The University of Southampton
University of Southampton Institutional Repository

Effect of performance feedback on trachea suctioning knowledge and skills: randomized controlled trial

Record type: Article

Aim. This paper is a report of a study to determine whether individualized performance feedback improved nurses’ and physiotherapists’ knowledge and practice of tracheal suctioning.

Background. Nurses’ knowledge and practice of tracheal suctioning is often deficient. Whilst teaching has been shown to improve suctioning knowledge and practice, this is not sustained over time.

Method. Ninety-five qualified healthcare professionals (nurses and physiotherapists) in two acute hospitals were randomly allocated to receive either individualized performance feedback or no additional feedback after a standardized lecture and practical demonstration of tracheal suctioning. Randomization was stratified by profession, seniority and site. Data were collected in 2005 in a clinical setting involving patients and a simulation setting. The outcome measures were knowledge and practice of tracheal suctioning, assessed by self-completion questionnaire and structured observation.

Results. In both settings, intervention groups performed statistically significantly better in terms of knowledge (P = 0·014) and practice (P = 0·037) at final follow-up. Those who received performance feedback had statistically significantly higher knowledge (P = 0·004) and practice (P < 0·01) scores than the control group. For practice, there was also a relationship between professions (P < 0·01), with physiotherapists performing better than nurses overall, and an interaction between group and setting (P < 0·01), with performance feedback showing a stronger positive effect in the simulation setting.

Conclusion. Retention of knowledge and tracheal suctioning practice is improved when training is followed up by tailored feedback on performance. Further research would shed light on how long such improvements are sustained, and whether the improvements seen in a simulated setting can be generalized to clinical settings.

Full text not available from this repository.


Day, Tina, Iles, Nicola and Griffiths, Peter (2009) Effect of performance feedback on trachea suctioning knowledge and skills: randomized controlled trial Journal of Advanced Nursing, 65, (7), pp. 1423-1431. (doi:10.1111/j.1365-2648.2009.04997.x). (PMID:19457007).

More information

Published date: July 2009
Keywords: evidence-based practice, nursing, performance feedback, randomized controlled trial, tracheal suctioning


Local EPrints ID: 168033
ISSN: 0309-2402
PURE UUID: 3c1dbf3c-c869-47ed-a35d-745f6500e06b
ORCID for Peter Griffiths: ORCID iD

Catalogue record

Date deposited: 23 Nov 2010 13:15
Last modified: 18 Jul 2017 12:23

Export record



Author: Tina Day
Author: Nicola Iles
Author: Peter Griffiths ORCID iD

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton:

ePrints Soton supports OAI 2.0 with a base URL of

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.