To Assess the Adequacy of Steps followed during the administration of Intramuscular Injection in selected areas of Tertiary Hospital, Thrissur

Title: A study to assess the adequacy of steps followed during administration of intra muscular injection in selected areas of tertiary hospital Thrissur. Objectives: Assess the adequacy of steps followed during administration of intramuscular injection, Associate the level of adequacy of steps followed during the administration of intramuscular injection with selected demographic and clinical data variables. Methodology: The research design adopted for the study was descriptive design. Random sampling technique was adopted to choose the samples. The study was conducted among 160 IM injection procedures in female medical ward, male medical ward, female surgical ward, male surgical ward, female ortho ward, male ortho ward, injection room, Emergency department of tertiary hospital Thrissur. Observational checklist was used to assess the practice of nurses, in following adequate steps during the administration of intramuscular injection. Results & Discussion: While assessing the socio demographic and clinical data variable of nursing personnel it shows that 67(41.9%) belongs to the age group of 26-35years, in gender 153(95.6%) are females, education qualification 109(68.1%) are general nursing, 46(28.8%) have an experience between 3-5 years, 69(43.1%) injection were from injection room,125(78.1%)were not participated in any continuing programme,150(93.8%) have not witnessed any injection abscess,142(88.8%) have adequate availability of equipments during the administration of intramuscular injection ,159(99.4%) were following non Kardex system in selected areas of tertiary hospital. While assessing the socio demographic and clinical data variable of the patient it shows that, 50(31.3%) belongs to the age group of 26-35 years, 102(63.8%) were females, 62(38.85) have school level education, 132(52.5%) of injection was done on ventro gluteal site, 121(75.6%) were able to perform activities of daily living independently, 109(68.1%) of injection were done with care, no signs of infection were observed. Title: A study to assess the adequacy of steps followed during administration of intra muscular injection in selected areas of tertiary hospital Thrissur. Objectives: Assess the adequacy of steps followed during administration of intramuscular injection, Associate the level of adequacy of steps followed during the administration of intramuscular injection with selected demographic and clinical data variables. Methodology: The research design adopted for the study was descriptive design. Random sampling technique was adopted to choose the samples. The study was conducted among 160 IM injection procedures in female medical ward, male medical ward, female surgical ward, male surgical ward, female ortho ward, male ortho ward, injection room, Emergency department of tertiary hospital Thrissur. Observational checklist was used to assess the practice of nurses, in following adequate steps during the administration of intramuscular injection. Results & Discussion: While assessing the socio demographic and clinical data variable of nursing personnel it shows that 67(41.9%) belongs to the age group of 26-35years, in gender 153(95.6%) are females, education qualification 109(68.1%) are general nursing, 46(28.8%) have an experience between 3-5 years, 69(43.1%) injection were from injection room,125(78.1%)were not participated in any continuing programme,150(93.8%) have not witnessed any injection abscess,142(88.8%) have adequate availability of equipments during the administration of intramuscular injection, 159(99.4%) were following non Kardex system in selected areas of tertiary hospital. While assessing the socio demographic and clinical data variable of the patient it shows that, 50(31.3%) belongs to the age group of 26-35 years, 102(63.8%) were females, 62(38.85) have school level education, 132(52.5%) of injection was done on ventro gluteal site, 121(75.6%) were able to perform activities of daily living independently, 109(68.1%) of injection were done with care, no signs of infection were observed. Thus, it was found that all the nurses follow adequate steps in intramuscular injection. From this study it is found that there is association between the adequacy of steps followed during the administration of intramuscular injection with comfort level of patient(p=0.021), availability of equipments for injection(p=0.001) and experience of the nursing personnel(p=0.012). Conclusion: The adequacy of steps followed by the nursing personnel during the administration of intramuscular injection showed that 71.25% had adequate, 28.75% had moderately adequate and 0% inadequate. A statistically significant association was found between level of adequacy of steps followed by nursing personnel with experience (p=0.012), availability of equipments (p=0.001) and comfort level of patients (p=0.021). The investigator concluded that level of adequacy of steps followed by the nursing personnel during the administration of intramuscular injection 71.25% adequate. The availability of these knowledge will definitely improve the patient safety and outcome during intramuscular injection.