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Received: 9 Jul , 2015 Accepted: 14 Sep , 2015 Background & Aims: How can nurses improve the airway suctioning expedite recovery? This study  is performed to assess the effect of clinical audit process on the tracheostomy suctioning skill of nurses working in the critical care units in AJA hospitals in Tehran. Material & Methods: In this randomized clinical trial study, 135 critical care nurses in AJA hospitals in 2013-2014 were selected by simple randomized method, and they were randomly allocated to the intervention and control groups. By applying the five-steps clinical audit, the intervention was carried out in the experimental group.To determine tracheotomy suctioning skill, before and after nurse’s intervention, the researcher made a checklist. Face and content validity and reliability of the checklist has been confirmed (&alpha=0.78). The data were analyzed by SPSS software version 21.  Results: Before intervention, T-student test didn’t show significant difference in the mean of total score in the tracheostomy suctioning skill between two groups (P=0.73). But after the intervention, the same test showed significant difference in mean of total score of the program (P=0.0001)

Keywords: Clinical Audit, Skill, Suction, Tracheostomy, Nurse, Intensive care

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