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Compliance, Normality, and the Patient on Peritoneal Dialysis
 (Vol 37/No. 3. On-line test expires: 06/20/2012)
To receive continuing education credit, you must read the information in this article and take an on-line post test and fill out an on-line program evaluation form. The certificate will then be generated for you as a .pdf file which you can print out locally on your computer.

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  DOWNLOAD TEST ARTICLE
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  AUTHOR
Alexandra McCarthy, PhD, RN
 Alexandra McCarthy, PhD, RN, is Senior Lecturer, School of Nursing and Midwifery, Queensland University of Technology and Princess Alexandra Hospital, Kelvin Grove, Queensland, Australia.
Ramon Shaban, PhDc, RN
 Ramon Shaban, PhDc, RN, is Senior Research Fellow, School of Nursing and Midwifery, Griffith Institute for Health and Medical Research, Griffith University and Princess Alexandra Hospital, Meadowbrook, Queensland, Australia.
Jennifer Boys, MHSc, RN
 Jennifer Boys, MHSc, RN, is Renal Nurse Educator, Centre for Clinical Nursing, Royal Brisbane and Women’s Hospital, Herston, Queensland, Australia.
Sarah Winch, PhD, RN
 Sarah Winch, PhD, RN, is Senior Lecturer, School of Medicine, University of Queensland, St Lucia Campus, Brisbane, Queensland, Australia.
  OUTLINE

Monitoring and enhancing patient compliance with peritoneal dialysis (PD) is a recurring and problematic theme in the renal literature. A growing body of literature also argues that a failure to understand the patient’s perspective of compliance may be contributing to these problems. The aim of this study was to understand the concept of compliance with PD from the patient’s perspective. Using the case study approach recommended by Stake (1995), five patients on PD consented to in-depth interviews that explored the meaning of compliance in the context of PD treatment and lifestyle regimens recommended by health professionals. Participants also discussed factors that influenced their choices to follow, disregard, or refine these regimens. Results indicate that health professionals acting in alignment with individual patient needs and wishes, and demonstrating an awareness of the constraints under which patients operate and the strengths they bring to their treatment, may be the most significant issues to consider with respect to definitions of PD compliance and the development of related compliance interventions. Aspects of compliance that promoted relative normality were also important to the participants in this study and tended to result in greater concordance with health professionals’ advice.
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  CE RELATED INFORMATION
This offering for 1.0 contact hours is being provided by the American Nephrology Nurses’ Association (ANNA), ANNA is accredited as a provider of continuing nursing education (CNE) by the American Nurses Credentialing Center’s Commission on Accreditation. ANNA is a provider approved by the California Board of Registered Nursing, provider number CEP 00910. This CNE article meets the Nephrology Nursing Certification Commission’s (NNCC’s) continuing nursing education requirements for certification and recertification.

  EDUCATIONAL OBJECTIVES

Goal:
To provide an overview of compliance among patients with peritoneal dialysis as related to this study’s findings.

 Objectives:
1. Explain the concept of a case study as presented in this study’s design.
2. Describe ways in which participants in this study complied with their peri toneal dialysis treatment regimen.
3. Define compliance to peritoneal dialysis as viewed by this study’s participants.
4. Identify an instance where a participant was not compliant to his or her peritoneal dialysis treatment regimen and why.
AUTHOR DISCLOSURE STATEMENT
Alexandra McCarthy has no conflicts of interest to disclose.
Ramon Shaban has no conflicts of interest to disclose.
Jennifer Boys has no conflicts of interest to disclose.
Sarah Winch has no conflicts of interest to disclose.

 ANNA and HDCN CE POLICY STATEMENTS

The CE policy and disclosure statements of the American Nephrology Nurses' Association are given in detail on the Symposium Home Page. The CE policy statements of HDCN are listed on this page.