![]() ![]() Methods:Three databases were used to investigate the research question: Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE and PsycINFO. ![]() This literature review answers the question, ‘how does aspiration influence patient experience when nurses administer intramuscular injections?’ Understanding the implications of aspiration is pertinent to determining whether this practice should be incorporated into nursing practice. Further to this, the British Columbia Centre for Disease Control, says there are “no large blood vessels at the recommended injection sites” (2016, p. Alberta Health Services states aspiration may increase time the needle is in the tissue but may also increase shearing (Alberta Health Services, 2018). These discrepancies in education, policy, and practice prompted us to consider patient implications, such as pain, when aspiration is performed during IM injections. (2016) conducted a survey in which 75 % of Registered Nurses (RN) reported aspirating IM injections over 90 % of the time. ![]() Immunization policy within Alberta Health Services (AHS) states aspiration is not necessary (Alberta Health Services, 2018), while the World Health Organization (WHO) does not mention aspiration in its most recent practice guide for IM immunizations (2015). Purpose:Aspiration is a technique used during intramuscular (IM) injection to check if a blood vessel has been punctured prior to medication administration to avoid the accidental delivery of medication into the bloodstream (Swart, 2014 Thomas, Mraz, & Rajcan, 2016). ![]()
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