Development of a setup framework and nursing quality indicator system for epilepsy specialist nursing clinics_Journal of Epilepsy

Authors：

 LI Qian ¹ , LIU Fang ² , WANG Wenshuang ³ , GU Jingjing ¹ , LIANG Weiying ⁴ , LIU Xinmin ⁵

1. Department of Neurosurgery Center, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China;
2. Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;
3. Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China;
4. Epilepsy Center, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510000, China;
5. Department of Neurology, The First Hospital of Jilin University, Changchun 130000, China;

Corresponding?author：

LI Qian, Email: lqttyy@163.com

Keywords：

Epilepsy; Specialty Nursing; Outpatient Clinic Setup; Delphi Methods; Quality evaluation

DOI：

10.7507/2096-0247.202601006

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To develop the setup components for epilepsy specialist nursing clinics and construct a corresponding nursing quality indicator system, thereby providing a scientific and quantitative basis for the establishment of such clinics and the evaluation of nursing quality. Methods The study adopted literature analysis, the Delphi method, and the analytic hierarchy process to systematically formulate the setup components for epilepsy specialist nursing clinics and to develop the nursing quality indicator system. The setup components were established through multiple rounds of expert consultation, while the quality indicator system was constructed based on the“Structure-Process-Outcome”three-dimensional quality model, with indicators and their weights determined stepwise. Results The effective response rates for the two rounds of expert correspondence were both 100%, with an expert authority coefficient of 0.897. The coefficients of variation for the clinic setup components and nursing quality indicators were 0~0.231, 0~0.201 and 0.054~0.156, 0.049~0.188, respectively. The Kendall's harmony coefficients were 0.234, 0.291 and 0.268, 0.377 (P<0.01). The finalized setup components for epilepsy specialist nursing clinics comprise 10 dimensions, while the nursing quality evaluation indicator system includes 3 first-level indicators, 11 second-level indicators, and 42 third-level indicators. Conclusion The developed setup components for epilepsy specialist nursing clinics and nursing quality evaluation indicators are scientifically sound, comprehensive in content, and highly specialized, which can serve as a reference for the management and development of epilepsy nursing clinics.

Citation： LI Qian, LIU Fang, WANG Wenshuang, GU Jingjing, LIANG Weiying, LIU Xinmin. Development of a setup framework and nursing quality indicator system for epilepsy specialist nursing clinics. Journal of Epilepsy, 2026, 12(2): 134-142. doi: 10.7507/2096-0247.202601006 Copy

1.	Duncan JS, Sander JW, Sisodiya SM, et al. Adult epilepsy. Lancet, 2006, 367(9516): 1087-1100.
2.	成人癲癇患者長程管理共識專家協作組. 關于成人癲癇患者長程管理的專家共識. 中華神經科雜志, 2013, 46(7): 496-499.
3.	2022-2031年癲癇和其他神經系統疾病跨部門全球行動計劃[Intersectoral globalaction plan on epilepsy and otherneurological disorders2022-2031]. 日內瓦: 世界衛生組織, 2023.
4.	中國抗癲癇協會護理專業委員會. 癲癇健康教育中國護理專家共識. 癲癇雜志, 2024, 10(6): 495-502.
5.	國務院辦公廳關于印發“十四五”國民健康規劃的通知. 國務院辦公廳, 2022.
6.	Randall S, Crawford T, Currie J, et al. Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: a systematic review. Int J Nurs Stud, 2017, 73: 24-33.
7.	侯敏, 鐘文歡, 祁麗萍, 等. 腫瘤放療專科護理門診的建立與實踐. 護理學報, 2024, 31(21): 27-31.
8.	陳輝, 陳林, 張穎君, 等. 血液透析專科護理門診設立需求現狀. 護理研究, 2024, 38(18): 3326-3331.
9.	Pleh DN, Rosted E, Thomsen TG. Key competences of outpatient nurses, as perceived by patients attending nurse-led clinics - an integrative review. J Clin Nurs, 2021, 30(3-4): 311-322.
10.	陳穎, 江會. 國內外專科護理門診的發展現狀與趨勢分析. 中華現代護理雜志, 2023, 29(18): 2506-2512.
11.	李倩, 李京連. 癲癇護理工作室的構建及應用. 中國實用神經疾病雜志, 2023, 26(1): 87-91.
12.	李鑫, 蘭星, 熊莉娟, 等. 圍手術期患者院內轉運護理質量評價指標的構建. 護理學雜志, 2024, 39(8): 81-84.
13.	喻筱倩, 李承, 胡玲, 等. 兒童癲癇專科護理門診的構建與運行. 護理學雜志, 2022, 37(12): 50-53.
14.	滕莉, 徐苗苗, 肖月平, 等. 專科護士主導的綜合護理門診的建立與實踐. 護理學報, 2023, 30(16): 37-40.
15.	謝長清, 駱金鎧, 龔文濤, 等. 北京市屬醫院門診專科護理工作室建設與運行現況調查. 中國護理管理, 2024, 24(4): 604-609.
16.	劉芳, 馬巖, 韓明月, 等. 癲癇專科護士培訓方案的構建. 中華現代護理雜志, 2025, 31(20): 2693-2700.
17.	周忠輝, 申雪花, 何燕, 等. 成人癲癇持續狀態護理質量評價指標體系的構建. 護士進修雜志, 2025, 40(4): 343-347.
18.	Connolly C, Cotter P. Effectiveness of nurse-led clinics on healthcare delivery: An umbrella review. J Clin Nurs, 2023, 32(9-10): 1760-1767.
19.	Corones-watkins K, Cooke M, Theobald K, et al. Effectiveness of nurse-led clinics in the early discharge period after percutaneous coronary intervention: a systematic review. Aust Crit Care, 2021, 34(5): 510-517.
20.	Van rootselaar AF, Cocozza S, Aronica E, et al. Familial adult myoclonus epilepsy: neuroimaging and neuropathological findings. Epilepsia, 2023, 64(suppl 1): S47-S51.
21.	Terry D, Hills D, Bradley C, et al. Nurse-led clinics in primary health care: a scoping review of contemporary definitions, implementation enablers and barriers and their health impact. J Clin Nurs, 2024, 33(5): 1724-1738.
22.	Benoist C, Boccaletti S, Leach JP, et al. Characterising people with focal drug-resistant epilepsy: a retrospective cohort study. Epilepsy Behav, 2023, 149: 109540.
23.	Wagstyl K, Kobow K, Casillas-espinosa PM, et al. WONOEP 2022: neurotechnology for the diagnosis of epilepsy. Epilepsia, 2024, 65(8): 2238-2247.
24.	曹笑柏, 王宇嬌, 高嵐. 遠程醫療在癲癇患者中的應用研究進展. 護士進修雜志, 2024, 39(18): 1971-1975.

