to educate and link epilepsy specialists and providers with school nurses nationwide. Findings suggest that attending the MSS ECHO provided an educational and meaningful learning experience. The gains in knowledge and confidence in psychosocial aspects of epilepsy care and comorbidities highlight the importance of the inclusion of this content in educational programs.
许多癫痫患儿在学校发作。学校护士必须具备临床专业知识，为癫痫学生提供高质量、安全的护理。然而，在美国的一些地区，获得互动式、基于癫痫循证的教育项目的机会有限。本项目的目的是评估将癫痫基金会（EF）的学校护士教育项目改编为ECHO模式的可行性，并评估其对学校护士管理癫痫发作学生的知识和自我效能以及项目满意度的影响。
将EF针对学校护士的教育项目改编为ECHO模式，并由跨学科癫痫专家团队通过视频会议进行授课。在项目结束时进行回顾性项目后调查。来自32名完成项目后调查的参与者的数据用于知识和信心分析。进行了描述性统计和符号检验。
参与者是来自13个州的166名学校护士。大多数人有超过15年的学校护士工作经验，服务于郊区或农村地区的学校。大多数调查项目的知识和信心都有提高。自我报告的知识和信心提高最多的是护理的心理社会方面、合并症以及对非癫痫事件的识别。超过90%的参与者对项目满意度给予了高度评价。
使用ECHO方法进行远程指导是一种可行的方式，可对全国范围内的癫痫专家和提供者与学校护士进行教育并建立联系。研究结果表明，参加MSS ECHO提供了一次有教育意义且有意义的学习体验。在癫痫护理和合并症的心理社会方面知识和信心的提高凸显了在教育项目中纳入此内容的重要性。
