Evaluation of a Seizure Action Plan in an Adult Epilepsy Center.
Date
2024-06
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Abstract
Background
Seizure action plans (SAPs) provide valuable information for patients to manage seizure emergencies, but are underutilized in adult epilepsy centers. The purpose of this project was to implement a structured SAP for adult patients with epilepsy.Methods
A pre/postimplementation design was used. Provider SAP utilization rates were analyzed over a 16-week period. A pre and postimplementation survey assessed participant perceived impact of the SAP on knowledge and comfort associated with managing seizure emergencies. Provider barriers and facilitators were also assessed.Results
Average provider SAP utilization rate was 51.45%. A total of 204 participants completed the surveys, which showed a significant increase in knowledge and comfort for all items, p < 0.001. At postsurvey analysis, 98% of participants felt that all patients with epilepsy should have a SAP regardless of seizure burden.Discussion
Implementing a structured SAP increased provider utilization and patient and care partner knowledge and comfort of managing seizure emergencies.Type
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Long, Lucretia, Staci S Reynolds, Lisa S Lewis, Michelle A Webb, Crystal Epley and Sarita Maturu (2024). Evaluation of a Seizure Action Plan in an Adult Epilepsy Center. Neurology. Clinical practice, 14(3). p. e200275. 10.1212/cpj.0000000000200275 Retrieved from https://hdl.handle.net/10161/31567.
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Staci Reynolds
Dr. Staci Reynolds is a Clinical Professor at Duke University School of Nursing (DUSON). At DUSON, Dr. Reynolds primarily teaches in the DNP program. Previously, she clinically served as a Clinical Nurse Specialist (CNS) at Duke University Hospital within the neuroscience inpatient units and Infection Prevention and Hospital Epidemiology department. In January 2023, Dr. Reynolds was appointed the Editor-in-Chief of the Journal of Nursing Care Quality. Before coming to DUSON, she was a neurocritical care nurse and a neuroscience CNS at Indiana University Health Methodist Hospital.
Dr. Reynolds received a baccalaureate degree in nursing science from Indiana University (IU) School of Nursing in Indianapolis, Indiana. She earned a Master’s degree as a Clinical Nurse Specialist at IU in 2011, and completed her PhD at IU in May 2016. Dr. Reynolds’ current scholarship interests include evidence-based practice implementation and evaluation, and she is an expert in quality improvement.
Lisa Lewis
Michelle Webb
Dr. Webb joined the faculty of Duke University School of Nursing in 2020. She earned a BSN from Indiana University, a MSN from The George Washington University and a DNP from the University of Minnesota. She has diverse nursing practice and leadership experience and has held executive leadership positions in behavioral/psychiatric-mental health, home health, acute care, and hospice care. She is a member of the American Nurses’ Association, DNPs of Color, North Carolina Nurses Association, National Black Nurses’ Association, Sigma Theta Tau International Honor Society of Nursing, and the Hospice and Palliative Nurses’ Association. She currently serves as the immediate past President of the Hospice and Palliative Nurses’ Association and Hospice and Palliative Nursing Foundation Board of Directors. She is a certified hospice and palliative care administrator and has served as a faculty member for the CORE End of Life Nursing Education Consortium (ELNEC) Train-the-Trainer Course sponsored by the Hospice and Palliative Nurses’ Association. She is also a Teaching for Equity Fellow, a Certified Cultural Intelligence Facilitator, and Unconscious Bias Coach. Prior to joining the faculty at Duke University School of Nursing, she was the Chief Nursing Officer and Chief Learning Officer for Teleios Collaborative Network.
Her scholarly and research interests include: the application of the cultural intelligence framework to advance diversity, equity, inclusion, and belonging, and build community; end-of-life nursing education for undergraduate students, graduate students and practicing professionals; innovation in healthcare delivery systems, and interprofessional education and practice. Dr. Webb continues to practice as a consultant for Teleios Collaborative Network and as a consultant for Four Seasons, a hospice, palliative care, and home care provider in western North Carolina.
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