Volume 57, Issue 1 pp. 176-184

ORIGINAL ARTICLE

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The ISPAT project: Implementation of a standardized training program for caregivers of children with tracheostomy

Cansu Yilmaz Yegit MD,

Corresponding Author

Cansu Yilmaz Yegit MD

[email protected]

orcid.org/0000-0001-8239-4776

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

Correspondence Cansu Yilmaz Yegit, MD, Department of Pediatric Pulmonology, Marmara University Hospital Fevzi Cakmak Mah, Mimar Sinan Cad. No. 41 Pendik/Istanbul, Turkey.

Email: [email protected]

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Ayse Ayzit Kilinc MD,

Ayse Ayzit Kilinc MD

orcid.org/0000-0002-2879-8910

Division of Pediatric Pulmonology, İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey

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Sinem Can Oksay MD,

Sinem Can Oksay MD

Division of Pediatric Pulmonology, Istanbul Medeniyet University, Faculty of Health Sciences, Istanbul, Turkey

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Fusun Unal MD,

Fusun Unal MD

Division of Pediatric Pulmonology, Istanbul Medipol University, School of Medicine, Istanbul, Turkey

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Hakan Yazan MD,

Hakan Yazan MD

orcid.org/0000-0002-7680-4000

Division of Pediatric Pulmonology, Istanbul Bezmialem University, School of Medicine, Istanbul, Turkey

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Ebru Köstereli MD,

Ebru Köstereli MD

Division of Pediatric Pulmonology, Koc University, School of Medicine, Istanbul, Turkey

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Aynur Gulieva MD,

Aynur Gulieva MD

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

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Hüseyin Arslan MD,

Hüseyin Arslan MD

Division of Pediatric Pulmonology, Istanbul Medipol University, School of Medicine, Istanbul, Turkey

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Selçuk Uzuner MD,

Selçuk Uzuner MD

Division of Pediatrics, Istanbul Bezmialem University, School of Medicine, Istanbul, Turkey

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Zeynep Reyhan Onay MD,

Zeynep Reyhan Onay MD

Division of Pediatric Pulmonology, Istanbul Medeniyet University, Faculty of Health Sciences, Istanbul, Turkey

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Azer Kilic Baskan MD,

Azer Kilic Baskan MD

Division of Pediatric Pulmonology, İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey

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Abdulhamit Collak MD,

Abdulhamit Collak MD

Division of Pediatrics, Istanbul Bezmialem University, School of Medicine, Istanbul, Turkey

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Emine Atag MD,

Emine Atag MD

orcid.org/0000-0003-3105-0409

Division of Pediatric Pulmonology, Istanbul Medipol University, School of Medicine, Istanbul, Turkey

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Almala Pinar Ergenekon MD,

Almala Pinar Ergenekon MD

orcid.org/0000-0003-0228-9832

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

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Nilay Bas Ikizoğlu MD,

Nilay Bas Ikizoğlu MD

orcid.org/0000-0002-5102-0031

Division of Pediatric Pulmonology, Sureyyapasa Chest Diseases and Thoracic Surgery Training Hospital

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Pinar Ay MD,

Pinar Ay MD

Division of Public Health, Marmara University, School of Medicine, Istanbul, Turkey

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Sedat Oktem MD,

Sedat Oktem MD

Division of Pediatric Pulmonology, Istanbul Medipol University, School of Medicine, Istanbul, Turkey

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Yasemin Gokdemir MD,

Yasemin Gokdemir MD

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

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Saniye Girit MD,

Saniye Girit MD

Division of Pediatric Pulmonology, Istanbul Medeniyet University, Faculty of Health Sciences, Istanbul, Turkey

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Erkan Cakir MD,

Erkan Cakir MD

orcid.org/0000-0002-1438-7854

Division of Pediatric Pulmonology, Istanbul Bezmialem University, School of Medicine, Istanbul, Turkey

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Zeynep Seda Uyan MD,

Zeynep Seda Uyan MD

Division of Pediatric Pulmonology, Koc University, School of Medicine, Istanbul, Turkey

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Haluk Cokugras MD,

Haluk Cokugras MD

Division of Pediatric Pulmonology, İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey

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Bulent Karadag MD,

Bulent Karadag MD

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

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Fazilet Karakoc MD,

Fazilet Karakoc MD

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

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Ela Erdem Eralp MD,

Ela Erdem Eralp MD

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

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Cansu Yilmaz Yegit MD,

Corresponding Author

Cansu Yilmaz Yegit MD

[email protected]

orcid.org/0000-0001-8239-4776

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

Correspondence Cansu Yilmaz Yegit, MD, Department of Pediatric Pulmonology, Marmara University Hospital Fevzi Cakmak Mah, Mimar Sinan Cad. No. 41 Pendik/Istanbul, Turkey.

