Quality of nursing care on Patients with Tracheostomy

Abstract

Background:Tracheostomy is a surgical creation of a stoma at the skin surface which leads to the trachea. It is indicated for upper airway obstruction which may be caused by laryngeal edema resulting from inhalation burns injury, anaphylaxis, trauma or infection. It is also indicated for prolonged ventilation, to protect the airway in conditions with excessive tracheobronchial secretions that require regular suction and used as part of another procedure e.g. head and neck surgery. Aim of the study: to determinethe qualityof nursing care on Patients with Tracheostomy. Design:A descriptive research design was utilized in this study. Setting: The study was conducted in the Intensive Care Unit at El-azhar university hospital.Sample:The study data was collected from all available nurses (30 males and females) worked in the Intensive Care Unit in the time of data collection and all tracheostomiezed patients admitted to Elazhar university hospital in period of 6 months. (50 patients). Results: more than three quarters of the studied nurses were aged from 20 to less than 30 years. One third of the studied nurses had years of experience less than 5 years. More than two thirty of nurses had satisfied level of knowledge about tracheostomy care. There were more than two thirty of nurses had satisfied level of total practice. There is statistically significant relation between total nurse's knowledge and nurse's practice. There is highly statistically significant positive correlation between total nurse's knowledge and total nurse's practice. CONCLUSION: The most common cause of performing tracheostomy was needing artificial ventilation more than 15 days. Most of the studied nurses had satisfactory level of knowledge and practice regarding providing care to tracheostomy patient There was a statistically significant positive correlation between total nurse's knowledge scores and their total practice scores .Recommendations: improved nurses , theoretical knowledge, clinical performance and continuous evaluation of nurse's knowledge and practice are essential to identify nurses , needs and design heath teaching programs according their needs.

Effect of Tracheostomy Care Training on Nurse’s Performance at Critical Care Units in Erbil City

“…The authors declare that they have no competing interests. etal (2017) [19,20].The present study showed that three months after CPT training, the performance of participants in the intervention group improved statistically very significantly (P-value < 0.000) as compared to control group. The performance difference between the two groups was not significant at baseline evaluation (pretest P-value = 0.632); The Mehta etal (2019) [21] and other studies [22,23,24,25,26,27,28] did not show the difference in performance between intervention and control group in pre-test but showed a significant difference in the tracheostomy care program at the post-test.…”

“…Thus, scores on each subscale range from 0 to 33. Good scores indicate good performance of the practice; the categories of pre and post-practice are interpreted as poor (below 16), fair (16)(17)(18)(19)(20)(21)(22)(23)(24), and good (25)(26)(27)(28)(29)(30)(31)(32)(33).At the beginning of the study, the two groups were interviewed and the data were taken (a questionnaire was filled out and checklist completed), then the tracheostomy care practice level of participants in both groups was evaluated (pretest), and then the intervention group underwent the tracheostomy care practice training ( 4 hours per week for two successive weeks). All the participants carried on their official duties at the ICUs and RCUs of their hospitals.…”

Hemşireler Trakeostomili Hastaların Bakımını Ne Kadar Biliyor? Nitel Bir Çalışma

“…Yarı Yapılandırılmış Görüşme Formu ve Görüşmeci Gözlem Formu: Yarı yapılandırılmış görüşme formu, yoğun bakım hemşirelerinin trakeostomili hasta bakımına ilişkin deneyimlerine yönelik açık uçlu 6 sorudan oluşmuştur (11)(12)(13)(14)(15)(16). Yarı yapılandırılmış görüşme soruları konuyla ilgili uzmanlar tarafından değerlendirilmiş ve uzman görüşleri doğrultusunda forma son hali verilmiştir.…”

“…Hava yolu açıklığı trakeostomi gibi yapay bir yol oluşturularak sağlandığında hemşirelerin bu işlemlerin endikasyonlarına, komplikasyonlarına ve bakımına dair tüm bilgilere sahip olması yaşamsal öneme sahiptir (12,13). Literatürde, hemşirelerin trakeostomili hasta bakımının yaşamsal önemini bilmesine rağmen bu konuya ilişkin yeterli bilgi ve beceriye sahip olmadıklarını belirleyen çalışmalar bulunmaktadır (14)(15)(16). McDonough ve arkadaşları (2016) yaptıkları çalışmada trakeostomili hasta bakımına ilişkin hemşirelerin teorik bilgilerinin yetersiz olduğunu ve uygulama becerilerinin istendik düzeyde olmadığını bildirmekle beraber hemşirelerin en çok trakeostomili hastada acil girişim gerektiren durumların yönetiminde sorun yaşadıklarını vurgulamaktadır (14).…”