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Compliance: a concept analysis.

L S Evangelista1

  • 1University of California, Los Angeles, School of Nursing, USA. levangel@ucla.edu

Nursing Forum
|July 30, 1999
PubMed
Summary
This summary is machine-generated.

This study clarifies the term "compliance" for nurses, distinguishing its common and scientific uses. It advocates for a collaborative approach, empowering clients in healthcare decisions.

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Area of Science:

  • Nursing Science
  • Healthcare Behavior Research

Background:

  • The term "compliance" lacks a universal definition across disciplines.
  • Diverse disciplinary perspectives complicate a unified understanding of patient compliance.
  • Nursing requires a specific definition aligned with its philosophical underpinnings.

Purpose of the Study:

  • To differentiate the common versus scientific usage of "compliance" within nursing.
  • To propose a framework for understanding compliance that integrates nursing philosophy.
  • To encourage a shift towards a more collaborative patient-provider relationship.

Main Methods:

  • Conceptual analysis of the term "compliance".
  • Distinction between lay and scientific interpretations of compliance.
  • Exploration of transactional and interactive models in healthcare.

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Main Results:

  • Identified ambiguity in the term "compliance" across various fields.
  • Proposed a nuanced understanding of compliance relevant to nursing practice.
  • Highlighted the importance of client autonomy and shared decision-making.

Conclusions:

  • Nurses should adopt a definition of compliance that reflects nursing's core values.
  • An interactive, transactional model fosters client partnership and shared decision-making.
  • Empowering clients with choice and control enhances adherence to prescribed behaviors.