noncompliance

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Related to noncompliant: perpetuate, indomitable, inevitably, anomalous, flawed, versatility, vehemently

noncompliance

 [non″kom-pli´ans]
1. failure or refusal to conform to or follow rules, regulations, or the advice or wishes of another.
2. a nursing diagnosis approved by the North American Nursing Diagnosis Association, defined as a behavior of person and/or caregiver that fails to coincide with a health-promoting or therapeutic plan agreed on by the person (and/or family or community) and the health care professional. In the presence of an agreed-on, health-promoting or therapeutic plan, the person's or caregiver's behavior is fully or partially nonadherent and may lead to clinically ineffective or only partially effective outcomes.

The cause or causes may be difficult to ascertain. The patient/client may have values and beliefs about health that are different from those of the health care provider, or there may be other conflicts in their relationship that work against following the advice offered. In some cases the patient/client may not have the financial resources, family support, physical ability, or emotional stability to perform the prescribed tasks. Poor self-esteem, negative side effects of drugs and other forms of treatment, and lack of progress after adhering to the prescribed regimen can also lead to noncompliance. Since it is assumed that the individual has sufficient knowledge to make an informed decision, lack of knowledge is not considered a likely cause of failure to comply. The nurse also should be aware that the patient/client may have the necessary knowledge and resources but have made an autonomous decision not to comply.

Statements by the patient/client or family member, direct observation of patient/client behaviors, objective measurement of physiologic signs, failure to record self-care activities or to keep appointments, and development of preventable complications are all characteristics indicative of noncompliance. Nursing interventions to improve compliance might include more extensive assessment activities to determine the reason for noncompliance, involving the patient/client in goal-setting, improving the nurse-patient relationship and interaction, and identifying alternative therapies that are more acceptable to the patient/client.

noncompliance

(nŏn′kəm-plī′əns)
n.
Failure or refusal to comply.

non′com·pli′ant adj. & n.

noncompliance

Medtalk The disregarding of a prescribed treatment plan; the degree to which Pt does not adhere to a prescribed diet or treatment, and whether the Pt returns for re-examination, followup or treatment. See Bad patient, Directly observed therapy. Cf Compliance.

non·com·pli·ance

(nonkŏm-plīăns)
Condition of a patient who fails to follow health care direction given by a professional (e.g., failure to exercise, taking medications according to prescription).

non·com·pli·ance

(nonkŏm-plīăns)
Failure by a patient to carry out a prescribed or agreed on regimen of dental or medical therapy.

noncompliance

failure of the owner to follow instructions, particularly in administering medication as prescribed; a cause of a less than expected response to treatment.
References in periodicals archive ?
The differences between respondents of compliant and noncompliant establishments and the establishments themselves were determined by Chi-square analyses while logistic regression was used to identify the factors that were predictive of compliance.
Table I reports the summary statistics of the major variables, the compliance trend, and comparisons of the key variables of interest between the noncompliant and compliant firms.
Department of Homeland Security is developing a list of other forms of identification that can be used with a driver's license from a noncompliant state.
The Insubordinate and the Noncompliant begins with the Second World War.
The Si-PIN or SiLi detector-based systems were capable of identifying the noncompliant components containing lead, mercury or cadmium.
Patients who were compliant with their medications and had a MPR of at least 80% were 16% less likely to have a serious seizure than noncompliant patients.
The ability to identify noncompliant payer behavior, including violation of prompt payment statutes.
At first, he was noncompliant, but as more units arrived, he became more compliant,'' Lutz said.
According to a recent survey, almost 50 percent of employers are noncompliant in their Form 5500 filings.
Photoluminescent industry players said they were shocked at the sheer number of noncompliant buildings.
In 2003, the Court of Justice of the European Communities (ECJ) issued the Kobler judgment, which extended the principle of State liability to cover national judicial acts, including those of supreme courts, that are noncompliant with Community law.
The use of less lethal weapons upon noncompliant fleeing felons may have a precarious impact upon vital organs, including the heart and lungs.