Abstract

RODRIGUEZ-GARCIA, María Jesús  and  CASTILLO-AREVALO, Fernanda del. Nurses and pharmacological adherence: discourse and behaviour. Index Enferm [online]. 2011, vol.20, n.3, pp.160-164. ISSN 1699-5988.  https://dx.doi.org/10.4321/S1132-12962011000200005.

Objective: To discover, according to nurses, which are the predictor factors for pharmacological non-adherence; and to explore what attitudes they adopt when dealing with non-adherence behaviors. Methods: A qualitative study including focal groups and in-depth interviews. Results: The determinant factors for non-adherence behaviors are: a) lack of knowledge, comorbility and polypharmacy; b) sociodemographic features; c) psychological aspects; d) skill loss; and e) the professional-patient relationship model. When encountered with a non-adherent behavior, nurses exhibit different attitudes which have an impact on the relationship with the patient and on the positions they adopt when dealing with pharmacological adherence. Conclusions: Nurses identify several different predictor factors which interfere with pharmacological adherence, although they focus on those related to the patients themselves. Nurses discourage the availability of glucometers, tensiometers and reading the patient information leaflet, for they consider these elements exert a negative influence on adherence. As for self-medication, nurses only highlight the negative aspects.

Keywords : Pharmacological adherence; Qualitative study; Primary care.