Yno Marcel T.

Merced January 23, 2017

3 NUR 7 Ma’am Santos

Life after Tracheostomy: Patient and Family Perspectives on Teaching, Transitions, and
Multidisciplinary Teams

Michael E. McCormick, MD, Erin Ward, MSEd , David W. Roberson, MD2, Rahul K. Shah,
MD, MBA, Robert J. Stachler, MD, and Michael J. Brenner, MD

McCormick, M. E., MD, Ward, E., MSEd, Roberson, D. W., MD, Shah, R. K., MD,MBA,
Stachler, R. J., MD, & Brenner, M. J., MD. (2015, January 26). Life after Tracheostomy:
Patient and Family Perspectives on Teaching, Transitions, and Multidisciplinary Teams.
Retrieved January 18, 2018, from
http://journals.sagepub.com/doi/abs/10.1177/0194599815599525?journalCode=otoj

Source: Sage Journals

Key Terms: quality of life, tracheostomy, patient satisfaction, transitions, multidisciplinary

teams, global health care

Summary: Tracheostomy is a procedure for patients who are at risk of having severe hypoxia
that is related to difficulty of breathing. Many relatives said that they are satisfied of the care
given to the patient when it comes to tracheostomy care which is done by effective
collaboration of health teams. But what important is that that care will still be given to that
patient even he/she is at home. And a way to improve that is to teach the relatives on how to
take care of a patient with tracheostomy by explaining the procedure step by step. And the
participation of the patient is crucial but it can be strengthen by the Self-management support.
Explain how the role of the relatives is important in taking care so that they will be eager to
learn and also to provide an effective communication and interaction between the family and
the health care team.

1. What is the significance of the research articles you have chosen to your Related
Learning Experience?

-The significance of the articles to our Related Learning Experience is that as

nursing we are not only giving quality care to our patient but we must also aim to give them a
good quality of life even after they are being treated in the hospital. Because I realize the
more we expose ourselves in the clinical area we must realize that there are different roles of
a nurse and with this articles it will improve our roles as an advocate and an educator not only
to the patient and their families. Because health is a continuous process and its either
maintaining good health or improving it.

2. What are the implications of the findings to your patient care?

- The implications of the findings to the patient care is that it indicates that it is
important to have a effective collaboration of the health care team and a good health
education to the patients and their relatives. It is very important to empower people of ways
how to prevent illness and we have a big role on that as student nurses and as future nurses of
our role as educators and when talking about patient it will improve patient care not only
inside the hospital but it will continue even at their home.

3. What intervention/innovation/relevant new findings was/were used or implemented

in the study/studies reviewed?

- The interventions were used or implemented was first the standardization of

teaching about tracheostomy and the self-support management. Both interventions are crucial
in improving patient care. It is believed that the family is also the key in providing a lifetime
support to the patient. Because there are cases of chronic ill patients that will continue their
therapy in their home so in the absence of the nurse it would be better if the family knows
how to handle certain situations.

4. Identify which level of evidence the selected researches belong:

- Level VII: Evidence from the opinion of authorities and/or reports of expert
committees.

5. Comparison Table

Life after Tracheostomy: Self-management support

Patient and Family
Perspectives on Teaching,
Transitions, and
Multidisciplinary Teams
from the perspective of
patients with a chronic
condition: a thematic
synthesis of qualitative
studies

A. Population of interest,  Patients with Self-  Patients and families

management support
sample size and sampling
technique used including
sample size appropriateness/
sufficiency
B. Identify the intervention/s
implemented (for
quantitative research) or the
interest of the study ( for
qualitative research)
C. What is the comparison or
is there a comparison group/s
used? If none, what is the
current applicable practice or
status?
D. Identify the outcome of
interest.
6. Does the interventions/topic support/ contradict current nursing practice?
- The interventions support nursing practice in terms of giving adequate support
to the patient by teaching them and the relatives of how can they manage the patient’s
from the perspective with tracheostomy
of patients with a
chronic condition: a  220 patients from
thematic synthesis of North America
qualitative studies
 Stratified sampling
 992 patients from
 Sample size is
different countries
appropriate for the
and continent
study
 Cluster sampling
 Sample size is
appropriate per study
 Identify patients  standardizing
needs with respect to tracheostomy
self-management teaching for routine
support (SMS) and to and emergency needs
explore by whom this and optimizing
support is preferably postdischarge support
provided and coordination.
Both of this intervention and implementation is applicable to
the setting especially nowadays where health trends and
practices are abundant just to make sure a safe and quality
care for the patients
 Patients need  Not all families were
instrumental, prepared of taking
psychosocial support care of a
and relational support tracheostomy patient
from different after discharge
sources.
condition inside or outside the hospital. As for the supporting article (Self-management
support from the perspective of patients with a chronic condition: a thematic synthesis of
qualitative studies, 2015) it is said that chronic patients or patients with therapies as home has
certain needs and these needs can be accomplished by the family if given proper health
education.

7. Would this practice change/ improve process of patient care? How about patient
outcomes?

- This practices will improve patient care and outcomes because if the goal of
nurses is to provide quality and effective care to the patients might as well maximize it, and
by these interventions the care that you have given to the patient at the hospital will still
continue at the house because of proving health teaching and giving support to the family to
have eagerness in learning and applying the knowledge that was given to them. In that way it
would shorten the period of illness and also prevent further complications to the patient at
home.

8. Synthesis

The articles are about a comparative analysis between patient’s perspective of self-
management support and on teaching, transitions, and multidisciplinary teams when it comes
to long term care. These articles talks about effective communication and proper ways of
teaching a patient because this things give support to the patient and to the family in order to
give care effectively and also for their full participation. Therefore these articles support each
other in a sense that they are both crucial in improving the outcomes and shortening the time
of illness experiencing by the patient.