My Learning Need as a Student Nurse - Essay Sample

Intramuscular Injection (IM) is the issuance of medication via the cutaneous and subcutaneous layers of the skin CITATION Par07 \l 1033 (Parsons & White, 2007). A good medical injection methodology can act as a difference between minimal pain and injury. The administration of IM is a regular nursing intervention that is widely employed in the clinical practice. For this reason, the importance of having an ideal IM methodology should not be understated. This is also because some of the potential complications as a result of bad IM injections could result in the occurrence of abscess, tissue necrosis, muscle fibrosis, cellulites, and contractures hematoma (Velissaris et al., 2009). Erroneous IM can also result in the injury of a persons peripheral nerves, bones as well as the blood vessels.

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This essay is focused on a learning need that I require developing as a competency at this stage of my nursing degree. As the primary reason of this essay, I have decided to lay focus on the determination of the safest methods of IM administration as my nursing clinical learning need. My rationale for taking this field of focus is based on an experience that I had when I was on an internship at the local public hospital in the Department of Psychiatric Intensive Care Unit (PICU). After administering IM to a mentally ill patient while under supervision, I realized that I would like to have substantial knowledge as well as competence in performing the procedure effectively. My aim is to improve my performance and skill in IM administration from average to perfect.

Critical Analyses of Literature

Literature 1

The first publication is a study that was aimed at determining the most effective method of intramuscular injection. The publication was authored by Trish Reynolds and Louise Saxton (2015), and it was a randomized controlled clinical trial aimed at developing the best training on performing IM to nurses. The method used for the research was the pilot study method. The main findings of the trial portrayed that there was a varied difference in the techniques employed by different nursing practitioners in offering IM. The findings of the study also indicated that in order to administer an IM, the right way, clinical nurses should receive sufficient training on the different injection sites that can be used for administering the drugs.

Reliability

The reliability of the research study is remarkably high. This is because the findings illustrated in the research have been consistent over time, from the time that the research was undertaken. In addition, Reynolds and Saxton (2015)s literature portrays an accurate representation of all members of the population under investigation.

Validity

Reynolds and Saxton (2015)s research study is valid as it was able to measure what it was intended to measure and as a result offered remarkably truth results. This is because it illustrated the efficacy of the different methods of IM administration and proved that no single technique was superior to the others.

Trustworthiness

The trustworthiness of the research is high because the triangulation of the reliability and validity of the research findings attained in the study was determined through a cross verification of the results using multiple research sources. The research study also portrayed a description of background, qualifications as well as the experience of researchers in the field.

The outcomes of Reynolds and Saxton (2015) study can be compared and contrasted by a study authored by Naomi Bartley (2010). The latter study was a summary of systematic reviews detailing the different methods of offering IMs to patients in a clinical setting. The publication also illustrated the importance of having sufficient knowledge on the different methods of administering IM by the nurses. Bartleys research portrayed similar results with the research findings obtained in Reynolds and Saxton (2015) publication. This is because her extensive review of the different forms of administering IM illustrated that there is no single methodology that can be regarded supreme than the others in administering the IM medications. For this reason, there is an agreement in the findings of the two studies in their justification of the need for nurses to have substantial training on different methods of IM. This is because there is no single method of administering IM that can be classified to be the best over the others.

Literature 2

The second literature was authored by James P. Smith alongside his partner Oliver R. Herber in 2015. The publication was a qualitative study focused on ascertaining the various ethical issues that are encountered by nurses during the administration of antipsychotic depot. It also focused on the determination of the ethical issues experienced by nurses during the administration of long-acting intramuscular injections. The research design engaged in the study was the phenomenological research technique. The main findings of the study revealed that the nursing educators had a responsibility of educating the heath care nurses responsible for mentally ill patients the most effective way of administering antipsychotic depots and IM medications effectively.

Reliability

The reliability of the research study is remarkably high. This is because the findings illustrated in the research have been consistent over time, from the time that the research was undertaken. In addition, Smith and Herber (2015)s literature portrays an accurate representation of all members of the sample population that were used in the research.

Validity

Smith and Herber (2015)s research study is valid as it was able to measure what it was intended to measure and as a result offered remarkably truthful results. This is because it obtained the various ethical issues encountered by nurses in training and also the need to learn the different techniques of IM administration. The research results also proved that no single technique was superior to the others.

