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Medication adherence assessment practices in dialysis settings: A survey of renal nurses' perceptions


Ghimire, S and Banks, C and Jose, MD and Castelino, RL and Zaidi, STR, Medication adherence assessment practices in dialysis settings: A survey of renal nurses' perceptions, Journal of Clinical Nursing, 28, (3-4) pp. 528-537. ISSN 0962-1067 (2018) [Refereed Article]

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© 2018 John Wiley & Sons Ltd

DOI: doi:10.1111/jocn.14642


Aims and objectives: To measure renal nurses’ perceptions on assessing medication adherence in patients undergoing dialysis.

Background: Renal nurses play a vital role in caring for patients undergoing dialysis. Despite the high prevalence of medication nonadherence in chronic dialysis patients, little is known about renal nurses’ perceptions and current adherence assessment practices.

Design: A cross‐sectional survey.

Methods: Participants completed an online survey between March–May 2016. Five psychometric scales were used to measure perception on prevalence and contributors of nonadherence, effective methods of assessment, barriers to assessment and confidence to assess adherence. The survey also captured current adherence assessment practices using a 4‐point graded response (1 = do not practice at all to 4 = practice for every patient).

Results: A total of 113 dialysis nurses completed the survey. The majority agreed that patients in their unit are nonadherent to their medicines (74.5%, n = 82; median = 8). Most nurses agreed that having dedicated professionals conducting medication history interviews can be effective in identifying nonadherence (88.9%, n = 96; median = 8). Objective assessment through blood results was the most frequently used method to determine nonadherence (83.2%, n = 89), with little attention being paid to patients’ self‐reports of adherence (55.1%, n = 59). Time constraints, administrative support and patients’ disinterest in discussing medication‐related issues with the nurses were perceived as barriers to assessing adherence.

Conclusions: Patient self‐reported measures to assess adherence were underutilised by the renal nurses, whereas objective blood monitoring was routinely used. Overcoming dialysis nurses’ work‐related barriers may facilitate the effective monitoring and promotion of medication adherence in chronic dialysis patients.

Relevance to clinical practice: Results from this study emphasise the need for proper assessment of dialysis patient's medication‐taking behaviour during routine dialysis to ensure the benefits of prescribed therapies.

Item Details

Item Type:Refereed Article
Keywords:adherence assessment practices, chronic kidney failure, cross-sectional survey, dialysis, medication adherence, renal nurses
Research Division:Biomedical and Clinical Sciences
Research Group:Pharmacology and pharmaceutical sciences
Research Field:Clinical pharmacy and pharmacy practice
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Health education and promotion
UTAS Author:Ghimire, S (Mr Saurav Ghimire)
UTAS Author:Jose, MD (Professor Matthew Jose)
ID Code:133694
Year Published:2018
Web of Science® Times Cited:5
Deposited By:Pharmacy
Deposited On:2019-07-07
Last Modified:2019-08-23
Downloads:10 View Download Statistics

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