Discussion: Progress in Nursing NR 390

Discussion: Progress in Nursing NR 390

Discussion: Progress in Nursing NR 390

Week 5: Progress in Nursing in the Early-to-Mid 20th Century

There was much progress in nursing during the early-to-middle part of the 20th century (1900 through the late 1930s). After reading the textbook and the lesson for this week, describe one area of change in nursing that intrigues you during that time period. Discuss how that area could be applied today.

As in our chapter readings, nursing research and education is discussed throughout the years.  “An almost endless effort . . . has changed nursing practice and provided the body of knowledge to support evidence-based practice. . .” (Judd & Sitzman, 2014).  Nursing research and education will always continue, so that nurses can improve patient care.

In the 20^th century, and in the very beginning years of the 21^st century, nurses were trained according to evidence-based practice, to aspirate intramuscular injections.  Not long into the beginning years of the 21^st century, evidence-based practice states that this procedure is no longer necessary. 

Nurses were originally trained to aspirate intramuscular injections, to verify that the injection was in the muscle and not in a vein.  If blood aspirated into the syringe, this meant that the injection was placed in a vein, and then the syringe with the blood and medicine would need to be discarded, and the medicine drawn up again.  The act of aspirating was to be done over a five to ten second period. 

“More recently, evidence-based guidelines do not advocate aspiration. . .”  (Do you need to aspirate, 2016).  Aspirating intramuscular injections today is no longer necessary.  The rationales for this new procedure are that the sites that intramuscular injections are given in do not contain major blood vessels, there is no evidence that aspiration without or with blood eliminates the chance of being in a blood vessel, not aspirating reduces the time of the injection, there is less waste of medications, less pain, and most nurses do not wait and aspirate over the recommended five to ten second period.  (Evidence-based Injection Practice, n.d.).

However, if using the dorsal gluteal area, aspiration is needed, because you must be careful of the sciatic nerve and blood vessels.  Therefore, it is not recommended to use this area.  (Evidence-based Injection Practice, n.d.). 

Nursing gives many drugs intramuscularly, so it is necessary to keep up on medication education.  For example, one intramuscular medication that I have given many times is Haldol, to calm down patients.  As stated above, some advantages to no longer having to aspirate intramuscular injections is less pain and reducing the time of the injection.  If having to give Haldol, usually it is needed to be given quickly, and less pain is beneficial for the patient.  So far, the changes to this evidence-based practice has proved to be successful in my practice.

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References

Do you need to aspirate when giving intramuscular (IM) injections? (December 11, 2016).  Retrieved from https://ed-areyouprepared.com/wp-content/uploads/2018/12/Do-you-need-to-aspirate-when-giving-intramuscular.pdfLinks to an external site.

Evidence-based Injection Practice:  To Aspirate or Not.  (n.d.).  Retrieved from www.nnpnetwork.org/Uploads/EBPLinks to an external site. aspiration poster 9 25 12 for iowa.pdf

Judd, D., & Sitzman, K.  (2014).  A history of American nursing:  Trends and eras.  (2^nd ed.).  Jones & Bartlett

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Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
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• I highly recommend using the APA Publication Manual, 6^th edition.

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• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
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• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
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