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, timelyrecognition 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 AddisAbaba, Ethiopia. Methodology: A cross-sectional design was used to assess nurse’s knowledge and practice abouttracheostomy care in Tikur Anbessa Specialized Hospital and Yekatit-12 medical Hospitalwithin the study period from December, 2022, to October, 2023. The study used adoptedstandardized and structured questionnaires to collect participant’s socio-demographiccharacteristics, knowledge and practice of tracheostomy care at the hospitals withmodification.Then, data was entered and analyzed in SPSS software version no. 26 for the assessment ofdescriptive and regression analysis. Result: A total of 80 study participants were recruited and included in the study. Out of the totalparticipants, 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 wardworking 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 was36.3% and 2.5%, respectively. Similarly, the ‘poor practice’ level was 16.2%) that scored lessthan 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 andworking department (P<0.05). However, there was no significant association between knowledgelevel & 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.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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Nurses Tracheostomy care Knowledge and Practice

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