Keywords

Dressing change, stoma care, tracheostomy care, tracheostomy dressing applicator

 

Authors

  1. Morris, Linda L. PhD, APN, CCNS, FCCM

Abstract

Purpose: This study compared the use of the tracheostomy dressing applicator (TDA) to the standard procedure for tracheostomy dressing changes.

 

Design: A prospective quasi-experimental study was performed.

 

Methods: Nineteen patients and 117 nurses answered a survey after changing the tracheostomy dressing with the TDA and using standard procedure.

 

Findings: Nurses rated the TDA easier to use in patients with average-sized necks and more favorably on observed discomfort in patients with average-sized and larger necks. Patients rated less discomfort with the TDA compared with the standard method of dressing change.

 

Conclusion: The TDA is an effective device to facilitate tracheostomy dressing changes, possibly improving compliance and decreasing skin complications.

 

Clinical Relevance: The TDA is a useful device that can improve efficiency of dressing changes with the potential to save time and improve outcomes.