Assessment of knowledge regarding tracheostomy care and management of early complications among healthcare professionals

Khanum, Tooba; Zia, Sadaf; Khan, Tahseer; Kamal, Saima; Khoso, Muhammad Nasir; Alvi, Javeria; Ali, Arif

doi:10.1016/j.bjorl.2021.06.011

Cited by 9 publications

(6 citation statements)

References 26 publications

(32 reference statements)

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“…These nurses had also attended courses and lectures on tracheostomy-related care. This result is contrary to the findings of Khanum et al [ 13 ], who reported that nurses aged between 26 and 30 years had significantly higher knowledge scores, and no significant differences in qualifications and years of tracheostomy care among nurses were identified.…”

Section: Discussioncontrasting

confidence: 99%

“…Our analysis revealed that 58.7%, 39%, and 2.3% of nurses had poor, moderate, and good knowledge levels, respectively (mean ± standard deviation score: 21.6 ± 9.11 of 49 points). The results of several studies worldwide are consistent with our main finding demonstrating significant deficiency in tracheotomy care-related knowledge among nurses and their abilities to manage complications [ 13 – 15 ].…”

Section: Discussionsupporting

confidence: 89%

“…As the data collection tools used in previous studies failed to address our objectives, the senior authors (FA and EH) created a survey to collect data for this study. Questions were designed after thoroughly reviewing the current literature and guidelines on the subject [ 9 – 13 ]. The tool was administered to clinical experts (tracheostomy team nurses, intensive care physicians, otolaryngologists) and academic experts to assess the suitability of all content to be measured.…”

Section: Methodsmentioning

confidence: 99%

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Assessment of the ability, perception, and readiness of nurses to manage tracheostomy-related complications in Riyadh City: a cross-sectional study

et al. 2022

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Background Nursing staff play a key role in the bedside management of tracheostomized patients in both intensive care units and general floors. Effective provision of postoperative care to these patients by nurses is critical. This study aimed to assess the readiness of nursing staff to manage tracheostomy-related complications in Riyadh, Saudi Arabia. Methods This cross-sectional study enrolled 395 nurses in Riyadh, Saudi Arabia. A self-administered questionnaire developed by the authors was distributed to nurses via an online survey. The questionnaire assessed nurses’ socio-demographic characteristics and their knowledge and practices regarding tracheostomy indications, postoperative care, and management of its complications. Results Of respondents, approximately 59% (232/395) had poor knowledge regarding tracheostomy-related complications and indications, 39% (154/395) had moderate knowledge, and only 2%(9/395) had good knowledge. Several factors were associated with increased knowledge, including having a higher education degree, working in a tertiary/quaternary hospital, being a government employee, caring for tracheostomized patients, and attending courses or lectures on managing tracheostomized patients. Conclusions Knowledge level and practices regarding tracheostomy-related complications and indications among nurses remain limited. In-service continuous professional development programs for nurses working in all hospital settings are strongly recommended. Further research is warranted to elicit the major factors contributing to inadequate knowledge and practices among nurses in Riyadh.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 89%

Section: Methodsmentioning

confidence: 99%

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Assessment of the ability, perception, and readiness of nurses to manage tracheostomy-related complications in Riyadh City: a cross-sectional study

et al. 2022

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“…The main results showed that almost half the sample did not receive adequate training prior to caring for these patients which might explain the suboptimal level of knowledge and care reported by Abdelazeem et al [3] in a similar study setting. The majority thought that postgraduate workshops to be the optimal platform for delivering the updated guidelines and improving tasks which was also reported to be the preferred platform in other studies [10]. In addition to being the preferred methods of education by the end-users, nurses, it was also shown that hands on training by a specialized tracheostomy team improved methods of insertion and care of patients with tracheostomies [11] and their confidence in their management.…”

