Barriers of Nurses’ about ‘Z-Track Method’ Which is Used in Intramuskuler Injections Applications

Abstract

Aim: This research was to determine the opinions of nurses regarding the Z-track method of intramuscular injection and the factors preventing its use. This is a qualitative research using a phenomenological approach. Method: The sample consisted of 38 nurses who worked for a minimum of one year in a university hospital. Data were collected using semi-structured in-depth individual face-to-face interviews. Data were analyzed using content analysis and coded using the NVIVO 11 software. Findings: As a result of the content analysis, seven themes and nine subthemes emerged: (a) opinions about personal experiences: method of application, positive personal experiences, and negative personal experiences; (b) factors affecting usage: positive/encouraging factors and negative/discouraging factors; (c) opinions about colleagues; (d) frequency of application; (e) diseases for which the Z-track method is applied; (f) drugs given by the Z-track method; and (g) suggestions for dissemination: suggestions for training, suggestions for patients, suggestions for institutions and suggestions for healthcare professionals. Conclussion: Obstacles against the use of the Z-track method mostly result from lack of training and role models. However, it has been determined that there is a need for regulations regarding the determination, development and dissemination of standards for the application of the Z-track method.

Keywords

• injection
• intramuscular injection
• Z-track method
• nurses
• qualitative study

Project Number

2017.16.01.601

İntramüsküler Enjeksiyon Uygulamalarında Kullanılan 'Z Tekniği' Konusunda Hemşirelerin Engelleri

Abstract

Amaç: Bu araştırma, hemşirelerin intramüsküler enjeksiyon uygulamalarından Z-tekniğine ilişkin görüşlerini ve kullanımını engelleyen faktörleri belirlemek amacıyla yapılmıştır. Bu nitel araştırmada fenomenolojik yaklaşım kullanılmıştır. Yöntem: Örneklemi bir üniversite hastanesinde en az bir yıl çalışan 38 hemşire oluşturmuştur. Veriler, yarı yapılandırılmış derinlemesine bireysel yüz yüze görüşmelerle toplanmıştır. Veriler içerik analizi kullanılarak analiz edilmiş ve NVIVO 11 yazılımı kullanılarak kodlanmıştır. Bulgular: İçerik analizi sonucunda yedi tema ve dokuz alt tema ortaya çıkmıştır: (a) kişisel deneyimlere ilişkin görüşler: uygulama yöntemi, olumlu kişisel deneyimler ve olumsuz kişisel deneyimler; (b) kullanımı etkileyen faktörler: olumlu/teşvik edici faktörler ve olumsuz/kullanımı engelleyici faktörler; (c) meslektaşlar hakkındaki görüşler; (d) uygulama sıklığı; (e) Z-tekniğinin uygulandığı hastalıklar; (f) Z-tekniğiyle verilen ilaçlar; ve (g) yaygınlaştırma önerileri: eğitim önerileri, hastalar için öneriler, kurumlar için öneriler ve sağlık profesyonelleri için öneriler. Sonuç: Z-tekniğinin kullanılmasının önündeki engeller çoğunlukla eğitim ve rol model eksikliğinden kaynaklanmaktadır. Ancak Z tekniğinin uygulanmasına yönelik standartların belirlenmesi, geliştirilmesi ve yaygınlaştırılmasına yönelik düzenlemelere ihtiyaç olduğu tespit edilmiştir.

Keywords

• Enjeksiyon
• intramüsküler enjeksiyon
• nitel çalışma
• Z-tekniği yöntemi

Supporting Institution

Düzce Üniversitesi Bilimsel Araştırma Projeleri Koordinatörlüğü

Project Number

2017.16.01.601

Thanks

Düzce Üniversitesi Bilimsel Araştırma Projeleri Koordinatörlüğüne desteklerinden dolayı teşekkür ederiz.

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