Thursday, November 30, 2017

Needs assessment on the knowledge about general care and management of problems related to tracheostomy tubes in children

Cherie Torres-Silva
Cincinnati Children's Hospital

BACKGROUND: Pediatricians are commonly the first line of evaluation and management of tracheostomy related problems. Studies have shown a large number of hospitalizations and ED visits due to tracheostomy complications. Identifying and addressing knowledge gaps of pediatricians on tracheostomy care may decrease hospitalizations in this patient population.

AIMS: Characterize the participants’ level of confidence in tracheostomy care knowledge, compare the level of confidence in trach care knowledge between pediatric residents and pediatricians, assess their interest in receiving additional education in trach care, and identify preferred format for education delivery.

SUBJECTS: all CCHMC pediatric residents in training during 2017-18, and all community pediatricians with staff privileges in CCHMC.

METHODS: Cross sectional descriptive study through an anonymous survey administered on-line. Quantitative data was analyzed using descriptive analysis, T-test and regression modelling. Qualitative data from open-ended questions was analyzed using content analysis.

RESULTS: 45/292 pediatricians and 56/200 residents completed the survey. Both groups reported having low confidence in their knowledge on all 18 aspects of trach care assessed, expressed interest in receiving additional education in trach care through self-directed education using materials accessible online. Residents identified workshops and/or simulation as the preferred method of education. 

CONCLUSIONS: Study suggest that pediatricians and pediatric residents have knowledge gaps and low confidence in their knowledge and skills to manage common tracheostomy related problems, and support the development of educational materials and activities to supplement current residency training curriculum.