Creating a change in the use of ventrogluteal site for intramuscular injection

Arslan, Gülşah Gürol; Özden, Dilek

doi:10.2147/ppa.s168885

Cited by 22 publications

(16 citation statements)

References 24 publications

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“…19 Others have listed other possible reasons for avoiding the VG site, such as age of nurses, 8 insufficient knowledge about the advantages of using the VG site, small surface area for injection, lack of confidence, 14,16,32 and concern about harming the patients. 33 Further studies in Slovenia should evaluate whether there are some factors that influence possible reasons for avoiding the VG site.…”

Section: Discussionmentioning

confidence: 99%

The assessment of knowledge and practical skills of intramuscular injection administration among nursing staff: a cross-sectional study

Fekonja¹,

Fekonja²,

Vrbnjak³

2021

AJAN

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Aim: This study aimed to assess the level of knowledge and practice of intramuscular injection among nurses and nursing assistants in primary healthcare.Background: Evidence-based guidelines recommend the use of the ventrogluteal site for intramuscular injection; however, it remains infrequently utilised by nurses. Study design and methods:Cross-sectional study was conducted using a convenience sample of 200 nurses and nursing assistants employed in one of the largest healthcare centres on the primary healthcare level in Slovenia. The data were collected using a self-reported questionnaire and analysed using descriptive and inferential statistics. Results:The majority of the participants (88.5%) prefer to use the dorsogluteal site for intramuscular injections, while the ventrogluteal site is commonly used only by 7.5% of the respondents. Participants avoid the ventrogluteal site because of not being used to it (30.5%), unfamiliarity (27.0%), lack of adequate knowledge (19.5%), fear of harming the patient (8.5%), and not knowing how to determine the site (10.3%). Conclusion:Nursing staffs knowledge and use of ventrogluteal site for intramuscular injection is limited and are using traditional methods instead of current evidence-based guidelines.Implications: Improvements are needed in nursing education and continuous training. The nurse administrators in clinical practice should increase awareness of the benefits of using evidencebased practice and re-evaluate how the nursing professionals provide the administration of intramuscular injections and the need for additional education. The education and training about intramuscular injections should be implemented regularly in daily clinical practice of nursing professionals for promoting the safest practice for patients. What is already known about the topic?• The administration of intramuscular injections is a commonly performed nursing intervention in clinical practice. • The technique for delivering intramuscular injection is associated with potential safety risks for the patient when it is not done according to evidencebased guidelines and safe practices. • The use of ventrogluteal muscle has been recommended in nursing literature for many years now, but nurses still use it infrequently and prefer to use the dorsogluteal site.

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Section: Discussionmentioning

confidence: 99%

The assessment of knowledge and practical skills of intramuscular injection administration among nursing staff: a cross-sectional study

Fekonja¹,

Fekonja²,

Vrbnjak³

2021

AJAN

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“…Wyaden ve ark. 'nın (23) (15,18,20,21) hemşirelerin güvenli gluteal IM alanları ve mantığı hakkında bilgisinin eksik olduğu (25) , hemşirelerin bölgeyi nasıl belirleyeceğini bilmedikleri (12,26) ve VG bölgesini anatomik olarak tanımlamakta güçlük çektiği belirtilmiştir. (16,23,27) Hemşirelerin VG bölgesini kullanmama nedeni sorusuna dördüncü sırada en sık verdikleri yanıt, "Hastaların alışık olmadığı bir bölge."…”

Section: Discussionunclassified

“…(4,5,6,11) Ancak, bu konuda yapılan çalışmalar değerlendirildiğinde, hemşirelerin IM enjeksiyon uygulaması için VG bölgesi yerine DG bölgesini yaygın olarak kullandığı görülmektedir. (12,18) Son yıllarda hemşirelerin VG bölgesinin kullanımı hakkında bilgileri ve farkındalıkları hemşirelik okullarında ve hastanelerde verilen eğitimler yoluyla artmış olmasına karşın klinik uygulamaya bakıldığında hemşireler tarafından hâlâ DG bölgesinin tercih edildiği görülmektedir. Bu doğrultuda literatürü incelediğimizde, hemşirelerin VG bölgesine IM enjeksiyon uygulamasına ilişkin bilgilerini değerlendiren çalışmalar olmasına karşın neden VG bölgesini neden tercih etmediklerini inceleyen çalışma sayısının daha az olduğu saptanmıştır.…”

Section: Gereç Ve Yöntemunclassified

The Reasons for Nurses not to Use Ventrogluteal Region in Intramuscular Injection Administration

Sü¹,

Bekmezci²

2020

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Aim: While it is recommended that the ventrogluteal (VG) region is safer for intramuscular (IM) injection administration, we have observed that nurses mainly prefer the dorsogluteal (DG) region. Accordingly, the present study was carried out to examine the reasons for the nurses not to prefer the VG region in IM injection administrations. Material and Method: This descriptive study comprised 100 nurses working in a university hospital in the Konya province between June and July 2018. A questionnaire form was used to collect data. In order to be able to carry out the study, written institutional consent, ethics committee approval, and the verbal consent of participants were received. The SPSS packaged software was used for evaluation of the data, and number, percentage, and mean values were calculated in analyzing the data. Findings: It was seen that of the nurses participating in the study, the average age was 31.96±6.94, the average working year was 10.41±6.18, 75% were female, 53% held a bachelor's degree, 50% worked in internal medicine clinics, 84% used the DG region for IM injections, and 72% never administered an injection to the VG region. It was also determined that the nurses did not use the VG region because they were unaccustomed to it (40%), lacked enough information about the region (33%), could not identify the region (31%), and the patients were unaccustomed to IM injections administered in that region (30%). Conclusion: Nurses use the traditional region DG more because of a lack of knowledge and experience of the VG region.

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“…Although the IM route has advantages over the oral and other parenteral routes, such as the potential to increase drug absorption and bioavailability (2) , there are significant risks associated with drug administration via this route, particularly when the procedure is performed incorrectly or negligently. In addition to pain and anxiety, possible harms include the occurrence of sterile abscess, infection, tissue irritation, periostitis, fibrosis, muscle contracture, necrosis, gangrene, and hemorrhage (3)(4) . Other adverse events associated with the procedure include decreased drug efficacy, lower drug absorption rate, and delayed drug action, particularly when the injection site is incorrectly delimited (5)(6) .…”

Section: Introductionmentioning

confidence: 99%

Production and validation of an educational video on the use of the Z-Track Technique

et al. 2023

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Objective: to create and validate an educational video on intramuscular drug administration using the Z-track technique. Methods: the Delphi Technique was used to validate the script. PhDs in Nursing and PhDs in Social Communication with experience in the production of educational videos participated in the process. After editing, the video was validated by three nursing professors and assessed by students of the undergraduate nursing program at a public university. Results: the video was validated by the examiners with 100% agreement in three rounds for script validation and in two for video validation after editing. The duration of the video was 9 minutes. Conclusion: after validation by the examiners, students assessed the video and considered it suitable for learning. We This video is expected to aid in the training of nursing professionals and the enhancement of patient care.

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Creating a change in the use of ventrogluteal site for intramuscular injection

Cited by 22 publications

References 24 publications

The assessment of knowledge and practical skills of intramuscular injection administration among nursing staff: a cross-sectional study

The assessment of knowledge and practical skills of intramuscular injection administration among nursing staff: a cross-sectional study

The Reasons for Nurses not to Use Ventrogluteal Region in Intramuscular Injection Administration

Production and validation of an educational video on the use of the Z-Track Technique

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