Alina Vaškelytė, Silva Kostyliovienė, Dovilė Grinkevičiūtė
Abstract
Technique of secretion suctioning from tracheostomy tube can influence the incidence of complications and determine patient‘s safety, possibility of recovery, the duration of treatment and the cost of treatment. It is critical for nurses to be aware of tracheostomy care recommendations based on scientific research and to apply them in clinical practice. Aim of this research was to analyze nurses’ knowledge and skills in technique of secretion suctioning from tracheostomy tube. The research was conducted on 2013 year at the departments of Kaunas hospitals in which patients with tracheostomy are moved from Intensive Care departments. A questionnaire created by the authors of the research and an observation protocol of nurses’ actions in practice was used to collect the data of the research. A survey was conducted with 93 nurses. We observed 99 procedures of secretion suctioning from tracheostomy tube. The research was conducted with the approval BEC-KS (M)-198 from the center of Bioethics of Lithuanian University of Health Sciences. In clinical practice, the majority of nurses performed the action of suctioning from tracheostomy tube according to the need, did not pour a isotonic solution into tracheostomy tube. During the observation, the majority of nurses perform the suctioning action in the wrong sequence, about half of observed cases the suctioning action was prolonged and the pressure was too high. In clinical practice, while performing the action of suctioning from tracheostomy tube, nurses properly applied knowledge of the need of secretion suctioning from tracheostomy tube, the use of a isotonic solution. However, the majority of nurses did not apply the recommended sequence of actions of secretion suctioning, half of nurses – the recommended pressure and duration of suctioning.
Keyword(s): nurses’ knowledge and skills; secretion suctioning from tracheostomy tube; tracheostomy care.
DOI: 10.5200/sm-hs.2016.118
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