Staff nurses’ sites of choice for administering intramuscular injections to adult patients in the acute care setting

Walsh, Lorna; Brophy, Kathleen

doi:10.1111/j.1365-2648.2010.05527.x

Cited by 44 publications

(46 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The practice of administering medications through feeding tubes has become complex, thus health care institutions must ensure that patients receive safe and competent care (Walsh and Brophy, 2011) through welltrained and qualified nurses. In this study, most medications were administered by nurses' auxiliaries, thus education and training programs should be used and valued as a vital tool for addressing the challenges of improving patient safety (World Health Organization & WHO Patient Safety, 2011).…”

Section: Discussionmentioning

confidence: 99%

Medication incidents related to feeding tube: A cross-sectional study

Gimenes¹,

Pareira²,

Horak³

et al. 2017

Afr. J. Pharm. Pharmacol.

View full text Add to dashboard Cite

The aim is to evaluate the medication incidents relating to incorrect oral medication preparation and administration through enteral feeding tubes in hospitalized patients. A cross-sectional design was used to observe 374 doses of medications at three Brazilian hospitals. The patients consisted mostly of females (48.6%), elderly (65.71%), using polyurethane tubes (82.9%), with jejunal access (82.9%), and circulatory system diseases (45.71%). The most common medication incidents identified were: mixing tablets with other drug(s) (43.5%) and not labelling the prepared medication (60.4%). With regards to incorrect medication administration, not flushing the tube between medications (86.5%) and administering medications together (65.6%) were the most common errors. Tube obstruction was identified in 36.5% of doses administered. There was an association between tube obstruction and mixing tablet with other drug(s); tablet incorrectly reconstituted; tube not flushed prior to medication administration; tube not properly flushed between medications; concurrent administration of a medication and enteral formula; and enteral feeding not interrupted prior to medication administration. The results contribute to the development of knowledge in order to improve hospital nursing practice, especially in developing countries. Future studies should be conducted in order to access patients' outcomes related to incorrect oral medication preparation and administration through feeding tubes.

show abstract

Section: Discussionmentioning

confidence: 99%

Medication incidents related to feeding tube: A cross-sectional study

Gimenes¹,

Pareira²,

Horak³

et al. 2017

Afr. J. Pharm. Pharmacol.

View full text Add to dashboard Cite

show abstract

“…2,3,[6][7] Outra pesquisa, efetivada em uma província canadense, também confirmou que os enfermeiros não utilizam preferencialmente a região VG para a administração de injeções IM em adultos, como recomendado pela literatura. 8 Uma das dificuldades se pauta na crença de que na região VG as pessoas apresentam maior sensibilidade dolorosa, acrescese ainda o fato da preferência por parte da maioria dos profissionais da área da enfermagem resistir a mudanças devido a sua insegurança ou pelo apego às técnicas tradicionais, utilizando principalmente a região DG como o local eleito.…”

Section: Introductionunclassified

Injeções intramusculares ventro-glútea e a utilização pelos profissionais de enfermagem

et al. 2013

View full text Add to dashboard Cite

RESUMO: Objetivo: investigar os índices de utilização da região ventro-glútea para administração intramuscular pelos profissionais de enfermagem. Método: pesquisa quantitativa descritiva, com participação de 68 sujeitos. Para a coleta dos dados aplicou-se um questionário, sendo a análise processada através de estatística descritiva, com o Software SPSS 15.0 e o Excel. A pesquisa teve aprovação do Comitê de Ética em Pesquisa da Universidade Federal de Santa Maria sob o número 0285.0.243.000-11 em 03/01/2012. Resultados: os dados revelaram que 5,9% dos profissionais utilizam às vezes a região ventro-glútea, mas há uma preferência pela região dorso-glútea para a administração de fármacos intramusculares nas três instituições investigadas. Conclusão: a aplicação de injeções na região ventro-glútea foi pouco utilizada pelos profissionais pesquisados e observou-se falta de conhecimento dos profissionais sobre a técnica correta de aplicação. Descritores: Enfermagem; Injeções intramusculares; Educação em saúde.ABSTRACT: Aim: to investigate the utilization rates of the ventro-gluteal region for intramuscular by nursing professionals. Method: quantitative and descriptive research, with participation of 68 subjects. To collect the data, was applied a questionnaire being processed through the analysis of descriptive statistics with the software SPSS 15.0 and Excel. The research was approved by the Ethics Committee at the Santa Maria Federal University with number 0285.0.243.000-11 on 03/01/2012. Results: data revealed that 5.9% of the professionals sometimes use the ventro-gluteal region, but there is a preference for back-buttocks region for the intramuscular administration of drugs in the three institutions investigated. Conclusion: the application of injections in ventralgluteal region was little used by the professionals surveyed and observed lack of professional knowledge on correct technique of application.

