Effect of Implementing Tracheostomy Care Guidelines on Patients’ Clinical Outcomes at the Intensive Care Units | ||||
| Tanta Scientific Nursing Journal | ||||
| Article 10, Volume 36, Issue 1, February 2025 PDF (1.22 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/tsnj.2025.414142 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Heba A. Al-Metyazidy1; Shymaa M. Mohammed2; Gehan A. Younis3; Sabry Mohamed Amin4; Zainab A. Allam5 | ||||
| 1Associated 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. | ||||
| 2Assistant 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. | ||||
| 3Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt. | ||||
| 4Professor of Anesthesia and Surgical Intensive Care Unit, Faculty of Medicine, Tanta University, Egypt. | ||||
| 5ssociated 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. | ||||
|
Statistics Article View: 79 PDF Download: 208 |
||||