Trustworthiness

The trustworthiness of the research is high because the triangulation of the reliability and validity of the research findings attained in the study was determined through a cross verification of different scientific publications and experiments. The phenomenological research technique was also employed as a trustworthy research methodology for a qualitative research. The study also featured reflective commentary, and it was also subjected to peer scrutiny.

The findings of the Smith and Herber (2015) research can be compared and contrasted with the findings of a publication authored by D. Velissaris, C. Matzaroglou, C. Kalogeropoulou, V. Karamouzos, K. Filos and M. Karanikolas (2009). The latter publication was a summary of two case reports that illustrated the evidence of Sepsis that requires intensive care after an intramuscular injection. In comparison to Smith and Herbers study, Velissaris et al. (2008) report illustrated that there exists a gap in the determination of the most effective method of administering IM to patients. For this reason, it can be stated that there is an agreement in the findings of the two studies in their justification of the need for nurses in training to acquire substantial information of the different forms of IM administration. This conclusion, in the two literature, can be developed on the bases of an argument that there is no single method of administering IM that can be classified to be supreme over the others.

Literature 3

Literature 3 is a qualitative research study that was authored by Floyd and Meyer (2007). The publication was aimed at determining the best practices that can be employed in IM administration in a clinical setting. The research design employed in the research study was the purposive sampling technique. The primary findings of the research illustrated that although a person can use the best practices of administering IM, there is no method that can be classified as perfect in comparison with the others.

Reliability

The reliability of the research study is remarkably high. This is because the findings illustrated in the research have been consistent over time, from the time that the research was undertaken. Also, Floyd and Meyer (2007)s literature portrays an accurate representation the different methods of IM administration as approved by varying nursing policies, such as the NMC and NICE guidelines.

Validity

Floyd and Meyer (2007)s research study is valid as it was able to measure what it was intended to measure and as a result offered remarkably truthful results. This is because it was able to offer appropriate findings of the best practices that can be employed by the nurses in training during the IM administration.

Trustworthiness

The trustworthiness of the research is high because the triangulation of the reliability and validity of the research findings attained in the study was determined through a cross verification of different scientific studies and experiments. In the study, triangulation was undertaken to reduce the effect of the researchers biasness. Such were the studies and researches focused on the determination of the most effective techniques of IM administration. Also, the purposive sampling technique was employed as an effective, trustworthy research methodology.

Floyd and Meyer (2007) research can be compared and contrasted by a case report authored by Bridget Malkin (2008). The case report was developed to address whether the methodologies of IM administration used in a clinical setting are founded on validated research evidence. Malkins report illustrated that the different techniques used for IM administration, have all been reviewed and validated using existing evidence. However, the report had an identical comparison to the findings of Floyd and Meyer (2007) research that portrayed that there is no primary method of IM administration that can be classified to be the best in comparison to the others.

Literature 4

Literature 4 is case report focused on the importance of teaching nurses in training the best technique of administering IM. The case report was authored by Kathleen M. Davidson alongside his partner Liam Rourke in 2013. The case report is a collection of various treatment reports aimed at evidencing the best methodology of IM administration. The method that is employed in the case report is the systematic review technique. The primary findings of the case report illustrated that there is a need for nurses in training to be educated on the best IM administration technique Deltoid IM administration. The case report also illustrates what should be taught in nursing by clinical instructors as the best practice for the deltoid intramuscular injection among adult patients.

Reliability

The reliability of the research study is remarkably high. This is because the findings illustrated by Davidson and Rourke (2013) in the researches have been consistent over time since the time that the researches were undertaken. In addition, the literature portrays an accurate representation of the findings of different case reports that were employed in the final case report.

Validity

Davidson and Rourke (2013) research is valid as it was able to measure what it was intended to measure and as a result offered remarkably truth results. This is also because it employed effectiveness in its analysis of the different methods of IM administration, placing a more emphasis on deltoid IM administration.

Trustworthiness

The trustworthiness of the research is high because the triangulation of the reliability and validity of the research findings attained in the case report were determined through a cross verification of the results using multiple research sources. The research study also portrayed an expl...