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dc.contributor.authorKeogh, S
dc.contributor.authorChitakis, M
dc.contributor.authorWatson, K
dc.date.accessioned2017-05-03T15:35:50Z
dc.date.available2017-05-03T15:35:50Z
dc.date.issued2008
dc.date.modified2014-04-03T04:22:39Z
dc.identifier.issn1441-6638
dc.identifier.urihttp://hdl.handle.net/10072/44784
dc.description.abstractCaring for a child with a tracheostomy in the ward or home environment places additional responsibility on nurses' knowledge and competency to meet the unique needs of the paediatric patient and to fulfil the obligations of education and support to families and carers. This study set out to gain an overview of the care and management of children with tracheostomies through surveying facilities that provided dedicated support to children requiring long-term tracheostomy care in Australia and New Zealand. No recent review of nursing practice and management of the paediatric tracheostomy patient existed. Fifteen units throughout Australia and New Zealand were identified as the sample population. A nurse specialist from each area was asked to comment on their unit practice by completing a survey based on variables identified in the literature regarding tracheostomy care in adult and paediatric populations. Many areas of practice were consistent throughout the units surveyed and, for the most part, practice was based on evidence. Two areas of practice were identified as deviating significantly from the evidence and were therefore highlighted for modification. Those practices were the use of saline instillation as a method of loosening secretions, and the depth to which suction catheters were inserted during tracheal suctioning. These identified areas of concern were highlighted to participating units for modification in practice. Within the research facility immediate changes to practice were implemented, with saline installation being withdrawn from practice standard guidelines. Ongoing quality activities have resulted from these findings.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent707910 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherCambridge Publishing
dc.publisher.placeAustralia
dc.publisher.urihttps://www.cambridge.org/
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom10
dc.relation.ispartofpageto17
dc.relation.ispartofissue1
dc.relation.ispartofjournalNeonatal, Paediatric and Child Health Nursing
dc.relation.ispartofvolume11
dc.rights.retentionY
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchAcute care
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode420501
dc.titleCaring for children with a tracheostomy: a national survey of Australian and New Zealand nurses
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2008 NPCHN. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.date.issued2008
gro.hasfulltextFull Text
gro.griffith.authorKeogh, Samantha J.


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