title: Standardizing nurse training strategies to improve knowledge and self-efficacy with tracheostomy and laryngectomy care.
abstract: Appropriate tracheostomy and laryngectomy care requires that nurses maintain specific knowledge and a particular skillset, to ensure safe, competent care. Deficiencies in this nursing care remain a persistent problem. The objective of this study was to evaluate the effect of a nurse training program on knowledge and self-efficacy with tracheostomy and laryngectomy care.
  
  
  
  Prospective, interventional survey design.
  
  
  
  Academic, tertiary care hospital between September 2014 and April 2015.
  
  
  
  1450 nurses at an academic tertiary care hospital were surveyed on tracheostomy and laryngectomy care at two time points: before and after the implementation and completion of the nurse training program. The nurse training program included a hands-on training session and online tutorial on appropriate tracheostomy and laryngectomy care. 732 nurses completed the hands-on training and were asked to complete the online tutorial. A total of 338 surveys were collected. Survey data were collected through an online survey development platform. Analyses were performed using SAS software. Chi-square tests and t-tests were utilized with a significance level of 0.05.
  
  
  
  165 pre-training surveys and 173 post-training surveys were completed. Statistical analysis of the post-training data demonstrated statistically significantly higher knowledge and self-efficacy scores of nurses who completed the training than nurses who did not.
  
  
  
  Findings from this study reveal poor overall nursing knowledge and self-efficacy with this care and suggest that optimizing and standardizing nurse training is an effective strategy to improve nursing knowledge and self-efficacy with head and neck surgical airways.
authors.affiliation: Boston University Medical Campus, Division of Head and Neck Surgical Oncology and Skullbase Surgery, Boston, MA 02118. Electronic address: Katie.McDonough@bmc.org.
authors.forename: Katie
authors.initials: K
authors.lastname: McDonough
authors.affiliation: Boston University Medical Campus, Nursing Division, Boston, MA 02118.
authors.forename: Janet
authors.initials: J
authors.lastname: Crimlisk
authors.affiliation: Brigham and Women's Hospital, Boston, MA 02115.
authors.forename: Patrice
authors.initials: P
authors.lastname: Nicholas
authors.affiliation: Boston University Clinical and Translational Sciences Institute, Boston, MA 02118.
authors.forename: Howard
authors.initials: H
authors.lastname: Cabral
authors.affiliation: Boston University Clinical and Translational Sciences Institute, Boston, MA 02118.
authors.forename: Emily K
authors.initials: EK
authors.lastname: Quinn
authors.affiliation: Boston University Medical Campus, Division of Head and Neck Surgical Oncology and Skullbase Surgery, Boston, MA 02118.
authors.forename: Scharukh
authors.initials: S
authors.lastname: Jalisi
mesh_terms: D000293:Adolescent; D004506:Education, Nursing / Q000592:standards*; D005260:Female; D006801:Humans; D007825:Laryngectomy; D008297:Male; D011446:Prospective Studies; D020377:Self Efficacy; D014139:Tracheostomy; D055815:Young Adult
keywords: Laryngectomy; Nurse education; Nurse training; Self-efficacy; Tracheostomy