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Related Experiment Videos

Nurses and 'difficult' patients: negotiating non-compliance.

Sarah Russell1, Jeanne Daly, Emma Hughes

  • 1Researching Issues of Health and Illness, Northcote, Victoria, Australia.sarahrussel@concen.com.au

Journal of Advanced Nursing
|July 16, 2003
PubMed
Summary

Nurses should shift from a patient non-compliance model to a patient-centered approach. This involves understanding patients' social contexts and adapting healthcare advice to their lives for better relevance and utility.

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Area of Science:

  • Nursing
  • Healthcare Delivery
  • Patient-Centered Care

Background:

  • Critiques of patient non-compliance labeling in nursing literature.
  • Growing discomfort among nurses regarding the term 'non-compliant'.
  • Existing interventions often view non-compliance as a patient deficit.

Purpose of the Study:

  • To offer an alternative to traditional patient non-compliance interventions.
  • To promote a patient-centered approach in healthcare.
  • To encourage nurses to consider patients' social contexts and life circumstances.

Main Methods:

  • Review of nursing literature on patient compliance.
  • Analysis of how the concept of compliance is utilized in nursing.
  • Development of an argument for a patient-centered care model.
Keywords:
Professional Patient Relationship

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Main Results:

  • The concept of patient non-compliance is frequently used in nursing literature.
  • A patient-centered approach shifts power dynamics towards patients.
  • Understanding patients' lives enhances the relevance of health information.

Conclusions:

  • Adopting a patient-centered approach is recommended for nursing practice.
  • Nurses can lead change by focusing on patients' lived experiences.
  • Tailoring health information to patients' lives improves its usefulness.