The role of the clinical nurse specialist in epilepsy

Goodwin, Mel; Higgins, Sue; Lanfear, Judith; Lewis, Sheila; Winterbottom, Janine B

doi:10.1016/s1059-1311(03)00149-3

Cited by 30 publications

(38 citation statements)

References 20 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In previous research ESNs indicated that they were perceived as an ‘add‐on’ to existing services (Goodwin et al. 2004) but our findings suggest that ESNs are a critical member of the team.…”

Section: Discussioncontrasting

confidence: 75%

See 1 more Smart Citation

Qualitative insights into the role and practice of Epilepsy Specialist Nurses in England: a focus group study

Hopkins

Irvine

2012

Journal of Advanced Nursing

View full text Add to dashboard Cite

. The provision of epilepsy care in England remains variable and access to epilepsy specialist nurses is inequitable. Trusts are being seduced by the cost savings of reducing a specialist service but consequent gaps in service may drive up costs elsewhere. The challenge is for epilepsy specialist nurses to demonstrate their unique place in enhancing patient care and in improving health and well-being.

show abstract

Section: Discussioncontrasting

confidence: 75%

“…Most respondents were female, had been in post for between 11 and 39 years (mean = 22·7 years) and worked in acute care settings (see Table 2). This is a typical profile of ESNs, for example Higgins (2008) and Goodwin et al. (2004) reported similar characteristics for ESNs in their studies.…”

Section: Resultssupporting

confidence: 65%

Qualitative insights into the role and practice of Epilepsy Specialist Nurses in England: a focus group study

Hopkins

Irvine

2012

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…Benefits include: improved access to specialist services; improvements in communication for families as well as between healthcare professionals and education services; reduction in GP visits and attendances in Accident and Emergency Departments. [13][14][15][16] The appointment of a Children's ESN in a district general hospital halved the number of epilepsy related admissions ( Fig. 1), similar to other published data.…”

Section: Children's Epilepsy Specialist Nursessupporting

confidence: 88%

Guidelines, training, audit, and quality standards in children's epilepsy services: Closing the loop

Kirkpatrick

Dunkley

Ferrie

et al. 2014

Seizure

View full text Add to dashboard Cite

There has been considerable evolution in epilepsy healthcare for children over the last decade in the United Kingdom. There has been no single explanation for this. The development of national clinical guidelines, locally delivered but nationally designed educational programmes, nation-wide clinical audit, clinical networks and development of designated services have all had complimentary roles in enabling the implementation of national recommendations for the development of epilepsy care. These models may be applicable to other healthcare settings outside the UK.

show abstract

“…Epilepsy affects almost 1% of the population and it is now increasingly realized that epilepsy nurse specialists have a very important role in the management of patients with the condition. 15 Indeed, even with consultant-provided services for epilepsy, many patients still prefer to see a nurse specialist 16 and we have changed the emphasis of our practice to make it nurse-led rather than consultant-led. We have done this by supporting the nurse through telemedicine, first using a telephone, and then a realtime videolink if necessary.…”

Section: Acute Strokementioning

confidence: 99%

Teleneurology

Patterson

2005

J Telemed Telecare

View full text Add to dashboard Cite

Teleneurology enables neurology to be practised when the doctor and patient are not present in the same place, and possibly not at the same time. The two main techniques are: (1) videoconferencing, which enables communication between a doctor and a patient who are in different places at the same time (often called realtime or synchronous), and (2) email, where the consultation is carried out without the patient being present, at a time convenient to the doctors involved (asynchronous or store-and-forward teleneurology). Some problems that can be solved by teleneurology include: (1) patients admitted to hospital with acute neurological symptoms rarely see a neurologist; (2) delayed treatment for acute stroke; (3) non-optimum management of epilepsy; (4) unproductive travel time for neurologists; (5) extremely poor access to a neurologist for doctors in the developing world; (6) long waiting times to see a neurologist. Neurology is a specialty that, because of the emphasis on accurate interpretation of a history, does lend itself to telemedicine. It has been a late starter in realizing the benefits of telemedicine and most of the publications on teleneurology have been in the last five years. Its uptake within the neurological community is low but increasing. Telemedicine requires a significant change in how neurologists practise. The evidence to date is that teleneurology can narrow the gap between patients with neurological disease and the doctors who are trained to look after them.

show abstract

The role of the clinical nurse specialist in epilepsy

Abstract: The findings of the study and the review of the CNSE in the UK revealed that the key roles of the CNSE were difficult to define. Yet, the respondents identified that there were common core features central to their contribution to care as specialist nurses.

Cited by 30 publications

References 20 publications

Qualitative insights into the role and practice of Epilepsy Specialist Nurses in England: a focus group study

Qualitative insights into the role and practice of Epilepsy Specialist Nurses in England: a focus group study

Guidelines, training, audit, and quality standards in children's epilepsy services: Closing the loop

Teleneurology

Contact Info

Product

Resources

About