1. Duncan JS, Sander JW, Sisodiya SM, et al. Adult epilepsy. Lancet, 2006, 367(9516): 1087-1100.
2. 成人癲癇患者長程管理共識專家協作組. 關于成人癲癇患者長程管理的專家共識. 中華神經科雜志, 2013, 46(7): 496-499.
3. 2022-2031年癲癇和其他神經系統疾病跨部門全球行動計劃[Intersectoral globalaction plan on epilepsy and otherneurological disorders2022-2031]. 日內瓦: 世界衛生組織, 2023.
4. 中國抗癲癇協會護理專業委員會. 癲癇健康教育中國護理專家共識. 癲癇雜志, 2024, 10(6): 495-502.
5. 國務院辦公廳關于印發“十四五”國民健康規劃的通知. 國務院辦公廳, 2022.
6. Randall S, Crawford T, Currie J, et al. Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: a systematic review. Int J Nurs Stud, 2017, 73: 24-33.
7. 侯敏, 鐘文歡, 祁麗萍, 等. 腫瘤放療專科護理門診的建立與實踐. 護理學報, 2024, 31(21): 27-31.
8. 陳輝, 陳林, 張穎君, 等. 血液透析專科護理門診設立需求現狀. 護理研究, 2024, 38(18): 3326-3331.
9. Pleh DN, Rosted E, Thomsen TG. Key competences of outpatient nurses, as perceived by patients attending nurse-led clinics - an integrative review. J Clin Nurs, 2021, 30(3-4): 311-322.
10. 陳穎, 江會. 國內外專科護理門診的發展現狀與趨勢分析. 中華現代護理雜志, 2023, 29(18): 2506-2512.
11. 李倩, 李京連. 癲癇護理工作室的構建及應用. 中國實用神經疾病雜志, 2023, 26(1): 87-91.
12. 李鑫, 蘭星, 熊莉娟, 等. 圍手術期患者院內轉運護理質量評價指標的構建. 護理學雜志, 2024, 39(8): 81-84.
13. 喻筱倩, 李承, 胡玲, 等. 兒童癲癇專科護理門診的構建與運行. 護理學雜志, 2022, 37(12): 50-53.
14. 滕莉, 徐苗苗, 肖月平, 等. 專科護士主導的綜合護理門診的建立與實踐. 護理學報, 2023, 30(16): 37-40.
15. 謝長清, 駱金鎧, 龔文濤, 等. 北京市屬醫院門診專科護理工作室建設與運行現況調查. 中國護理管理, 2024, 24(4): 604-609.
16. 劉芳, 馬巖, 韓明月, 等. 癲癇專科護士培訓方案的構建. 中華現代護理雜志, 2025, 31(20): 2693-2700.
17. 周忠輝, 申雪花, 何燕, 等. 成人癲癇持續狀態護理質量評價指標體系的構建. 護士進修雜志, 2025, 40(4): 343-347.
18. Connolly C, Cotter P. Effectiveness of nurse-led clinics on healthcare delivery: An umbrella review. J Clin Nurs, 2023, 32(9-10): 1760-1767.
19. Corones-watkins K, Cooke M, Theobald K, et al. Effectiveness of nurse-led clinics in the early discharge period after percutaneous coronary intervention: a systematic review. Aust Crit Care, 2021, 34(5): 510-517.
20. Van rootselaar AF, Cocozza S, Aronica E, et al. Familial adult myoclonus epilepsy: neuroimaging and neuropathological findings. Epilepsia, 2023, 64(suppl 1): S47-S51.
21. Terry D, Hills D, Bradley C, et al. Nurse-led clinics in primary health care: a scoping review of contemporary definitions, implementation enablers and barriers and their health impact. J Clin Nurs, 2024, 33(5): 1724-1738.
22. Benoist C, Boccaletti S, Leach JP, et al. Characterising people with focal drug-resistant epilepsy: a retrospective cohort study. Epilepsy Behav, 2023, 149: 109540.
23. Wagstyl K, Kobow K, Casillas-espinosa PM, et al. WONOEP 2022: neurotechnology for the diagnosis of epilepsy. Epilepsia, 2024, 65(8): 2238-2247.
24. 曹笑柏, 王宇嬌, 高嵐. 遠程醫療在癲癇患者中的應用研究進展. 護士進修雜志, 2024, 39(18): 1971-1975.

Journal of Epilepsy

Development of a setup framework and nursing quality indicator system for epilepsy specialist nursing clinics

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content