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.
References in periodicals archive ?
Participants with high cues to actions and perceived benefits had reduced odds for noncompliance [a0R=0.59(0.380.90), p=0.0008);0R=0.55(0.36-0.82),p=0.0001)].
Failing to abort a landing is perhaps the most common form of deliberate noncompliance. The NTSB estimated in 2015 that 75 percent of all aviation accidents that it investigated contained cues that the aircraft should have gone around.
Finally, noncompliance is important because learning to comply with instructions is regarded by many as a behavioral cusp (Bosch & Fuqua, 2001), in that it is a skill that makes learning other skills possible.
Level of Compliance: Figure 1 shows the rate of Noncompliance. Morisky 8 item medication adherence questionnaire (8) used to identify the level of compliance.
Figure 3 summarizes the main reasons given by the patients for noncompliance. Lack of knowledge (32%), misunderstanding (25.5%), and denial (15.5%) were the most common reasons indicated.
This is similar to the response for time spent dealing with noncompliance in this study.
This noncompliance would correspond to billions of dollars of lost tax revenue.
This protocol will be used if the survey team has identified the facility does not have a licensed physician serving as medical director; and/or the facility has designated a licensed physician to serve as medical director but concerns or noncompliance identified indicate the facility has failed to involve the medical director in his/her roles and functions related to coordination of medical care and/or the implementation of resident care policies; and/or the medical director may not have performed his/her roles and functions related to coordination of medical care and/or the implementation of resident care policies.
The organisation said that in the remaining 2% of the audits the carriers resolved the issues of noncompliance before the aircraft flew again.
and Horizon Blue Cross Blue Shield of New Jersey recently presented data demonstrating how the iScribe electronic prescribing tool, a leader in physician connectivity, can allow for the objective identification and assessment of medication noncompliance to enable appropriate patient intervention.
of Georgia, Athens) discusses the issue of noncompliance with medications, compliance behavior, effects, and how pharmacists can influence patients, emphasizing how to improve and maintain compliant behavior.
For states choosing to use photographic evidence to support noncompliance during the survey process, CMS issued guidelines on September 29, 2006, for state agencies to follow.