Knowledge and Obstacles Perceived by Critical Care Nurses in Endo-tracheal and Tracheostomy Suctioning

Abstract

Tracheostomy and Endo-tracheal suctioning is one of the most common procedure performed in patients with artificial airways. It is a component of airway management and mechanical ventilation that involves the evacuation of the pulmonary secretions from the patient’s airway to prevent complications. Performance obstacle are those inhibiting factors perceived by critical care nurses in terms of knowledge and skill, tool and technology, and work setting which tend to affect their performance. Objectives: i) to assess the knowledge and performance obstacles perceived by critical care nurses while performing Endo- tracheal and Tracheostomy suctioning. ii) To find out the suggestions of critical care nurses on overcoming the performance obstacles identified in Endo-tracheal and Tracheostomy suctioning. Methodology: A cross sectional descriptive survey was designed among 80 and a questionnaire survey conducted among critical care nurses. Results: The performance obstacles during suction as perceived by nurses were 63% reported minimum obstacle, 27% reported medium obstacles, were as only 10% reported many obstacles while performing the suctioning. All of them suggested the need for training at the beginning of clinical posting in the unit, clear cut guidelines/protocol on ET suctioning and updating of guidelines/equipment. Conclusion: The performance obstacles were categorized into knowledge, skill, technology, tool and organization. The performance obstacles perceived by nurses were mostly related to the skill in doing the procedure. The major knowledge related performance obstacles perceived by nurses were inadequate training on ET suctioning in a real patient as s student (70%). Training on ET suctioning should be given during the induction program on the time of joining to the organization.