• Nagabushan H Department of Pharmacology, Mandya Institute of Medical Sciences,Mandya,Karnataka
  • Drupad Hs Department of Pharmacology, Mandya Institute of Medical Sciences,Mandya,Karnataka



Objectives: The aim was to assess the existing knowledge of intramuscular (IM) injection administration technique among health care providers in
teaching hospital.
Methods: A cross-sectional study was conducted among medical interns, final year nursing students, and MBBS Phase-II students (health care
providers) of Mandya Institute of Medical Sciences, Mandya. A total of 257 health care providers participated in this study and were asked to narrate
the steps of IM injection technique. The correctness of technique was graded using a standard checklist of 10 steps. Knowledge was assessed by
number of steps answered correctly by them.
Results: Out of 257 participants, all the steps of IM injection technique were correctly answered by 18.8% of nursing students, and 17% of medical
interns. Knowledge of site selection and sterilization of site for IM injection was good among all the groups (97.7%). Steps involving angle of insertion
of needle into the muscle, checking whether needle is correctly inserted into muscle, proper disposal of syringe and sanitization of hand after the
procedure was answered correctly by 89.1%, 72.3%, 42.8% and 45.5% of participants respectively.
Conclusion: Nursing students and medical interns had better knowledge regarding technique of IM injection when compared to MBBS Phase-II
students. However, the knowledge concerning the disposal of syringe and sanitization in the hand was better among nursing students than the other
two groups. Even though, medical interns and nursing students have responded well, still there is a scope for further improvement in the procedure.
Keywords: Health care providers, Intramuscular injection, Knowledge.

Author Biographies



Nagabushan H, Department of Pharmacology, Mandya Institute of Medical Sciences,Mandya,Karnataka

Department of Pharmacology


Drupad Hs, Department of Pharmacology, Mandya Institute of Medical Sciences,Mandya,Karnataka

Department of Pharmacology,
Post graduate tutor


WHO - Guiding principles to ensure injection device security-BCT/03.12. Available from: [Last accessed on 2014 Oct 10].

Adejumo PO, Dada FA. A comparative study on knowledge, attitude, and practice of injection safety among nurses in two hospitals in Ibadan, Nigeria. Int J Infect Control 2013;9(1):1-6.

Hutin YJ, Hauri AM, Armstrong GL. Use of injections in healthcare settings worldwide, 2000: Literature review and regional estimates. BMJ 2003;327:1075.

Rathod SS, Motghare VM, Padwal SL, Deshmukh VS, Pore RR, Deshpande R, et al. Study of prescribing practices of injections in outpatients of a rural tertiary care teaching hospital. Int J Basic Clin Pharmacol 2013;2:747-50.

Cocoman A, Murray J. Intramuscular injections: A review of best practice for mental health nurses. J Psychiatr Ment Health Nurs 2008; 15(5):424-34.

Shill MC, Fahad MB, Sarker S, Dev S, Rufaka HK, Das AK. Injection practices at primary healthcare units in Bangladesh: Experience at six Upazilla health complexes. Australas Med J 2011;4(1):26-42.

Topal FE, Yildirim B. The assessment of distances of intramuscular injection location from some landmarks in the students of Mugla School of Health Sciences. Cumhuriyet Med J 2014;36:206-14.

Lala KR, Lala MK. Intramuscular injection: Review and guidelines. Indian Pediatr 2003;40(9):835-45.

Cornwall J. Are nursing students safe when choosing gluteal intramuscular injection locations? Australas Med J 2011;4(6):315-21.

Lynn P. Taylor’s Clinical Nursing Skills: A Nursing Process Approach. Pennsylvania: Lippincott Williams & Wilkins; 2011.

Tanioka T, Sakamaki S, Yasuhara Y, Tomotake M, Takase K, Watari C, et al. Optimal needle insertion length for intramuscular injection of risperidone long-acting injectable (RLAI). Health 2013;5(12):1939-45.

Deena KA, Nashwan AA. An iatrogenic sciatic nerve injuries following gluteal intramuscular injection among children. Int Res J Pharm 2014;5(4):267-70.

Hunter J. Intramuscular injection techniques. Nurs Stand 2008;22(24):35-40.

Tak SR, Dar GN, Halwai MA, Mir MR. Post-injection nerve injuries in Kashmir: A menace overlooked. J Res Med Sci 2008;13(5):244-7.

Idowu OA, Ogunrinu AE, Akinremi A, Aladeyelu OE, Kaka B, Adelugba JK. Injection-induced sciatic nerve injury among children managed in a Nigerian physiotherapy clinic: A five-year review. Afr J Physiother Rehab Sci 2011;3(1):13-6.

Mishra P, Stringer MD. Sciatic nerve injury from intramuscular injection: A persistent and global problem. Int J Clin Pract 2010; 64(11):1573-9.

Valliani A, Ahmed B, Saleem MA, Mirza R, Ejaz K. Adherence to adult intramuscular injection protocol at Civil Hospital Karachi. J Pak Med Assoc 2011; 61(12):1254-7.

Qamar M, Gillani SW, Sulaiman SA. Skin preparation knowledge, attitudes and practices among the healthcare professionals in compliance with the World Health Organization (WHO) Guidelines. J Clin Diagn Res 2012;6(6):1041-6.

Sakic B, Mailutinovic D, Simin D. An assessment of intramuscular injection practices among nursing students and nurses in hospital setting: Is it evidence-based? South East Eur Health Sci J 2012;2(2):114-21.

Akhtar MS, Vohara D, Pillai KK, Dubey K, Roy MS, Najmi AK, et al. Drug prescribing practices in paediatric department of a north Indian university teaching hospital. Asian J Pharm Clin Res 2012;5(1):146-9.

Surendranath A, Nagaraju B, Padmavathi GV, Anand SC, Fayaz P, Balachandra G. A study to assess the knowledge and practice of insulin self-administration among patients with diabetes mellitus. Asian J Pharm Clin Res 2012;5(1):63-6.



How to Cite

Bp, S., N. H, and D. Hs. “ASSESSMENT OF KNOWLEDGE AMONG HEALTH CARE PROVIDERS REGARDING INTRAMUSCULAR INJECTION ADMINISTRATION.”. Asian Journal of Pharmaceutical and Clinical Research, vol. 8, no. 1, Jan. 2015, pp. 220-2,



Original Article(s)