Conhecimento e prática em administração de injeções por via intramuscular dos profissionais de enfermagem de unidades de urgência de Goiânia-Go

• Autor(a) principal: Sousa, Gilma Moreira de
• Data de Publicação: 2015
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• dARK ID: ark:/38995/0013000005572
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/4635
• topic: Enfermagem; Intramuscular; Local de injeções; Urgência; Segurança; Nursing; Intramuscular; Injection sites; Urgency; Security; CIENCIAS DA SAUDE::SAUDE COLETIVA

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.