Knowledge, Attitude, and Practices Regarding Epilepsy among Nurses in Tertiary Care Hospitals

Main Article Content

Karam Elahi
Humaira Saddique
Syeda Sidra Tasneem


Background: Epilepsy is a prevalent neurological disorder marked by recurrent seizures, which can significantly impact quality of life. Understanding how epilepsy is managed in healthcare settings, particularly by nurses who play a critical role in direct patient care, is essential. However, knowledge gaps and varied practices exist among nurses, influencing their efficacy in managing epilepsy patients.

Objective: This study aimed to assess the knowledge, attitudes, and practices regarding epilepsy among nurses in a tertiary care setting, with a focus on identifying areas of strength and those needing improvement.

Methods: A descriptive cross-sectional study was conducted at Jinnah Hospital, Lahore. The sample comprised 138 registered and diploma nurses working in medical, surgical, and emergency units, excluding head nurses, student nurses, and those in outpatient departments. An adapted questionnaire was employed to evaluate knowledge about epilepsy, attitudes towards patients, and practical care approaches. Data analysis was performed using descriptive statistics in SPSS version 25, with checks for data normality and distribution.

Results: The age distribution of participants showed 50.0% (69 nurses) within the 31-35 age group, 73.2% (101 nurses) were females, and experience levels varied with 53.6% (74 nurses) having 1-5 years of experience. Knowledge assessments revealed that 60.9% correctly identified epilepsy as non-contagious, yet misconceptions about epilepsy being a mental disorder were evident in 29.7% of responses. Practice-related responses indicated proper seizure management actions were inconsistently recognized, with only 29.0% knowing to avoid inserting objects in the patient's mouth during a seizure.

Conclusion: The study identified critical gaps in the knowledge and practices of nurses regarding epilepsy care, emphasizing the need for targeted educational programs to enhance nursing competence in epilepsy management. Effective training could lead to better patient outcomes and reduce misconceptions associated with the condition.

Article Details

How to Cite
Elahi, K., Saddique, H., & Tasneem, S. S. (2024). Knowledge, Attitude, and Practices Regarding Epilepsy among Nurses in Tertiary Care Hospitals. Journal of Health and Rehabilitation Research, 4(2), 359–363.
Author Biographies

Karam Elahi, The Superior University Lahore Pakistan.

BSN (Generic) Student, Department of Nursing, The Superior University Lahore, Pakistan.

Humaira Saddique, The Superior University Lahore Pakistan.

Assistant Professor, Department of Nursing, The Superior University Lahore, Pakistan.

Syeda Sidra Tasneem, The Superior University Lahore Pakistan

Director Nursing, Department of Nursing, The Superior University Lahore, Pakistan


Sazgar M, Young MG, Sazgar M, Young MG. Seizures and epilepsy. Absolute epilepsy and EEG rotation review: essentials for trainees. 2019:9-46.

McGonigal A, Bartolomei F, Chauvel P. On seizure semiology. Epilepsia. 2021;62(9):2019-35.

Johannessen J-A. Brain Science and Evidence-based Leadership. Knowledge Management for Leadership and Communication: AI, Innovation and the Digital Economy: Emerald Publishing Limited; 2020. p. 49-96.

Oswald P, Nasir N, Barneih F, AlShaltone O, AlShabi M, Bonny T, et al., editors. Epilepsy seizure detection with a majority voting classifier using logistic regression. Smart Biomedical and Physiological Sensor Technology XX; 2023: SPIE.

Lateef H, Ralston G, Bright T, Soundarajan A, Carpenter J. SeizureSeeker: A Novel Approach to Epileptic Seizure Detection Using Machine Learning. J Neurol Exp Neurosci. 2022;8(1):1-8.

Baizabal-Carvallo JF, Hallett M, Jankovic J. Pathogenesis and pathophysiology of functional (psychogenic) movement disorders. Neurobiology of disease. 2019;127:32-44.

Chao D, Xia Y. Acupuncture treatment of epilepsy. Current research in acupuncture. 2013:129-214.

