Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Feelings and Thoughts of Nursing Students in the Roles of Nurse and Patients About the First Intramuscular Injection to a Person: An Empirical Research
Hemşire ve Hasta Rolündeki Hemşirelik Öğrencilerinin Bir İnsana İlk İntramusküler Enjeksiyonuna İlişkin Duygu ve Düşünceleri: Deneysel Araştırma
Şahizer ERAYDINa, Şerife KARAGÖZOĞLUb
aDepartment of Nursing, Tokat Gaziosmanpaşa University Faculty of Health Sciences, Tokat, Türkiye
bDepartment of Nursing, Sivas Cumhuriyet University Faculty of Health Sciences, Sivas, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(1):73-82
doi: 10.5336/nurses.2020-80046
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was conducted to determine the feelings and thoughts of nursing students in the roles of nurse and patient about the first intramuscular injection (IMI) to a person. Material and Methods: Pretest-posttest trial model was used in the study. The sample of the study consisted of 80 volunteers from the students who took the nursing fundamentals course. The sample group students performed the IMI application according to the scenario prepared by the researchers in the laboratory in which the students were in the roles of both nurse and patient under the supervision of instructors. The data of the study were collected before and after the procedure using a questionnaire form. Descriptive statistical analyses and paired sample t-test were used in the analysis of the data. Results: While in the patient role, students' mean scores of feelings such as anxiety, irritation, nervousness, panicking, distress, scare, and embarrassment decreased after the IMI compared to pretest values (p<0.05), students' mean scores of feelings such as being relieved, happiness, courage and calmness increased compared to pretest values (p<0.05). In nurse role, students' mean scores of feelings such as irritation, distress, anxiety, and fear of complications decreased after the IMI compared to pretest values (p<0.05), while mean scores of feelings such as happiness, calmness, being relieved, courage, excitement and self-confidence increased (p<0.05). Conclusion: In both roles, the negative feelings and thoughts of the students before the IMI decreased after the application, and their positive feelings and thoughts increased. In line with the findings, it can be said that the study made significant contributions to the perspectives of the students as a professional member.

Keywords: Intramuscular injection; nursing student; patient-nurse role
ÖZET
 Amaç: Bu çalışma, hemşire ve hasta rolündeki hemşirelik öğrencilerinin insana ilk intramusküler enjeksiyonuna ilişkin duygu ve düşüncelerinin belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Çalışmada, ön-test-son-test deneme modeli kullanıldı. Araştırmanın örneklemini hemşirelik esasları dersini alan 80 öğrenci oluşturdu. Örneklem grubunda yer alan öğrenciler, araştırmacılar tarafından hazırlanan ve öğrencilerin sırasıyla hemşire ve hasta rolünde olduğu senaryoya göre intramusküler enjeksiyon uygulamasını eğitimcilerin gözetiminde laboratuvarda gerçekleştirdi. Çalışmanın verileri, işlem öncesinde ve sonrasında anket formu kullanılarak toplandı. Verilerin analizinde tanımlayıcı istatistik analizler ve bağımlı gruplarda t-testi kullanıldı. Bulgular: Hasta rolünde iken öğrencilerin işlem sonrası endişe, tedirginlik, heyecan, panik yapma, sıkıntı, korku, utanma gibi duygularının puan ortalamasında işlem öncesine göre azalma olduğu (p<0,05), rahatlama, mutluluk, cesaret, sakinlik gibi duyguların puan ortalamasında işlem öncesine göre artma (p<0,05) olduğu bulunmuştur. Hemşire rolünde iken öğrencilerin işlem sonrası tedirginlik, gerginlik, endişe, sıkıntı, komplikasyondan korkma duygu puan ortalamasında ise işlem öncesine göre azalma olduğu (p<0,05); mutluluk, sakinlik, rahatlık, cesaret, kendine güven duygu puan ortalamasında işlem öncesine göre artma olduğu (p<0,05) bulunmuştur. Sonuç: Her iki rolde de öğrencilerin intramusküler enjeksiyon öncesi olumsuz duygu ve düşünceleri uygulama sonrası azalırken, olumlu duygu ve düşünceleri artmıştır. Bulgular doğrultusunda çalışmanın bir meslek üyesi olarak, öğrencilerin bakış açılarına önemli katkılar sağladığı söylenebilir.

