KNOWLEDGE AND PRACTICE OF NURSES REGARDING TRACHEOSTOMY CARE

S AMIR; H SADDIQUE; R JABEEN

doi:10.54112/bcsrj.v2024i1.1185

Authors

S AMIR Department Of Nursing, The Superior University Lahore, Pakistan
H SADDIQUE Department Of Nursing, The Superior University Lahore, Pakistan
R JABEEN Department Of Nursing, The Superior University Lahore, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.1185

Keywords:

Critical Care Nursing, Nurse's Knowledge, Nursing Practice, Tracheostomy, Tracheostomy Care

Abstract

Tracheostomy is a common procedure in critical care settings for patients requiring prolonged ventilation or airway management. Nurses play a crucial role in tracheostomy care, which demands comprehensive knowledge and adherence to evidence-based practices to prevent complications. Objective: This study aimed to assess the knowledge and practices of nurses regarding tracheostomy care at Jinnah Hospital Lahore. Methods: A descriptive cross-sectional study was conducted from January 2024 to July 2024 at Jinnah Hospital Lahore. A total of [specify sample size, e.g., 150] registered nurses working in different wards and intensive care units (ICUs) were selected through simple random sampling. Data were collected using a structured questionnaire, which included sections on demographic information, knowledge, and practices. Knowledge and practice scores were categorized as good, moderate, or poor. Data analysis was performed using SPSS version 25.0, employing descriptive statistics and chi-square tests to identify associations between variables. Results: The study revealed that 60% of the nurses had moderate knowledge regarding tracheostomy care, while 25% demonstrated good knowledge, and 15% had poor knowledge. In terms of practice, 54.7% of nurses reported moderate adherence to tracheostomy care protocols, 30% had good practices, and 15.3% demonstrated poor practices. A significant association was found between formal training in tracheostomy care and higher knowledge and practice scores (p < 0.05). Conclusion: The findings indicate that most nurses possess moderate knowledge and practices concerning tracheostomy care, with notable gaps in training and adherence to standardized protocols. The study highlights the need for structured training programs and continuous professional development to enhance nurses' competency in tracheostomy care and improve patient outcomes.

Downloads

Download data is not yet available.

References

`1. Urdaneta F, Rosenblatt WH. Airway Equipment. Anesthesia Equipment: Elsevier; 2021. p. 307-31.

Permana MD, Renaldi K. Management of Gastric Motility Disorder. The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy. 2020;19(1):25-36.

Watters KF. Tracheostomy in infants and children. Respiratory Care. 2017;62(6):799-825.

Andriolo BN, Andriolo RB, Saconato H, Atallah ÁN, Valente O. Early versus late tracheostomy for critically ill patients. Cochrane database of systematic reviews. 2015(1).

Gobatto ALN, Besen BAMP, Tierno PFGMM, Mendes PV, Cadamuro F, Joelsons D, et al. Comparison between ultrasound-and bronchoscopy-guided percutaneous dilational tracheostomy in critically ill patients: a retrospective cohort study. Journal of Critical Care. 2015;30(1):220. e13-. e17.

Nam I-C, Shin YS, Jeong W-J, Park MW, Park SY, Song CM, et al. Guidelines for tracheostomy from the Korean Bronchoesophagological Society. Clinical and experimental otorhinolaryngology. 2020;13(4):361-75.

Stacy KM. ACUTE LUNG FAILURE. Priorities in Critical Care Nursing-E-Book. 2022;1:264.

Tolotti A, Bagnasco A, Catania G, Aleo G, Pagnucci N, Cadorin L, et al. The communication experience of tracheostomy patients with nurses in the intensive care unit: a phenomenological study. Intensive and Critical Care Nursing. 2018;46:24-31.

Chana N, Kennedy P, Chessell ZJ. Nursing staffs' emotional well‐being and caring behaviours. Journal of Clinical Nursing. 2015;24(19-20):2835-48.

Salmond SW, Echevarria M. Healthcare transformation and changing roles for nursing. Orthopaedic Nursing. 2017;36(1):12-25.

Swift TM. A Literature Review of the Relationship Between Oral Health and Pneumonia Risk in the Geriatric Nursing Home Population: University of Bridgeport; 2021.

Cantrell MA, Franklin A, Leighton K, Carlson A. The evidence in simulation-based learning experiences in nursing education and practice: An umbrella review. Clinical Simulation in Nursing. 2017;13(12):634-67.

Lewith H, Athanassoglou V. Update on management of tracheostomy. BJA education. 2019;19(11):370-6.

Weidlich S, Pfeiffer J, Kugler C. Self-management of patients with tracheostomy in the home setting: a scoping review. Journal of Patient-Reported Outcomes. 2023;7(1):101.

Mosalli R, Aboumoustafa GA, Khayyat W, Bokhari AN, Almatrafi MA, Ghazi M, et al. Assessment of nurses’ knowledge and confidence regarding tracheostomy care in a pediatric long term care hospital in Saudi Arabia. Risk Management and Healthcare Policy. 2022:1809-21.

Twose P, Jones G, Lowes J, Morgan P. Enhancing care of patients requiring a tracheostomy: a sustained quality improvement project. Journal of Critical Care. 2019;54:191-6.

Samarkandi OA. Knowledge and attitudes of nurses toward pain management. Saudi journal of anaesthesia. 2018;12(2):220-6.

Abdelazeem E, Fashafsheh I, Fadllalah H. Effect of training program on nurses knowledge and competence regarding endotracheal tube and tracheostomy care in mechanically ventilated patients. Int J Nurs. 2019;6(1):48-57.

Wang J, Xiao Q, Zhang C, Jia Y, Shi C. Intensive care unit nurses' knowledge, attitudes, and perceived barriers regarding early mobilization of patients. Nursing in Critical Care. 2020;25(6):339-45.

Alexandersen I, Haugdahl HS, Stjern B, Paulsby TE, Lund SB, Haugan G. ‘I want to get back!’A qualitative study of long‐term critically ill patients’ inner strength and willpower: Back home after long‐term intensive care. Journal of clinical nursing. 2021;30(19-20):3023-35.