From Administration of Oral Medicines by Nurses to Controlled Self-administration: Impact on Safety of Administration During Hospitalisation

Not Applicable

Recruiting

• Conditions: Self Administration

• Registration Number: NCT06639113
• Lead Sponsor: Centre Hospitalier de Valenciennes

Brief Summary

Medication administration practices during patient hospital stay tend to improve patient autonomy. Several studies have concluded that self-administration of medication programs in hospital centers have a beneficial effect on patients' knowledge of their medications, their compliance and the safety of administration. Nevertheless, few studies have been carried out in France on this subject. The aim of this study is to evaluate the impact of the change of nurses administration practices from the administration of each drugs to supervision of self-administration by the patient under a self-administration program.

Detailed Description

Not available

Study Timeline

• Study Start: 2024-05-24
• Study First Submitted: 2024-09-05
• Status Verified: 2024-10
• Study First Submitted QC: 2024-10-11
• Last Update Submitted: 2024-10-11
• Study First Posted: 2024-10-14
• Last Update Posted: 2024-10-14
• Primary Completion: 2026-05
• Study Completion: 2026-05

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 192

Inclusion Criteria

• Care in the rehabilitation unit of Hospital in Valenciennes, France
• Patient with a planned stay of 7 days or more
• Patient on chronic treatment before admission to hospital ;
• Patients taking their treatment alone at home;

Exclusion Criteria

• Age < 18 years old
• Patients with poor compliance
• No chronic treatment
• Unstable disease
• Major cognitive, memory or depressive disorders
• Swallowing disorders
• Prehension problems
• Patient under legal protection
• Patient under guardianship or curatorship
• Patient included in another trial

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Total number of oral medication administration errors in self-administered patients	After 7 days of self-administration	Total number of oral medication administration errors in self-administered patients
Total number of oral medication administration errors in patients receiving administration by nurses	After 7 days of administration by nurses	Total number of oral medication administration errors in patients receiving administration by nurses

Secondary Outcome Measures

Name	Time	Method
Medication compliance in self-managed patients	15 days after hospital discharge for self-managed patients	Medication compliance is assessed using the questionnaire "Evaluation of medication compliance" provided by the French health insurance system.; This questionnaire consists of 6 questions with "yes" or "no" answers. Each "no" answer is worth 1 point, each "yes" answer is worth 0 points. A patient with poor medication compliance will have a score of 3 or less.
Patient satisfaction with self-administration of oral medication	Within 24 hours of discharge from hospital	Patient satisfaction was assessed using a questionnaire designed by the investigator, consisting of 9 questions giving a total of 45 points.; The higher the total, the higher the level of satisfaction.
Care staff satisfaction with self-administration	6 months after the beginning of the study	Care staff satisfaction was assessed using a questionnaire designed by the investigator, consisting of 4 questions totalling 20 points.; The higher the total, the higher the level of satisfaction.

Trial Locations

Locations (1)

CH Valenciennes; 🇫🇷 Valenciennes, France