Ghandourah Hasan, Townsi Nada, Abualjdyel Meral, Khan Muhammed A, Seebran Narvanie, Mowalled Salma, El Jamal Winifred Mary, Kashqari Haifaa, Selati Saif
Department of Paediatrics, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, Saudi Arabia.
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
Front Pediatr. 2025 Jul 15;13:1551517. doi: 10.3389/fped.2025.1551517. eCollection 2025.
The pediatric residency program in Saudi Arabia currently does not include tracheostomy care as a competency. Research has indicated that nonsurgical residents have limited knowledge of tracheostomy management. This study aimed to establish the need for pediatric residents to be trained in tracheostomy care and the effectiveness of having such a training program.
This cross-sectional and interventional study included all pediatric residents who completed a self-assessment questionnaire of confidence levels, an objective knowledge assessment, and a hands-on routine pediatric tracheostomy tube change assessment on a mannequin. A targeted tracheostomy workshop was tailored to pediatric residents using didactic presentations and hands-on simulation practice.
Forty-two residents participated in this study. The residents had limited experience with tracheostomy care, as they had not received formal training in this area nor practiced changing a tracheostomy tube independently. Thirty-one residents (73.81%) felt incompetent in assessing patients with a tracheostomy, and 39 (92.86%) lacked confidence in performing tracheostomy tube change care. The levels of confidence among the residents, knowledge regarding management of tracheostomy, and clinical expertise in tracheostomy tube change was significantly higher after the workshop than their scores measured prior to the workshop.
This study illustrates that the healthcare professionals in pediatrics are not self-assured and knowledgeable in the field of tracheostomy care and, thereby, establishes the necessity of a specific tracheostomy educational program to enhance the self-assurance, knowledge, and competency in performing the practice.
沙特阿拉伯的儿科住院医师培训项目目前未将气管造口护理列为一项技能要求。研究表明，非外科住院医师对气管造口管理的知识有限。本研究旨在确定儿科住院医师接受气管造口护理培训的必要性以及此类培训项目的有效性。
这项横断面和干预性研究纳入了所有完成自信水平自我评估问卷、客观知识评估以及在人体模型上进行小儿气管造口管更换的实际操作评估的儿科住院医师。针对儿科住院医师量身定制了一个目标明确的气管造口工作坊，采用授课式讲解和实际操作模拟练习。
42名住院医师参与了本研究。这些住院医师在气管造口护理方面经验有限，因为他们未曾接受过该领域的正规培训，也没有独立进行过气管造口管更换操作。31名住院医师（73.81%）认为自己在评估气管造口患者方面能力不足，39名（92.86%）对进行气管造口管更换护理缺乏信心。工作坊结束后，住院医师的自信水平、气管造口管理知识以及气管造口管更换的临床专业技能得分均显著高于工作坊前的得分。
本研究表明，儿科医疗专业人员在气管造口护理领域缺乏自信且知识不足，因此，确立了开展特定气管造口教育项目以增强其在实践中的自信、知识和技能的必要性。
