Assessing the impact of e-learning in caregiver training on paediatric epilepsy awareness and buccal Midazolam administration: A Scottish quality improvement study

Caregiver training is vital for drug administration in medical emergencies. Most training, in the UK, for paediatric epilepsy is delivered by specialist nurses, covering awareness and buccal Midazolam administration, the preferred management for paediatric status epilepticus. Training is predominately delivered face-to-face due to limited evidence supporting online methods. This project outlines e-learning use in caregiver training on paediatric rescue medication administration and its effectiveness on awareness in paediatric epilepsy and management. Two networks of Scottish epilepsy specialist nurses developed a standardised online module, accessible to multidisciplinary staff. A post-module quiz tested participants' knowledge and, engagement, module content and delivery method were evaluated through a Likert scale questionnaire. Average response per question and standard deviation was calculated for the entire cohort and using occupation as an independent variable. Over 24 months, 3230 learners across Scotland accessed the module; 82.6 % passed, 0.9 % failed, and 16.5 % ongoing, yielding a pass rate of 98.8 %. Learners, mostly from teaching or educational roles, reported increased confidence in seizure management and safe Midazolam administration. All parameters assessed were highly rated, independent of learner occupation. Performance was high across all occupations, with learners in non-clinical jobs performing slightly better than those in clinical roles. The module likely improved accessibility, knowledge standardisation across professions and regions, and reduced training carbon footprint, making its principles applicable to other areas of clinical education.