Nurse-Led Self-Management Support for Adolescents with Epilepsy: A Mixed-Methods Study

Strategic Insights -

Adolescents with epilepsy face unique challenges as they transition from pediatric to adult care, requiring a coordinated approach to self-management support. A recent study published in Heliyon has shed light on the readiness of pediatric nurses for evidence-based practice in this area. Researchers from Chongqing Medical University conducted a mixed-methods study, combining survey data with in-depth interviews, to explore the facilitating and hindering factors for nurse-led self-management support. The study found that teams demonstrated good readiness and capacity for implementation of evidence-based nursing practice, with four key themes emerging: organization barriers, operational barriers, individual-level barriers, and facilitating factors. A conceptual model was constructed to guide future research and practice.

Key Takeaways:

  • The study aimed to explore the readiness of pediatric nurses for evidence-based practice in self-management support for adolescents with epilepsy.
  • A total of 126 participants were included in the survey, with 15 in-depth interviews conducted to explain and supplement the quantitative phase results.
  • The study identified four key themes: organization barriers, operational barriers, individual-level barriers, and facilitating factors.
  • A conceptual model was constructed to guide future research and practice.
  • The study concluded that nurses should prioritize knowledge selection and tailoring based on barriers at the organizational, operational, and individual levels.

Statistics:

  • 126 participants were included in the survey.
  • 15 in-depth interviews were conducted.
  • 4 key themes emerged from the study: organization barriers, operational barriers, individual-level barriers, and facilitating factors.
  • 127 teams demonstrated good readiness and capacity for implementation of evidence-based nursing practice (total score of CREBNA indicated that teams have good readiness and capacity for implementation of evidence-based nursing practice Compared with the norm).
  • 4 years: duration of the survey (Dec 2022 to Feb 2023).
  • Fractions of the population are affected by epilepsy: organ barriers, operational barriers, individual-level barriers, and facilitating factors.

Sources:

  • "Barriers and Facilitators of Nurse-led Self-management Support for Adolescents With Epilepsy: a Mixed-methods Study In Transition Preparation." Heliyon, 2024;10(13).
  • Heliyon. Contact: Cell Press, 50 Hampshire St, Floor 5, Cambridge, MA 02139, USA.
  • Xianlan Zheng. Contact: Chongqing Medical University, Natl Clin Res Ctr Child Hlth & Disorders, Ministry of Education, Key Lab Child Dev & Disorders, Chongqing Key Lab Pe, 136 Zhongshan Second Rd, Chongqing 400014, People's Republic of China.
  • Additional authors: Cui Cui, Shuangzi Li, Wenjin Chen, Changmin Xiao, Mingping Fan, and Hengyu Zhou.