Document Type : Original Article
Authors
1
Associated professor of Critical Care Nursing, Faculty of Nursing, Tanta University Assistant professor of Adult and Advanced Care nursing, College of Nursing, King Khalid University, KSA.
2
Assistant lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt. Doctorate student of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt.
3
Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt.
4
Professor of Anesthesia and Surgical Intensive Care Unit, Faculty of Medicine, Tanta University, Egypt.
5
ssociated professor of Critical Care Nursing, Faculty of Nursing, Tanta University Assistant Prof of Critical Care and Emergency Nursing, Nursing Department, Faculty of Applied Medical Science in Rabigh King Abdulaziz University.
Abstract
Background: Tracheostomy care practices vary widely among healthcare providers,
leading to inconsistent patient outcomes; differ widely among healthcare providers and
institutions, potentially resulting in inconsistent care. Therefore, standardized
tracheostomy care guidelines have been established. The study aimed to evaluate the
effect of implementing tracheostomy care guidelines on patients’ clinical outcomes at the
Intensive Care Units. Method: A quasi-experimental pretest-posttest research design was
performed with a purposive sample of 80 patients with tracheostomy recruited from three
Intensive Care Units affiliated with Tanta University Hospitals in Egypt. Data were
collected using four tools: Tool I: Tracheostomy Patients Assessment Sheet. Tool II:
Glasgow Coma Scale. Tool III: Tracheostomy Patients Clinical Outcomes. Tool IV:
Tracheostomy Adverse Events. Results: The results revealed that statistically significant
improvements were observed regarding mechanical ventilator and physiological
parameters, and reduced tracheostomy adverse events among the study group (P<0.5).
Notably, 15% of the study group achieved a high prediction of successful decannulation
two weeks post-insertion compared to no one in the control group. Conclusion:
Implementing tracheostomy care guidelines markedly improves clinical outcomes by
enhancing physiological stability, increasing decannulation success, and reducing adverse
events. Recommendations: Ongoing training program for critical care nurses about
tracheostomy care guidelines for updating their knowledge and practice in the ICU.
Monitoring of tracheostomy cuff pressure should be integrated into routine care for
critically ill patients to improve patient’s clinical outcomes and prevent adverse events.
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