Background: A tracheostomy is a surgical procedure in which an opening is made into the anterior wall of the trachea.With an increasing demand for intensive care beds more nurses in acute and high dependency wards will be expected to care competently for patients with tracheostomy tubes.Aim: To evaluate Nurses' knowledge and skills in performing tracheostomy care and to determine the effectiveness of the educational training program on nurses knowledge and skills. Methods:A quasi-experimental study (one group) conducted at Sinnar Teaching Hospital (STH). A total coverage technique was used 45 nurses were included.measurements of the group were made both before and after training program. Results:The total knowledge percentage before training program ranged from (2.2%) to (46.7%), and after training program,ranged from (57.8%) to (88.9%). 91.1% of respondents (41) they were not attending training course in Tracheotomy Care before.There was statistically significant different in the mean total knowledge score of the participants before and after the program at p value level = (0.00). Conclusion:The nurses included in the study do not have adequate knowledge and skills in the evidencebased guidelines for tracheostomy care.There is no correlation between the qualifications or years of experience and knowledge of nurses regarding tracheostomy care.Continuing professional development programme ontracheostomy care should be made compulsory for all nurses.

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