title: [Criteria for delegating the safe hospital administration of drug therapy via natural route to nurses aids in hospital].
abstract: OBJECTIVE
  To assess if and how many patients admitted to hospital could receive the drug therapy via natural route by specialized nurses aids (OSSc).
  
  
  METHODS
  Focus group to identify the items of an assessment instrument to select patients eligible to receive drug therapy from OSSc, validation (face validity, test retest, interrater reliability and factorial analysis) and implementation on 227 patients admitted to medical and surgical wards.
  
  
  RESULTS
  During admission 106/227 patients (46.5%) could receive the therapy from OSSc for at least one day: 21 (9.2%) at admission, 73 (32.1%) after 4 days and 12 (11.3%) in the following days, but 29/106 (27.3%) formerly eligible patients change their condition and therapy should be administered by nurses. On average in medical wards 7.7 patients/day would be eligible while only 2.6 in surgery.
  
  
  CONCLUSIONS
  The delegation of drug therapy in acute hospitals to OSSc seems unlikely for patients complexity and the need of daily assessments and adjustments. Nurses should each time select eligible patients guaranteeing the necessary supervision. This extra workload is not affordable.
authors: Universita degli studi di Udine. alvisa.palese@uniud.it
authors: Alvisa
authors: A
authors: Palese
authors: Maura
authors: M
authors: Mesaglio
authors: Barbara
authors: B
authors: Narduzzi
authors: Ambra
authors: A
authors: Bellot
authors: Roberta
authors: R
authors: Vesca
authors: Ilario
authors: I
authors: Guardini
authors: Sonia
authors: S
authors: Noacco
authors: Donatella
authors: D
authors: Sbaiz
authors: Daniele
authors: D
authors: Salmaso
mesh_terms: D000287:Administration, Topical; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004333:Drug Administration Routes; D004358:Drug Therapy; D005260:Female; D017144:Focus Groups / Q000379:methods; D006757:Hospital Units / Q000706:statistics & numerical data; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009728:Nursing Assistants; D018579:Patient Selection; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D018570:Risk Assessment; D012680:Sensitivity and Specificity