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Tracheostomy Practice Questionnaire: Development of a Valid and Reliable Tool for Assessing Tracheostomy Practice
Saja AlMarshad1, Abdulaziz AlEnazi2, Amani Owaidah2
1Department of Respiratory Care, Collage of Applied Science AlMaarefa University, Diriyah, 13713, Riyadh, Saudi Arabia
A new tool systematically assesses tracheostomy practices, demonstrating high reliability. This evaluation aids in monitoring institutional outcomes and improving long-term patient follow-up for better care.
Area of Science:
- Medical device evaluation
- Surgical practice assessment
- Healthcare quality improvement
Background:
- Tracheostomy is a common procedure for critically ill patients, with evolving practices in indication, timing, technique, and follow-up.
- A systematic assessment tool is needed to enhance tracheostomy care quality and patient outcomes.
- This study focused on developing and validating such a tool.
Purpose of the Study:
- To develop a systematic tool for evaluating tracheostomy-related practices.
- To assess the validity and reliability of the developed tool.
- To pilot test the tool in a clinical setting.
Main Methods:
- A Delphi technique with eight airway management experts was used over three rounds to develop the questionnaire.
- Qualitative content analysis identified themes and statements in February 2019.
- The tool was emailed to 31 national hospital tracheostomy care team leaders in March 2019 for assessment.
Main Results:
- The developed tool demonstrated high reliability with a score of 0.975.
- Tracheostomy practices were found to be acceptable across all 31 assessed hospitals.
- Areas for improvement were identified, particularly in the long-term follow-up domain.
Conclusions:
- A comprehensive tool for assessing tracheostomy practices was successfully designed.
- The tool can monitor institutional outcomes, potentially reducing costs.
- It facilitates tracking of procedure improvement/deterioration and supports national/international assessments.
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