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Pamukkale University, Faculty of Health Sciences, Fundamentals of Nursing Department, Denizli
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Pamukkale University, Faculty of Health Sciences, Surgical Nursing Department, Denizli
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Pamukkale University, Faculty of Medicine, Department of Training Nurse (retired), Denizli
Abstract
Studies show that the ventrogluteal site is safer for intramuscular injection in the gluteal region, but nurses prefer this site less. The aim of this study was to determine the preferred site in the gluteal region for intramuscular injection and the reasons for preference. This descriptive and cross-sectional study was conducted in a University hospital. The study's sample consisted of 130 nurses. The data were collected with a questionnaire form and evaluated using number, percentage, mean, and standard deviation calculations. It was determined that 62.3% of the nurses preferred to use the dorsogluteal site, 5.4% to use the ventrogluteal site, and 32.3% to use both sites for intramuscular injection. The reasons for the nurses' preference for the dorsogluteal site were determined as a habit, mandatory position, obesity, patient's desire, cachexia, being a safe site, ease of application, and receiving training only on this site. The reasons for choosing the ventrogluteal site were determined as patient desire, obesity, forced position, more reliability, habit, cachexia, less risky, and less painful, respectively.
Keywords
Nursing,ıntramuscular ınjection,dorsogluteal site,ventrogluteal site
How to Cite
ZENCİR , G., GÖK , F., & ÖZTÜRK , Z. (2024). Determination of Nurses’ Site Preference and Reasons For Intramuscular Injection in Gluteal Region: A Descriptive, Cross-Sectional Study. MAS Journal of Applied Sciences, 9(4), 1205–1214. https://doi.org/10.5281/zenodo.14551166
📄Alves, K., Godwin, C.L., Chen, A., Akellot, D., Katz, J.N., Sabatini, C.S., 2018. Gluteal fibrosis, post-injection paralysis, and related injection practices in Uganda: a qualitative analysis. BMC Health Services Research, 18(1): 892.
📄Apaydın, E., Öztürk, H., 2021. Comparison of ıntramuscular ınjections applied on ventrogluteal and dorsogluteal areas in the way of bleeding, pain and hematoma. Gümüşhane University Journal of Health Sciences, 10(1): 105–113.
📄Arslan, G.G., Özden, D., 2018. Creating a change in the use of ventrogluteal site for intramuscular injection. Patient Preference and Adherence, 12: 1749-1756.
📄Cerit, B., 2020. Determining emergency department nurses’ competence and preference levels for using ventrogluteal site in administering intramuscular ınjections. The Anatolian Journal of Family Medicine, 3(2): 107–115.
📄Chan, V.O., Colville, J., Persaud, T., Buckley, O., Hamilton, S., Torreggiani, W.C., 2006. Intramuscular injections into the buttocks: are they truly intramuscular? European Journal of Radiology, 58(3): 480–484.
📄Çalışkan, N., Gülnar, E., İnal, M., Kömürcü Erkmen, S. H., Özveren, H., 2023. Comparison of Four Dorsogluteal and ventrogluteal sites for safe ıntramuscular ınjection: a cross-sectional study. International Journal of Caring Sciences, 16(3): 1503-1513.
📄Çırlak, A., Temiz, N., Başol, M., 2020. The effect of the ventrogluteal ınjection training on the knowledge levels and preferences of health professionals. Forbes Journal of Medicine, 1(2): 30–35.
📄Coskun, H., Kilic, C., Senture, C., 2016. The evaluation of dorsogluteal and ventrogluteal injection sites: a cadaver study. Journal of Clinical Nursing, 25(7–8): 1112–1119.
📄Dere Isseven, S., Sagkal, Midilli, T., 2020. Comparison of the dorsogluteal and ventrogluteal sites regarding patients’ levels of pain intensity and satisfaction following intramuscular injection. International Journal of Caring Sciences, 13(3): 2168–2179.
📄Dincer, B., Yildirim D., 2021. The effect of vibration stimulation on intramuscular injection pain and patient satisfaction: Single-blind, randomised controlled study. Journal of Clinical Nursing, 30(11-12): 1615-1622.
📄Doğu, Ö., 2016. The Invisible Tip of the Iceberg; How Often is the Ventrogluteal Site Used? Journal of Education and Research in Nursing, 13(1): 7–10.
📄Fekonja, U., Fekonja, Z., Vrbnjak, D., 2020. The assessment of knowledge and practical skills of intramuscular injection administration among nursing staff: a cross-sectional study. Aust. Journal of Advanced Nursing, 38(3): 33-42.
📄Fidancı, H., Öztürk, İ., Arlıer, Z., 2020., Inferior gluteal nerve ınjury due to ıntramuscular ınjection. Duzce Medical Journal, 22(3): 161-165.
📄Güllü, A., Akgün, S., 2021. The effect of training on the “V” and “G” techniques used in the ventrogluteal site and injection application to this site on the knowledge level of nurses. International Archives of Integrated Medicine, 8(8): 15–33.
📄Gülnar, E., Çalışkan, N., 2014. Determination of knowledge level of nurses regarding ıntramuscular ınjection administration to ventrogluteal site. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 7(2): 70–77.
📄Gülnar, E., Özveren, H., 2016. An evaluation of the effectiveness of a planned training program for nurses on administering intramuscular injections into the ventrogluteal site. Nurse Education Today, 36: 360-363.
