Abstract:
:The non-compliance of patients with prescribed treatments is considered as a barrier to effective health care. Non-compliance has implications for the health of patients, effective use of resources and assessments of the clinical efficacy of treatments. Research into non-compliance has increased over the last 30 years. This seems to indicate that it is seen as an important area of concern for all health care professionals. Definitions of non-compliance are problematic, as are methods of assessment of its nature and frequency. Many factors which may account for non-compliance have been proposed, as well as methods to improve compliance. Research into these factors however, mainly based on a positivist epistemology, has failed to provide any conclusive answers to the problem. Sound clinical reasons are suggested as the basis for the increase in interest in non-compliance. It is contended, however, that it is not only these reasons that account for the identification of non-compliance as a problem. Non-compliant behaviour is seen as problematic, because it contravenes professional beliefs, norms and expectations regarding the 'proper' roles of patients and professionals. These have formed the basis of an ideology that views patients as passive recipients of health care. It has led to an inherent tendency to 'blame' the patient and view non-compliance as irrational and deviant. The professional view of non-compliance as irrational, is exemplified in the case of individuals with mental illness, where there are inherent assumptions that non-compliance can be seen primarily as a symptom of illness. This denies the legitimacy of patient choice, and has led to attempts to control compliance via suggested legislative measures. Serious moral and ethical problems arise from such measures, and can be seen as the ultimate legitimization of an ideology of non-compliance. The maintenance of professional power and control is suggested as central to the debates surrounding non-compliance. The ideological assumptions underpinning the concept of non-compliance need questioning, and a re-conceptualization of the roles of patients and professionals is required. This must involve a view of patients as active participators in their own health care. Research based on an interpretative epistemology, aimed at understanding individual action, rather than control, would seem a more appropriate model to pursue.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Playle JF,Keeley Pdoi
10.1046/j.1365-2648.1998.00530.xsubject
Has Abstractpub_date
1998-02-01 00:00:00pages
304-11issue
2eissn
0309-2402issn
1365-2648journal_volume
27pub_type
杂志文章,评审abstract:AIM:To analyse the concept of transformational leadership in the nursing context. BACKGROUND:Tasked with improving patient outcomes while decreasing the cost of care provision, nurses need strategies for implementing reform in health care and one promising strategy is transformational leadership. Exploration and great...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13049
更新日期:2016-11-01 00:00:00
abstract:AIM:This paper is a report of a concept analysis of medication communication with a particular focus on how it applies to nursing. BACKGROUND:Medication communication is a vital component of patient safety, quality of care, and patient and family engagement. Nevertheless, this concept has been consistently taken-for-g...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2009.05225.x
更新日期:2010-04-01 00:00:00
abstract::Nursing, with its historical roots in practice, has tended to have an uneasy relationship with theory. Whilst the benefits of theory to nursing have been propounded by many commentators, it remains that theory all too rarely informs nursing practice. This paper argues for the development and utilization of mid-range t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1992.tb01876.x
更新日期:1992-02-01 00:00:00
abstract::This article distinguishes two approaches within care theory, relating them to different views on the physician-patient relationship within philosophy of medicine. The first regards care as a skillful comportment by the care-giver, based upon intuitive insight into the needs of the care-receiver. The second regards ca...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.00985.x
更新日期:1999-05-01 00:00:00
abstract:BACKGROUND:There has been little research into coping process following renal transplantation, but it has been shown that health-related stress is not eliminated and that fear of rejection and economic factors are the most stressful issues. Coping strategies used have included prayer, looking at problems objectively, a...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02859.x
更新日期:2004-01-01 00:00:00
abstract:AIMS: This article is a report on a study of the effectiveness of breast health education provided by trained breast cancer survivors on knowledge, skills, performance and self-efficacy. BACKGROUND: Numerous studies have been performed to assess the effects of breast health education provided by health professionals...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05815.x
更新日期:2012-05-01 00:00:00
abstract:AIMS:This study compared the work-related experiences and personal health status of double-duty caregivers with those of caregivers who do not provide informal care to a family member or close friend in need. BACKGROUND:The interest in providing informal care alongside employment is growing. However, little attention ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12320
更新日期:2014-07-01 00:00:00
abstract::This study explored members' perceptions of teamwork in two primary health care teams (PHCTs). It also examined the effect of a team-building intervention on members' perceptions centred around five topics: the PHCT, role perception, communication, leadership and conflict. The study used a qualitative approach with se...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.10911.x
更新日期:1996-05-01 00:00:00
abstract::Parental participation now has become an accepted feature of the care of children in hospital. However, the costs to parents of their involvement in the care of their hospitalized children have received little attention. In this paper the financial, social and personal costs to a group of parents of children admitted ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1997.t01-1-1997025746.x
更新日期:1997-04-01 00:00:00
abstract:BACKGROUND:The evidence for postnatal debriefing generally lacks clarification of what postnatal debriefing constitutes. This is true of the recommendation in the United Kingdom for midwives to undertake 'active postnatal debriefing' (Department of Health 1999). AIM:The study aimed to explore current practice and desc...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1046/j.1365-2648.2003.02687.x
更新日期:2003-07-01 00:00:00
abstract::This paper describes a research study designed to evaluate a community health service development in one health authority in rural England. The study compared two types of primary care teams working towards the same objectives. Surveys of patients and staff in the health authority were conducted about a range of issue...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb01051.x
更新日期:1994-01-01 00:00:00
abstract::This paper is concerned with the development of theory in the discipline of nursing as it is practised in Great Britain. It stems from dissatisfaction with the generally uncritical adoption by British nurses of models of nursing which have been developed to explain and enhance North American practice. After the introd...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01666.x
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Children's emergency hospital use is of concern internationally, but there has been little examination of home care by nurses. AIMS:To examine the care provided by community children's nurses during acute illness. DESIGN:Triangulation of findings from case studies of three Community Children's Nursing Team...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jan.12141
更新日期:2013-11-01 00:00:00
abstract:AIMS:To examine the effects of health literacy, activities of daily living, frailty and self-care on rehospitalization for older adults with chronic heart failure using a structural equation model. DESIGN:This was a cross-sectional study. METHODS:Two hundred and seventy-one older patients with chronic heart failure w...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14327
更新日期:2020-06-01 00:00:00
abstract::Perinatal substance use disorders, and all of the associated sequelae, continue to be a national health crisis that is further impacted by shifts in access to obstetrical care, particularly in rural areas. Opioid Use Disorder (OUD) specifically presents as a medical condition for which evidence-based guidelines suppor...
