Standardizing nurse training strategies to improve knowledge and self-efficacy with tracheostomy and laryngectomy care

McDonough, Katie A.; Crimlisk, Janet T.; Nicholas, Patrice K.; Cabral, Howard; Quinn, Emily; Jalisi, Scharukh

doi:10.1016/j.apnr.2016.08.003

Cited by 36 publications

(33 citation statements)

References 33 publications

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“…2014, McDonough et al . 2016). Hence, the fact that clinicians placed great importance on the clinical learnings they achieved through hands‐on learning was not unexpected, and affirms the need for this aspect to be a central component of any clinical training pathways in the area of TES rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…2016, McDonough et al . 2016). In particular, the widespread growth of the internet and its ability to offer a repository for resources and online training modules has led to improved access to education and training for clinicians entering specific areas of clinical practice.…”

Section: Introductionmentioning

confidence: 99%

“…For example, a recent US study considered the management of altered airway emergencies and reported higher levels of knowledge in nursing staff who completed online modules and hands‐on training sessions compared with those who did not, regardless of experience level (McDonough et al . 2016). Additionally, the ability to allow real‐time communication and sharing of information between clinicians by using platforms such as e‐mail, chat groups, Google groups, video teleconference and telehealth facilities has further facilitated clinician access to supportive learning environments, and can be particularly useful in the development of clinical skills in complex practice areas (Burns et al .…”

Section: Introductionmentioning

confidence: 99%

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Factors contributing to clinician training and development in the clinical area of laryngectomy and tracheoesophageal voice

Hancock

Ward

Hill

2020

Intl J Lang & Comm Disor

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Background It has long been recognized that tracheoesophageal speech (TES) rehabilitation after laryngectomy is a specialized area of practice for speech and language therapist (SLTs) due to the complex nature of patient presentation and the invasive components of the SLT's role in this area. Therefore, postgraduate experience and training is required to work competently and safely in this clinical area. However, it is generally acknowledged that the steps and processes followed by individual clinicians to achieve this training and clinical skill development are inconsistent and vary widely across services. There is a need to identify critical elements deemed most beneficial to clinical skill development in order to inform future training models. Aims To explore clinicians’ perceptions of factors that contribute to training and clinical skills development in the area of TES rehabilitation post‐laryngectomy. Methods & Procedures All participants were SLTs working in an Australian clinical service, with a current or recent clinical caseload that included patients using TES. A total of 36 SLTs were recruited and then grouped by level of experience (novice n = 15, intermediate n = 7, experienced n = 14). Each participant took part in one small focus group with other participants of similar experience level. Ten focus groups were conducted, each of approximately 60 min in duration. A semi‐structured interview guide was used to facilitate the discussion of issues relating to training in this area. Thematic analysis was used to analyse transcripts and identify themes. Outcomes & Results Interviews identified six key themes, including: Learning with and from others; Formal programmes; Hands‐on learning; Processes that influence training; and Individual influences. SLTs reported both positive issues and elements that were challenging across all five themes. The final (sixth) theme was identified regarding clinician perceptions of how this area differed to specialized training in other areas of the profession. The majority of themes were discussed equally by clinicians across all three experience levels. Conclusions & Implications Participants across all experience levels identified that multiple factors contributed to clinicians successfully gaining skills, understanding and competency when working in TES rehabilitation post‐laryngectomy. These factors, when fully considered and incorporated into future SLTs training pathways and opportunities, have the potential to optimize competency, skill acquisition and maintenance in this area.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors contributing to clinician training and development in the clinical area of laryngectomy and tracheoesophageal voice

Hancock

Ward

Hill

2020

Intl J Lang & Comm Disor

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“…Limited knowledge about total laryngectomy and its clinical management amongst frontline health practitioners has been described elsewhere (Darr, Dhanji, & Doshi, ; McDonough et al., ; Whitcroft, Moss, & McRae, ). There is an increasing body of literature reporting the value of Web‐based self‐help intervention packages to IWL (Cnossen et al., ; Jansen et al., ) and telehealth to support patients and less experienced HP living remotely from specialist services (Burns et al., ).…”

Section: Discussionmentioning

confidence: 99%

Support following total laryngectomy: Exploring the concept from different perspectives

et al. 2018

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Adjustment after total laryngectomy is complex, and the resultant support needs are extensive. Current practice is often guided by health-related quality of life measures. While useful, many of these tools were developed without considering the perspectives of people who have experienced the surgery. To improve understanding of the support needs after total laryngectomy, multiple viewpoints were examined, for example individuals with a laryngectomy (IWL), significant others (SO) and health professionals (HP). A qualitative study explored the perspectives of 28 individuals (IWL-seven men and five women, nine SO and seven HP). Data were collected through in-depth, semi-structured interviews and analysed using constructivist grounded theory and symbolic interactionism. The data suggested that the construct "being supported to develop competence and resilience" is a multidimensional and nonlinear phenomenon underpinned by the interactive processes "perceiving influencing factors," "building trusting relationships" and "sharing and balancing the care." The findings highlight the significant contribution the care triad (i.e., IWL, SO and HP) plays and the factors influencing care, safety and dignity for IWL. Furthermore, support is optimised when all stakeholders are competent with the care. In turn, reduced competence increases the burden for one or all in the triad.

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“…Formación del personal de enfermería [12][13][14][15][16][17] Educación para la salud [17][18][19][20][21] Cuidados de la herida quirúrgica y del estoma [22][23][24][25] Comunicación y rehabilitación de la voz [22,26,27] Nutrición enteral y alimentación oral [22,[28][29][30][31] Humidificación [32,33] Formación del personal de enfermería En general, cuando no es habitual tratar a pacientes laringectomizados, los conocimientos sobre los cuidados apropiados son pobres [12]. Para que la asistencia ofrecida por el personal de enfermería sea la más adecuada, la literatura describe que las formas más eficaces de mejorarla son mediante la estandarización de estos cuidados [13] y la valoración continua y la individualización de los planes de cuidados [14].…”

Section: Campos De Actuación Artículosunclassified

Investigación bibliográfica sobre la atención de enfermería en la laringectomía total

León-Fernández

Pardal-Refoyo

2018

Rev. ORL

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Standardizing nurse training strategies to improve knowledge and self-efficacy with tracheostomy and laryngectomy care

Cited by 36 publications

References 33 publications

Factors contributing to clinician training and development in the clinical area of laryngectomy and tracheoesophageal voice

Factors contributing to clinician training and development in the clinical area of laryngectomy and tracheoesophageal voice

Support following total laryngectomy: Exploring the concept from different perspectives

Investigación bibliográfica sobre la atención de enfermería en la laringectomía total

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