📄Güneş Yapucu, Ü., Zaybak, A., Tamsel, S., 2008. Investigation of the reliability of the method used to determine the ventrogluteal region. Cumhuriyet University School of Nursing Journal, 12(2): 1–8.
📄Güven, Ş.D., 2023. Nurses’ usage and knowledge of ventrogluteal field in intramuscular injection application. Health Academy Kastamonu, 8(1): 128–139.
📄Hopkins, U., Arias, C., 2013. Large-volume IM injections: a review of best practices. Oncology Nurse Advisor, 4(1): 32–37.
📄Kalaycı, T., 2022. Gluteal abscess after intramuscular injection. Van Sağlık Bilimleri Dergisi, 15(2): 156-159.
📄Kaya, N., Palloş, A., 2012. Parenteral drug applications. Nursing Fundamentals Nursing Science and Art (A. Atabek and A. Kardağ, Eds). İstanbul: Akademi Basın ve Yayıncılık.
📄Kaynar Şimşek, A., 2020. Using the ventrogluteal site for intramuscular injection. The Anatolian Journal of Family Medicine, 3(3): 195–199.
📄Kilic, E., Kalay, R., Kilic, C., 2014. Comparing applications of intramuscular injections to dorsogluteal or ventrogluteal regions. Journal of Experimental and Integrative Medicine, 4(3): 171-174.
📄Kılıç, M., Meteris, Ç., Biçer, B.N.K., 2021. Expanding the use of the ventrogluteal region, an evidence-based practice example, in senior nursing students: a methadological study. Research Square, (1): 1-16.
📄Korkmaz, E., Karagözoğlu, Ş., Çerik, B.K., Yıldırım, G., 2018. Knowledge about ıntramuscular injection sites and administration preferences of nurses. Journal of Research and Development in Nursing, 20(1): 1–10.
📄Malhotra, P., Kartam, S., Gupta, S. 2023. Administration of Medicine, Nursing Practices And Skills, p:116 published by: AGPH Books (Academic Guru Publishing House) Bhopal, M.P. India ISBN-978-81-19152-13-1.
📄Manchikanti, V., Prasad, N., Sindhuj, K., Botchu, R., 2021. Post Injection Sciatic Neuritis: A Case Report. Internatıonal Journal Of Anatomy Radıo Klogy and Surgery, 10(4): 4-5.
📄Nakajima, Y., Fujii, T., Mukai, K., Ishida, A., Kato, M., Takahashi, M., Nakatani, T., 2020. Anatomically safe sites for intramuscular injections: a cross-sectional study on young adults and cadavers with a focus on the thigh. Human Vaccines and Immunotherapeutics, 16(1):189–196.
📄Öztürk, D., Baykara, Z.G., Karadağ, A., Eyikara, E., 2017. The effect of in-service education on nurses’ preference for the ventrogluteal site in intramuscular injection implementation. Journal of Human Sciences, 14(4): 4199–4205.
📄Polania, Gutierrez., J.J. Munakomi, S. 2023. Intramuscular Injection. Continuing Education Activity. PMID: 32310581 Bookshelf. Stat Pearls Publishing ID: NBK556121 https://www.ncbi.nlm.nih.gov/books/NBK556121/
📄Roldán‐Chicano, M.T., Rodríguez‐Tello, J., Cebrián‐López, R., Moore, J. R., del Mar García‐López, M., 2023. Adverse effects of dorsogluteal intramuscular injection versus ventrogluteal intramuscular injection: A systematic review and meta‐analysis. Nursing Open, 10(9): 5975-5988.
📄Šakić, B., Milutinović, D., Simin, D., 2012. An assessment of intramuscular injection practices among nursing students and nurses in hospital settings: is it evidence-based? South Eastern Europe Health Sciences Journal, 2(2): 114–121.
📄Sarı, D., Şahin, M., Yaşar, E., Taşkiran, N., Telli, S., 2017. Investigation of Turkish nurses frequency and knowledge of administration of intramuscular injections to the ventrogluteal site: Results from questionnaires. Nurse Education Today, 56: 47–51.
📄Strohfus, P. K., Paugh, O., Tindell, C., Molina-Shaver, P., 2017. Evidence calls for practice change in intramuscular injection techniques. Journal of Nursing Education and Practice, 8(2): 83-92.
📄Su, S., Bekmezci, E., 2020. The Reasons for the nurses not to use ventrogluteal region in intramuscular injection administration. Journal of Education and Research in Nursing, 17(1): 46–50.
📄Taylor, C., Lillis, C., LeMone, P., Lynn, P., 2011. Fundamentals of Nursing: The art and science of nursing care (7th ed.). Philadelphia: Worters Kluwer HealthLippincott Williams and Wilkins.
📄Treas LS, Wilkinson JM., 2014. Basic nursing: concepts, skills and reasoning. Philadelphia (PA): F. A. Davis Company; p. 792–836. ISBN-13: 978-0-8036-2778-9
📄Wynaden, D., Landsborough, I., McGowan, S., Baigmohamad, Z., Finn, M., Pennebaker, D., 2006. Best practice guidelines for the administration of intramuscular injections in the mental health setting. International Journal of Mental Health Nursing, 15(3):195–200.
📄Yılmaz, B., Yarıcı, F., 2022. Determination of opinions of nurses working in a university hospital about intramuscular injection into the ventrogluteal site. Karya Journal of Health Science, 3(2): 120–125.
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Fadime GÖK
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