show abstract

“…Although the use of the VG site for IMI has been proposed for many years, the frequency of use among nurses is low (Cocoman and Murray, 2010;Gülnar and Çalışkan, 2014;Walsh and Brophy, 2011). In the research with 264 nurses that Walsh and Brophy (2011) conducted, it was reported that although nurses were aware of the possible complications of injecting into the DG site, they preferred the DG site primarily.…”

Section: Introductionmentioning

confidence: 99%

“…In the research with 264 nurses that Walsh and Brophy (2011) conducted, it was reported that although nurses were aware of the possible complications of injecting into the DG site, they preferred the DG site primarily. In the same research, nurses stated that they feel comfortable when they identify the injection site and prioritize knowledge from the existing literature later.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, complications, such as fibrosis, nerve damage, abscess, tissue necrosis, muscle contraction, gangrene and pain, are less likely to develop in the VG site. For this reason, it is stated that this site can easily be used in infants, children or adults for the injection of irritating and oily solutions (DeLaune and Ladner, 2011: 780; Wilkinson et al, 2016: 650).Although the use of the VG site for IMI has been proposed for many years, the frequency of use among nurses is low (Cocoman and Murray, 2010;Gülnar and Çalışkan, 2014;Walsh and Brophy, 2011). In the research with 264 nurses that Walsh and Brophy (2011) conducted, it was reported that although nurses were aware of the possible complications of injecting into the DG site, they preferred the DG site primarily.…”

mentioning

confidence: 99%

See 1 more Smart Citation

The effect of in-service education on nurses’ preference for the ventrogluteal site in intramuscular injection implementation

Öztürk¹,

Baykara

Karadağ

et al. 2017

HumanSciences

View full text Add to dashboard Cite

Purpose: This study conducted to determine the effect of in-service education on nurses' preference for the ventrogluteal site in intramuscular injection implementation. Method and materials: In this intervention study, the sample comprised 45 clinic nurses, where intramuscular injection practice is frequently applied. In-service education was conducted with regards to applying intramuscular injection to the ventrogluteal site. In the content of the planned education, the transmission of theoretical information on the subject, the demonstration on the manikin and video were included. Then, the nurses carried out the intramuscular injection implementation on the manikin under the supervision of the researchers. The data were collected at 2014 through the use of the "Nurses' VG Site Injection Preference Status Form". The data collection form was applied before the in-service education and two months after the in-service education. Results:The results showed that 71.11% of the nurses did not receive education on intramuscular injection implementation in the ventrogluteal site in basic nursing education. In basic nursing education, 84.44% of the nurses used the dorsogluteal site and 22.22% the ventrogluteal site for intramuscular injection. The number of intramuscular injection implementations of the nurses in the ventrogluteal site was increased from 2.18 to 9.04 after the in-service education (p = 0.001). The nurses stated that, they felt more comfortable during ventrogluteal injection implementation, after the in-service education, Conclusion: After the in-service education of the nurses, it was determined that the number of IMI implementations in the ventrogluteal site increased. Keywords:In-service education; injection; intramuscular; nursing; ventrogluteal site. Öztürk, D., Göçmen Baykara, Z., Karadağ, A., & Eyikara, E. (2017). The effect of in-service education on nurses' preference for the ventrogluteal site in intramuscular injection implementation. (Kaya et al., 2015). IMI can be applied to different sites of the body where muscle tissue is involved. However, the site that nurses use frequently is the dorsogluteal (DG) site (Güneş et al., 2009;Kaya et al., 2015). In fact, in the DG site, the sciatic nerve passes close to the injection site, and it is known that the anatomical location of the sciatic nerve differs from person to person. For this reason, IMI is reported to be safer in the ventrogluteal (VG) site than in the DG site to prevent possible complications (Ogston-Tuck, 2014).The VG site comprises gluteus medius and gluteus minimus muscles. The VG site is safe for use during injections because its muscle tissue is thick, and it is remote from large blood vessels and nerves. For these reasons, serious injuries are unlikely to occur as a result of injections into the VG site. Because less subcutaneous fat tissue is in the VG site, the possibility of injecting into subcutaneous tissue is low (Berman et al., 2016: 797-798). In addition, complications, such as fibrosis, nerve damage, abscess, ti...

show abstract

Staff nurses’ sites of choice for administering intramuscular injections to adult patients in the acute care setting

Abstract: Nurses are not preferentially using the ventrogluteal site for intramuscular injections to adults as recommended in recent nursing literature. Additional research on the safety of a properly mapped dorsogluteal site is needed.

Cited by 44 publications

References 10 publications

Medication incidents related to feeding tube: A cross-sectional study

Medication incidents related to feeding tube: A cross-sectional study

Injeções intramusculares ventro-glútea e a utilização pelos profissionais de enfermagem

The effect of in-service education on nurses’ preference for the ventrogluteal site in intramuscular injection implementation

Contact Info

Product

Resources

About