Evaluation of the Training Given to Emergency Department Nurses on Ventrogluteal Site Injection Administration: A Quasi-Experimental Study

Meryem Kılıç, Çisem Meteris
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Abstract

Evidence-based data recommends injection to the ventrogluteal (VG) site instead of the dorsogluteal (DG) site for intramuscular injection (IMI) due to the risk of sciatic nerve damage. Despite this, it has been seen that nurses do not prefer this site due to insufficient information and negative opinions. The aim of this study was to determine how the training on administering an injection to the site provided to the nurses affects their knowledge, view and preference for the practice. The study design was a single-group, quasi-experimental pretest-posttest. The study was conducted with 30 nurses in the Adult Emergency Service of Hacettepe University Hospitals in Ankara, Turkey, between May and August 2020. The data was collected by using a nurse information form and forms that evaluated the nurses’ knowledge, opinions and practices regarding using the VG site. The data was analysed by using number, percentage, mean, standard deviation, Friedman test, Wilcoxon test, and McNemar test. As a result of the study, it was found that while the views of 86.7% (n = 26) of the nurses about the VG site changed positively after the training, the mean score of the VG site was 14.80+3.09 before the training, and 18.50+1.68 after the training (p < .001). After the training, 7 of 16 nurses started to prefer the VG site for injection administration (p > .05). The training provided on the VG site increased the knowledge of nurses, changed their views, and affected their preference for the practice. It is recommended that nurses repeat the training on IMI administration to the VG site and assess their abilities on a regular basis.
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对急诊科护士进行的黄体部注射管理培训的评估:准实验研究
由于存在坐骨神经损伤的风险,基于证据的数据建议在腹臀部(VG)部位而非背臀部(DG)部位进行肌肉注射(IMI)。尽管如此,由于信息不足和负面意见,护士们并不倾向于选择这一部位。本研究的目的是确定向护士提供的关于在该部位进行注射的培训如何影响她们对这一做法的了解、看法和偏好。研究设计为单组、准实验性的前测-后测。研究于 2020 年 5 月至 8 月间在土耳其安卡拉哈切泰佩大学医院成人急诊服务部的 30 名护士中进行。数据收集采用了护士信息表和评估护士对使用 VG 网站的了解、意见和实践的表格。数据分析采用数字、百分比、平均值、标准差、弗里德曼检验、威尔科克森检验和麦克尼玛检验。研究结果发现,培训后,86.7%(n = 26)的护士对 VG 网站的看法发生了积极变化,培训前对 VG 网站的平均评分为 14.80+3.09,培训后为 18.50+1.68(p < .001)。培训后,16 名护士中有 7 名开始更倾向于在 VG部位进行注射(p > .05)。有关 VG 注射部位的培训增加了护士的知识,改变了他们的观点,并影响了他们对这一做法的偏好。建议护士们在 VG 站点重复接受 IMI 注射培训,并定期评估自己的能力。
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