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

Authors

  • Yousif Bakr Omar Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
  • Abdullah Faqiyazdin Ahmed KBMS and College of Medicine, Hawler Medical University, Erbil, Iraq.

DOI:

https://doi.org/10.15218/ejnm.2023.14

Keywords:

Effect, Nurses, Practice, Tracheostomy

Abstract

Background and objectives: Tracheostomy is one of the oldest known surgical procedures. Tracheostomy patients are at high risk for airway obstruction, impaired ventilation, and infection as well as other lethal complications. Skilled bedside nursing care can prevent these complications. Therefore, this study aimed to evaluate the effect of progressive tracheostomy care practice on nurses and physiotherapists in the ICU and RCU in Erbil City-Iraq.

Methods: A quasi-experimental study was conducted at four Intensive Care Units (ICU) and Respiratory Care Unit (RCU) Hospitals (Hawler Teaching Hospital, East Emergency Hospital, West Emergency Hospital, and Lalav RCU Hospital) in Erbil City/Iraqi Kurdistan Region. Nurses and physiotherapists from hospitals were selected as the control group, and study group respectively. Nurses and physiotherapists were evaluated through the demographic data questionnaire and tracheostomy care (preparatory phase, performance phase, and follow-up phase) scale.

Results: A total of 90 nurses and physiotherapists (40 nurses and 5 physiotherapists from the interventional group and 38 nurses and 7 physiotherapists from the control group) participated. At the end of the study, there were significant improvements in tracheostomy care practice (P-value was 0.001).

Conclusion: Nurses and physiotherapists had incompetent practice regarding tracheostomy care (TC) in the ICU, and RCU and the nurses and physiotherapists who received progressive tracheostomy care procedure training had more knowledge and practice than those who did not attend this program. Attempts should focus on improving tracheostomy care in ICUs and RCUs and establish management guidelines.

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References

Rajesh O, and Meher R. Historical Review Of Tracheostomy. The Internet Journal of Otorhinolaryngology.(2013); 4 (2). Available

from:http://ispub.com/IJORL/4/2/7498 [Accessed: 31th Dec 2021].

Gaterega T, Mwiseneza J, and Chironda G. Nurses knowledge and practices regarding tracheostomy care at a selected referral

hospital in Rwanda – A descriptive crosssectional study. International Journal of Africa Nursing Sciences. (2021); 15(2):100350. Available from: https://doi.org/10.1016/j.ijans.2021.100350 [Accessed: 18th Jun2022].

McDonough K, Crimlisk J, Nicholas P, Cabral H , QuinnEK, and Jalisi S. Standardizing nurse training strategies to improve knowledge and self-efficacy with tracheostomy and laryngectomy care. Applied Nursing Research. (2016); 32: 212-216. Available from:

https://www.sciencedirect.com/science/article/pii/S0897189716301215 [Accessed: 22th Jun 2022]..

Queirós SMM, Pinto IEM, de Brito MAC, and de Brito Santos CSV., (2021). Nursing interventions for the promotion of tracheostomy selfcare: A scoping review. Journal of Clinical Nursing . (2021); 30(21-22):3055-3071.00:1–17. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jocn.15823[Accessed: 15th Jan 2022].

Onuoha J. Developing an Educational Program for Tracheostomy Care. Walden University. (2019). Available from: https://scholarworks.waldenu.edu/dissertations/6934/ [Accessed: 22th Jun2022].

Perry A, Potter P, and Ostendorf W. Clinical Nursing Skills & Techniques. 8th ed. Canada. Elsevier Mosby publishing; (2014).

Potter P, Perry A, Stockert P, and Hall A, Fundamentals of nursing. Nineth editions. United States of America. 9th ed. Elsevier

publishing; (2017).

Nettina SM., Lippincott Manual of Nursing Practice. 11th ed. China. Wolters Kluwer publishing; (2019).

Thomas LB, and Dhudum B., A Study to Assess the Knowledge and Practices for Endo- Tracheal Care among Staff Nurses Working in Selected Hospitals of Pune. Annals of the Romanian Society for Cell Biology journal.(2021); Vol. 25, Issue 3, Pages. 7193 – 7203. Available

from:https://www.annalsofrscb.ro/index.php/journal/article/view/2249 [Accessed: 14th Jan 2022]. (2021); Vol. 25, Issue 3, Pages. 7193 – 7203. Available from:https://www.annalsofrscb.ro/index.php/journal/article/view/2249 [Accessed: 14th Jan 2022].

