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

Adhikari, Shital; Poudel, Ramesh Sharma; Rajbanshi, L; Shrestha, Shakti

doi:10.1155/2018/9375067

Cited by 10 publications

(17 citation statements)

References 42 publications

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“…Our study revealed some deficiencies in insulin injection knowledge, attitudes, and practices, which was similar to the previous studies [11][12][13][14][15][16][17]. The study showed that only 64.81% of the nurses achieved a good or satisfactory knowledge score, which was in line with 66.2% of nurses at a tertiary care hospital in Hunan province, but lower than 83.5% of nurses at another tertiary care hospital in Guangdong province, suggesting that the insulin injection knowledge levels of nurses may differ across regions in China.…”

Section: Discussionsupporting

confidence: 90%

Insulin Injection Knowledge, Attitudes, and Practices of Nurses in China: A Cross-Sectional Nationwide Study

Zhao

Zhang

et al. 2021

Diabetes Ther

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Introduction: To evaluate insulin injection knowledge, attitudes, and practices of nurses across China in order to provide reference for the formulation of a national unified standard of insulin injection practice and the targeted implementation of standardized training on insulin injection for nurses.Methods: We enrolled nurses who worked and injected insulin at grassroot hospitals including community health service centers and township clinics, secondary and tertiary care hospitals across China between July 28, 2019 and August 30, 2019. A nurse insulin injection knowledge, attitude, and practice questionnaire was used to evaluate the knowledge, attitude, and practice level of nurses. Results: A total of 223,368 nurses were included in the study. The mean knowledge score was 13.70 ± 3.30 and 35.19% had a poor knowledge score. The mean attitude score was 17.18 ± 2.69 for the study nurses; merely 3.15% had a poor attitude score. The mean practice score of the study population was 83.03 ± 8.16 Xinjuan Wu and Fang Zhao contributed equally to this work.

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Section: Discussionsupporting

confidence: 90%

Insulin Injection Knowledge, Attitudes, and Practices of Nurses in China: A Cross-Sectional Nationwide Study

Zhao

Zhang

et al. 2021

Diabetes Ther

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“…Most of the nurses in this study were aware of the recommendations for insulin storage at room temperature. Contrasting findings were reported among nurses in Nepal [15] and Kenya [23].…”

Section: Discussioncontrasting

confidence: 76%

“…This could be attributed to the high turnover of nurses in The Gambia [16]. Similarly, Adhikari, et al, and Mohammed [15,17] reported that younger and less experienced nurses contributed to suboptimal patient care. Nurses are crucial frontline healthcare professionals and are responsible for proper insulin administration for diabetics admitted in the hospital.…”

Section: Discussionmentioning

confidence: 99%

Association Between Nurses’ Years of Practice and Knowledge on Insulin Therapy at Edward Francis Small Teaching Hospital, the Gambia: A Cross-sectional Study

Omotosho¹,

Tunkara-Bah²,

Omotosho³

et al. 2019

IJDE

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The purpose of this study was to measure the association between years of nursing practice and knowledge of insulin therapy among nurses in Edward Francis Small Teaching Hospital, The Gambia. A hospital-based descriptive crosssectional study was conducted among 127 randomly selected trained nurses. Data were collected using a self-administered questionnaire. Data were analysed using IBM SPSS version 20. A total of 127 nurses participated in this study but 118 completely filled and returned the questionnaires making a total response rate of 93%. The mean years of experience of nurses was 3.86 ± 4.051 years with a minimum of 1 year (20.3%) and maximum of 23 years (0.8%). Most of the nurses were females (n = 66, 55.6%), had a diploma in nursing (n = 75, 63.6%) and working at the surgical department (n = 47, 39.8%) respectively. The majority (n = 93, 78.8%) of them had never attended an in-service training on management of diabetes. The majority of nurses rated their knowledge of diabetes as good (n = 72, 61%). Despite this self-rating, 114 (96.6%) of them would like to receive extra training on insulin therapy. Eighty-six percent (n = 102) of the nurses knew the normal range of fasting blood sugar level and 98.3% said that blood sugar level should be checked prior to administering insulin (n = 116). However, most of them did not know that a blood sugar level of less than 70 mg/dl in a diabetic patient is classified as hypoglycaemia (n = 77, 65.3%). There were significant mean differences of the nurses' years of experience in relation to their willingness to attend an in-service training on DM management and knowledge of sign and symptoms of hypoglycaemia (p < 0.05). The majority (87.3%) and (91.5%) of the nurses practiced injection site cleaning and priming of the insulin syringe respectively. However, 33.1% (n = 39) of the nurses do not wash their hands and only 4.2% (n =5) of them reported checking for expiry date prior to giving insulin injection. In addition, 72.9% (n = 86) of the nurses reported administering insulin injection in the arm. The nurses with more than four years of practice were more knowledgeable on the requirements of effective insulin administration than those with two years or less practical experience. The findings of this study highlight the urgent need for an educational intervention on diabetes and insulin therapy for the nurses in EFSTH.

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“…In this case, the evaluation of the insulin injection technique will depend on what is shown by the child and on other factors, such as the needles and syringes available and the professional's own control over the procedure. 34,35 In the overall content evaluation, measured in this study by CVR-S, both checklists obtained excellent evaluation, which affirms the relevance of the instruments for clinical practice. The answers to the open-ended question reinforce the importance of the syringe and the pen injection checklists in assessing the skills of children with T1D, benefiting the evidence-based practice.…”

Section: Discussionsupporting

confidence: 74%

Checklists for Assessing Skills of Children With Type 1 Diabetes on Insulin Injection Technique

Banca

Rebustini

Alvarenga

et al. 2021

J Diabetes Sci Technol

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Background: School-aged children often participate in type 1 diabetes (T1D) self-care tasks. Despite widespread discussion about the importance of developing self-care skills in childhood, few explain how the health care team should assess the skills of children with T1D when performing insulin injections. Objective: We sought to assess content validity evidence in two checklists regarding injection technique performed by children. Methods: Two checklists were designed based on a systematic review of the insulin injection technique. Experts in pediatric diabetes, health literacy, and diabetes education assessed the checklists regarding their clarity, objectivity, and relevance. Content validity was assessed using the content validity ratio (CVR). Results: Eleven providers (72% nurses or physicians, professional experience 19.4 ± 10.1 years, 45% of specialists in endocrinology, and 18% in pediatrics) participated in the assessment. Experts considered items containing the word homogeneity inappropriate. Items related to the needle insertion angle and the skin fold did not reach the CVR critical value. The final version of the checklist for syringe injection comprised 22 items with CVR = 0.91, and the checklist for pen injection comprised 18 items with CVR = 0.87. Conclusions: The checklists presented clear, objective, and relevant content that assesses the skills of children with T1D for insulin injection. The checklists formally present the order of the technique and all the steps for insulin injection and allow a quantitative assessment of the operational skills of children. The developed instruments offer providers the possibility of continuous assessment of the progress of the pediatric clientele until they reach independence in diabetes self-care.

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

Cited by 10 publications

References 42 publications

Insulin Injection Knowledge, Attitudes, and Practices of Nurses in China: A Cross-Sectional Nationwide Study

Insulin Injection Knowledge, Attitudes, and Practices of Nurses in China: A Cross-Sectional Nationwide Study

Association Between Nurses’ Years of Practice and Knowledge on Insulin Therapy at Edward Francis Small Teaching Hospital, the Gambia: A Cross-sectional Study

Checklists for Assessing Skills of Children With Type 1 Diabetes on Insulin Injection Technique

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