Subcutaneous injection technique: an evidence-based approach

Ogston-Tuck, Sherri

doi:10.7748/ns.29.3.53.e9183

Cited by 24 publications

(13 citation statements)

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“…Subcutaneous tissue is preferred for insulin injection because of the predictable absorption rate that allows a better glycemic control14,18,26. A less deep injection in the intradermal tissue may result in absorption at unpredictable rates, leakage and allergic reactions.…”

Section: Discussionmentioning

confidence: 99%

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Do patients with diabetes use the insulin pen properly?

Tosun¹,

Çınar

Topcu³

et al. 2019

Afr H. Sci.

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Aim This study was conducted to evaluate the insulin pen application knowledge and skills of patients with diabetes. Methods In our descriptive study, 200 patients with diabetes were asked to present the insulin pen injection technique on a mannequin and the steps of the pen injection implementation were noted on the data collection form as correct/incorrect by researchers. Results More than 3 out of 4 (79.5%) of the participants were using the insulin pen or the cartridge after the expiry date, 70.5% were not rotating the injection site, and 63.0% were massaging the skin after injection. Injection sites complications were significantly more in those who were using the insulin pen or the cartridge after the expiry date, those who don't know the proper length of the needle and the possible body injection sites, those who don't rotate the injection sites, those who massage after injection, and those who don't use a new needle at each injection (p<0.05). Conclusion This study put into light some failures in the knowledge and skills of patients with diabetes regarding insulin pen use. Nurses should provide patients with diabetes an effective and repetitive training concerning insulin pen use.

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Section: Discussionmentioning

confidence: 99%

“…This checklist comprises the rules or informations that related to insulin pen injection developed based on the disposable insulin pen manufacturer instructional guidelines and articles referencing insulin injection technique and storage10,26. The checklist comprises 19 items under 3 main section (Table 2).…”

Section: Methodsmentioning

confidence: 99%

Do patients with diabetes use the insulin pen properly?

Tosun¹,

Çınar

Topcu³

et al. 2019

Afr H. Sci.

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“…Injections under the skin and into the muscle, particularly if they are accidental, could cause physical damage to tissues as a result of poor injection technique (Nicoll & Hesby, 2002;Ogston-Tuck, 2014). In addition, the two most commonly injected psychoactive drugs in the United Kingdom, brown heroin and crack-cocaine, both need to be dissolved in acidic solutions (Scott, Winfield, Kennedy, & Bond, 2000;Scott & Ponton, 2004).…”

Section: Introductionmentioning

confidence: 99%

Not in the vein: ‘missed hits’, subcutaneous and intramuscular injections and associated harms among people who inject psychoactive drugs in Bristol, United Kingdom

Hope

Parry

Ncube

et al. 2016

International Journal of Drug Policy

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“…Although appropriate subcutaneous injection technique requires skills and knowledge that are taught in standard nursing education programs worldwide, criticisms prevail regarding practitioners’ unsafe injection practices. These include lack of current knowledge, slapdash technique, and lack of aspiration with regard to imparting improved long-term clinical outcomes for patients ( 5 ).…”

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confidence: 99%

In-Hospital Administration of Insulin by Nurses in Northern Greece: An Observational Study

Theofanidis

2017

Diabetes Spectrum

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Objective.The purpose of this study is to explore current practice regarding insulin administration by nurses in a Greek public hospital.Design and methods.A mixed-methods qualitative data collection design was used with ad hoc nonparticipant observation and post hoc interviews with the staff involved. Insulin management and administration was observed and compared to international guidelines. A sample of 20 nurses from two medical wards was assessed on 100 occasions of insulin administration, and 8 nurses were subsequently interviewed.Results.Inter-rater agreement was found to be satisfactory (average κ 0.840). In 61% of all instances, nurses washed their hands before administering insulin, and, in 70%, they donned gloves before injections. In 64.5% of all instances, the nurses did not clean the insulin bottle before inserting the needle, and in 42.7% of instances, they did not check for air bubbles in the syringe. In 89.1% of instances, nurses did not check the injection site for appropriateness or other possible complications. However, in 90.9%, they cleaned the skin at the injection site with an alcohol swab. In 70.9% of all instances, the needle was placed vertically to the skin but without a skinfold. In 89.1% of instances, post-injection care was rated as poor.Conclusion.Overall, compliance with international guidelines regarding insulin administration techniques, as observed in these sample wards, is not satisfactory. Nurses in this Greek hospital tend to administer subcutaneous injections in ways not reflected in current research findings, practice guidelines, or evidence-based care recommendations. Evidently, Greek nurses in this sample require updating on current evidence-based practice, clinical guidelines, and protocols of care regarding routine insulin administration.

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Subcutaneous injection technique: an evidence-based approach

Cited by 24 publications

References 0 publications

Do patients with diabetes use the insulin pen properly?

Do patients with diabetes use the insulin pen properly?

Not in the vein: ‘missed hits’, subcutaneous and intramuscular injections and associated harms among people who inject psychoactive drugs in Bristol, United Kingdom

In-Hospital Administration of Insulin by Nurses in Northern Greece: An Observational Study

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