Feasibility and impact of a cooperation and task-sharing protocol in voice prosthesis replacement in laryngectomized patients.

AIM: Voice prostheses are one of the main vocal rehabilitation techniques following total laryngectomy. However, leakage requires frequent replacement and availability of physicians. This study explores a task delegation protocol between physicians and nurses for voice prosthesis exchange. The objective was to evaluate feasibility and impact on patient care.

METHODS

After validating and implementing the protocol, we conducted a prospective study from March to October 2024 to assess its impact for nurses, physicians and patients, on a satisfaction questionnaire.

RESULTS

Fifty-six of the first 60 voice prosthesis replacements were successfully performed by delegated nurses. Physicians were consulted for 4 unsuccessful procedures, mainly due to difficult access to the tracheoesophageal fistula. Three patients expressed concerns about the protocol, but overall, 93% reported high satisfaction with the care received.

CONCLUSION

The success of this collaborative protocol helped reduce physician workload and highlighted the valuable role of nurses, while ensuring high-quality care for laryngectomized patients with voice prostheses.