Abstract
Introduction: Several studies in the past have reported a lack of awareness, knowledge, and practice for tracheostomy care by staff nurse members, caregivers, and even trained family members. It has been found that nurses are not adequately aware of the updated guidelines of tracheostomy care.
Aims: This study aimed to identify the pre and postgraduation clinical support and confidence levels among nurses for the management of tracheostomy.
Material and Methods: This study was a cross-sectional prospective observational study. Ethical approval was obtained from the regional ethical committee before the induction of the survey. A pilot study was conducted to test the questionnaire. The study site was Zulfi General Hospital, and the study period was from May to July 2020. A standard, structured questionnaire consisting of 20 items was used for the assessment among 132 study participants.
Results and Discussion: About 85% of the participants were overseas staff members, and most of them got a bachelor's degree in nursing. Work experiences over 5 years and over 10 years were found in 30.3% and 36.4% of participants, respectively. About 75% of participants reported having over 40-hour working hours. A correlation was found of training and support with training confidence (r=0.736, p<0.001).
Conclusion: The confidence level of the nurses was average, which can be considered an acceptable level for tracheostomy care. Experience, updated learning curricula, and a good recruitment strategy are keys to achieving a high level of care.