Using the ventrogluteal site for intramuscular injection

Greenway, Kathleen

doi:10.7748/ns2004.03.18.25.39.c3560

Cited by 65 publications

(87 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Despite the fact that the ventrogluteal area is identified in the literature as the safest place for intramuscular injection, studies have shown that the vast majority of nurses do not use this area, and show reluctance to change, and although they are aware of the possibility of complications associated with the use of the dorsogluteal area they nevertheless continue to use it [5,9,14] . For this reason, it was felt necessary to conduct this study with the aim of pointing out the role of the injection site in the reduction of pain, and of providing data to prove this.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Which site is more painful in intramuscular injections? The dorsogluteal site or the ventrogluteal site? A case study from Turkey

Güneş

Kara²,

Arı³

et al. 2013

Clinical Nursing Studies

View full text Add to dashboard Cite

The aim of the study was to examine the effect on pain of medication administered by intramuscular injection to the dorsogluteal and ventrogluteal sites, and to investigate gender and body mass index differences in pain perception between the sites. This clinical trial was performed on 70 adult patients receiving at least two doses of diclofenac sodium intramuscularly in a state hospital in Bursa, Turkey. Two injections were administered to each patient with an interval of 24 hours by the same researcher using two injection sites. The injection sites were randomly allocated. After each injection, the pain felt by patients during the injection was immediately assessed using a visual analog scale by another researcher who had no prior knowledge of which the injection site. Numerical and percentage distribution of sociodemographic data on patients' identification characteristics were calculated. The Wilcoxon signed rank test was used to explore determine the statistical differences in perceived pain intensity between the two injection sites. Differences in the mean pain intensity at the dorsogluteal and ventrogluteal sites by BMI and gender were analysed using the paired t test. The average pain score of patients after injections to the ventrogluteal site was 1.24±1.18, while that for injections to the dorsogluteal site was 1.89±1.49. The difference in average pain scores from injections administered to the two different sites was found to be statistically significant (p<0.05). The results supported the hypothesis that intramuscular injections of diclofenac sodium administered to the ventrogluteal site would feel less painful than those administered to the dorsogluteal site.

show abstract

Section: Introductionmentioning

confidence: 99%

“…For this reason, the use of techniques which reduce leakage of the medication and a suitable injection site will reduce the pain felt during and after intramuscular injection [4] . One of these techniques is the choice of a suitable site for the injection such as the ventrogluteal area, which has little subcutaneous fatty tissue [5] .…”

Section: Introductionmentioning

confidence: 99%

Which site is more painful in intramuscular injections? The dorsogluteal site or the ventrogluteal site? A case study from Turkey

Güneş

Kara²,

Arı³

et al. 2013

Clinical Nursing Studies

View full text Add to dashboard Cite

show abstract

“…Moreover, the dorsogluteal muscle is the one used by MHNs to administer LAAIs, which is probably due to the fact that most of the preparations available are licensed for this site (Greenway, 2004). Secondly Wynaden et al (2006) suggested that MHNs preferred to use the site due to it being perceived as more discreet for the service user than the ventrogluteal site.…”

Section: Discussionmentioning

confidence: 99%

Administering LAAIs: an education and training workshop

Hemingway

Stephenson

Holliday

et al. 2013

British Journal of Mental Health Nursing

View full text Add to dashboard Cite

This is the second article which focuses on the inter-collaborative work between education and practice to enhance theoretical and practical delivery for mental health (MH) nurses when administrating Long Acting Intramuscular Injections (LAAIs). By designing two questionnaires, we were able to evaluate knowledge gain and the satisfaction level of the course delivery by the MH nurses, which appear initially to identify that such educational strategies can make a positive impact in clinical practice.

show abstract

“…In addition, the ratio of nurses who said they could easily apply IMI to the VG site increased from 31.11% to 53.33%. Greenway (2004) stated that the nurses' knowledge and skills in the use of VG sites are not adequate and that they lack the confidence to carry out the skills unaided. Therefore, they are reluctant to use this site.…”

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

View full text Add to dashboard Cite

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...

show abstract

Using the ventrogluteal site for intramuscular injection

Cited by 65 publications

References 7 publications

Which site is more painful in intramuscular injections? The dorsogluteal site or the ventrogluteal site? A case study from Turkey

Which site is more painful in intramuscular injections? The dorsogluteal site or the ventrogluteal site? A case study from Turkey

Administering LAAIs: an education and training workshop

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

Contact Info

Product

Resources

About