Time–Motion Analysis of Nurses Utilizing Insulin Pen Devices Compared to Vial and Syringe in an Inpatient Setting

Shogbon-Nwaesei, Angela O; Jacob, Bobby; Kimble, Laura P.; Peasah, Samuel K.; Burtner, Joan; Moody, Laura; Ngo, Dao; Ryan, Gina J.

doi:10.1177/0897190017743132

Cited by 4 publications

(1 citation statement)

References 10 publications

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“…This results in younger and less experienced nurses in the healthcare system of Nepal. Similar cases of insufficient knowledge of practicing nurses on insulin administration were observed in Northern Ireland [ 9 ], Pakistan [ 11 ], Greece [ 12 ], and United States [ 30 ]. Other studies in Jordan [ 10 ] and United States [ 31 ] also reported that nurses had inadequate knowledge on insulin.…”

Section: Discussionmentioning

confidence: 55%

Assessment of Insulin Injection Practice of Nurses Working in a Tertiary Healthcare Center of Nepal

Adhikari

Poudel

Rajbanshi

et al. 2018

Nursing Research and Practice

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Introduction Sound knowledge and good practice on insulin injection technique are essential for nurses in order to administer insulin correctly and to educate patients or their relatives adequately. This study aimed to assess the insulin injection practice through the use of insulin pen among nurses working in a tertiary healthcare center of Nepal. Materials and Methods A cross-sectional descriptive study was conducted among 67 nurses working in one of the tertiary healthcare centers of Nepal. Demographic information and insulin injection practice of nurses through the use of insulin pen were assessed using self-administered questionnaire. Each correct practice was scored “1” and incorrect practice was scored “0.” Results. The median (IQR) insulin injection practice score of nurses was 11 (9-12) out of 16. Thirty-seven (55.2%) nurses store insulin pen filled with insulin cartridge at room temperature while 57 (85.1%) nurses store unopened cartridge at refrigerator (2-8°C). The practice of hand washing and injection site cleaning was mentioned by 92.5% and 82.1% of the nurses, respectively. However, just over half of the nurses mix the premix (cloudy) insulin and prime insulin pen before each injection. Thirty-four (50.7%) nurses do not lift skin during injection and more than half of the nurses keep needle beneath the skin for less than 5 seconds after completely injecting the required dose of insulin. One out of ten nurses massage injection site after injecting insulin. Most of the nurses (86.6%) use single needle more than once and the median (IQR) frequency of needle reuse was 6 (3-12). Similarly, systematic site rotation was performed by 59 (88.1%) nurses and twenty (29.9%) nurses claim that they use single insulin pen for two different cartridges. Conclusion The insulin injection practice of nurses assessed through the use of insulin pen was suboptimal and highlights the need for urgent educational intervention.

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Section: Discussionmentioning

confidence: 55%

Assessment of Insulin Injection Practice of Nurses Working in a Tertiary Healthcare Center of Nepal

Adhikari

Poudel

Rajbanshi

et al. 2018

Nursing Research and Practice

View full text Add to dashboard Cite

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Analysis of factors affecting the accuracy of low-dose insulin dosage using syringes and vials: a cross-sectional study in a Japanese regional hospital

Kondo,

Saji,

Yamada

et al. 2024

Diabetol Int

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Is One-Pen, One-Patient Achievable in the Hospital? A Quality Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic Medical Center

Ho¹,

Stamm²,

Hibbs³

et al. 2019

The Joint Commission Journal on Quality and Patient Safety

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Time–Motion Analysis of Nurses Utilizing Insulin Pen Devices Compared to Vial and Syringe in an Inpatient Setting

Abstract: The time taken by nurses to prepare and administer insulin was lower with the pen device compared with vial and syringe. Furthermore, areas were identified for potential nursing education to enhance safe and appropriate use of insulin with both delivery methods.

Cited by 4 publications

References 10 publications

Assessment of Insulin Injection Practice of Nurses Working in a Tertiary Healthcare Center of Nepal

Assessment of Insulin Injection Practice of Nurses Working in a Tertiary Healthcare Center of Nepal

Analysis of factors affecting the accuracy of low-dose insulin dosage using syringes and vials: a cross-sectional study in a Japanese regional hospital

Is One-Pen, One-Patient Achievable in the Hospital? A Quality Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic Medical Center

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