RESUMO
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.
