• Patient Teaching into Practice
    • Patient Education
      • The nurse’s role in patient education
      • Patient / family education standards
      • The growing need for patient teaching
      • Interdisciplinary collaboration, patient education
      • Patient Education – What does the future hold?
    • Theoretical Basis of Patient Education
      • The Theoretical Basis of Patient Education – Introduction
      • The Health Belief Model
      • Patient Education: Self-efficacy
      • Related theories of Patient Education
      • Characteristics of adult learners
      • Behavioral, cognitive, humanist approaches
      • Patient Education: Learning readiness
    • The Process of Patient Education
      • Process of Patient Education: Introduction
      • Assessing learning needs
      • Developing learning objectives
      • Planning and implementing teaching
      • Evaluating teaching and learning
      • Developing an effective teaching style
      • Using adult learning principles
    • The Family and Patient Education
      • Family structure and style
      • Impact of illness on the family
      • Doing a family assessment
      • Strategies for teaching family members
      • Expanding needs of family caregivers
      • Developing a partnership with the family
    • Providing Age-Appropriate Patient Education
      • Providing Age-Appropriate Patient Education: Introduction
      • Teaching parents of infants
      • Teaching toddlers
      • Teaching pre-school children
      • Teaching school age children
      • Teaching adolescents
      • Teaching young adults
      • Teaching adults in midlife
      • Teaching older adults
    • Impact of Culture on Patient Education
      • Impact of Culture on Patient Education: Introduction
      • How culture influences health beliefs
      • Doing a cultural assessment
      • Cultural negotiation
      • Using interpreters in health care
      • Non-English speaking patients
      • A model of care for cultural competence
    • Adherence in Patient Education
      • Adherence in Patient Education: Introduction
      • Impact on treatment recommendations
      • Causes of non-adherence
      • The patient as a passive recipient of care
      • Effect of interpersonal skills on adherence
      • Interventions that can increase adherence
    • Helping Patients Who Have Low Literacy Skills
      • Helping Patients Who Have Low Literacy Skills: Introduction
      • Designing low literacy materials
    • Resources for Patient Education
      • Resources for Patient Education: Introduction
      • Selected Patient Education Resources

EuroMed Info

Gesundheit und Vorsorge im Überblick

Causes of non-adherence

Reasons for patient non-adherence are complex. Researchers have found that the relationship between information given to the patient and the extent to which instructions are followed is not always strong. Information alone does not seem to affect the degree to which patients follow recommendations given by health professionals. Situational, personality, or socioeconomic factors often play a more important role in the extent to which patient follow recommendations than do the knowledge and understanding about what they are to do.

Both internal and external factors seem to influence whether a patient follows health care advice. Internal factors include patient characteristics such as age, culture, social background, values, attitudes, and emotions caused by the disease. External factors include the relationship between the patient and the physician or the nurse; support from family, health care personnel, and friends; and the impact of health education. Studies have shown than men adhere less frequently than women. In addition, unemployed people or those who smoke or drink alcohol are also less adherent. Internal and external factors have a powerful influence on patient decision making and behavior change.

Some studies have found that several features of the therapeutic regimen itself have been correlated with adherence. For example, the more the patient must change his or her lifestyle, the less likely the patient is to follow recommendations. In addition, the less complicated the treatment regimen, the higher the rate of adherence. These findings are consistent with the Health Belief Model. The Health Belief Model proposes that patients act on treatment recommendations when they believe that the benefits of treatment outweigh treatment barriers. They also believe that potential complications are severe and believe that they are at risk of developing complications.

It is clear that the patient must have the knowledge he or she needs for health care management and must accept the recommendations of health care professionals as something they can accept and successfully achieve. Patients cannot carry out recommendations they do not understand and will not carry out recommendations they do not accept. Nurses and other health care professionals must do more than merely give the patient information. They must also be able to identify potential barriers to patient learning and the ability to follow treatment recommendations. They must act as learning facilitators and problem solvers, helping the patient to clarify issues and reach a decision or develop a plan that is compatible with his or her own priorities and lifestyle. Ultimately, patients control what they do with the recommendations they are given. The health care professional’s responsibility is to enable patients to act on their own behalf by providing information, helping with the practical problems of carrying out recommendations, helping them be aware of alternatives, and supporting them in integrating new knowledge.

The patient as a passive recipient of care

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Euromed Info – Bereiche

  • Gesundheit
  • Gesundheitsschutz
  • Schönheit
  • Zähne

Patient Teaching

  • Patient Education
  • Theoretical Basis of Patient Education
  • The Process of Patient Education
  • The Family and Patient Education
  • Providing Age-Appropriate Patient Education
  • Impact of Culture on Patient Education
  • Adherence in Patient Education
  • Helping Patients Who Have Low Literacy Skills
  • Resources for Patient Education

Featured article

The concept of compliance requires a dependent lay person and a dominant professional; one giving expert advice, suggestions, or orders, and the other carrying them out. Adherence to medical treatment … Read more ...

Recommendable link

Journal of Public Health: The Need of Patient Education