journal_title:Journal of advanced nursing
pub_type: 社论
doi:10.1111/jan.14544
更新日期:2020-09-25 00:00:00
abstract::This comparative study of the perceptions of mental health nurses and psychiatrists about aspects of their work environment was undertaken in the West Midlands in England. The aim of the study was to ascertain the extent to which the environment in which mental health professionals' work impacts on their own mental an...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.00858.x
更新日期:1999-01-01 00:00:00
abstract::This paper considers the difficulties and dangers inherent in attempts to assess attitude as an aspect of learning. It considers the definition of the concept, some implications for educational programmes, and the means and validity, in this context, of different assessment techniques. Finally, a form of learner profi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1992.tb01932.x
更新日期:1992-04-01 00:00:00
abstract:AIMS:The aims of this study were to obtain information to support Palliative Care healthcare workers to meet the needs of the Sudanese population in death, dying, and bereavement. BACKGROUND:Australia is a multicultural society and healthcare workers are faced with increasing numbers and diversity of immigrants to who...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05775.x
更新日期:2011-12-01 00:00:00
abstract::The provision of skillful psychosocial care to patients suffering from chronic illnesses starts with an appreciation of what it is like to live with a chronic condition. Definitions of self-esteem may be realigned when patients encounter a prolonged problem, and reliance upon professional help. Getting inside the expe...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.02047.x
更新日期:1996-08-01 00:00:00
abstract:AIM:To explore the relationships among various nursing homes characteristics including work environment, careworker outcomes and resident outcomes in Swiss nursing homes. BACKGROUND:In Switzerland, a growing number of older people live in nursing homes. Although research has addressed the issue of quality of nursing c...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12253
更新日期:2014-04-01 00:00:00
abstract:AIM:This article reports a study of self-care agency and perceived health in a group of people using advanced medical technology at home. BACKGROUND:An increasing number of people are using medical technology for self-care. Few studies describe daily life in this context at an overriding level, irrespective of the spe...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05781.x
更新日期:2012-04-01 00:00:00
abstract::Social support groups are receiving increased attention in professional literature and the media and the number of groups is growing. Nurses are often urged to utilize social support groups as part of client care. These groups cannot be effectively used by nurses unless they are approached from the framework of the nu...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01780.x
更新日期:1990-12-01 00:00:00
abstract:AIMS:To describe the characteristics of medication administration (MA) incidents reported to have occurred in patients' own homes (reporters' profession, incident types, contributing factors, patient consequence, and most common medications involved) and to identify the connection terms related to the most common contr...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14532
更新日期:2020-12-01 00:00:00
abstract:AIM:This paper is a report of a concept analysis of clinical reasoning in nursing. BACKGROUND:Clinical reasoning is an ambiguous term that is often used synonymously with decision-making and clinical judgment. Clinical reasoning has not been clearly defined in the literature. Healthcare settings are increasingly fille...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2010.05262.x
更新日期:2010-05-01 00:00:00
abstract:AIMS:This paper reports a study examining the process and outcomes of a long-term, multicomponent smoking cessation intervention for patients with lung disease initiated while hospitalized and provided over 1-year postdischarge. BACKGROUND:Successful smoking cessation interventions are of primary importance for people...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03248.x
更新日期:2004-12-01 00:00:00
abstract::In this paper, research guided by the principles of fourth-generation evaluation, which has negotiation as its centre, will be scrutinized. The role of stakeholders will be discussed with reference to negotiation issues. Throughout this discussion, observations will be based on the actual process of conducting three p...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01253.x
更新日期:2000-01-01 00:00:00
abstract:AIM:This paper reports a study to ascertain the views of acute ward-based mental health nursing staff on the delivery, content and personal impact of an innovative 18-day, whole team educational intervention in acute mental health care. BACKGROUND:There are grave concerns internationally about the quality of inpatient...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2005.03519.x
更新日期:2005-09-01 00:00:00
abstract:AIMS:Patients with heart failure exhibit poor adherence to self-care behaviours. Recent studies have shown a link between Type D personality, social support, and self-care behaviours of patients with chronic diseases. However, the mechanisms underlying this relationship have received little empirical attention in those...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14682
更新日期:2020-11-29 00:00:00
abstract:BACKGROUND:With the exception of large clinical trials, few studies in nursing and other social sciences test interventions. The discipline of nursing needs to maintain a full range of research designs for continued knowledge development. Intervention research presents unique opportunities and challenges for the novice...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2001.01868.x
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Recent mortality profiles in Brazil show that circulatory diseases are the leading cause of death in Brazil. These disorders contribute to 34% of deaths, with 50% of those deaths occurring in people under 50 years of age, that is, in people who are still active in the workforce. We assume that the growing in...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2003.02753.x
更新日期:2003-09-01 00:00:00