Nursing Skills in the Care of Patients With Respiratory Stomas in Hospitals With and Without Advanced Practice Tracheostomy Service

ABSTRACT

Aims

To identify whether there are differences in knowledge regarding the management of patients with respiratory stomas among nurses working in hospitals with an advanced practice tracheostomy service compared to those without it.

Design

Descriptive, cross-sectional, comparative, analytical survey study.

Method

The study was conducted from January to March 2023 in four tertiary care hospitals, two of which have an advanced practice tracheostomy service. A self-administered questionnaire was designed, consisting of 16 questions about nurses' specialised training in caring for tracheostomy patients. The study adhered to the STROBE checklist. Statistical analyses were performed using SPSS (24.0) from IBM.

Results

Nurses in hospitals with a dedicated tracheostomy service obtained a higher mean score (7.1/10) and demonstrated greater anxiety when managing patients with stomas (p < 0.001), as well as an increased willingness to undergo specific training (p = 0.017) to reduce their lack of self-confidence.

Conclusions

A higher level of anxiety in the management of tracheostomised patients and a greater interest in receiving specific training have been observed among nurses in hospitals with advanced practice services (APTS), despite having greater training. Therefore, institutions should commit to incorporating advanced practice nurses and continuing education in the approach to ostomies among their professionals.

Implications for the Profession and/or Patient Care

Implementing ongoing training programmes and specific tracheostomy services or units in hospitals would enable nurses to provide high-quality care for patients with respiratory stomas.

Reporting Method

The study adhered to the STROBE checklist.

Patient or Public Contribution

Neither patients nor the public were involved in the design or conduct of this research. Nurses participated exclusively in data collection.

Percepción del liderazgo enfermero ejercido en instituciones de tercer nivel de atención en Armenia (Colombia)

Objetivo principal: conocer la percepción sobre el liderazgo de enfermería desarrollado durante el ejercicio profesional en un grupo de enfermeros vinculados a instituciones de salud públicas y privadas de tercer nivel de atención en un municipio de Colombia. Metodología: investigación cualitativa del tipo de estudio de casos; se realizó entrevistas semiestructuradas a enfermeros del área asistencial con dedicación exclusiva de tiempo completo. Para el análisis de los datos, se utilizó la técnica de análisis de contenido, mediante el Software IRaMuTeQ. Resultados principales: En total participaron 13 enfermeros, los datos analizados fueron clasificados en dos categorías temáticas, a saber: (a) Significados y características del liderazgo en enfermería, y (b) Roles y ámbitos del liderazgo. Conclusión principal: El concepto de liderazgo se relaciona con dinámicas de trabajo en equipo desde relaciones jerárquicas. Es necesario reflexionar sobre el objeto disciplinar, para el caso el acto de cuidado de enfermería para el desarrollo del liderazgo requerido y en congruencia con las visiones epistémicas actuales.