Preparation, clinical support, and confidence of speech-language pathologists managing clients with a tracheostomy in Australia

Am J Speech Lang Pathol. 2008 Aug;17(3):265-76. doi: 10.1044/1058-0360(2008/024).

Abstract

Purpose: To describe the preparation and training, clinical support, and confidence of speech-language pathologists (SLPs) in relation to tracheostomy client care in Australia.

Method: A survey was sent to 90 SLPs involved in tracheostomy management across Australia. The survey contained questions relating to preparation and training, clinical support, and confidence.

Results: The response rate was high (76%). The majority of SLPs were pursuing a range of professional development activities, had clinical support available, and felt confident providing care of clients with tracheostomies. Despite these findings, 45% of SLPs were not up-to-date with evidence-based practice, less than 30% were knowledgeable of the advances in tracheostomy tube technology, and only 16% felt they worked as part of an optimal team. Only half were confident and had clinical support for managing clients who were ventilated. Most (88%) believed additional training opportunities would be beneficial.

Conclusions: The current data highlight issues for health care facilities and education providers to address regarding the training and support needs of SLPs providing tracheostomy client care.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Australia / epidemiology
  • Child
  • Child, Preschool
  • Humans
  • Middle Aged
  • Patient Care Team*
  • Professional Competence*
  • Social Support*
  • Speech Therapy / methods*
  • Speech Therapy / statistics & numerical data
  • Speech-Language Pathology / methods*
  • Speech-Language Pathology / statistics & numerical data
  • Surveys and Questionnaires
  • Tracheostomy* / statistics & numerical data