Date of Award

Fall 1981

Degree Type

Thesis - Restricted

Degree Name

Master of Science (MS)




Patient noncompliance is a substantial and widespread phenomenon, affecting all types of patients, conditions, treatments, and settings, and dramatically altering the effectiveness of the prescribed therapeutic regimen. Researchers have found 50- 70% of the patient population to be noncompliant. The extensive literature written about compliance remains inconclusive and the research findings are inconsistent. However, several specific factors emerge which have been shown to consistently improve compliance. Researchers agree that patient participation, specifically, patient involvement in their care in a cooperative manner, is a strategy which facilitates compliance. Likewise, clear written descriptions and/or instructions enhance patient compliance. Considering these factors, the idea to develop a patient participation tool, a patient booklet, evolved. Whereas the incidence of noncompliance increases with the duration of the regimen, chronically ill patients have a higher incidence of noncompliance. Therefore, utilizing a chronically ill patient population, renal patients, the goal of the essay is to enhance patient compliance with the use of a patient participation tool, a patient booklet. In addition to enhancing patient compliance, the significance of the patient booklet will be to reinforce instructions given by the nurse and to promote continuity of care between the hospital setting and the home environment.