Insights on Competency and Knowledge Related to the Tracheostomy Care of Nurses at a Tertiary Referral Hospital in Oman

Introduction: Tracheostomy-related adverse events are a global problem, requiring coordinated approach for care of tracheostomised patients. The concept of ‘collaborative tracheostomy care’ was introduced by Global Tracheostomy Collaborative in 2012. For successful post tracheostomy outcome, nursing care is vital. Data on their knowledge, attitude and skills regarding tracheostomy care including outcome of a structured interventional workshop is not available from India. Methods: A validated questionnaire with items pertaining to knowledge, attitude and skills regarding tracheostomy care was administered to nurses working in intensive care units and wards. Following this, a workshop was conducted for hands-on training in tracheostomy care using didactic lectures, videos and simulation-based training. The participants took a post-test immediately and after three months. Skills were assessed before and three months after the workshop using a checklist. Results: Among 386 participants who attended the pre-test and workshop, 285 (74.2%) underwent post-test immediately and three months later. Overall mean knowledge score (± SD) of the participants in pre-workshop was 6.8 ± 3.5, immediate post-test score was 15.9 ± 2.7 and three months later was 11.6 ± 3.5 (p < 0.001) out of total score 20. The baseline score was significantly higher among ICU nurses. Three months post workshop skill assessment revealed no statistically significant increase in the proportion of participants who performed skills related to suctioning procedure. Conclusion: Knowledge, attitude and practice regarding tracheostomy care is inadequate among nurses. Otolaryngologists-driven structured intervention with didactic lectures, videos and hands-on training can improve all three domains to positively impact outcomes in post tracheostomy patient care. Supplementary Information The online version contains supplementary material available at 10.1007/s12070-023-03682-9.

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Otolaryngologists’ Initiative for Collaborative Tracheostomy Care: Knowledge, Attitude and Skill in Tracheostomy Care Among Nurses - An Interventional Study from India

Jamaldeen¹,

Nalamate

Kurien

et al. 2023

Indian J Otolaryngol Head Neck Surg

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Conhecimentos e habilidades do profissional enfermeiro no cuidado à pessoa com traqueostomia: revisão integrativa

Souza,

Andrade,

Dázio

2024

CiPraxis

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Introdução: A traqueostomia é um procedimento essencial em diversas condições clínicas, proporciona benefícios aos pacientes, mas também está associada a complicações potenciais. Embora exista uma vasta pesquisa sobre a técnica médica envolvida, há uma lacuna significativa no entendimento dos conhecimentos e habilidades específicos dos enfermeiros nesse contexto. Objetivo: Analisar as evidências disponíveis na literatura acerca dos conhecimentos e habilidades do profissional enfermeiro no cuidado à pessoa com traqueostomia. Métodos: Realizou-se uma revisão integrativa de literatura nas fontes de informação LILACS, MEDLINE/PubMed, Web of Science, Embase e CINAHL, utilizando descritores controlados combinados com operadores booleanos "AND" e "OR". Após a aplicação dos critérios de inclusão e exclusão, foram selecionados 13 artigos. Resultados: Os estudos mostram que, embora os enfermeiros possuam algum conhecimento técnico, há uma lacuna entre a formação profissional e a confiança necessária para fornecer cuidados eficazes e seguros a pacientes com traqueostomia. A falta de programas educacionais contínuos e específicos foi destacada como um dos principais desafios. Investir na formação e atualização dos enfermeiros é fundamental para promover uma assistência de alta qualidade. Conclusão: Há uma necessidade urgente de implementar estratégias educacionais mais eficazes, adaptadas às necessidades dos enfermeiros. A ênfase na Educação Permanente em Saúde e na Educação Continuada é essencial para melhorar a prática profissional e garantir cuidados mais seguros e eficazes para pacientes com traqueostomia.

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Knowledge of Nurses Regarding Tracheostomy Care in Tertiary Care Hospital Karachi

Ali,

Shaikh,

Bibi

et al. 2023

NRS

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Tracheostomy is a surgical procedure in which a surgical opening, called a tracheostomy or stoma, is created in the front of the neck into the trachea (windpipe). This opening provides an alternative airway for breathing when the normal route through the nose and mouth is obstructed or compromised. Objective: To determine the level of knowledge of staff nurses regarding tracheostomy care in Tertiary Care Hospitals in Karachi. Methods: This cross-sectional study was conducted at a Tertiary Care Hospital in Karachi. Fifty participants were recruited through a convenient sampling method. The data were collected from the fifty male and female participants aged 18-50 years old of staff nurses working in the tertiary care hospital. The adopted questionnaire was used for the data collection. Results: The result reveals that 60% were female and 40% were male. Moreover, most nurses 60% had unsatisfactory and 40% had satisfactory knowledge regarding tracheostomy care. Conclusions: This shows a need for additional education and training to enhance nurses' general knowledge and proficiency in delivering the best care for patients with tracheostomies. By filling in this information gap, we can improve patient outcomes and lower the chance of problems from tracheostomy care.

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Insights on Competency and Knowledge Related to the Tracheostomy Care of Nurses at a Tertiary Referral Hospital in Oman

Cited by 3 publications

References 14 publications

Otolaryngologists’ Initiative for Collaborative Tracheostomy Care: Knowledge, Attitude and Skill in Tracheostomy Care Among Nurses - An Interventional Study from India

Otolaryngologists’ Initiative for Collaborative Tracheostomy Care: Knowledge, Attitude and Skill in Tracheostomy Care Among Nurses - An Interventional Study from India

Conhecimentos e habilidades do profissional enfermeiro no cuidado à pessoa com traqueostomia: revisão integrativa

Knowledge of Nurses Regarding Tracheostomy Care in Tertiary Care Hospital Karachi

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