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Adherence: a concept analysis.
1Troy University School of Nursing, Troy, Alabama.
International Journal of Nursing Knowledge
|August 8, 2014
Summary
Adherence is a complex concept impacting patient behaviors and nursing. Clarifying adherence is crucial for healthcare providers to guide patient self-care effectively.
Area of Science:
- Nursing Science
- Health Behavior Research
Background:
- Adherence is a critical factor influencing patient outcomes and healthcare effectiveness.
- A clear, universally accepted definition of adherence is lacking, leading to potential confusion in practice and research.
Purpose of the Study:
- To define and describe the concept of adherence using a rigorous Wilsonian method of concept analysis.
- To provide a comprehensive understanding of adherence for improved application in clinical settings.
Main Methods:
- A systematic review of published research articles, nursing literature, books, and advisory reports was conducted.
- The Wilsonian method of concept analysis was employed to dissect the core components of adherence.
Main Results:
- The analysis revealed adherence as a complex, multifaceted concept with significant implications for patient behaviors.
- Key attributes, antecedents, and consequences of adherence were identified, differentiating it from related constructs.
- Practical applications and implications for nursing practice were derived from the conceptual analysis.
Conclusions:
- Adherence is a complex phenomenon that significantly influences patient self-care behaviors and nursing practice.
- Further conceptual clarification is essential to distinguish adherence from similar terms and enhance its application in patient care.
- Healthcare providers require a robust understanding of adherence to effectively guide and support patients in managing their health.
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