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

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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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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.  (2nd ed.).  Jones & Bartlett

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