Administering intramuscular injections: How does research translate into practice over time in the mental health setting?

DIANNE WYNADEN, Jenny Tohotoa, Omar Al Omari, Brenda HAPPELL, Karen Helsop, Lesley Barr, Vijay Sourinathan

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background
Increasingly, mental health nurses are expected to base their clinical practice on evidence based knowledge and many of the practice traditions that have passed between generations of nurses must now be examined within this scientific context. Since 2000, there has been an increasing debate on what is best practice for the administration of intramuscular injections particularly in relation to site selection, needle size and technique. Weight gain associated with second generation long acting antipsychotics influences the site and needle size for effective medication delivery.

Aim
To determine intramuscular injecting practice choices made by nurses working in the mental health setting in 2006 compared to those made by a similar group of nurses in 2012.

Methods
A descriptive cross sectional study conducted across two time points: 2006 (93 participants) and 2012 (245 participants) utilising the same questionnaire designed to measure nurses' intramuscular injecting practice choices.

Results
Data were analysed using SPSS version 20 package. Six statistically significant practice changes were recorded related to needle size, site selection and the use of the Z-tracking technique. A continued higher usage of the dorsogluteal site was also reported in 2012 contrary to the recommendations in the current research for the ventrogluteal site.

Conclusion
Whilst some practice changes occurred, translation of research into evidenced based practice is challenging and definitive best practice in the administration of intramuscular injections remains unclear. Education and randomised controlled trials are needed to provide the evidence to ensure the delivery of safe and effective intramuscular injecting practice
Original languageEnglish
Pages (from-to)620-624
Number of pages5
JournalNurse Education Today
Volume35
Issue number4
DOIs
Publication statusPublished - 2015
Externally publishedYes

Fingerprint

Intramuscular Injections
Mental Health
mental health
Nurses
Needles
nurse
Research
Practice Guidelines
Evidence-Based Practice
best practice
Antipsychotic Agents
Weight Gain
Randomized Controlled Trials
Cross-Sectional Studies
time
SPSS
Education
cross-sectional study
evidence
medication

Cite this

WYNADEN, DIANNE., Tohotoa, J., Al Omari, O., HAPPELL, B., Helsop, K., Barr, L., & Sourinathan, V. (2015). Administering intramuscular injections: How does research translate into practice over time in the mental health setting? Nurse Education Today, 35(4), 620-624. https://doi.org/10.1016/j.nedt.2014.12.008
WYNADEN, DIANNE ; Tohotoa, Jenny ; Al Omari, Omar ; HAPPELL, Brenda ; Helsop, Karen ; Barr, Lesley ; Sourinathan, Vijay. / Administering intramuscular injections: How does research translate into practice over time in the mental health setting?. In: Nurse Education Today. 2015 ; Vol. 35, No. 4. pp. 620-624.
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WYNADEN, DIANNE, Tohotoa, J, Al Omari, O, HAPPELL, B, Helsop, K, Barr, L & Sourinathan, V 2015, 'Administering intramuscular injections: How does research translate into practice over time in the mental health setting?', Nurse Education Today, vol. 35, no. 4, pp. 620-624. https://doi.org/10.1016/j.nedt.2014.12.008

Administering intramuscular injections: How does research translate into practice over time in the mental health setting? / WYNADEN, DIANNE; Tohotoa, Jenny; Al Omari, Omar; HAPPELL, Brenda; Helsop, Karen; Barr, Lesley; Sourinathan, Vijay.

In: Nurse Education Today, Vol. 35, No. 4, 2015, p. 620-624.

Research output: Contribution to journalArticle

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T1 - Administering intramuscular injections: How does research translate into practice over time in the mental health setting?

AU - WYNADEN, DIANNE

AU - Tohotoa, Jenny

AU - Al Omari, Omar

AU - HAPPELL, Brenda

AU - Helsop, Karen

AU - Barr, Lesley

AU - Sourinathan, Vijay

PY - 2015

Y1 - 2015

N2 - BackgroundIncreasingly, mental health nurses are expected to base their clinical practice on evidence based knowledge and many of the practice traditions that have passed between generations of nurses must now be examined within this scientific context. Since 2000, there has been an increasing debate on what is best practice for the administration of intramuscular injections particularly in relation to site selection, needle size and technique. Weight gain associated with second generation long acting antipsychotics influences the site and needle size for effective medication delivery.AimTo determine intramuscular injecting practice choices made by nurses working in the mental health setting in 2006 compared to those made by a similar group of nurses in 2012.MethodsA descriptive cross sectional study conducted across two time points: 2006 (93 participants) and 2012 (245 participants) utilising the same questionnaire designed to measure nurses' intramuscular injecting practice choices.ResultsData were analysed using SPSS version 20 package. Six statistically significant practice changes were recorded related to needle size, site selection and the use of the Z-tracking technique. A continued higher usage of the dorsogluteal site was also reported in 2012 contrary to the recommendations in the current research for the ventrogluteal site.ConclusionWhilst some practice changes occurred, translation of research into evidenced based practice is challenging and definitive best practice in the administration of intramuscular injections remains unclear. Education and randomised controlled trials are needed to provide the evidence to ensure the delivery of safe and effective intramuscular injecting practice

AB - BackgroundIncreasingly, mental health nurses are expected to base their clinical practice on evidence based knowledge and many of the practice traditions that have passed between generations of nurses must now be examined within this scientific context. Since 2000, there has been an increasing debate on what is best practice for the administration of intramuscular injections particularly in relation to site selection, needle size and technique. Weight gain associated with second generation long acting antipsychotics influences the site and needle size for effective medication delivery.AimTo determine intramuscular injecting practice choices made by nurses working in the mental health setting in 2006 compared to those made by a similar group of nurses in 2012.MethodsA descriptive cross sectional study conducted across two time points: 2006 (93 participants) and 2012 (245 participants) utilising the same questionnaire designed to measure nurses' intramuscular injecting practice choices.ResultsData were analysed using SPSS version 20 package. Six statistically significant practice changes were recorded related to needle size, site selection and the use of the Z-tracking technique. A continued higher usage of the dorsogluteal site was also reported in 2012 contrary to the recommendations in the current research for the ventrogluteal site.ConclusionWhilst some practice changes occurred, translation of research into evidenced based practice is challenging and definitive best practice in the administration of intramuscular injections remains unclear. Education and randomised controlled trials are needed to provide the evidence to ensure the delivery of safe and effective intramuscular injecting practice

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JO - Nurse Education Today

JF - Nurse Education Today

SN - 0260-6917

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