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.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.

noncompliance

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

non′com·pli′ant adj. & n.
The American Heritage® Medical Dictionary Copyright © 2007, 2004 by Houghton Mifflin Company. Published by Houghton Mifflin Company. All rights reserved.

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.
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.

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).
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

non·com·pli·ance

(nonkŏm-plīăns)
Failure by a patient to carry out a prescribed or agreed on regimen of dental or medical therapy.
Medical Dictionary for the Dental Professions © Farlex 2012
References in periodicals archive ?
Consumption did not meet the criteria of [greater than or equal to] 75% of the recommended energy and protein intake in 62% (n = 33) of patients, who were therefore considered to be "noncompliant" (data on BIA measurements were not available in 3 patients).
The radiation therapy course for noncompliant patients was prolonged for an average of one week compared with compliant patients.
The aim of our study was to identify and describe noncompliant FHEs in NERHA and to identify the factors influencing their noncompliance.
Since we study the effect of board independence on the cost of debt, it seems appropriate to use only the majority independence requirement to identify noncompliant firms.
Maine and Arizona are among the other noncompliant states.
Surely, the bishops' conference should have some means to encourage - or even shame - noncompliant brothers into doing the right thing for the good of the diocese itself and the whole American church.
A child who had taken even one food article containing gluten in last 5 days was considered noncompliant and those who had strictly taken no gluten in their diet in that period were considered compliant.
Without this, the pharmacist does not have the tools that are needed to efficiently address, monitor and educate the noncompliant patient," he says.
Data on level of teacher prompting and presence of noncompliant behaviors were collected during every phase.
He noted that the noncompliant panels and wind farms had failed to install equipment indicating the amount of electricity entering the system.
Noncompliant water systems also must conduct an inspection to locate and correct sources of fecal contamination.
Walsall Council's tough attitude towards noncompliant households is, therefore, not without some justification.