Frequency of application and level of nurses’ knowledge on administering intramuscular injections into the ventrogluteal site

Abstract

Introduction. The most recent literature data and studies have recommended the middle gluteal muscle or the ventrogluteal side as the site for the application of intramuscular injection. Although it has been recommended for many years because of its many advantages it is rarely used in the clinical practice. The aim of this study was to evaluate the frequency of application of intramuscular injection and the level of nurses' of knowledge on how to give injections at the ventrogluteal site. Material and Methods. This study was conducted as an observational, analytical cross-sectional study at two healthcare institutions of different medical care levels on a sample of 96 nurses. The Questionnaire on the level of knowledge concerning the Ventrogluteal Site for Intramuscular Injection was used as a research instrument. Results. A quarter (28.1%) of the nurses knew that the ventrogluteal site or the middle gluteal muscle was the recommended site for intramuscular injection, while in their clinical practice only 20.8% of the nurses used it. The average score on the Questionnaire on the level of knowledge concerning the Ventrogluteal Site for Intramuscular Injection was 8.8 ± 4.1 (SD), the maximum score being 22. Conclusion. The results of the study show that the ventrogluteal site for administering intramuscular injections is rarely used, and the level of knowledge which the nurses from the study sample have shown about the procedure and the advantages of using the ventrogluteal site for intramuscular injections is rather low. SažetakUvod. Prema najnovijoj literaturi i istraživanjima preporučeno mesto za davanje intramuskularnih injekcija je srednji glutealni mišić odnosno njegova ventroglutealna strana. Iako se već dugi niz godina preporučuje, zbog svih prednosti koje ima, u kliničkoj praksi se retko koristi. Cilj ove studije bio je da se proceni učestalost korišćenja ventroglutealnog mesta i nivo informisanosti medicinskih sestara o intramuskularnoj injekciji u ventroglutealno mesto. Materijal i metode. Istraživanje je sprovedeno kao opservativna, analitička studija preseka u dve zdravstvene ustanove različitog nivoa zdravstvene zaštite na uzorku od 96 medicinskih sestara. Kao instrumenti istraživanja korišćen je upitnik za procenu znanja o ventroglutealnom mestu za davanje intramuskularne injekcije. Rezultati. Da je ventroglutealno mesto, odnosno srednji glutealni mišić mesto izbora za intramuskularnu injekciju znalo je četvrtina (28,1%) medicinskih sestara, a u kliničkoj praksi ga koristi samo 20,8% medicinskih sestara. Prosečan skor na upitniku znanja medicinskih sestara o ventroglutealnom mestu za intramuskularnu injekciju bio je 8,8 ± 4,1 (SD) od maksimalno mogućeg skora 22. Zaključak. Rezultati sprovedene studije su pokazali da se ventroglutealno mesto za davanje intramuskularnih injekcija retko koristi, kao i da je nivo znanja medicinskih sestara o proceduri i prednostima intramuskularne injekcije u ventroglutealno mesto ograničeno. Ključne

Knowledge and practices of nurses working in psychiatry clinics on ventrogluteal injection

“…In the present study, although the vast majority of the nurses knew that the use of VG site was recommended as the IM injection site, more than half of them administered IM injection into the DG site (Kaya et al, 2016; Turan et al, 2019), which is similar to the national and international literature (Eroğlu & Çevik, 2019; McGee, 2017; Sarı et al, 2017; Strohfus et al, 2018). In the study of Milutinović et al (2018) in Serbia, 20.8% of the nurses use the VG site during clinical practices. The reasons why nurses mostly preferred the DG site in IM practices include the working department, experience time in the department, learning nursing practices in working life by master‐apprentice relationship, inability and unwillingness to access and use up‐to‐date information, patients' refusal of procedures to this site because of not being accustomed to the VG site, and patients' thought that they will feel more pain (Arslan & Özden 2018; Sarı et al, 2017; Turan et al, 2019).…”

“…Approximately one‐third of the nurses indicated that they did not know the administration of injection into the VG site. Similarly, in the study of Milutinović et al (2018) in Serbia, 32.6% of the nurses indicated that they were not adequately informed about the use of the VG site (Mılutınovıć et al, 2018). It is expected that it should be taught that the use of the VG site should be preferred for IM injections during nursing education (Soliman et al, 2018).…”

“…In this study, it was determined that approximately half of those who preferred the VG site did not know the site determination method. Similarly, in the study of Milutinović et al (2018) in Serbia, it was determined that the correct answer rate for the questions about the determination of the VG site was low. In some studies conducted in Turkey, it was reported that nurses had difficulty in finding the puncture site in the VG site (Kara et al, 2015; Sarı et al, 2017), the reasons of which may include a small area for the administration in VG site, the difference in the size of the hand in determining the site, and the fact that the method of determining the VG site is more complex than the DG site determination method (Milutınovıć et al, 2018; Sarı et al, 2017).…”

Utilização Da Técnica Em Z Na Administração De Medicamentos Por via Intramuscular: Revisão Integrativa

“…43 Tais incongruências nos achados entre os artigos avaliados podem refletir uma abordagem não padronizada de como os enfermeiros são inicialmente ensinados o que, posteriormente, pode repercutir em suas práticas profissionais em relação à administração de medicamentos via IM. [51][52][53][54][55][56] Portanto, o currículo de enfermagem deve ser revisto de forma consistente baseado em tecnologias avançadas e altos níveis de evidências científicas 57 para evitar a lacuna entre a teoria e a prática relacionada à educação e aplicação da assistência de enfermagem. 58 Estudo realizado com enfermeiros atuantes em uma instituição hospitalar no interior de Minas Gerais identificou déficits de conhecimento em questões essenciais para a administração de medicamentos segura, dentre elas, àquelas relacionadas à obtenção de informações e conhecimento em administração de medicamentos.…”

Dorsogluteal intramuscular injection depth needed to reach muscle tissue according to body mass index and gender: A systematic review

“…Currently, there is little if any updated evidence‐based IM injection education related to sex or BMI in organisations in which nurses are employed (Milutinović, 2018; White et al, 2018). IM injection technique and muscle landmark training based on evidence are rarely available in healthcare settings (Carter‐Templeton & McCoy, 2008; Cocoman & Murray, 2010; Davidson & Rourke, 2013; Strohfus et al, 2017).…”