International Journal of Nursing Research

Objective To investigate the current status of insulin injection knowledge, beliefs, and behaviors (knowledge, beliefs, and actions) among grassroots nurses in the medical community region, and evaluate the training effectiveness. Methods Convenience sampling was used to select 456 clinical nurses from all medical institutions in the local medical community as the research subjects. According to the Technical Guidelines for diabetes Drug Injection in China and the related questionnaires of the diabetes Nursing Special Committee of the Chinese Nursing Society, a questionnaire was designed for investigation. Results The accuracy rate of nurses in classifying insulin and injection timing was less than 55.48%. The accuracy rate of not reusing the same injection site was 17.54%, the rate of non-standard handling of needles was 27.85%, the accuracy rate of handling injection sites was 48.25%, and the error rate of insulin specific syringes for suctioning insulin was 49.56%; 42.32% of the nurses believed that they needed to participate in the training related to standardized insulin injection, and 39.04% of the nurses were confident to correctly guide diabetes patients to conduct insulin injection; There are differences in the execution rate of nurses in performing insulin injection related operations, such as 67.76% in retrieving insulin from the refrigerator 30 minutes in advance and warming it up, and 83.33% in monitoring patients blood sugar levels. After the training, the scores of grassroots nurses in the insulin injection knowledge, belief and practice test paper and operation test were both improved (P<0.05). Conclusion The investigation and training on the knowledge, belief and practice of insulin injection among primary nurses in the medical community area can standardize the operation and ensure the efficacy and safety of diabetes patients. Developing standardized operating procedures, management rules, and assessment standards can provide learning references for grassroots hospitals and cultivate insulin injection training instructors to enhance the service capabilities and quality of grassroots nurses.

Grassroots nurses; Insulin injection; Knowledge; Belief; behavior