Context: Patients with a tracheostomy are considered to be high risk for some complications
and have numerous complexities for nurses to consider. Aim: To evaluate how tracheostomy care
bundle can affect nurses’ performance and patient’ health outcomes. Methods: The study employed
a quasi-experimental research design. The study was conducted in Benha University Hospital at
intensive care unit on a convenience sample of 70 nurses and 36 tracheostomy patients using three
tools: Self-administered questionnaire, St Mary's Tracheostomy Care Bundle Observational
Checklist and Patient’ Health Outcomes sheet. Results: Showed that total knowledge score of
studied nurses was poor at pretest phase 71.4%. While being improved into good at immediate
posttest 95.7% and follow up phase 87.1%. In addition, total practice score of studied nurses was
inadequate at pretest phase 81.4%. while it changed to be adequate at immediate posttest 78.6% and
at follow up phase 70%. On the same line, more than half of tracheostomy patients experienced low
clinical risk and complications after care bundle implemention with high statistically significant
differences between pre and post bundle implementation observed as p