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Abstract : Tracheostomy is a surgical procedure which consists of making an incision (cut) on the anterior (front) side of the neck and opening a direct airway through an incision into the trachea (windpipe). The resulting stoma (hole) can serve independently as an airway or as a site for a tracheal tube or tracheostomy tube to be inserted; this tube allows a person to breathe without the use of the nose or mouth [1]. The study aims to determine the level of clinical knowledge about tracheostomy care among nurses at intensive care unit at Al-Imam Al-Hussein Medical City in Holy Karbala'a City and to find out the relationship between socio- demographic characteristics which of age, gender, level of education, years of experience, years of experience in ICU and participation in a training course about tracheostomy care. A descriptive quantitative approach is conducted to assess the nurses’ clinical knowledge toward patients with tracheostomy of nurses who work in Al-Imam Al-Hussein Medical City, in holy Kerbala’a City, Iraq. The study started in 3rd of May, 2020 and ended in 25th of May, 2021. The study instrument consisted of two parts; part one deals with the characteristics of the sample which of age, gender, level of education, year of experiences in nursing, year of experiences in intensive care units and specific training course. Part two deals with the nurses’ clinical knowledge concerning tracheostomy installation and management which was 36 items. The validity of instrument was obtained from 11 experts in specialty. The reliability was =1.00. The data analysis was done by using SPSS program version 23. the statistical methods which used in present study is descriptive and inferential statistics. The findings of present study revealed that the nurses’ responses about general knowledge toward patients with tracheostomy is as of 57.81%, M.S = 12.66. The nurses’ responses about clinical knowledge toward patients with tracheostomy is as of 67.01%, M.S = 73.57. The study concluded that the nurses’ knowledge about tracheostomy installation and management was good. The researcher recommends increasing the training courses and workshops related to the importance of tracheostomy procedure to avoid errors. And also introduce the subject of the present study in the curriculum of nursing colleges to improve the students’ knowledge.

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