Tracheostomy education for intensive care nursing staff: An interprofessional education approach by Physiotherapists and Speech Pathologists
Alana Rix1, Gracie Tomolo2, Tanya Blyth2 1Department of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia2Department of Speech Pathology, Alfred Health, Melbourne, Victoria, Australia
Abstract
Background: The care of patients with a tracheostomy in intensive care settings requires complex skillsets and knowledge. Upskilling staff through interprofessional education models can help to improve clinical care and patient outcomes. The aim of this project was to determine the impact of interprofessional bedside education on nurse confidence with tracheostomy management.
Method: This was a single site pre-post study conducted over four months in a large intensive care unit. The intervention was individualised bedside education for nursing staff on up to four identified tracheostomy topics lead by allied health: ventilation and humidification, suctioning, Passy Muir Valve, and cuff deflation. Confidence ratings for each topic were collected pre and post the session using a 7-point Likert scale. Data was also collected about the quality of education, and the use of an interprofessional mode of education delivery.
Results: 69 education sessions were delivered. The pre-test to post-test confidence ratings improved by a median of 2 points (95%CI 1.5-2.5, p<0.001). All nursing staff agreed the education session contributed to supporting their knowledge and skills for managing tracheostomy patients. Nursing staff also reported an increased understanding of the roles of allied health and an increased ability to work collaboratively in an interprofessional team.
Discussion: Interprofessional education can successfully increase nursing staff confidence and skill building in the area of tracheostomy management. The use of interprofessional education also improves knowledge about allied health professionals and improves collaborative practice. Interprofessional education could be further utilised to provide education on other topics and in other settings.
Acknowledgement: This study was conducted by staff in Allied Health Clinical Educator positions which were funded by the Victorian Department of Health.
Biography
Alana Rix is a physiotherapist who works in the area of intensive care. Alana has a keen interest in providing education and support to both staff and students. During 2022, Alana took up the opportunity to provide staff education as part of pandemic upskilling allowing her to combine her passion for clinical care with education.