Contemporary Nursing Of Persons With Chronic Illness
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Date
2016-01-13
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Abstract
Adherence was a popular term describing the care activities of persons with chronic illness, particularly
those with Chronic Kidney Disease. The concept of adherence was a response to the criticism of the
term ‘compliance’ in which the perspective of care was towards appreciating patients as objects of care
and the implication of the role of the patient as a passive participant. This paper will clarify the concept
of ‘adherence’ and propose ‘concordance’ as a more contemporary and appropriate term described
within the view of human science. Using Walker and Avant’s (2005) concept analysis approach, an
extensive review of literature from 2007 to 2010 was conducted. Using keywords to define the scope of
the review, thirteen articles were selected, Defining related concepts, model cases, borderline cases,
contrary cases, antecedents, consequences and empirical referents were presented to explain and
describe the concept. There were more than 50 articles was retrieved. Those were examined and 30
articles were used to the next step. From 30 articles, finally 13 were selected to support this paper.
There were published from 2007 to 2010. This paper also using 1 dictionary, 1 textbook, and 3 pages of
related websites for analizing the concept of adherence. From analyzing and synthesizing the concept
of adherence, it was found that the contemporary term of ‘concordance’ is more appropriate to
delineate the care of persons with chronic illness. Concept analyses should provide opportunities for
developing contemporary nursing practice and engage in nursing practice to improve quality of nursing
care of persons with chronic illness.
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Keywords
Concept analysis, Chronic Kidney Disease (CKD), adherence, quality of life, concordance