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Practice guidelines for intramuscular injection in mental health: A delphi method

Published online by Cambridge University Press:  13 August 2021

G. Legrand ,
C. Guiguet-Auclair ,
S. Boisgard ,
O. Traore ,
J.-P. Lanquetin ,
H. Viennet ,
N. Morin ,
Z. Cardinaud ,
A. Debost-Legrand  and
L. Bernard
G. Legrand*
Affiliation:
Centre Hospitalier Sainte-marie De Clermont-ferrand, Association Hospitalière Sainte-Marie, Clermont-Ferrand, France
C. Guiguet-Auclair
Affiliation:
Chu Clermont-ferrand, Cnrs, Sigma Clermont, Institut Pascal, Université Clermont Auvergne, Clermont-Ferrand, France
S. Boisgard
Affiliation:
Chu Clermont-ferrand, Université Clermont Auvergne, CNRS, SIGMA Clermont, ICCF, Clermont-Ferrand, France
O. Traore
Affiliation:
Service D’hygiène Hospitalière, CHU de Clermont-Ferrand, Clermont-Ferrand, France
J.-P. Lanquetin
Affiliation:
Groupe De Recherche En Soins Infirmiers, CH de Saint-Cyr-au-Mont-d’Or, Saint-Cyr-au-Mont-d’Or, France
H. Viennet
Affiliation:
Centre Hospitalier Sainte-marie De Clermont-ferrand, Association Hospitalière Sainte-Marie, Clermont-Ferrand, France
N. Morin
Affiliation:
Institut De Formation En Soins Infirmiers, CHU de Clermont-Ferrand, Clermont-Ferrand, France
Z. Cardinaud
Affiliation:
Centre Hospitalier Sainte-marie De Clermont-ferrand, Association Hospitalière Sainte-Marie, Clermont-Ferrand, France
A. Debost-Legrand
Affiliation:
Chu Clermont-ferrand, Université Clermont Auvergne, CNRS, SIGMA Clermont, ICCF, Clermont-Ferrand, France
L. Bernard
Affiliation:
Chu Clermont-ferrand, Université Clermont Auvergne, CNRS, SIGMA Clermont, ICCF, Clermont-Ferrand, France
*
*Corresponding author.

Abstract

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Introduction

Intramuscular injections (IMI) remain a frequent practice in mental health. The available guidelines for IMI in mental health only focus on the technical side of the practices. Moreover, no recent update has been performed to improve practice of IMI in mental health

Objectives

To assess a formalized consensus agreement regarding the best practice concerning IMI in mental health and to develop practice guidelines.

Methods

A two-round Delphi method was used. The scientific committee consisted in one psychiatrist, one orthopaedic surgeon, one infection control practitioner, one hospital pharmacist, one mental health nurse, one nurse exploring care relationship and one nurse educator. From literature review, each expert proposed specific recommendations. The panel experts were asked to rate the appropriateness and the applicability in current practice of each recommendation on a 9-point Likert scale. Panel members were recruited in five mental health institutions. The first round questionnaire was emailed to each respondent on February 2020 and the second one on June. Propositions were considered appropriate and applicable in current practice if the median was >=7. Agreement among experts were judged by the statistical measure of the Interpercentile Range

Results

From the first round, 46 recommendations were retained by 49 nurses. 27 propositions were retained after this second round by 32 nurses. The scientific committee added 12 other recommendations because of their importance in the literature and clinical practice.

Conclusions

This study provides consensus-based recommendations on IMI in mental health. Nursing staff need to be educated about the new guidelines from both the theoretical and clinical perspectives

Disclosure

No significant relationships.

Keywords

Delphi methodIntramuscular injectionsNurse practicesMental health nursing
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S721
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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