|
Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Health Sciences / Faculty of Health Sciences >
Peer-reviewed Journal Articles, etc >
Is skin disinfection before subcutaneous injection necessary? The reasoning of Certified Nurses in Infection Control in Japan
| Title: | Is skin disinfection before subcutaneous injection necessary? The reasoning of Certified Nurses in Infection Control in Japan |
| Authors: | Yoshida, Yuko Browse this author →KAKEN DB | | Takashima, Risa Browse this author | | Yano, Rika Browse this author →KAKEN DB |
| Issue Date: | 8-Jan-2021 |
| Publisher: | PLOS |
| Journal Title: | PLoS ONE |
| Volume: | 16 |
| Issue: | 1 |
| Start Page: | e0245202 |
| Publisher DOI: | 10.1371/journal.pone.0245202 |
| Abstract: | Nurses continue to disinfect the skin before administering subcutaneous injections as a standard process in clinical settings; despite evidence that disinfection is not necessary. To implement evidence-based practice, it is critical to explore why this gap between "evidence" and "practice" exists. This study aimed to describe the reasons offered by Certified Nurses in Infection Control (CNIC) in Japan for performing skin disinfection before subcutaneous injection. Adopting an inductive qualitative design, interviews were conducted with 10 CNIC in 2013. According to the participants, skin disinfection before subcutaneous injection: (a) was common practice; (b) may have been beneficial if it was omitted; (c) adhered to hospital norms; (d) prevented persistent suspicion of infection; (e) had no detrimental effect; (f) was an ingrained custom; and (g) involved a tacit approval for not disinfecting in home care settings. The themes (c) and (g) were cited as the main reasons affecting decision-making. The CNIC administered injections following skin disinfection in hospitals in accordance with hospital norms. On the contrary, outside the hospital, they administered subcutaneous injections without skin disinfection. All themes except (b) and (g) reflect the barriers and resistance to omitting skin disinfection, while (g) shows that it is already partly implemented in home care settings. It is necessary to create a guideline for skin disinfection before subcutaneous injection that considers the quality of life of patients at home, their physical conditions, and the surrounding environment at the time of injection, in addition to the guidelines applicable in hospitals. |
| Type: | article |
| URI: | http://hdl.handle.net/2115/81140 |
| Appears in Collections: | 保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
|
|
