Volume 36, Issue 143 (August-In Press 2023)                   IJN 2023, 36(143): 0-0 | Back to browse issues page

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kashaninia Z, najafi T, haghani H, faramarzian S. Evaluation of the Effect of Tracheostomy Training on Nurses’ Performance in Intensive Care Unit. IJN 2023; 36 (143)
URL: http://ijn.iums.ac.ir/article-1-3592-en.html
1- Nursing and Midwifery Care Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Biostatistics, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
3- Department of Nursing Intensive Care, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. , s.faramarzian70@yahoo.com
Abstract:   (218 Views)
Background & Aims: For people hospitalized in ICU, tracheostomy is often performed due to prolongation of mechanical ventilation, maintenance of airways and better lung health, which at the same time reduces larynx damage and comfort of the person. The nurse is one of the key members in the health care group, who must perform their duties in the areas of health promotion, disease prevention, health maintenance, and facilitating adaptation and relief of pain and suffering of the hospitalized person. The quality of health care depends to a large extent on how nurses provide services. Considering that the final result and the possible complications of tracheostomy are directly related to how the nursing staff implements the aftercare, it can be said that the lack of a comprehensive care plan and task training in special care departments has a negative effect on the way nurses work. and increases nursing errors. Due to the high probability of nursing errors in special departments, it is necessary to update nursing knowledge in order to reduce errors, and continuous training of nurses working in these departments is necessary. For this reason, the knowledge of nurses about the performance and conditions of tracheostomy care and the proper management of patients with mechanical ventilation is of particular importance in order to provide high quality care. Therefore, we conducted a research with the aim of "evaluating the effect of tracheostomy care training on the performance of nurses working in the special care units of selected hospitals of Iran University of Medical Sciences" Especially, let's take a positive step to improve the performance of nurses and reduce complications caused by tracheostomy.
This quasi-experimental study was conducted as an evaluation of the effect of training on nurses working in the special care departments of Rasul Akram and Firouzgar educational hospitals in 1400. The research population were all nurses working in special care units. In order to determine the required sample size at the confidence level of 95% and the power of the test is 80%, assuming that "the educational effect of tracheostomy care on the performance of nurses working in special care units" is 5 points after training compared to before training, so that The effect is statistically significant. To be considered, after determining the quantity in the formula, the minimum sample number of 58 nurses was estimated. The samples were selected and included in the study based on the inclusion criteria. The criteria for entering the study was to have a bachelor's degree or higher, and the exclusion criteria was not attending the training session. A total of 64 nurses working in special care departments were included in the study by filling out the consent form. Due to the presence of all the selected nurses in the training class, there was no sample loss and the results of all the nurses were analyzed.
Materials & Methods: This study was carried out in the period from 1400/07/23 to 1400/08/16 as an evaluation of the effect of training on the performance of nurses on on 64 nurses of intensive care units of Firoozgar and Rasoul Akram hospitals (PBUH) as an observational evaluation of the effect of training and performance of nurses, before and after training. The data collection tool was a tracheostomy care questionnaire. In the end, data analysis was performed in SPSS version 16 using Kolmogorov-Smirnov test (to evaluate the normal distribution of the data), as well as descriptive statistics (frequency, frequency percentage, mean and standard deviation), to describe the demographic characteristics of the participants, and inferential statistics (T-test, and analysis of variance). Notably, a P-value of 0.05 was considered statistically significant.
Results: The average age of the research subjects was 31.49 years, of which 70.3% were women, and bachelor's education was the highest level of education with 90/6%. The average overall work experience was 6.74 years and the average work experience in the special department was 4.92 years. Most of the researched units, i.e. 43.8%, were official and had contractual and planned employment status with 23.4% and contract with 9.4% among other job levels. Nurses were the most frequent in the rotation shift with 1.89%. 93.8% of the nurses had not completed the course of tracheostomy care. Comparison of the average performance score of nurses before training (8.87±45.85) and after training (3.33±93.42) with paired t-test shows a statistically significant difference (p<0.001).
Conclusion: Considering that the performance of nurses in caring for patients with tracheostomy has not been satisfactory, educating nurses and providing sufficient facilities based on guidelines and expert opinion to improve the quality of services to patients with tracheostomy, will play an important role.
Type of Study: Research | Subject: nursing
Received: 2022/07/8 | Accepted: 2023/08/23 | Published: 2023/08/23

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