Conhecimento e prática em administração de injeções por via intramuscular dos profissionais de enfermagem de unidades de urgência de Goiânia-Go
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Data
2015-03-13
Autores
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Universidade Federal de Goiás
Resumo
To analyze the practices and knowledge in administration medication
intramuscularly between nurses and nursing auxiliaries/ technicians in fixed pre-hospital
emergency units of Goiânia -Go Methodology: descriptive, exploratory cross-sectional study,
the research was conducted in the period February to May 2014. the study population consisted
of nurses, technicians and nursing auxiliaries of fixed pre- hospital units and pediatric clinical
urgency of Goiânia -Go , was investigated demographic data partners, knowledge acquired in
vocational training and clinical practice in the conduct of drug delivery techniques
intramuscularly ( IM ). Results: the study 176 nursing professional, 58 nurses and 111 nursing
technicians and seven nursing auxiliaries. And 91.5% were female with an average age between
31 and 40 years and 60.3% had up to 10 years of experience in nursing. 99.0% of nursing
auxiliaries / technicians mentioned that perform the IM for drug delivery regularly, while
nurses, 32.7% and 5.2% rarely ever do. The deltoid muscle (100% and 95.6%) and dorsal
gluteal (96.6% and 98.1%) were the regions that nurses and nursing auxiliaries / technicians,
respectively said it had more information and practice during the course formation. 29.4 % of
nurses and 32.3 % of nursing auxiliaries / technicians cited who did not know the technical
ventral gluteal while students. The criteria cited for choosing the drug administration site were:
the volume of the drug, size of muscles, needle size, thickness of fat tissue, user preference, and
the service daily practice. Since the daily practice was mention
ed more often by auxiliaries / technicians nursing (27.1%) already by nurses was 8.6%, this
difference was statistically significant (p=0.005). The dorsal gluteal region back is the most
used IM to drug use in adults, both by nurses (56.6%) and by auxiliarie / technicians nursing
(69.8%). The experience of nurses in drug delivery in all regions was 64.9% while the
auxiliaries / technicians nursing was 41.0% which is statistically significant difference between
the categories (p=0.003). Conclusion It was found that the IM medication administration are
not implemented in accordance with the recommendations in the literature, for much of the
nurses and nursing auxiliaries / technicians claiming that the knowledge acquired during the
training were insufficient to act in professional practice. The regions most commonly used drug
for IM administration were dorsal gluteal in children and adults and the vastus lateralis thigh in
neonates and infants. Poor adherence of nursing professionals, medication administration in the
ventral gluteal region was justified by the insecurity in the technical implementation and the
lack of knowledge in the correct identification of the place. Therefore the result of this study
highlights the need to invest in continuing education , making nursing professionals to act safely
and ethically in daily activities the role of nursing requires reflective practices based on
scientific evidence , to ensure the safety of the professional and the patient.
Descrição
Palavras-chave
Enfermagem , Intramuscular , Local de injeções , Urgência , Segurança , Nursing , Intramuscular , Injection sites , Urgency , Security
Citação
SOUSA, G. M. Conhecimento e prática em administração de injeções por via intramuscular dos profissionais de enfermagem de unidades de urgência de Goiânia-Go. 2015. 78 f. Dissertação (Mestrado Profissional em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2015.