Knowledge of Turkish Speech-Language Pathologists on Tracheostomy Management

Area of Science:

• Speech-Language Pathology
• Otolaryngology
• Critical Care Medicine

Background:

• Tracheostomy impacts speech, language, swallowing, and voice, necessitating multidisciplinary care led by speech-language pathologists (SLPs).
• Limited data exists on Turkish SLPs' self-assessed knowledge regarding tracheostomy management.
• International guidelines advocate for specialized training in tracheostomy care for SLPs.

Purpose of the Study:

• To assess the self-reported knowledge of speech-language pathologists in Turkey concerning tracheostomy management.
• To identify specific areas of strength and weakness in SLPs' knowledge of tracheostomy-related interventions.

Main Methods:

• A survey was administered to 113 speech-language pathologists across various regions in Turkey.
• The survey evaluated self-reported knowledge on evaluation and intervention for speech, language, voice, and swallowing disorders post-tracheostomy.

Main Results:

• Overall self-reported knowledge was moderate, with higher scores in tracheostomy timing and oral hygiene.
• Knowledge gaps were identified in critical areas such as cuff pressure management and its impact on vocal fold function.
• Clinical experience and additional training correlated with higher self-reported knowledge levels.

Conclusions:

• There is a need to enhance SLPs' education and clinical exposure in tracheostomy management.
• Developing structured protocols and national guidelines is crucial for effective multidisciplinary team integration.
• Targeted training and supervised clinical experience are vital for improving SLPs' competency in tracheostomy care.