Babiker MA, and Yousif YM., Assessment of Nurses Knowledge and Practice Regarding Tracheostomy Care in Almak Nimer University Hospital. Shendi University faculty of postgraduate studies and scientific research. (2016). Available from: http://repository.ush.sd:8080/xmlui/handle/123456789/418 [Accessed: 21th Jun 2022].

Padma K, Arundathi S, Latha A, Dr. Indira S, and Sreelakshmi T. A study to assess the knowledge regarding tracheostomy care among staff nurses and nursing students in narayana medical college and hospital, Nellore. International Journal of Advanced Scientific Research. (2016); 1 (3): 05-08. Available from: http://www.allscientificjournal.com/archives/2016/vol1/issue3/1-3-14 [Accessed: 18th Jun 2022].

Mwakanyanga ET, Masika GM, and Tarimo EA. Intensive care nurses’ knowledge and practice on endotracheal suctioning of the intubated patient: A quantitative crosssectional observational study. PLoS ONE journal. (2018); 13(8): e0201743. Available from: https://doi.org/10.1371/journal.pone.0201743 [Accessed: 29th Nov. 2021].

Abdulrahman,and Hamed EE. Effect of an Educational Training Program in Tracheostomy Care on Nurses’ Knowledge and Skills at

Sennar Teaching Hospital. University of Khartoum. (2015). Available from: http://khartoumspace.uofk.edu/items/4b12024b-98d7-40a7-9c44-2521c0520f42 [Accessed: 2th Dec. 2021].

Ochoki NO, Kyalo MA, and Githinji ME. Health System Factors Associated with Adherence to Tracheostomy Care Guidelines among Critical Care Nurses at a National Referral Hospital in Kenya. International Journal of Nursing Science. (2021); 11(2): 36-40 11(2): 36-40 Available from: http://article.sapub.org/10.5923.j.nursing.20211102.02.html [Accessed: 30th Nov. 2021].

Mungan I, Kazancı D , Bektaş Ş, Sarı S, Çavuş M, and Turan S. The evaluation of nurses’ knowledge related to tracheostomy care in tertiary intensive care units. International Medicine. (2019); 1(6): 313-318. Available from: mno=54258 [Accessed: 16th Jun. 2022].

Nwakaego O. Knowledge and Practice of Tracheostomy Care: A Case of Federal Medical Centre, Umuahia South East of Nigeria. Texila International Journal of Nursing. (2016); 2 (2). Available from: https://www.texilajournal.com/nursing/article/599- knowledge-and-practice [Accessed: 18th Jun. 2022].

Pritchett CV, Rietz MF, Ray A , Brenner MJ, and Brown D. Inpatient Nursing and Parental Comfort in Managing Pediatric Tracheostomy Care and Emergencies . JAMA Otolaryngol Head Neck Surg. (2016); 142 (2):132

-137. Available from: http://archotol.jamanetwork.com/. [Accessed: 5th Jul. 2022].

Khanum T, Zia S, Khan T, Kamal S, Khoso MN, Alvi J, and Ali A. Assessment of knowledge regarding tracheostomy care and management of early complications among healthcare professionals. Brazilian Journal of Otorhinolaryngology. (2021); 88 (2):251-256 Available from: https://pubmed.ncbi.nlm.nih.gov/34419386/. [Accessed: 5th Jul. 2022].

Alnemare AK. Nurses Training and onϐ dence in Management of Tracheostomy Patients in a Community Hospital in Saudi Arabia. Journal of Research in Medical and Dental Science. (2020); 8 (5): 110-118. Available from: https://www.jrmds.in/articles/nursestraining-

and-confidence-in-management-oftracheostomy-patients-in-a-communityhospital-in-saudi-arabia-authors.pdf [Accessed: 17th Jun. 2022].

Qalawa SA, Diab AE, Gazzar SE, and El- Gawab HM. Quality of nursing care on patient with tracheostomy. Port Said scientific Journal of Nursing. (2017); 4 (1):202-215. Available from: https://pssjn.journals.ekb.egartcle_33096_95fe012f99bf64e02fee24b1493773b9.pdf [Accessed: 18th Oct. 2021].