Email: [email protected]

Search for more papers by this author

Ayse Ayzit Kilinc MD,

Ayse Ayzit Kilinc MD

orcid.org/0000-0002-2879-8910

Division of Pediatric Pulmonology, İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey

Search for more papers by this author

Sinem Can Oksay MD,

Sinem Can Oksay MD

Division of Pediatric Pulmonology, Istanbul Medeniyet University, Faculty of Health Sciences, Istanbul, Turkey

Search for more papers by this author

Fusun Unal MD,

Fusun Unal MD

Division of Pediatric Pulmonology, Istanbul Medipol University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Hakan Yazan MD,

Hakan Yazan MD

orcid.org/0000-0002-7680-4000

Division of Pediatric Pulmonology, Istanbul Bezmialem University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Ebru Köstereli MD,

Ebru Köstereli MD

Division of Pediatric Pulmonology, Koc University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Aynur Gulieva MD,

Aynur Gulieva MD

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Hüseyin Arslan MD,

Hüseyin Arslan MD

Division of Pediatric Pulmonology, Istanbul Medipol University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Selçuk Uzuner MD,

Selçuk Uzuner MD

Division of Pediatrics, Istanbul Bezmialem University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Zeynep Reyhan Onay MD,

Zeynep Reyhan Onay MD

Division of Pediatric Pulmonology, Istanbul Medeniyet University, Faculty of Health Sciences, Istanbul, Turkey

Search for more papers by this author

Azer Kilic Baskan MD,

Azer Kilic Baskan MD

Division of Pediatric Pulmonology, İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey

Search for more papers by this author

Abdulhamit Collak MD,

Abdulhamit Collak MD

Division of Pediatrics, Istanbul Bezmialem University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Emine Atag MD,

Emine Atag MD

orcid.org/0000-0003-3105-0409

Division of Pediatric Pulmonology, Istanbul Medipol University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Almala Pinar Ergenekon MD,

Almala Pinar Ergenekon MD

orcid.org/0000-0003-0228-9832

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Nilay Bas Ikizoğlu MD,

Nilay Bas Ikizoğlu MD

orcid.org/0000-0002-5102-0031

Division of Pediatric Pulmonology, Sureyyapasa Chest Diseases and Thoracic Surgery Training Hospital

Search for more papers by this author

Pinar Ay MD,

Pinar Ay MD

Division of Public Health, Marmara University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Sedat Oktem MD,

Sedat Oktem MD

Division of Pediatric Pulmonology, Istanbul Medipol University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Yasemin Gokdemir MD,

Yasemin Gokdemir MD

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Saniye Girit MD,

Saniye Girit MD

Division of Pediatric Pulmonology, Istanbul Medeniyet University, Faculty of Health Sciences, Istanbul, Turkey

Search for more papers by this author

Erkan Cakir MD,

Erkan Cakir MD

orcid.org/0000-0002-1438-7854

Division of Pediatric Pulmonology, Istanbul Bezmialem University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Zeynep Seda Uyan MD,

Zeynep Seda Uyan MD

Division of Pediatric Pulmonology, Koc University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Haluk Cokugras MD,

Haluk Cokugras MD

Division of Pediatric Pulmonology, İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, İstanbul, Turkey

Search for more papers by this author

Bulent Karadag MD,

Bulent Karadag MD

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Fazilet Karakoc MD,

Fazilet Karakoc MD

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

Ela Erdem Eralp MD,

Ela Erdem Eralp MD

Division of Pediatric Pulmonology, Marmara University, School of Medicine, Istanbul, Turkey

Search for more papers by this author

First published: 25 September 2021

https://doi.org/10.1002/ppul.25704

Citations: 7

Cansu Yilmaz Yegit and Ayse Ayzit Kilinc contributed equally to this study.

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Abstract

Background

Tracheostomy-related morbidity and mortality mainly occur due to decannulation, misplacement, or obstruction of the tube. A standardized training can improve the skills and confidence of the caregivers in tracheostomy care (TC).

Objective

Our primary aim was to evaluate the efficiency of standardized training program on the knowledge and skills (changing-suctioning the tracheostomy tube) of the participants regarding TC.

Materials and Methods

Sixty-five caregivers of children with tracheostomy were included. First, participants were evaluated with written test about TC and participated in the practical tests. Then, they were asked to participate in a standardized training session, including theoretical and practical parts. Baseline and postintervention assessments were compared through written and practical tests conducted on the same day.

Results

A significant improvement was observed in the written test score after the training. The median number of correct answers of the written test including 23 questions increased 26%, from 12 to 18 (p < .001). The median number of correct steps in tracheostomy tube change (from 9 to 16 correct steps out of 16 steps, 44% increase) and suctioning the tracheostomy tube (from 9 to 17 correct steps out of 18 steps, 44% increase) also improved significantly after the training (p < .001, for both).

Conclusion

Theoretical courses and practical hands-on-training (HOT) courses are highly effective in improving the practices in TC. A standardized training program including HOT should be implemented before discharge from the hospital. Still there is a need to assess the impact of the program on tracheostomy-related complications, morbidity, and mortality in the long term.

CONFLICT OF INTERESTS

The authors declare that there are no conflict of interests.

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Volume57, Issue1

January 2022

Pages 176-184

The ISPAT project: Implementation of a standardized training program for caregivers of children with tracheostomy

Abstract

Background

Objective

Materials and Methods

Results

Conclusion

CONFLICT OF INTERESTS

REFERENCES

Citing Literature

References

Information

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The ISPAT project: Implementation of a standardized training program for caregivers of children with tracheostomy

Abstract

Background

Objective

Materials and Methods

Results

Conclusion

CONFLICT OF INTERESTS

REFERENCES

Citing Literature

References

Related

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