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An educational approach for "non-compliant" patients
The Canadian Journal of Critical Care Nursing
|November 14, 2015
Summary
Patients often return to intensive care due to unaddressed lifestyle factors. This study suggests nurses use education, not "non-compliance," to empower patients toward healthier cardiac behaviors like diet and exercise.
Area of Science:
- Cardiology
- Nursing Education
- Behavioral Science
Background:
- Intensive care unit (ICU) readmissions are frequently linked to inadequate patient lifestyle modifications, particularly concerning cardiac health.
- The term "non-compliance" used by nurses carries negative connotations and may hinder patient engagement.
- Contributing factors to poor adherence include nursing perspectives, patient risk perception, and motivation levels.
Purpose of the Study:
- To propose an educational framework for intensive care nurses.
- To equip nurses with strategies for teaching patients essential lifestyle behavior changes.
- To address factors influencing patient adherence to recommendations for improved cardiac health.
Main Methods:
- Literature review on patient adherence and nursing education strategies.
- Analysis of factors contributing to "non-compliance" in ICU patients.
- Development of a proposed educational approach for nurses.
Main Results:
- Identified negative connotations associated with the term "non-compliance."
- Highlighted the influence of nursing views and patient perceptions on adherence.
- Outlined key lifestyle behaviors requiring patient change (exercise, smoking cessation, diet).
Conclusions:
- Recommends shifting from a "non-compliance" model to a patient-centered educational approach.
- Emphasizes the role of nurses in facilitating patient understanding and motivation for lifestyle changes.
- Suggests that effective patient education can reduce ICU readmissions related to cardiac risk factors.