8/13/2023 0 Comments Ventrogluteal injection siteAccording to these results, the mean knowledge scores of the nurses were calculated. From a total of 28 points, the correct replies received 1 point each while the incorrect and “do not know” replies received 0 points. Of these statements, 14 were prepared as correct and 14 as incorrect, and the nurses were asked to respond to these statements with the options “true”, “false” or “do not know”. In the third part, there are a total of 28 questions investigating their knowledge of the VG site for IMI (VG region includes gluteus medius and gluteus minimus muscles, it is safe for injection, large volume muscles such as the VG region can take up to 3 mL of medication, in order to detect the VG region, etc.). In the second part, there are five questions on the nurses’ use of the VG site for IMI. In the first part, there are nine questions on the nurses’ descriptive characteristics (age, gender, education, length of employment) and their IMI practices. The data collection form was prepared by the researchers using the literature. This study was planned with the purpose of determining the impact of education on the knowledge, opinions and practices of the nurses regarding the use of the VG site for IMI. There are a very limited number of studies analyzing the reflections of recent developments in IMIs on the application practices and the knowledge, opinions and practices of nurses regarding VG injection site, and evaluating the effectiveness of the related trainings. It is thought that this condition might be related to the failure in transferring the research results to clinical settings. 13 It is seen that the reasons for this reluctance include the difficulty and concern about determining the site. 13 Many nurses have been informed about the VG site, but are reluctant to use it. Although there is a great quantity of information to support the use of VG site, the promotion of its use in clinical settings is relatively slow. In the study of Gülnar and Çalışkan, 18 it was found that 85.9% of the nurses most frequently used the DG site while 63.3% never used the VG site. Greenway et al 15 reported that nurses did not know how to administer an injection to the VG site, and also that they thought they would harm this tissue and were reluctant to use the site.Īccording to the results of the study conducted by Güneş et al, 17 78.2% of the nurses had never used the VG site. The reason for this was that most of the nurses (72.9%) had no adequate knowledge of the VG site, and almost half of the nurses (44.7%) were worried for they had never used this site. 6, 14, 15 Similarly, in their study which analyzed the knowledge, views and practices of nurses regarding VG site injection, Tuğrul and Denat 2 found that 38.8% of the nurses never used the VG site. 12, 14 In case of overweight patients, nurses’ level of anxiety increases. The anatomically small structure of the VG site, the difficulty of determining the site, and the concern that the patient may be harmed cause nurses to avoid using this site. Wynaden et al 6 and Engstrom et al 14 reported that nurses did not routinely use this site as they believed that the VG site was not as safe as the dorsogluteal (DG) site. Many studies have revealed the reasons why the VG site is not preferred for IMI practices. In the literature, it is stated that the muscles in the VG site are well developed, and that it is a suitable site for especially intense and irritating drugs. It is much easier to find the limit points for application. 6 – 9 The thickness of the subcutaneous tissue in this site is lower than those of the other injection sites, 10, 11 the nerves and veins are relatively few in number, while the muscles in the site are large and well established. 3 – 5Īlthough the literature indicates that all injection sites for IMI can be used in adults according to the condition of the patient, the results of evidence-based studies in recent years indicate that the area of ventrogluteal (VG) injection site is the safest injection site. 2 When the proper technique is not used for IMI and the injection site is not accurately identified, sterile abseil, infection, tissue irritation, periostitis, muscle fibrosis and contracture, necrosis and gangrene, intramuscular hemorrhage and pain may occur. In the right technique, it becomes crucial to identify the IMI site accurately. 1 It is of major importance that intramuscular injections (IMIs) are administered with the right technique. Of these, 5% or less are vaccinations and >95% are injections made for therapeutic purposes. Worldwide, 12 billion treatments are made by injection every year.
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