Knowledge of Turkish Speech-Language Pathologists on Tracheostomy Management.

backgroundTracheostomy 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.

aimsThis study aimed to evaluate the self-reported knowledge of Turkish SLPs regarding tracheostomy management and related intervention practices.

methodsA 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.

resultsOverall 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.

conclusionsThe 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. What this study adds to the existing knowledge 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. What are the clinical implications for this study? The findings support strengthening undergraduate and postgraduate education in tracheostomy management through standardized curricula, simulation-based learning, workplace mentoring, and supervised clinical experience. The development of national clinical guidelines and standardized protocols may facilitate SLPs' effective integration into multidisciplinary tracheostomy teams and ultimately improve patient care.