Evaluating an epilepsy clinical nurse specialist development programme

Toni Ball, Liz Bailey, Conor Smyth, Jacqui Rowe, Phil Tittensor, Francesco Manfredonia
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Abstract

There is a demand across the country for highly trained epilepsy specialist nurses (ESNs) due to the increasing number of patients that this long-term condition affects. It is estimated that 65 million people worldwide are affected by epilepsy. If not treated and supported effectively, epilepsy comes with high risk of mortality, comorbidities, stigma and high potential costs to the NHS. Patients who do not have access to a highly trained ESNs can be significantly and negatively affected by wrong diagnosis, gaps in knowledge when facing general care, incorrect and, on occasion, detrimental treatment options, poor epilepsy education and advocacy. Furthermore, patients living in rural areas often do not have access to large tertiary centres or neurologists with an interest in epilepsy. Due to this, access to ESNs running nurse-led clinics in smaller hospitals and community settings is vital to improving patient care. Nonetheless, there is a shortage of highly trained ESNs. The ESN development programme discussed in this article was formed as a concerted action to address recruitment challenges and widen the area and scope of care for people with an epilepsy diagnosis.
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评估癫痫临床专科护士发展计划
全国各地都需要训练有素的癫痫专科护士(ESNs),因为受这种长期疾病影响的病人越来越多。据估计,全球有 6500 万人受到癫痫的影响。如果得不到有效的治疗和支持,癫痫会带来很高的死亡风险、并发症、耻辱感,并给国家医疗服务体系带来高昂的潜在成本。没有受过严格训练的 ESNs 的患者可能会受到以下因素的严重负面影响:错误的诊断、面对普通护理时的知识缺口、不正确的治疗方案(有时甚至是有害的)、不良的癫痫教育和宣传。此外,生活在农村地区的患者往往无法求助于大型三级医疗中心或对癫痫感兴趣的神经科医生。因此,在小型医院和社区环境中开设由护士领导的 ESN 诊所对于改善患者护理至关重要。尽管如此,训练有素的 ESN 仍然短缺。本文所讨论的 ESN 发展计划是为应对招聘挑战、拓宽癫痫患者护理领域和范围而采取的一项一致行动。
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