Aims and objectivesTo consider to what extent intramuscular injection technique can be described to remain entrenched in ritualistic practice and how evidence‐based practice should be considered and applied to the nursing practice of this essential skill.BackgroundThe notion of rituals within nursing and the value or futile impact they afford to this essential nursing skill will be critically reviewed.DesignDiscursive paper.MethodLiterature review from 2002–2013 to review the current position of intramuscular injection injections.ResultsWithin the literature review, it became clear that there are several actions within the administration of an intramuscular injection that could be perceived as ritualistic and require consideration for contemporary nursing practice.ConclusionsThe essential nursing skill of intramuscular injection often appears to fit into the description of a ritualised practice. By providing evidence‐based care, nurses will find themselves empowered to make informed decisions based on clinical need and using their clinical judgement.Relevance to clinical practiceFor key learning, it will outline with rationale how site selection, needle selection, insertion techniq
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