Senanayake N, Román GC. Epidemiology of epilepsy in developing countries. Bulletin of the world health organization. 1993;71(2):247.

Siewe Fodjo JN, Remme JH, Preux P-M, Colebunders R. Meta-analysis of epilepsy prevalence in West Africa and its relationship with onchocerciasis endemicity and control. International health. 2020;12(3):192-202.

Millogo A, Njamnshi AK. Neurocysticercosis and epilepsy in sub-Saharan Africa. Brain Research Bulletin. 2019;145:30-8.

Falco-Walter J, editor Epilepsy—definition, classification, pathophysiology, and epidemiology. Seminars in neurology; 2020: Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY ….

Lalatović S, Milovanović M, Krstić N. Stigma and its association with health-related quality of life in adults with epilepsy. Epilepsy & Behavior. 2022;135:108874.

Nuhu FT, Fawole JO, Babalola OJ, Ayilara OO. Social consequences of epilepsy: A study of 231 Nigerian patients. Annals of African Medicine. 2010;9(3).

Millogo A, Ngowi AH, Carabin H, Ganaba R, Da A, Preux P-M. Knowledge, attitudes, and practices related to epilepsy in rural Burkina Faso. Epilepsy & Behavior. 2019;95:70-4.

Nephrolithiasis B, Anemia D, Thrombocytopenia E. SPECIALIZED SERVICES AND CORE SKILLS. Pediatric Hospital Medicine Board Review. 2022:136.

Abbas MP, Ahangar AA, Saadat P, Gholinya H. Assessment of knowledge about epilepsy and attitude toward epilepsy among nurses in hospitals affiliated to Babol University of Medical Sciences. Rom J Neurol. 2019;18:110-6.

Brizzi K, Deki S, Tshering L, Clark SJ, Nirola DK, Patenaude BN, et al. Knowledge, attitudes and practices regarding epilepsy in the Kingdom of Bhutan. International health. 2016;8(4):286-91.

Caller TA, Ferguson RJ, Roth RM, Secore KL, Alexandre FP, Zhao W, et al. A cognitive behavioral intervention (HOBSCOTCH) improves quality of life and attention in epilepsy. Epilepsy & Behavior. 2016;57:111-7.

Smith G, Wagner JL, Edwards JC. Epilepsy Update, Part 2. The American journal of nursing. 2015;115(6):34-44.

Zhao T, Gao Y, Zhu X, Wang N, Chen Y, Zhang J, et al. Awareness, attitudes toward epilepsy, and first aid knowledge of seizures of hospital staff in Henan, China. Epilepsy & Behavior. 2017;74:144-8.

Nygård C, Clancy A. Unsung heroes, flying blind—A metasynthesis of parents’ experiences of caring for children with special health‐care needs at home. Journal of clinical nursing. 2018;27(15-16):3179-96.

Teferi J, Shewangizaw Z. Assessment of knowledge, attitude, and practice related to epilepsy: a community-based study. Neuropsychiatric disease and treatment. 2015:1239-46.

Fiest KM, Sauro KM, Wiebe S, Patten SB, Kwon C-S, Dykeman J, et al. Prevalence and incidence of epilepsy: a systematic review and meta-analysis of international studies. Neurology. 2017;88(3):296-303.

Levira F, Thurman DJ, Sander JW, Hauser WA, Hesdorffer DC, Masanja H, et al. Premature mortality of epilepsy in low‐and middle‐income countries: a systematic review from the Mortality Task Force of the International League Against Epilepsy. Epilepsia. 2017;58(1):6-16.

Gorea R. Forensic Medicine and Toxicology: Challenges and Opportunities of the Future in India. INTERNATIONAL JOURNAL OF ETHICS, TRAUMA & VICTIMOLOGY. 2022;8(01):1-10.

Diby T, Khumalo PG, Anokyewaa-Amponsah G, Mustapha R, Ampofo AG. Knowledge about epilepsy and factors associated with attitudes toward marrying, employing, and driving people with epilepsy: A cross-sectional survey of Asokore Mampong community dwellers in Ghana. Epilepsy & Behavior. 2021;115:107646.