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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.
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.
BackgroundConventional and complementary treatments are often used in rehabilitation for persons with stroke. The conventional treatment makes use of medications, physiotherapy, occupational, speech, and diet therapies, while the complementary treatment makes use of homeopathy, naturopathy, massage, and acupuncture. The structure, process, and outcomes of stroke rehabilitation using conventional or complementary treatments have not been empirically investigated in Ghana.AimsThis study aims to investigate the structure, process, and outcomes of stroke rehabilitation at the Korle Bu Teaching Hospital (KBTH) in Accra and Kwayisi Christian Herbal Clinic (KCHC) in Nankese-Ayisaa, Ghana, and to explore the experiences of persons with stroke.MethodsThis study involves a mixed methods approach. This study will utilize three study designs, namely, cross-sectional, hospital-based cohort, and qualitative exploratory study designs. The objectives of the study will be achieved using three phases, namely, phase one will recruit health professionals and gather information on the structure and process of stroke rehabilitation at a conventional and complementary hospital using adapted questionnaires; phase two will determine the outcomes of stroke patients attending a conventional and complementary hospital facility at baseline, 2-, 3-, and 6-month follow-up using outcome measures based on the International Classification of Functioning, Disability and Health (ICF) model; and phase three will explore the experiences of stroke patients who use complementary or conventional treatment using an interview guide.Data analysisIBM SPSS Statistics Version 27 will be used to analyze the data using descriptive and inferential statistics. Repeated measures of ANOVA will be used to determine the differences between variables at baseline, 2-, 3-, and 6-month post-stroke. The qualitative data will be transcribed and entered into Atlas Ti version 9.0. The data will be coded and analyzed using thematic areas that will be generated from the codes.ConclusionThe study protocol will provide a comprehensive overview of the structure, process, and outcomes of stroke rehabilitation in Ghana, incorporating both conventional and complementary treatment and rehabilitation into the stroke recovery journey. It will also inform clinical practice, with new insights on the experiences of stroke patients based on their choice of rehabilitation pathway.
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