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AY, NADİYE PINAR

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NADİYE PINAR

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Author: ERDEM ERALP, ELA × Subject: COMPLICATIONS ×

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    Efficacy of standardized tracheostomy training with a simulation model for healthcare providers: A study by ISPAT team
    (WILEY) ERDEM ERALP, ELA; Uyan, Zeynep S.; Atag, Emine; Ergenekon, Almala P.; Gokdemir, Yasemin; Gokler, Ozan; Ay, Pinar; Ikizoglu, Nilay Bas; Cenk, Muruvvet; Eralp, Ela Erdem; Sivrikaya, Ulufer; Girit, Saniye; Cakir, Erkan; Kilic, Ayse A.; Yazan, Hakan; Oksay, Sinem Can; Hepkaya, Evrim; Kiyan, Gursu; Karadag, Bulent; Karakoc, Fazilet; Oktem, Sedat
    Introduction Tracheostomy care in children may be challenging, due to lack of knowledge of healthcare providers (HCPs). The aim of this study was to determine the level of knowledge of HCP who follow patients with tracheostomy and to increase this level with theoretical training and training in a simulation laboratory. Materials and Methods ISPAT (IStanbul PAediatric Tracheostomy), a multidisciplinary team for tracheostomy care was established and a training program was prepared. Participants were subjected to theoretical and practical pretests which evaluated their knowledge levels and skills for care, follow-up, and treatment of a patient with tracheostomy. After the theoretical and practical training given to the participants with a simulation model, theoretical and practical posttests were applied. Results Fifty-one HCP from nine tertiary pediatric clinics in Istanbul were enrolled in the training program. Only six (11.8%) of them had received standardized training programs previously. Regarding the theoretical tests, seven of the 33 questions were indicated as essential. The knowledge level of the participants based on the essential questions significantly increased after the training (p < 0.05 for all of the essential questions). The total number of correct answers and correct answers of three subheadings also significantly increased after the practical training (p < 0.001 for all). Ninety-five percent of the participants assessed the course as good or excellent in general. Conclusion Training in a simulation laboratory in combination with theoretical education can improve the knowledge and skills of the HCP enabling improved care of children with a tracheostomy.
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    The ISPAT project: Implementation of a standardized training program for caregivers of children with tracheostomy
    (WILEY, 2022) ERDEM ERALP, ELA; Yegit, Cansu Yilmaz; Kilinc, Ayse Ayzit; Oksay, Sinem Can; Unal, Fusun; Yazan, Hakan; Kostereli, Ebru; Gulieva, Aynur; Arslan, Huseyin; Uzuner, Selcuk; Onay, Zeynep Reyhan; Baskan, Azer Kilic; Collak, Abdulhamit; Atag, Emine; Ergenekon, Almala Pinar; Ikizoglu, Nilay Bas; Ay, Pinar; Oktem, Sedat; Gokdemir, Yasemin; Girit, Saniye; Cakir, Erkan; Uyan, Zeynep Seda; Cokugras, Haluk; Karadag, Bulent; Karakoc, Fazilet; Eralp, Ela Erdem
    Background Tracheostomy-related morbidity and mortality mainly occur due to decannulation, misplacement, or obstruction of the tube. A standardized training can improve the skills and confidence of the caregivers in tracheostomy care (TC). Objective Our primary aim was to evaluate the efficiency of standardized training program on the knowledge and skills (changing-suctioning the tracheostomy tube) of the participants regarding TC. Materials and Methods Sixty-five caregivers of children with tracheostomy were included. First, participants were evaluated with written test about TC and participated in the practical tests. Then, they were asked to participate in a standardized training session, including theoretical and practical parts. Baseline and postintervention assessments were compared through written and practical tests conducted on the same day. Results A significant improvement was observed in the written test score after the training. The median number of correct answers of the written test including 23 questions increased 26%, from 12 to 18 (p < .001). The median number of correct steps in tracheostomy tube change (from 9 to 16 correct steps out of 16 steps, 44% increase) and suctioning the tracheostomy tube (from 9 to 17 correct steps out of 18 steps, 44% increase) also improved significantly after the training (p < .001, for both). Conclusion Theoretical courses and practical hands-on-training (HOT) courses are highly effective in improving the practices in TC. A standardized training program including HOT should be implemented before discharge from the hospital. Still there is a need to assess the impact of the program on tracheostomy-related complications, morbidity, and mortality in the long term.