The Health Care Relationship and Adherence: How the Health Care Relationship Impacts Adherence in Chronic Illness

2.50
Hdl Handle:
http://hdl.handle.net/10755/163335
Category:
Abstract
Type:
Presentation
Title:
The Health Care Relationship and Adherence: How the Health Care Relationship Impacts Adherence in Chronic Illness
Author(s):
Cusson, Regina M.
Author Details:
Regina M. Cusson, RNC, APRN, PhD, Professor, University of Connecticut School of Nursing, Storrs, Connecticut, USA, email: regina.cusson@uconn.edu
Abstract:
Purpose: This session presents the results of a: 1) literature synthesis on the influence of health care relationships on adherence to therapeutic regimens for chronically ill patients, and 2) longitudinal descriptive study examining the impact of health care relationships on patient outcomes in chronically ill patients conducted as an outgrowth of the literature synthesis. Background: Adherence is a multifaceted phenomenon affecting quality of life and longevity for patients with chronic illnesses, who must contend with their conditions over a lifetime, coordinate care among specialties, and adhere to various recommendations from their clinicians. A positive, collaborative relationship between chronically ill patients and clinicians plays a strategic role in promoting open discussion, central to shared decision-making. Approach: This paper synthesized the adherence and health care relationship literature to identify areas of overlap and new directions for research, practice and policy. It explored the connections between health care relationships and adherence in a chronic illness context, and identified implications of these connections for nursing practice and research. As a result of the literature synthesis, a longitudinal descriptive approach was used to follow fifteen chronically ill participants weekly for a three-month period to examine how participants interacted with their clinicians and support network to mange their chronic illness. Major Points & Rationale: The research synthesis demonstrated that adherence is a multifaceted phenomenon guided by individual and relational factors. In chronic illness, the impact of the patient-clinician health care relationship also played a significant role in helping patients navigate complex medical systems. The results of the descriptive study demonstrated that weekly contact with the nurse researchers resulted in improved adherence to the medical regimen for a majority of the participants, as well as the influence of the clinician on adherence. Conclusions: In-depth examination of adherence in the context of the health care relationship revealed new insights about the inter-relationship between these concepts. [Symposium presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Health Care Relationship and Adherence: How the Health Care Relationship Impacts Adherence in Chronic Illnessen_GB
dc.contributor.authorCusson, Regina M.en_US
dc.author.detailsRegina M. Cusson, RNC, APRN, PhD, Professor, University of Connecticut School of Nursing, Storrs, Connecticut, USA, email: regina.cusson@uconn.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163335-
dc.description.abstractPurpose: This session presents the results of a: 1) literature synthesis on the influence of health care relationships on adherence to therapeutic regimens for chronically ill patients, and 2) longitudinal descriptive study examining the impact of health care relationships on patient outcomes in chronically ill patients conducted as an outgrowth of the literature synthesis. Background: Adherence is a multifaceted phenomenon affecting quality of life and longevity for patients with chronic illnesses, who must contend with their conditions over a lifetime, coordinate care among specialties, and adhere to various recommendations from their clinicians. A positive, collaborative relationship between chronically ill patients and clinicians plays a strategic role in promoting open discussion, central to shared decision-making. Approach: This paper synthesized the adherence and health care relationship literature to identify areas of overlap and new directions for research, practice and policy. It explored the connections between health care relationships and adherence in a chronic illness context, and identified implications of these connections for nursing practice and research. As a result of the literature synthesis, a longitudinal descriptive approach was used to follow fifteen chronically ill participants weekly for a three-month period to examine how participants interacted with their clinicians and support network to mange their chronic illness. Major Points & Rationale: The research synthesis demonstrated that adherence is a multifaceted phenomenon guided by individual and relational factors. In chronic illness, the impact of the patient-clinician health care relationship also played a significant role in helping patients navigate complex medical systems. The results of the descriptive study demonstrated that weekly contact with the nurse researchers resulted in improved adherence to the medical regimen for a majority of the participants, as well as the influence of the clinician on adherence. Conclusions: In-depth examination of adherence in the context of the health care relationship revealed new insights about the inter-relationship between these concepts. [Symposium presentation]en_GB
dc.date.available2011-10-27T11:05:41Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:05:41Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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