Anahtar Kelimeler: İntramusküler enjeksiyon; hemşirelik öğrencisi; hasta-hemşire rolü
REFERENCES:
  1. Park S. Effects of an intensive clinical skills course on senior nursing students' self-confidence and clinical competence: a quasi-experimental post-test study. Nurse Educ Today. 2018;61:182-6. [Crossref]  [PubMed] 
  2. Taylor C, Lillis C, LeMone P, Lynn P. Medications. Fundamentals of Nursing: The Art and Science of Nursing Care. 7th ed. USA: Lippincott Williams & Wilkins, Wolters Kluwer; 2011. p.151-205.
  3. Göriş S, Bilgi N, Bayındır SK. Hemşirelik eğitiminde similasyon kullanımı [The use of simulation in nursing education]. Düzce University Journal of Institute of Health Sciences. 2014;4(2):25-9. [Link] 
  4. Işık B, Kaya H. The effect of simulation software on learning of psychomotor skills and anxiety level in nursing education. Procedia-Social and Behavioral Sciences. 2014;116:3864-8. [Crossref] 
  5. Gore T, Hunt CW, Parker F, Raines KH. The effects of simulated clinical experiences on anxiety: nursing students' perspectives. Clinical Simulation in Nursing. 2011;7(5):e175-e80. [Crossref] 
  6. Ross JG, Carney H. The effect of formative capstone simulation scenarios on novice nursing students' anxiety and self-confidence related to initial clinical practicum. Clinical Simulation in Nursing. 2017;13(3):116-20. [Crossref] 
  7. Dearmon V, Graves RJ, Hayden S, Mulekar MS, Lawrence SM, Jones L, et al. Effectiveness of simulation-based orientation of baccalaureate nursing students preparing for their first clinical experience. J Nurs Educ. 2013;52(1):29-38. [Crossref]  [PubMed] 
  8. Terzioğlu F, Kapucu S, Özdemir L, Boztepe H, Duygulu Ş, Tuna Z, et al. Simülasyon yöntemine ilişkin hemşirelik öğrencilerinin görüşleri [Nursing students' opinions about simulation method]. Faculty of Health Sciences Nursing Journal. 2012;16-23. [Link] 
  9. Ross JG. The effect of simulation training on baccalaureate nursing students' competency in performing intramuscular injection. Nurs Educ Perspect. 2015;36(1):48-9. [Crossref]  [PubMed] 
  10. Sunkes B. Benner's novice to expert theory and the concept reflective practice: a comparative analysis. Bridget Ademic Portfolio. 2018;1-9. [Link] 
  11. Heidke P, Howie V, Ferdous T. Use of healthcare consumer voices to increase empathy in nursing students. Nurse Educ Pract. 2018;29:30-4. [Crossref]  [PubMed] 
  12. Lynn P, ed. Bektaş H, çeviri editörü. Taylor Klinik Hemşirelik Becerileri Bir Hemşirelik Süreci Yaklaşımı. 3. Baskı. İstanbul: Nobel Academic Publishing Training Consultancy. Ltd. Sti; 2015. p.151-276.
  13. Sari D, Şahin M, Yaşar E, Taşkiran N, Telli S. Investigation of Turkish nurses frequency and knowledge of administration of intramuscular injections to the ventrogluteal site: results from questionnaires. Nurse Educ Today. 2017;56:47-51. [Crossref]  [PubMed] 
  14. Akça Ay F. İlaç uygulamaları. Sağlık Uygulamalarında Temel Kavramlar ve Beceriler. 7. Baskı. İstanbul: Nobel Medical Bookstores; 2018. p.473-559.
