Navigation Links
Most nurses don't use recommended intramuscular injection site despite potential risks
Date:5/9/2011

Seven out of ten hospital nurses who took part in a Canadian study used the dorsogluteal (DG) buttock site to administer intramuscular injections - despite the potential risks of sciatic nerve injury - with only 14% using the ventrogluteal (VG) hip site recommended by the nursing literature.

The research, published in the May issue of the Journal of Advanced Nursing, found that younger, newer nurses were significantly more likely to follow the latest VG site advice than their older, experienced colleagues. It also discovered that more than one in four nurses using the DG site were unaware of the potential risk of nerve damage.

Just over 40% of the staff nurses surveyed responded to the postal questionnaire. Most of the 264 respondents were aged between 30 and 49 years and had been working in nursing for more than ten years.

"Recent nursing literature suggests that the VG site is preferable because it is located away from major nerves and muscles, can provide better access to muscle tissue and offers faster medication uptake" says lead author Lorna Walsh, a nurse educator at the Centre for Nursing Studies, St John's, Canada.

"It's estimated that more than twelve billion intramuscular injections are administered every year throughout the world and unsafe injection practices have a significant impact on patient ill health and death. Complications can include skin and tissue trauma, muscle fibrosis and contracture, nerve palsies and paralysis, abscesses and gangrene.

"Although three-quarters of the nurses in our study said they were aware of potential nerve damage when using the DG site, this site was used significantly more often than other sites."

Key findings of the study include:

  • 71% of the nurses preferred using the DG site (buttock), 14% the VG site (hip), 7% the deltoid site (upper arm) and 7% the vastus lateralis site (thigh).

  • 44% of the nurses gave intramuscular injections very frequently (four to five a week), 21% frequently (one to four a week), 18% occasionally (less than one to four a week) and 17% seldom or never (less than one a month).

  • Only 15% of nurses based their site selection on the recommendations in the nursing literature. 85% used the site they felt most comfortable with, 80% said ease of locating the injection site influenced their choice, 60% followed the recommendation of their nursing education programme and 56% followed traditional usage.

  • Patient discomfort was the most frequent complication - 78% for the DG site, 88% for the VG site, 90% for the vastus lateralis site and 100% for the deltoid site.

  • The potential for nerve injury was the second most mentioned complication - by 74% using the DG site, 30% using the VG site, 32% using the vastus lateralis site and 53% using the deltoid site.

  • The relationship between site selection and awareness of potential nerve injury was significant. 74% of nurses who routinely used the DG site recognised the potential for nerve injury, but 26% did not. 70% of nurses who used the VG site stated correctly that nerve damage was not a recognised complication, but 30% thought it was.

  • Site selection varied significantly with age. 67% of nurses aged 20-24 used the VG site. The figures then declined rapidly by age group to 28% (25 to 29 years), 10% (30 to 39), 5% (40 to 49) and 8% (50 plus).

  • The reverse was true for the DG site, ranging from 89% of nurses in the oldest age group down to 33% of nurses in the youngest age group.

  • Site selection also varied by education, with 30% of baccalaureate prepared nurses using the VG site, compared with 5% of diploma prepared nurses.

  • The nurses who had been in nursing the longest were most likely to use the DG site (81% for 20 plus years versus 41% for one to four years) and newer nurses were most likely to use the VG site (44% for one to four years versus 5% for 20 plus years).

"Our research clearly shows that the majority of nurses are not using the VG site, as recommended in the recent nursing literature, and further research is needed to find out why" says co-author and fellow nurse educator Kathleen Brophy.

"Advocates of the VG site also need to base their rationale for using this site on reasons other than potential sciatic nerve damage when using the DG site, as the majority of nurses are aware of this, but still use the site.

"We also feel that additional research is needed to explore the safety of properly-mapped DG injections."


'/>"/>

Contact: Annette Whibley
annette.wizard@gmail.com
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Bullied Kids Showing Up in School Nurses Offices
2. More doctors must join nurses, administrators in leading efforts to improve patient safety, outcomes
3. Support not punishment is the key to tackling substance abuse and addiction among nurses
4. Nurses Long Shifts May Put Hospital Patients at Risk: Study
5. Overseas nurses feel their skills are underused and they arent valued or respected
6. Nurses will test method for determining if its dementia or delirium
7. North Shore-LIJ Becomes NY's First Health System to Require New Nurses to Get Bachelor's Degree
8. Nursefinders Announces “Best Nurses of Baltimore” Recognition Program
9. The role of nurses in physician-assisted dying
10. HR Pharmaceuticals, Inc. to Launch and Showcase Flagship Product Line at the National Teaching Institute & Critical Care Nurses Exposition
11. Martin & Jones Announces Class Action Lawsuit Against Major Employer, Claims Thousands of Visiting Nurses Illegally Denied Overtime Pay
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/29/2016)... ... April 29, 2016 , ... A new study by a ... diaphragmatic hernia have better survival rates if surgery is performed early. Approximately one ... the diaphragm fails to form completely, letting abdominal organs into the chest cavity ...
(Date:4/29/2016)... ... 2016 , ... The Wharton School of the University ... of the 2016 Wharton Business Plan Competition —as well as the Wharton ... the Committee Award for Most ‘Wow Factor,’ making them the first team in ...
(Date:4/29/2016)... ... 29, 2016 , ... World Patent Marketing , a ... invention which aids in proper muscle development. , "The Gym & Exercise Equipment ... of World Patent Marketing. "Globalization has threatened the future growth of the industry ...
(Date:4/29/2016)... ... April 29, 2016 , ... Melanoma is the deadliest type of skin cancer. Although ... the majority of skin cancer deaths. More than 10,000 people are expected to die of ... is 62, it is the one of the most commonly diagnosed cancers in young women. ...
(Date:4/29/2016)... , ... April 29, 2016 , ... New York City based oral and maxillofacial surgeon ... is a very effective way to treat obstructive sleep apnea. Dr. Jamali is proud to ... is a procedure that involves one or both jaw bones. This surgery is performed to ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... India , April 28, 2016 ... Pipeline Review, H1 2016" is a report that ... and helps strengthen R&D pipelines by identifying new ... products. Company Profiles discussed in this ... Industrie Farmaceutiche Riunite Srl, AbbVie Inc., Abiogen Pharma ...
(Date:4/27/2016)... , April 27, 2016   ... 42% Growth in Recurring Consumable Sales  Clinical ... Mauna Kea Technologies (Euronext: MKEA, OTCQX: MKEAY) inventor of ... its sales for the first quarter ended March 31, ... the execution of its commercial strategy. First ...
(Date:4/27/2016)... April 27, 2016 Tie-up with ... initiative to save newborns   Fortis ... & newborns in collaboration with Breast Milk Foundation (BMF), a ... Pasteurized Human Milk Bank, ,Amaara, in Delhi-NCR today. This non-profit ... source for infants and should be available to babies deprived ...
Breaking Medicine Technology: