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- Title
Adolescents' Perceptions of Functional Seizure Self-Management Strategies, Facilitators, and Barriers in the School Environment.
- Authors
Tanner, Andrea L.; von Gaudecker, Jane R.; Buelow, Janice M.; Oruche, Ukamaka M.; Miller, Wendy R.
- Abstract
Adolescents with functional (psychogenic nonepileptic) seizures encounter many struggles within the school environment, including stress, bullying, stigmatization, and accusations of faking seizure events. Mental health nurses and school personnel are poised to support school-based self-management; unfortunately, to date, no evidence exists to detail effective school-based self-management strategies for adolescents with functional seizures. Therefore, in the current qualitative study, we examined adolescents' functional seizure self-management, perceived effectiveness, and facilitators and barriers using semi-structured interviews analyzed using content analysis. We interviewed 10 adolescent females aged 12 to 19 years. Themes of proactive (prior to seizure warning symptoms) and reactive (after seizure warning symptoms) self-management, involving protection, perseverance, and progress monitoring, emerged. Adolescents perceived proactive strategies as primarily effective, whereas reactive strategies were less effective. Adolescents identified school nurses and personnel, family, and peers as facilitators and barriers to self-management. Mental health nurses are positioned to provide care, co-create plans, and advocate for adolescents with functional seizures in collaboration with school nurses and personnel. [Journal of Psychosocial Nursing and Mental Health Services, 61(10), 19–27.]
- Subjects
BRAIN physiology; PSYCHOGENIC nonepileptic seizures; SCHOOL environment; PSYCHIATRIC nursing; STRATEGIC planning; RESEARCH methodology; SELF-evaluation; INTERVIEWING; EXPERIENCE; QUALITATIVE research; SCHOOL nursing; DESCRIPTIVE statistics; NURSES; SOUND recordings; CONTENT analysis; HEALTH self-care; ADOLESCENCE
- Publication
Journal of Psychosocial Nursing & Mental Health Services, 2023, Vol 61, Issue 10, p19
- ISSN
0279-3695
- Publication type
Article
- DOI
10.3928/02793695-20230424-04