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 ?
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.
Can my constituents still fly domestically on a commercial aircraft using only their noncompliant state-issued driver's license?
Number of children in compliant and noncompliant group was not significantly different in relation to age at diagnosis of celiac disease (P = 0.
Six of them were what we considered to be noncompliant, which would have left us with only a single compliant bidder and that particular bidder was $750,000 more than the lowest bidder.
Irvine official made it known that noncompliant employees will soon face a number of penalties, including loss of their Internet access.
The Court stated that donors should reasonably expect that donations will be examined if a registered charity is audited and their tax credits may be declared noncompliant if the charitable program is not valid.
It electronically documents requested changes in the estimate and highlights noncompliant lines.
According to an information sheet published by the National Council for Prescription Drug Programs (NCPDP), pharmacies that receive noncompliant prescriptions can accept the script if they verify it with the prescriber.
Working with parents of noncompliant children; a guide to evidence-based parent training for practitioners and students.
It establishes substantial penalties and threatens noncompliant employers with suspension and potential revocation of their business licenses.
Working with Parents of Noncompliant Children: A Guide to Evidence-Based Parent Training for Practitioners and Students" is a guide for training parents to better deal with their children and their behavioral and attitude problems that so often come up.