Background: The Z-Track technique is an intramuscular injection method designed to prevent medication leakage, reduce tissue irritation, and minimize complications at the injection site. Proper use of this technique is important for ensuring safe and effective medication administration. Evidence suggests that many nurses may have insufficient knowledge regarding the correct application of the Z-Track method, which can negatively affect patient safety and treatment outcomes. Aim: The study aimed to assess the knowledge of nurses regarding the Z-Track technique and examine its association with educational qualifications in a tertiary care hospital. Methodology: A descriptive cross-sectional study was conducted among 135 nurses working in different wards of a tertiary care hospital. Data were collected using a structured self-administered questionnaire that included demographic characteristics and questions assessing knowledge of the Z-Track technique. Knowledge levels were categorized as poor, average, or good. Descriptive statistics were used to summarize the data, and the chi-square test was applied to determine the association between educational level and knowledge. Results: Among the participants, 26.7% demonstrated poor knowledge, 54.1% had average knowledge, and 19.2% showed good knowledge of the Z-Track technique. Diploma nurses had the highest proportion of poor knowledge, while nurses with MSN or higher qualifications showed better knowledge levels. The association between educational level and knowledge was not statistically significant (χ² = 5.67, df = 6, p = 0.46). Conclusion: Most nurses had average knowledge of the Z-Track technique. Continuous training and professional development programs are recommended to improve knowledge and promote safe intramuscular injection practices.
Rahman et al. (Tue,) studied this question.