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Electroconvulsive Therapy01:30

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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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Stereo-Electro-Encephalo-Graphy SEEG With Robotic Assistance in the Presurgical Evaluation of Medical Refractory Epilepsy: A Technical Note
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Project ECHO telementoring program in epilepsy for school nurses.

Rebecca J Schultz1, Patricia O Shafer2, Steve Owens3

  • 1Texas Woman's University, United States; Baylor College of Medicine and Texas Children's Hospital, United States.

Epilepsy & Behavior : E&B
|February 13, 2023
PubMed
Summary
This summary is machine-generated.

Adapting epilepsy education to the ECHO model improved school nurses' knowledge and confidence in managing student seizures. The telementoring program demonstrated high satisfaction and feasibility nationwide.

Keywords:
EpilepsyProject ECHO, telementoring, professional educationSchool NurseSeizures

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Area of Science:

  • Neurology
  • Medical Education
  • Public Health

Background:

  • Epilepsy affects many children, necessitating specialized care in schools.
  • Limited access to epilepsy education for school nurses in some U.S. regions poses a challenge.
  • School nurses require enhanced expertise for safe and effective epilepsy management.

Purpose of the Study:

  • To assess the feasibility of adapting the Epilepsy Foundation's school nurse program to the ECHO model.
  • To evaluate the program's impact on school nurse knowledge and self-efficacy in managing pediatric epilepsy.
  • To gauge program satisfaction among participating school nurses.

Main Methods:

  • The Epilepsy Foundation's program was adapted to the ECHO model, utilizing videoconferencing with epilepsy specialists.
  • Retrospective post-program surveys assessed knowledge and confidence levels.
  • Data from 32 participants with complete surveys were analyzed using descriptive statistics and the sign test.

Main Results:

  • 166 school nurses from 13 states participated, most with extensive experience in suburban or rural settings.
  • Significant improvements in reported knowledge and confidence were observed across most survey items.
  • Highest gains were noted in psychosocial care, comorbidity management, and recognizing nonepileptic events.

Conclusions:

  • Telementoring via the ECHO model is a feasible method for nationwide epilepsy education for school nurses.
  • The program provided a valuable learning experience, enhancing nurses' skills.
  • The study underscores the importance of including psychosocial aspects and comorbidities in epilepsy education for school nurses.