Tracheostomy care and communication during COVID-19: Global interprofessional perspectives.

Moser, CH; Freeman-Sanderson, A; Keeven, E; Higley, KA; Ward, E; Brenner, MJ; Pandian, V

Tracheostomy care and communication during COVID-19: Global interprofessional perspectives.

Moser, CH Freeman-Sanderson, A

Keeven, E Higley, KA Ward, E Brenner, MJ Pandian, V

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Publisher:: WB Saunders
Publication Type:: Journal Article
Citation:: American Journal of Otolaryngology: Head and Neck Medicine and Surgery, 2022, 43, (2), pp. 1-8
Issue Date:: 2022-01-01

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Field	Value	Language
dc.contributor.author	Moser, CH
dc.contributor.author	Freeman-Sanderson, A https://orcid.org/0000-0003-2161-6421
dc.contributor.author	Keeven, E
dc.contributor.author	Higley, KA
dc.contributor.author	Ward, E
dc.contributor.author	Brenner, MJ
dc.contributor.author	Pandian, V
dc.date.accessioned	2022-11-03T04:11:26Z
dc.date.available	2021-12-13
dc.date.available	2022-11-03T04:11:26Z
dc.date.issued	2022-01-01
dc.identifier.citation	American Journal of Otolaryngology: Head and Neck Medicine and Surgery, 2022, 43, (2), pp. 1-8
dc.identifier.issn	0196-0709
dc.identifier.issn	1532-818X
dc.identifier.uri	http://hdl.handle.net/10453/163183
dc.description.abstract	OBJECTIVE: Investigate healthcare providers, caregivers, and patient perspectives on tracheostomy care barriers during COVID-19. STUDY DESIGN: Cross-sectional anonymous survey SETTING: Global Tracheostomy Collaborative Learning Community METHODS: A 17-item questionnaire was electronically distributed, assessing demographic and occupational data; challenges in ten domains of tracheostomy care; and perceptions regarding knowledge and preparedness for navigating the COVID-19 pandemic. RESULTS: Respondents (n = 115) were from 20 countries, consisting of patients/caregivers (10.4%) and healthcare professionals (87.0%), including primarily otolaryngologists (20.9%), nurses (24.3%), speech-language pathologists (18.3%), respiratory therapists (11.3%), and other physicians (12.2%). The most common tracheostomy care problem was inability to communicate (33.9%), followed by mucus plugging and wound care. Need for information on how to manage cuffs and initiate speech trials was rated highly by most respondents, along with other technical and knowledge areas. Access to care and disposable supplies were also prominent concerns, reflecting competition between community needs for routine tracheostomy supplies and shortages in intensive care units. Integrated teamwork was reported in 40 to 67% of respondents, depending on geography. Forty percent of respondents reported concern regarding personal protective equipment (PPE), and 70% emphasized proper PPE use. CONCLUSION: While safety concerns, centering on personal protective equipment and pandemic resources are prominent concerns in COVID-19 tracheostomy care, patient-centered concerns must also be prioritized. Communication and speech, adequate supplies, and care standards are critical considerations in tracheostomy. Stakeholders in tracheostomy care can partner to identify creative solutions for delays in restoring communication, supply disruptions, and reduced access to tracheostomy care in both inpatient and community settings.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WB Saunders
dc.relation.ispartof	American Journal of Otolaryngology: Head and Neck Medicine and Surgery
dc.relation.isbasedon	10.1016/j.amjoto.2021.103354
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences
dc.subject.classification	Otorhinolaryngology
dc.subject.mesh	COVID-19
dc.subject.mesh	Communication
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Humans
dc.subject.mesh	Pandemics
dc.subject.mesh	SARS-CoV-2
dc.subject.mesh	Tracheostomy
dc.subject.mesh	Humans
dc.subject.mesh	Tracheostomy
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Communication
dc.subject.mesh	Pandemics
dc.subject.mesh	COVID-19
dc.subject.mesh	SARS-CoV-2
dc.title	Tracheostomy care and communication during COVID-19: Global interprofessional perspectives.
dc.type	Journal Article
utslib.citation.volume	43
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Speech Pathology
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-03T04:11:19Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	43
utslib.citation.issue	2

Abstract:

OBJECTIVE: Investigate healthcare providers, caregivers, and patient perspectives on tracheostomy care barriers during COVID-19. STUDY DESIGN: Cross-sectional anonymous survey SETTING: Global Tracheostomy Collaborative Learning Community METHODS: A 17-item questionnaire was electronically distributed, assessing demographic and occupational data; challenges in ten domains of tracheostomy care; and perceptions regarding knowledge and preparedness for navigating the COVID-19 pandemic. RESULTS: Respondents (n = 115) were from 20 countries, consisting of patients/caregivers (10.4%) and healthcare professionals (87.0%), including primarily otolaryngologists (20.9%), nurses (24.3%), speech-language pathologists (18.3%), respiratory therapists (11.3%), and other physicians (12.2%). The most common tracheostomy care problem was inability to communicate (33.9%), followed by mucus plugging and wound care. Need for information on how to manage cuffs and initiate speech trials was rated highly by most respondents, along with other technical and knowledge areas. Access to care and disposable supplies were also prominent concerns, reflecting competition between community needs for routine tracheostomy supplies and shortages in intensive care units. Integrated teamwork was reported in 40 to 67% of respondents, depending on geography. Forty percent of respondents reported concern regarding personal protective equipment (PPE), and 70% emphasized proper PPE use. CONCLUSION: While safety concerns, centering on personal protective equipment and pandemic resources are prominent concerns in COVID-19 tracheostomy care, patient-centered concerns must also be prioritized. Communication and speech, adequate supplies, and care standards are critical considerations in tracheostomy. Stakeholders in tracheostomy care can partner to identify creative solutions for delays in restoring communication, supply disruptions, and reduced access to tracheostomy care in both inpatient and community settings.

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http://hdl.handle.net/10453/163183