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Support Needs of Family Caregivers During Tracheostomy Transitions: A Mixed-Methods Study
Ying Wei1, Ying Sun1, Zhen Wang1
1Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.
Nursing Open
|August 8, 2026
Summary
Family caregivers need significant support during tracheostomized patient transitions. Key needs include caregiving skills, information, and communication, highlighting the importance of family-centered transitional care.
Area of Science:
- Nursing Science
- Patient Transition Care
- Family Caregiver Support
Background:
- Tracheostomized patients require intensive care and complex post-discharge management.
- Family caregivers face significant challenges during patient transitions from intensive care to general wards or home.
- Transitional care models are crucial for supporting families during these critical periods.
Purpose of the Study:
- To investigate the support needs of family caregivers for tracheostomized patients during inter-facility and home transitions.
- To generate evidence for developing effective nurse-led, family-centered transitional care interventions.
Main Methods:
- A sequential explanatory mixed-methods design was employed.
- Quantitative phase: 128 family caregivers completed the Family Needs in ICU Transition Scale.
- Qualitative phase: Semi-structured interviews with 11 high-need caregivers, analyzed using Colaizzi's method.
Main Results:
- Family caregivers reported high overall support needs (mean item score 4.10).
- Top needs included caregiving skills, information, and communication with healthcare providers.
- Qualitative themes emphasized needs for timely information, post-transfer skill guidance, ongoing communication, educational materials, and emotional support.
Conclusions:
- Family caregivers experience substantial needs during tracheostomized patient transitions, particularly in skills, information, and communication.
- Nurse-led, family-centered transitional care is essential to address these needs effectively.
- Interventions should focus on providing comprehensive education, clear communication, and emotional support to enhance caregiver preparedness and patient outcomes.
Related Concept Videos
01:16Tracheostomy Care I: Pre-procedural Steps
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
01:25Tracheostomy Care II: Procedure
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
01:23Oxygen Delivering System III: Tracheostomy and T-piece
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
01:28Tracheostomy: Procedure and Tubes
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
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01:21Tracheostomy Decannulation
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
01:23Tracheostomy Suctioning II: Procedure
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...