{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T11:15:05Z","timestamp":1790162105101,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tracheostomy may adversely affect speech, language, swallowing, and voice, requiring multidisciplinary management in which speech\u2010language pathologists (SLPs) play a key role. However, there is limited evidence regarding SLPs\u2019 self\u2010reported knowledge of tracheostomy management in Turkey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to evaluate the self\u2010reported knowledge of Turkish SLPs regarding tracheostomy management and related intervention practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 113 SLPs from different regions of Turkey completed a survey designed to assess their self\u2010reported knowledge of evaluation and intervention for speech, language, voice, and swallowing disorders following tracheostomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall self\u2010reported knowledge levels were moderate, with variability across domains. Self\u2010reported 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\u2010reported knowledge related to speech, language, and communication management was also moderate. Clinical experience and additional training were associated with higher self\u2010reported knowledge levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings highlight the need for improved education, increased clinical exposure, and the development of structured protocols to support SLP involvement in tracheostomy management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT THIS PAPER ADDS<\/jats:title>\n                    <jats:p>\n                      <jats:italic>What is already known on this subject<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Speech\u2010language 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\u2010based learning, and supervised clinical practice to achieve competency in tracheostomy management. Evidence regarding SLPs' preparedness and self\u2010reported knowledge in tracheostomy management remains limited in T\u00fcrkiye.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What this study adds to the existing knowledge<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>This is the first national study evaluating Turkish SLPs' self\u2010reported 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\u2010reported knowledge.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What are the clinical implications for this study?<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>The findings support strengthening undergraduate and postgraduate education in tracheostomy management through standardized curricula, simulation\u2010based 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.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.70314","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T14:13:31Z","timestamp":1786025611000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge of Turkish Speech\u2010Language Pathologists on Tracheostomy Management"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6604-5477","authenticated-orcid":false,"given":"K\u00fcbra Nur","family":"\u015eim\u015fek","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Ankara Bilkent City Hospital  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3154-5305","authenticated-orcid":false,"given":"El\u00e7in Tad\u0131han","family":"\u00d6zkan","sequence":"additional","affiliation":[{"name":"Department of Speech and Language Therapy, Faculty of Health Sciences Anadolu University  Eski\u015fehir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"American Speech\u2010Language\u2010Hearing Association.2026.Tracheostomy and ventilator dependence. 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