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Compliance in peritoneal dialysis: A qualitative study of renal nurses


McCarthy, A and Cook, PS and Fairweather, C and Shaban, R and Martin-McDonald, K, Compliance in peritoneal dialysis: A qualitative study of renal nurses, International Journal of Nursing Practice, 15, (3) pp. 219-226. ISSN 1322-7114 (2009) [Refereed Article]

DOI: doi:10.1111/j.1440-172X.2009.01747.x


End-stage renal failure is a life-threatening condition, often treated with home-based peritoneal dialysis (PD). PD is a demanding regimen, and the patients who practise it must make numerous lifestyle changes and learn complicated biomedical techniques. In our experience, the renal nurses who provide most PD education frequently express concerns that patient compliance with their teaching is poor. These concerns are mirrored in the renal literature. It has been argued that the perceived failure of health professionals to improve compliance rates with PD regimens is because 'compliance' itself has never been adequately conceptualized or defined; thus, it is difficult to operationalize and quantify. This paper examines how a group of Australian renal nurses construct patient compliance with PD therapy. These empirical data illuminate how PD compliance operates in one practice setting; how it is characterized by multiple and often competing energies; and how ultimately it might be pointless to try to tame 'compliance' through rigid definitions and measurement, or to rigidly enforce it in PD patients. The energies involved are too fractious and might be better spent, as many of the more experienced nurses in this study argue, in augmenting the energies that do work well together to improve patient outcomes. © 2009 Blackwell Publishing Asia Pty Ltd.

Item Details

Item Type:Refereed Article
Keywords:adherence, compliance, peritoneal dialysis, renal nursing
Research Division:Health Sciences
Research Group:Nursing
Research Field:Nursing not elsewhere classified
Objective Division:Expanding Knowledge
Objective Group:Expanding knowledge
Objective Field:Expanding knowledge in human society
UTAS Author:Cook, PS (Dr Peta Cook)
ID Code:57373
Year Published:2009
Web of Science® Times Cited:14
Deposited By:Sociology and Social Work
Deposited On:2009-07-14
Last Modified:2011-07-27

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