Adherence assessment practices in haemodialysis settings: A qualitative exploration of nurses and pharmacists' perspectives

Journal of Clinical Nursing
Saurav GhimireSyed Tabish R Zaidi

Abstract

To explore clinician assessment of patient adherence and identify strategies to improve adherence assessment practices in haemodialysis settings. Patients with chronic kidney disease undergoing haemodialysis are typically prescribed complex regimens; as such, they are at high risk of medication nonadherence. Current clinical practices focus on prescribing medications; however, little attention is paid to measuring and ensuring patient adherence to their prescribed treatments. A qualitative study. Semi-structured individual interviews were conducted in November and December 2016, with 12 nurses and 6 pharmacists, working in Australian haemodialysis settings. The study was conducted and reported in accordance with COREQ guidelines. Participants were 25-60 years old and had 1-27 years of experience in dialysis. Seven themes related to assessing adherence were identified: prioritisation of resources, interplay between workload and available time, awareness of formalised adherence measures and training deficits, concerns about practicality/suitability of adherence measures, communication of assessment services, patient participation and trust. Three themes related to strategies for improving adherence assessment practices were ident...Continue Reading

References

Mar 1, 1991·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·L Krefting
Dec 26, 2001·Journal of Clinical Epidemiology·J H WagnerUNKNOWN VACS 3 Project Team
Aug 5, 2005·The New England Journal of Medicine·Lars Osterberg, Terrence Blaschke
Sep 27, 2005·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Harold J ManleyWendy L St Peter
Jul 6, 2007·Health Services Research·Judith H HibbardMartin Tusler
Sep 18, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Allison TongJonathan Craig
Jul 9, 2009·Medical Care·Kelly B Haskard Zolnierek, M Robin Dimatteo
Aug 3, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Dena E RifkinIra B Wilson
Nov 26, 2010·The New England Journal of Medicine·Glenn M ChertowAlan S Kliger
Mar 11, 2011·Mayo Clinic Proceedings·Marie T Brown, Jennifer K Bussell
Apr 28, 2012·International Journal of Clinical Pharmacy·Teresa M SalgadoFernando Fernandez-Llimos
Nov 28, 2012·Journal of Pharmacy Practice·Michelle N ManganAaron J Lengel
Jun 28, 2013·British Journal of Clinical Pharmacology·Thi-My-Uyen NguyenNeil Cottrell
Oct 30, 2013·International Journal of Clinical Pharmacy·Audrey LehmannMarie Paule Schneider
Feb 12, 2014·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Michel BurnierValerie Santschi
Feb 28, 2014·Cellular and Molecular Bioengineering·Yue GengMichael R King
Apr 16, 2014·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Lauren Vogel
Apr 26, 2014·Journal of the American Society of Nephrology : JASN·Kevin E ChanFranklin W Maddux
Dec 5, 2015·PloS One·Saurav GhimireSyed Tabish R Zaidi
Mar 24, 2016·Journal of the American Pharmacists Association : JAPhA·Lindsey DayerSchwanda Flowers
Jun 2, 2016·European Respiratory Review : an Official Journal of the European Respiratory Society·Sergio Harari
May 24, 2017·BMC Nephrology·Saurav GhimireSyed Tabish R Zaidi
Dec 8, 2017·International Journal of Clinical Pharmacy·Saurav GhimireSyed Tabish R Zaidi
Mar 21, 2018·American Journal of Therapeutics·Subrat KhanalAmit S Dhamoon
May 17, 2018·Patient Preference and Adherence·Mark LemstraJohn Moraros

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