Cross Sectional Study on Nurses’ Knowledge and Practices Regarding Tracheostomy Care at TASH & Yekatit-12 Medical College in AA, Ethiopia
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Date
2023-11
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Addis Ababa University
Abstract
Background: Tracheostomy is a common surgical procedure in critically ill patients. Post-
tracheostomy care is vital as potential life-threatening complications like tube block,
displacement, accidental decannulation, including bleeding, can be prevented by care, timely
recognition and intervention. Although tracheostomy is performed by Otolaryngologists, the
postoperative period is spent in ICU or in general wards, where nursing staff are the caregivers
of continuing contact.
Objective: this study was conducted to assess nurses’ knowledge and practices regarding
tracheostomy care at Tikur Anbessa Specialized Hospital & Yekatit-12 medical college in Addis
Ababa, Ethiopia.
Methodology: A cross-sectional design was used to assess nurse’s knowledge and practice about
tracheostomy care in Tikur Anbessa Specialized Hospital and Yekatit-12 medical Hospital
within the study period from December, 2022, to October, 2023. The study used adopted
standardized and structured questionnaires to collect participant’s socio-demographic
characteristics, knowledge and practice of tracheostomy care at the hospitals with modification.
Then, data was entered and analyzed in SPSS software version no. 26 for the assessment of
descriptive and regression analysis.
Result: A total of 80 study participants were recruited and included in the study. Out of the total
participants, the majority of them were female (58.8%), young adult (20-39-year group) (67.5%),
had 5-10 years working experience (42.5%); BSc educational level (78.8%), surgical ward
working department (23.8%). The ‘poor’ knowledge level was 61.2% which scored less than or
equal to 7 correctly out of 15 questions and ‘medium’ & ‘satisfactory’ knowledge level was
36.3% and 2.5%, respectively. Similarly, the ‘poor practice’ level was 16.2%) that scored less
than or equal to 10 out of 20; while ‘medium’ & ‘satisfactory’ practice level was 55% and 28.8%
respectively. Moreover, the study explored that there were statistically significant associations
between practice level of participants and age group, educational level, working experience and
working department (P<0.05). However, there was no significant association between knowledge
level & any of the associated factors (P>0.05).
Conclusions and Recommendation: The study concluded that participants were having
relatively low or poor knowledge about tracheostomy care than the skill and practice of it.
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Hence; it is recommended to the hospitals and policy makers to provide more focus on
knowledge and practice of nurses about tracheostomy care to avoid further complications.
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Keywords
Nurses, Tracheostomy care, Knowledge and Practice