A short Survey reported that a substantial proportion of patients might have the tracheostomy, for several weeks or months, despite not requiring mechanical ventilation. According to Toker, tracheostomies may be temporary or permanent short-or long-term, depending on the reason for its use. A growing trend internationally has been increased use of tracheostomy for prolonged mechanical ventilation of patients in intensive care units. Tracheostomy in the intensive care unit (ICU) is one of the oldest known surgical procedures performed by creating an artificial opening in the anterior aspect of the neck, into the trachea. Awareness of these challenges is crucial to understand the need for an effective communication strategy to improve the quality and safety of adult patients with tracheostomy in ICU. The identified challenges would lead to further improvement in nurses’ experiences and, in turn, the quality-of-care for patients with a tracheostomy. They perceived caring as demanding owing to communication and collaboration at the same time, they experienced satisfaction while they strived to provide proper care and motivation. ICU nurses experienced ambivalent feelings while caring for adult patients with a tracheostomy in ICU. 2) theme: ‘the satisfaction from providing care to patients with a tracheostomy’ consisted of the sub-themes: ‘working with intensive care patients is instructive’ and ‘importance to motivate’. The interpretation yielded the following themes and subthemes: 1) theme: ‘challenges of caring for patients with a tracheostomy’ consisted of the sub-themes: ‘difficult to communicate/interpret and understand the patient’s different forms of expression’, ‘complicated professional assessments’, ‘caring with patience’, and ‘collaborating with patient regarding challenges. This study was reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ). Data was analyzed and interpreted using a phenomenological-hermeneutic approach. In-depth interviews were conducted with a purposive sampling of 6 intensive care unit nurses from a medical-surgical ICU of a university hospital in Norway who were interviewed. ![]() This study aimed to describe the lived experience of intensive care unit nurses of caring for adult patients with a tracheostomy in intensive care unit. ![]() ICU nurses’ live experience is scarcely known. The care of adult patients with a tracheostomy in intensive care unit is complex, challenging and requires skilled intensive care unit nurses.
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