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Impact of a 12-Element Nurse-Led Tracheostomy Care Bundle on Stoma Integrity, Respiratory Distress and Suspected Pneumonia-Related Outcomes Among Patients With Tracheostomies: A Quasi-Experimental Study
By Hammouda EY, Zaky ME, Ahmed MSA and 2 others.
Abstract
Aim
To evaluate the impact of a 12-element nurse-led tracheostomy care bundle, compared with routine care, on stoma integrity, respiratory distress, and pneumonia-related outcomes among patients with tracheostomies.
Design
A quasi-experimental study was conducted among 80 critically ill patients with tracheostomies admitted to Mansoura University Hospital. Participants were allocated into a study group receiving a 12-element nurse-led tracheostomy care bundle and a control group receiving routine care (40 patients per group). Patients were followed for 15 days. Data were collected using stoma-site assessment, the National Early Warning Score (NEWS), the Respiratory Distress Observation Scale (RDOS), and the modified Clinical Pulmonary Infection Score (CPIS). Statistical analyses included chi-squared tests, Friedman tests for repeated measurements, and effect size estimation using partial eta squared.
