Specialist epilepsy nurses for treating epilepsy

The Impact of Nonphysician Clinicians

“…O. Phillips, Singa, Rubin, & Jaarsma, 2005;Smallwood, 2004). The remaining reviews included research in either primary and secondary health care settings (Bradley & Lindsay, 2001;Hearnshaw et al, 2006;Loveman, Royle, & Waugh, 2003;Thomas et al, 1999;Vrijhoef, Diederiks, & Spreeuwenberg, 2000) or a home care setting (Frich, 2003;Smith, Appleton, Adams, Southcott, & Ruffin, 2001).…”

“…Both primary and secondary health care settings were represented, and the clinical domains encompassed both patients with single conditions and those with multiple diagnoses. Eight reviews evaluated the effects of nurses working in extended roles as physician supplements (Bradley & Lindsay, 2001;Du Moulin et al, 2005;Griffiths et al, 2007;Hearnshaw et al, 2006;Loveman et al, 2003;C. O. Phillips et al, 2005;Smith et al, 2001;Vrijhoef et al, 2000).…”

“…Four reviews were rated as having "moderate" overall methodological quality (Brown & Grimes, 1995;Chapman et al, 2004;Smallwood, 2004;Vrijhoef et al, 2000) and one review was rated "poor" (Dealey, 2001). The methodological quality of the original studies included in the reviews, as rated by the review authors, varied from adequate or good (Bradley & Lindsay, 2001;French et al, 2003;Frich, 2003;Oakeshott et al, 2003) to insufficient or weak (Brown & Grimes, 1995;Chapman et al, 2004;Dealey, 2001;Horrocks et al, 2002;Smallwood, 2004;Thomas et al, 1999).…”

“…Reduction of symptoms or improvement in pathological condition (metabolic parameters such as HbA1c, lung function) was measured in 8 systematic reviews (Bradley & Lindsay, 2001;Brown & Grimes, 1995;Du Moulin et al, 2005;French et al, 2003;Hearnshaw et al, 2006;Loveman et al, 2003;Oakeshott et al, 2003;Thomas et al, 1999). Only Brown and Grimes (1995) conducted a meta-analysis, which showed a significant improvement in pathological condition (effect size [ES] = 0.28, 95% confidence interval [CI] = 0.04-0.51, p = .01, n = 6).…”

“…Quality of life, health status, or functional status was measured in 11 systematic reviews (Bradley & Lindsay, 2001;Brown & Grimes, 1995;Du Moulin et al, 2005;French et al, 2003;Griffiths et al, 2007;Hearnshaw et al, 2006;Horrocks et al, 2002;Laurant et al, 2004;C. O. Phillips et al, 2005;Smith et al, 2001;Vrijhoef et al, 2000).…”