Sisson, H (2015) Aspirating during the intramuscular injection procedure: a systematic literature review. Journal of Clinical Nursing, 24, 2368–2375.
The following identify how the researcher addressed the five areas of the selected journal article:
•background or introduction: The aim of this study was to review current practice regarding aspirating during intramuscular (IM) injections and to propose guidance for future practice.
The introduction discusses the fact that administration of injections is a basic “nursing activity”. The author also discusses the debate surrounding aspiration during IM injection and how it is ingrained in the nursing education process. What aspiration means is clearly stated in the introduction. …show more content…
Strengths and limitations Five of the relevant studies do not recommend aspiration, however these proposals revolve around the vaccination setting only and do not address or suggest implementation for other settings. The idea behind this is that vaccination for children are mostly given into sites that do not house any major blood vessels, such as the deltoid and the vastus lateralis. The other recommendation to note is that aspiration is highly recommended at the dorsogluteal site considering the vicinity of the gluteal artery.
Relevance to clinical practice
Augmenting best practice and elevating quality of care are always paramount. Allowing nurses to make clinical judgement based on evidence is the relevance portion. This can be initiated with consistently updated education regarding “current guidelines” involving aspiration and the rationale for these guidelines. Trainers should be well versed in procedural evidence that is up to date. However, more research needs to be done to inform policies so nurses are supported in decision making in all clinical …show more content…
Prior studies are mentioned but not how many or how they were utilized.
•discussion of methodology: Time frame for the study is indicated, how many nurses were included and where the study took place. An anonymous online survey was used with a response rate of 83%. The author states that both qualitative and quantitative questions were used and the type of scale was noted along with a remark the two open ended questions were included to allow specificity of communication challenges
•data analysis: Discusses the completion of the questionnaires and the results being given to the study team. Differentiation shown between how the open-ended questions were analyzed. Differing methods of analysis strategy were used. The process was conducted by a team and coding and how it was applied to data took place followed by meetings for review until all coding was