Mehta K, Schwartz M, Falcone TE, and Kavanagh KR. Tracheostomy Care Education for the Nonsurgical First Responder: A Need Based Assessment and Quality Improvement Initiative. American academy of otolarengology- head and neck surgery, OTO open. (2019); 3(2):1-6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684148/ [Accessed: 16th jun. 2022].

Qadir MB. A study to assess the impact of structured teaching programme on knowledge regarding tracheostomy care among staff nurses working in selected hospital of Kashmir. International Journal of Nursing Research (IJNR). (2018); 4 (1): 29-35. Available from: innovationalpublishers.com/journal/ijnr [Accessed: 16th jun. 2022].

Yelverton JC, Nguyen JH, Wan W, Kenerson MC, and Schuman TA. Effectiveness of a Standardized Education Process for Tracheostomy Care. The American Laryngological, Rhinological and Otological Society, Inc. (2015);125(2): 342-347. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.24821[Accessed: 18th jun. 2022].

Agarwal A, Marks N, Wessel V, Willis D, Bai S, Tang X, Ward WL, Schellhase DE, and Carroll JL. Improving Knowledge, Technical Skills, and Confidence Among Pediatric Health Care Providers in the Management of Chronic Tracheostomy Using a Simulation Model. Pediatric Pulmonology. (2016) 51 (7): 659-766. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/ppul.23355[Accessed: 16th jun. 2022].

Sodhi K, Shrivastava A, and Singla M. Implications of dedicated tracheostomy care nurse program on outcomes. Japanese Society of Anesthesiologists. (2014); 28(3):374-80. Available from: https://pubmed.ncbi.nlm.nih.gov/24097169/ [Accessed: 16th jun. 2022].

Bayram SB, and Caliskan N. Effect of a Game-Based Virtual Reality Phone Application on Tracheostomy Care Education for Nursing Students: A Randomised Controlled Trial. Nurse Education Today. (2019); 79: 25-31. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0260691718305240?via%3Dihub [Accessed: 24th jun. 2022].

Prickett K, Deshpande A, Paschal H, Simon D,and HebbarKB. Simulation-based education to improve emergency management skills in caregivers of tracheostomy patients. International Journal of Pediatric Otorhinolaryngology. (2019); 120: 157-161. Available from: https://www.sciencedirect.com/science/article/abs/pii/S016558761930031X?via%3Dihub. [Accessed: 24th jun. 2022].

Kaur K. A Pre-Experimental Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge and Practice regarding Tracheostomy Care among Staff Nurses at Selected Hospitals of Punjab. International Journal of Science and Research (IJSR). (2019); 8 (3): 593 – 598. Available from: https://www.ijsr.net/get_abstract.php?paper_id=ART20196062 [Accessed: 17th Dec. 2021].

Frota OP, Rolan Loureiro MD, and Ferreira AM., (2013). Knowledge about endotracheal suctioning on the part of intensive care nursing professionals: a descriptive study. Online Brazilian Journal of Nursing. (2013); 12 (3): 546-554. Available from: https://www.redalyc.org/pdf/3614/361433917013.pdf [Accessed: 18th Dec. 2021].

Singh R , and Raghavendran M.A Study To Assess The Effectiveness Of Video Assisted Teaching Module On Knowledge Regarding Tracheostomy Care Among B.Sc. Nursing Students In Selected Colleges In Kanpur. IOSR Journal of Nursing and Health Science. (2020); 9 (6): 40-44. Available from: https://www.iosrjournals.org/iosr-jnhs/papers/vol9-issue6/Series-1/F0906014044.pdf [Accessed: 17th July 2022].

Varshney S, Sharma SK, and Jelly P. Tracheostomy suctioning: Exploration of Knowledge and Practices of Nurses Working in Selected Tertiary Care Hospitals in Uttarakhand State. Nursing and midwifery Research Journal. (2017); 13 (2). Available from: https://journals.sagepub.com/doi/abs/10.1177/0974150X20170203 [Accessed: 16th Jun 2022].

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Published

2023-11-30

How to Cite

1.
Omar YB, Ahmed AF. Effect of Tracheostomy Care Training on Nurse’s Performance at Critical Care Units in Erbil City. Erbil j. nurs. midwifery [Internet]. 2023 Nov. 30 [cited 2024 Dec. 21];6(2):125-34. Available from: https://ejnm.hmu.edu.krd/index.php/ejnm/article/view/212

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