Critical Care Nurses’ Knowledge of Tracheostomy Care

Rasha Abu Sahyoun, Mohammed ALBashtawy, Khitam Mohammad, Nisren Abu Baker, Nihaya Al Sheyab, Mohammed Alyahya, Hani Nawafleh, Sa’d ALBashtawy, Ahmad Ayed, Ahmad Musa, Bayan ALBashtawy, Rasmieh Al Amer, Zaid ALBashtawy, Abdullah Alkhawaldeh


Background: Tracheostomy care is a standard procedure that nurses perform in Critical Care Units (CCUs) to reduce complications from tracheostomy. The literature indicates a clear variety of care and practice in managing tracheostomy patients within the healthcare system. This study was conducted to assess the knowledge level of tracheostomy care among nurses in CCUs in Jordanian hospitals.

Materials and Methods: A cross‑sectional descriptive design was used for this study. A convenience sample of 260 nurses working in the CCUs of four government hospitals completed a self‑reported structured questionnaire. Data were collected from January 2021 to March 2021. A t‑test and one‑way Analysis of Variance (ANOVA) were used to assess the differences among socio‑demographic variables in terms of knowledge score.

Results: The result revealed that the level of knowledge was suboptimal. There was a statistically significant difference in the mean level of knowledge regarding tracheostomy care (in all dimensions) by age (F = 22.595, p < 0.001), educational level (F = 355.30, p < 0.001), and work experience (F = 13.63, p < 0.001). For gender, there was a statistically significant difference in knowledge of the tracheostomy suctioning dimension (p = 0.001).

Conclusions: The level of knowledge among nurses regarding tracheostomy care was moderate, indicating an urgent need for education

Rasha Abu Sahyoun: PubMed, Google Scholar


Cross sectional studies, Jordan, nurses, tracheostomy

Full Text:



Ramakrishnan V. Use of Simulation for Tracheostomy Care, a Low Volume, High Risk Nursing Procedure (Doctoral dissertation, Walden University). 2018.

McGrath BA, Ashby N, Birchall M, Dean P, Doherty C, Ferguson K, et al. Multidisciplinary guidance for safe tracheostomy care during the COVID-19 pandemic: The NHS National Patient Safety Improvement Programme (NatPatSIP). Anaesthesia 2020;75:1659 70.

Alessa R, AlBashtawy M, AlBashtawy B, Alkhawaldeh A, AlBashtawy S, Qaddumi J. Intensive care units nurse’s knowledge and practice regarding the endotracheal tube suctioning. ECPRM 2021;10:29 35.

Ross J, McMurray K, Cameron T, Lanteri C. Use of a silicon stoma stent as an interim step in high risk tracheostomy decannulation. OTO Open 2019;3:2473974X19836432. doi: 10.1177/2473974X19836432.

Onuoha, J. Developing an Educational Program for Tracheostomy Care (Doctoral dissertation, Walden University). 2019.

Maraş GB, Güler EK, Eşer İ, Köse Ş. Knowledge and practice of intensive care nurses for endotracheal suctioning in a teaching hospital in western Turkey. Intensive Crit Care Nurs 2017;39:45 54.

Tyagi H. Effectiveness of video assisted teaching module regarding tracheostomy care on knowledge among staff nurses at selected hospital of Gwalior city. Glob Nurs J India 2019;2:121-24.

Mussa CC, Gomaa D, Rowley DD, Schmidt U, Ginier E, Strickland SL. AARC clinical practice guideline: Management of adult patients with tracheostomy in the acute care setting. Respir Care 2021;66:156 69.

Raimondi N, Vial MR, Calleja J, Quintero A, Cortés A, Celis E, et al., Evidence based guidelines for the use of tracheostomy in critically ill patients. J Crit Care 2017;38:304 18.

Adoga AA, Kirfi AM, Bature IF, Bakari A. A retrospective analysis of tracheostomy in patients with tumors of the aerodigestive tract. Ann Med Health Sci Res 2018;8:350 3.

Mwakanyanga ET, Masika GM, Tarimo EA. Intensive care nurses’ knowledge and practice on endotracheal suctioning of the intubated patient: A quantitative cross sectional observational study. PLoS One 2018;13:e0201743.

Abdelazeem E, Fashafsheh I, Fadllalah H. Effect of training program on nurse’s knowledge and competence regarding endotracheal tube and tracheostomy care in mechanically ventilated patients. Int J Nurs 2019;6:48 57.

Varshney S, Sharma SK, Jelly P. Tracheostomy suctioning exploration of knowledge and practice of nurses working selected in tertiary care hospitals in Uttarakhand state. Nurs Midwifery Res J 2017;13:362 92.

Abe T, Madotto F, Pham T, Nagata I, Uchida M, Tamiya N, et al. Epidemiology and patterns of tracheostomy practice in patients with acute respiratory distress syndrome in ICUs across 50 countries. Crit Care 2018;22:1 16.

Intensive Care Society 2020 Guidance for Tracheostomy Care. Available from: guidelinesstandards/ficm-guidelines-resources.

Jacob B, Ramesh A. Efficacy of planned teaching on knowledge regarding tracheostomy suctioning among staff nurses. IJSR 2015;4:169 75.

Pritchett CV, Rietz MF, Ray A, Brenner MJ, Brown D. Inpatient nursing and parental comfort in managing pediatric tracheostomy care and emergencies. JAMA Otolaryngol Head Neck Surg 2016;142:132 7.

Azizan A, Hor CP, Abd Razak R, Puang S, Ahmad S, Bahakodin NA. Assessment on basic post operative tracheostomy care in intensive care unit. Clin Audit 2016;8:1-5.

Khanum T, Zia S, Khan T, Kamal S, Khoso MN, Alvi J, et al. Assessment of knowledge regarding tracheostomy care and management of early complications among healthcare professionals. Braz J Otorhinolaryngol 2022;88:251 6.

Billington JJ, Luckett A. Care of the critically ill patient with a tracheostomy. Nurs Stand 2019;34:59 65.

Sagiv D, Nachalon Y, Mansour J, Glikson E, Alon EE, Yakirevitch A, et al., Awake tracheostomy: Indications, complications and outcome. World J Surg 2018;42:2792 9.

Bonvento B, Wallace S, Lynch J, Coe B, McGrath BA. Role of the multidisciplinary team in the care of the tracheostomy patient. J Multidiscip Healthc 2017;10:391 9.

Yelverton JC, Nguyen JH, Wan W, Kenerson MC, Schuman TA. Effectiveness of a standardized education process for tracheostomy care. Laryngoscope 2015;125:342 7.

Saurbah V, Suresh K, Sharma J. Tracheostomy suctioning exploration of knowledge and practice of nurses working selected in tertiary care hospitals in Uttarakhand state. Nurs Midwifery Res J 2017;13:362 92.

Dhaliwal MK, Choudhary R, Sharma P. A descriptive Study to assess the knowledge and skills on tracheostomy care among staff nurses working in selected hospitals of district Mohali, Punjab. Asian J Nurs Educ Res 2018;8:242 6.

Gaterega T, Mwiseneza MJ, Chironda G. Nurses’ knowledge and practices regarding tracheostomy care at a selected referral hospital in Rwanda–A descriptive cross sectional study. Int J Afri Nurs Sci 2021;15:100350.


  • There are currently no refbacks.