Effect of Educational Intervention Program on Nurses’Performance Regarding Tracheoesophageal Fistula among Mechanically Ventilated Patients

Abdelaziz, Amany L; Abdelhady, Atiat; Aboelnasr, Roeya Mahmoud; Al-etyazidy, Heba A.

doi:10.21608/tsnj.2023.298379

Effect of Educational Intervention Program on Nurses’Performance Regarding Tracheoesophageal Fistula among Mechanically Ventilated Patients

Document Type : Original Article

Authors

¹ Prof. of Medical –Surgical Nursing, Faculty of Nursing, Tanta University, Egypt

² Master degree in Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt

³ Lecturer of Emergency Medicine and traumatology, Faculty of Medicine, Tanta University

⁴ Assist. Prof. of Critical Care Nursing, Faculty of Nursing, Tanta University, Egypt

10.21608/tsnj.2023.298379

Abstract

: Tracheoesophageal fistula represents one of the most common life-threatening
conditions due to the pulmonary complications among critically ill mechanically ventilated
patients due to prolonged high cuff pressure, high airway pressure, excessive motion of
tracheal tube, prolonged duration of intubation, severe airway suctioning and the presence
of a firm nasogastric tube. Acquired tracheoesophageal fistula in the adult carries a high
mortality risk. The nurse plays crucial role for caring of patients on mechanical ventilation
to minimize rate of tracheoesophageal fistula. The aim of the study was to evaluate the
effect of educational nursing intervention program on nurses’ performance for minimizing
tracheoesophageal fistula among mechanically ventilated patients. Setting: This study was
conducted at Traumatology and Emergency Medicine Intensive Care Units and Anesthesia
Intensive Care Units in Emergency Hospital of Tanta Hospitals, Egypt. Method: A quasiexperimental design was utilized in this study. Sample of the study consisted of all nurses
(80) who are working in the ICU. Tools: Two tools were used to collect data, Tool (1) A
Structured questionnaire for studied nurses, Tool (II) Nurses' observational Checklist.
Results: It was observed that there was highly significant improvement among the studied
nurses’ knowledge and practice pre, immediate and post a week of educational program,
where P value=0.000. Conclusion: There were significant statistical improvement in the
total knowledge and practice mean score post implementation of nursing educational
program. Recommendation: It was recommended that encouraging critical care nurses'
in-service training program regarding tracheoesophageal fistula.