noncompliance

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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 ?
Similar ACC research has recently shown that 58 percent of Air Force fatal four wheeled mishaps over the FY09 to FY13 period involved willful non-compliance with guidance or laws.
While the use of response latency in research may be important for recording purposes, the time span used for classroom research should reflect teachers' perceptions of when response latency becomes non-compliance.
If the IRS finds that it is under increasing pressure to perform its tax compliance functions but lacks the funding to adequately deal with rising non-compliance, the IRS may follow the lead of other federal regulatory agencies and look even harder for ways to encourage self-regulation in order to maintain or increase tax compliance.
The non-compliance is believed to be due mostly to a breakdown in communication between physicians and their patients, according to Cutting Edge Information Senior Analyst Eric Bolesh.
Review your child's rate of compliance and non-compliance each day to stay abreast of their progress.
Clearly, the amount of revenue vendors are losing to pirated software, bootlegged software and out-and-out non-compliance by users is in the billions [of dollars] worldwide," says Laura DiDio, senior analyst at the Yankee Group, headquartered in Boston.
The Health Belief Model (HBM) is a conceptual framework used to understand health behavior and possible reasons for non-compliance with recommended health action (Becker & Rosenstock, 1984).
Data retention and compliance requirements are critical issues for today's companies or they risk severe penalties for non-compliance," said Lisa Cash, Princeton Softech's CEO.
3% of respondents - has astounded FAST given the high level of publicity non-compliance has received in recent years.
This article summarizes those regulatory requirements, discusses possible penalties for non-compliance, and addresses the tax treatment of certain UST-related activities.