Section: Discussionmentioning

confidence: 90%

Attitude and practices of tracheostomy care among nursing staff in Saudi Arabia

Mahfoz

2022

BMC Nurs

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Background In many regions of the world, tracheostomy care is a major health concern. Many patients die as a result of nurses' lack of awareness regarding tracheostomy care. This study was carried out to report the acquired training, clinical experience and team approach while caring for patients with tracheostomies and then evaluate these aspects on nurses’ confidence in caring for these patients. Methods A cross-sectional descriptive study involving a self-administered questionnaire was carried out among nurses from October 2020 to June 2021. A self-administered questionnaire including questions on sociodemographic characteristics, tracheostomy training and support and confidence in caring for patients with tracheostomies. It was disseminated electronically to the nurses working in a tertiary medical center in Saudi Arabia with multiple reminders. Group difference was determined using t test and chi square tests appropriately with a set p value to less than 0.05. Results A total of 315 nurses with different educational backgrounds were included. The majority were females, middle aged and gained their nursing degree from outside the country. Over 30% of the nurses cared for patients with tracheostomies while more than two thirds did not receive adequate training to care for this patient population. Confidence was reflected in the working units, the time spent caring for these patients and the number of patients cared for. Additionally, nurses caring for children and adults with tracheostomies were more confident in their care than those caring for adolescents and older adults. Conclusion Continuous training and competency evaluation are vital in delivering optimal care. Confidence level is impacted by training received and by the presence of assisted ventilation. Future studies should aim for a national representation of this topic to inform policy and practice.

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“…Throughout their disease, patients suffering from NMD and chronic respiratory insufficiency may encounter the possibility of undergoing tracheotomy and invasive mechanical ventilation (IMV) for acute related complications or worsened respiratory insufficiency [ 1 , 2 ]. While prolonged respiratory failure is probably the most common reason for performing tracheostomy, other indications such as decreased level of consciousness, poor airway protective reflexes, difficult management of secretions, requests of patients on 24 h noninvasive ventilation, severe alterations in physiology associated with trauma and medical illness are also indications for tracheostomy.…”

Section: Introductionmentioning

confidence: 99%

Caregivers of Neuromuscular Patients Living with Tracheostomy during COVID-19 Pandemic: Their Experience

Pierucci

Volpato

Grosso

et al. 2023

JCM

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Background: During a pandemic, tracheostomy management in neuromuscular disease (NMD) patients can be complex. Methods: Using a multicentre, multiple case study approach, we sought perspectives through semi-structured interviews via hybrid quali-quantitative analysis. The qualitative analysis involved a semi-structured interview and the quantitative analysis the completion of a battery of questionnaires. Aim: To investigate the caregivers’ experiences, burden and beliefs regarding tracheostomy during the Italian COVID-19 pandemic. The following instruments were administered: Connor and Davidson Resilience Scale (CD-RISC-25); Acceptance and Action Questionnaire-II (AAQ-II); State-Trait Anxiety Inventory (STAI); Langer Mindfulness Scale (LMS); Zarit Burden Interview (ZBI). Results: Fifty-three caregivers (62.3% female, mean age 52.2 (SD = 18.2)) participated in the study. The more resilient the carers, the more they were psychologically flexible (r = 0.380, p = 0.014) and able to cope adaptively with the emergency (r = 0.378, p < 0.006). Similarly, perceived control was higher the more resilient they were (r = 0.897, p < 0.001). The main emotions emerging were isolation and loneliness (15; 34.88%). The perception of tracheostomy meant that it could be seen as a lifesaver or as a condemnation. Similarly, the relationship with health professionals moves from satisfaction to a feeling of abandonment over the course of the pandemic. Conclusions: These findings offer a unique opportunity to understand the point of view of caregivers of NMD patients living with tracheotomy during the COVID-19 pandemic, when going to the hospital may have been hampered.

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Assessment of knowledge regarding tracheostomy care and management of early complications among healthcare professionals

Cited by 9 publications

References 26 publications

Assessment of the ability, perception, and readiness of nurses to manage tracheostomy-related complications in Riyadh City: a cross-sectional study

Assessment of the ability, perception, and readiness of nurses to manage tracheostomy-related complications in Riyadh City: a cross-sectional study

Attitude and practices of tracheostomy care among nursing staff in Saudi Arabia

Caregivers of Neuromuscular Patients Living with Tracheostomy during COVID-19 Pandemic: Their Experience

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