Knowledge of Turkish Speech‐Language Pathologists on Tracheostomy Management
Kübra Nur Şimşek, Elçin Tadıhan ÖzkanABSTRACT
Background
Tracheostomy may adversely affect speech, language, swallowing, and voice, requiring multidisciplinary management in which speech‐language pathologists (SLPs) play a key role. However, there is limited evidence regarding SLPs’ self‐reported knowledge of tracheostomy management in Turkey.
Aims
This study aimed to evaluate the self‐reported knowledge of Turkish SLPs regarding tracheostomy management and related intervention practices.
Methods
A total of 113 SLPs from different regions of Turkey completed a survey designed to assess their self‐reported knowledge of evaluation and intervention for speech, language, voice, and swallowing disorders following tracheostomy.
Results
Overall self‐reported knowledge levels were moderate, with variability across domains. Self‐reported knowledge was higher in areas such as tracheostomy timing and oral hygiene, but lower in clinically critical topics including cuff pressure, cuff positioning, and their effects on vocal fold function. Self‐reported knowledge related to speech, language, and communication management was also moderate. Clinical experience and additional training were associated with higher self‐reported knowledge levels.
Conclusions
The findings highlight the need for improved education, increased clinical exposure, and the development of structured protocols to support SLP involvement in tracheostomy management.
WHAT THIS PAPER ADDS
What is already known on this subject
Speech‐language pathologists (SLPs) play an important role in the management of dysphagia, communication, and voice disorders in individuals with tracheostomy. International guidelines emphasize structured postgraduate training, simulation‐based learning, and supervised clinical practice to achieve competency in tracheostomy management. Evidence regarding SLPs' preparedness and self‐reported knowledge in tracheostomy management remains limited in Türkiye.
This is the first national study evaluating Turkish SLPs' self‐reported knowledge of tracheostomy management. Although overall knowledge levels were moderate, important gaps were identified in clinically critical areas, particularly cuff management, decannulation, and multidisciplinary care. Postgraduate education, targeted training, and direct clinical experience were associated with significantly higher self‐reported knowledge.