Week 8 Objectives.docx - Fall Week 8 Adherence Readings Cohen S.M(2009 Concept analysis of adherence in the context of cardiovascular risk reduction

Week 8 Objectives.docx - Fall Week 8 Adherence Readings...

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Fall Week 8: Adherence Readings: Cohen, S.M. (2009). Concept analysis of adherence in the context of cardiovascular risk reduction. Nursing Forum 44 (1), 25-36. Kalogianni, A. (2012). Can nursing interventions increase adherence medication regimen? Health Science Journal, 6 (1), 1-3. Robinson, J.H., Callister, L.C., Berry, J.A., & Dearing, K.A. (2008). Patient-centered care and adherence: definitions and applications to improve outcomes. Journal of the American Academy of Nurse Practitioners, 20(12) , 600-607. Concept Analysis of Adherence in Cardiovascular Risk Reduction (Cohen) Introduction Objective Explore adherence Understand patient decision-making, reducing unhealthy behavioural choices, increasing long-term adherence to cardiovascular health recommendations Method Used Morse’s guidelines Concept analysis of adherence – nursing, health psychology, ethics, pharmacy and medicine Results Adherence depends on the patient-provider relationship Factors influencing adherence: o Patient’s sense of risk o The meaning of their health and disease condition o Socioeconomic status o Support and motivation o Desire for change and self-efficacy o Sources of information Attributes of adherence: o Patient’s actions align with health recommendations o Patient masters health knowledge and behaviour o Collaborative relationships between patient and provider o Ability to meet outcome targets Conclusion – Defining Adherence Maintaining desired health behaviours Active participation and agreement Shared decision-making between patient and HCP Findings Antecedents of Adherence Good relationship with HCP Patient’s meaning of health, disease and sense of risk Socioeconomic status Support, motivation and desire to change Antecedents of Adherence – Cardiovascular Disease Prevention
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Patient must have accurate perceived health risk status – tobacco use, weight, physical activity, cholesterol levels, diabetic control, pre-existing medical conditions (e.g. hypertension) Patient must believe that they’re at risk and susceptible o Many think heart disease is a quick and easy death, so they’re not as scared of it as other diseases o People think cardiovascular problems are a normal part of aging Patient requires health education about the treatment plan specific for them
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