An evaluation of the effectiveness of a planned training program for nurses on administering intramuscular injections into the ventrogluteal site

Gülnar, Emel; Özveren, Hüsna

doi:10.1016/j.nedt.2015.09.001

Cited by 32 publications

(45 citation statements)

References 13 publications

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“…The dorsogluteal site is thought to be the site with the highest risk of complications when administering an intramuscular injection because it is rich in blood vessels; it is close to the sciatic nerve and the subcutaneous tissue layer is thicker. Sciatic nerve injuries most commonly occur during intramuscular injections at the dorsogluteal site [5,13]. It has been estimated that 86% of cases of sciatic nerve injuries occur while the injection is being given [13].…”

Section: Discussionmentioning

confidence: 99%

“…The questionnaire on the level of knowledge concerning the Ventrogluteal Site for Intramuscular Injection by Gulnar and Çalışkan was used as the study instrument [13]. The questionnaire consisted of 22 items on administering injections in the ventrogluteal site, and the nurses could answer with one of three given choices (true, false, don't know).…”

Section: Study Instrumentsmentioning

confidence: 99%

“…The site for the application of IM injections which nurses use most often is the dorsogluteal site also known as m. gluteus maximus [13]. When administering medicine into this muscle there is a great chance of unwanted complications such as: hematoma, abscess, muscle fibrosis, injury of the gluteal artery or the sciatic nerve [2,5,13]. None of the sites used for IM injections are 100% safe and without the risk of injury, but the dorsogluteal site is the most disadvantageous [13].…”

Section: Introductionmentioning

confidence: 99%

“…Although the ventrogluteal site has been the recommended site for the administration of IM injection because of its many advantages, very few nurses use it, and the most common reasons for avoiding this site the nurses have mentioned are that the site is anatomically too small, it is hard to locate, they are afraid they might hurt the patient, or they are not accustomed to using this site as well as the lack of training after completing their formal education [2,13]. The inconsistent information given in the textbooks which are used during the education of nurses is also a contributing factor.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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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

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Section: Discussionmentioning

confidence: 99%

Section: Study Instrumentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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“…Gülnar and Özveren (2016) determined in their study (n = 81) that the nurses were given a planned training program on IMI and that the ratio of the nurses' usage of the VG site increased after the training. For this reason, nurses' knowledge and skills about IMI should be updated with planned in-service education.…”

Section: Discussionmentioning

confidence: 99%

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

Öztürk¹,

Baykara

Karadağ

et al. 2017

HumanSciences

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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...

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Investigation of Turkish nurses frequency and knowledge of administration of intramuscular injections to the ventrogluteal site: Results from questionnaires

Sarı

Şahin

Yaşar

et al. 2017

Nurse Education Today

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An evaluation of the effectiveness of a planned training program for nurses on administering intramuscular injections into the ventrogluteal site

Cited by 32 publications

References 13 publications

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

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

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

Investigation of Turkish nurses frequency and knowledge of administration of intramuscular injections to the ventrogluteal site: Results from questionnaires

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