  15. Jung Kim H, Hyun Park S. Sciatic nerve injection injury. J Int Med Res. 2014;42(4):887-97. [Crossref]  [PubMed] 
  16. Gülnar E, Özveren H. An evaluation of the effectiveness of a planned training program for nurses on administering intramuscular injections into the ventrogluteal site. Nurse Educ Today. 2016;36:360-3. [Crossref]  [PubMed] 
  17. Hopkins U, Arias CY. Large-volume IM injections: a review of best practices. Oncology Nurse Advisor. 2013;2(2):32-7. [Link] 
  18. Kara D, Uzelli D, Karaman D. Using ventrogluteal site in intramuscular injections is a priority or an alternative? International Journal of Caring Sciences. 2015;8(2):507-13. [Link] 
  19. Ward J, Cody J, Schaal M, Hojat M. The empathy enigma: an empirical study of decline in empathy among undergraduate nursing students. J Prof Nurs. 2012;28(1):34-40. [Crossref]  [PubMed] 
  20. Şahin ZA, Özdemir FK. Hemşirelerin iletişim ve empati beceri düzeylerinin belirlenmesi [Determination of Communication and Empathy Skill Levels of Nurses]. JAREN. 2015;1(1):1-7. doi: 10.5222/jaren.2015.001. [Link] 
  21. Göl İ. İntramüsküler aşı uygulamalarında ağrı yönetimi: aspirasyonsuz hızlı enjeksiyon tekniği [Pain management in intramuscular vaccine applications: rapid injection techniques without aspiration]. Eurasian Journal of Health Sciences. 2020;3(2):48-54. [Link] 
  22. Alaşar B, Çevik K. İntramüsküler enjeksiyon sırasında kullanılan farklı tekniklerin ağrı ve ilaç sızıntısı üzerine etkisi [The effect of different techniques used in intramuscular injection on pain and drug leakage]. IAAOJ Health Sciences. 2021;7(2):79-92. [Link] 
  23. Kara D. İntramüsküler enjeksiyona bağlı gelişen ağrının azaltılmasına yönelik yöntemler [The methods for reducing pain due to intramuscular injection]. Gümüşhane University Journal of Health Sciences. 2013;2(1):169-82. [Link] 
  24. Sabuncu N, Köse S, Özhan F, Batmaz M, Özdilli K. İlk defa intramüsküler enjeksiyon uygulaması yapan öğrencilerin kaygı düzeyleri ve sosyo-demografik özellikleri ile ilişkisi [The relationship between anxiety levels and socio-demographic characteristics of the students who applied intramuscular injection for the first time]. Journal of Atatürk University School of Nursing. 2008;11(3):27-32. [Link] 
  25. Perry AG, Potter PA, eds. Aştı TA, Karadağ A, çeviri editörleri. Klinik Uygulama Becerileri ve Yöntemleri. 1. Baskı. Adana: Nobel Bookstore; 2011. p.693-761.
  26. Kaya N, Turan N, Aydin GÖ. Ventrogluteal site injection: a systematic review. International Journal of Caring Sciences. 2016;9(3):1168-76. [Link] 
  27. Coskun H, Kilic C, Senture C. The evaluation of dorsogluteal and ventrogluteal injection sites: a cadaver study. J Clin Nurs. 2016;25(7-8):1112-9. [Crossref]  [PubMed] 
  28. Potter PA, Perry AG. Medication administration. Fundamentals of Nursing. 7th ed. St. Lous, Missouri: Mosby Inc; 2009. p.565-635.
  29. Kozier B, Berman A. Medications. Kozier & Erb's Fundamentals of Nursing: Concepts, Process, and Practice. 8th ed. New Jersey: Pearson Prentice Hall; 2008. p.829-901.
  30. Benner P. Using the dreyfus model of skill acquisition to describe and interpret skill acquisition and clinical judgment in nursing practice and education. Bulletin of Science, Technology & Society. 2004;24(3):188-99. [Crossref] 
  31. Walker-Reed CA. Clinical coaching: the means to achieving a legacy of leadership and professional development in nursing practice. Journal of Nursing Education and Practice. 2016;6(6):41-7. [Crossref] 
  32. Durmaz Edeer A, Sarıkaya A. Hemşirelik eğitiminde simülasyon kullanımı ve simülasyon tipleri [The use of simulation in nursing education and simulation types]. Journal of Nursing Education and Research. 2015;12(2):121-5. [Link] 
  33. Uslusoy EÇ. Hemşirelik eğitiminde simülasyon kullanımı: öğrencilerin görüşleri [Use of simulation in nursing education: opinions of students]. SDÜ Sağlık Bilimleri Enstitüsü Dergisi. 2018;9(2):13-8. [Link] 
  34. Levett-Jones T, Lapkin S, Govind N, Pich J, Hoffman K, Jeong SY, et al. Measuring the impact of a 'point of view' disability simulation on nursing students' empathy using the Comprehensive State Empathy Scale. Nurse Educ Today. 2017;59:75-81. [Crossref]  [PubMed] 
  35. Weaver A. The effect of a model demonstration during debriefing on students' clinical judgment, self-confidence, and satisfaction during a simulated learning experience. Clinical Simulation in Nursing. 2015;11(1):20-6. [Crossref] 
  36. Kılıç Akça N, Arslan E, Başer M, Kuzucu EG. The effect of touching for level of anxiety and skills to advanced practice of nursing students. International Journal of Caring Sciences. 2015;8(1):52-8. [Link] 

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