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

Abstract

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...

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

“…In the present study, the nurses who learned injection into the VG site during nursing education had a higher total mean score of knowledge about VG compared to those who did not learn it. In the literature, there are studies indicating that the education provided to nurses about the use of the VG site in IM injection increases their level of knowledge (Arslan & Özden, 2018; Gülnar & Özveren, 2016; Öztürk et al, 2017). In the study of Öztürk et al (2017) in Turkey, 84.44% and 22.22% of the nurses preferred the DG site and the VG site, respectively, in primary nursing education.…”

“…In the literature, there are studies indicating that the education provided to nurses about the use of the VG site in IM injection increases their level of knowledge (Arslan & Özden, 2018; Gülnar & Özveren, 2016; Öztürk et al, 2017). In the study of Öztürk et al (2017) in Turkey, 84.44% and 22.22% of the nurses preferred the DG site and the VG site, respectively, in primary nursing education. After in‐service training, the number of administration of IM injection into the VG site increased among nurses, which might be an indicator of the effectiveness of the training given with the use of the VG site in IM injection practices.…”

Expanding the Use of the Ventrogluteal Region, an Evidence-Based Practice Example, in Senior Nursing Students: A Methadological Study

“…The fact that nurses still preferred DG region although there was an increase in the nurses' preferences on VG region is similar to the present study results (Table 3). It is also seen in other studies that nurses' knowledge levels about VG region and frequency of preferring this region increased with the training (Sarı et al 2017;Öztürk et al 2017). It was shown that the most important reason affecting the students' preference on VG region before and after the training was the fact that clinical nurses did not prefer VG region (Table 3).…”