Noncompliance in people living with HIV: accuracy of defining characteristics of the nursing diagnosis1.
Richardson Augusto Rosendo da Silva, Mayara Mirna do Nascimento Costa, Vinicius Lino de Souza and 3 others
PMID 29091125WHAT IT FOUND
In HIV care, missed clinic appointments caught most cases of treatment noncompliance.
Not following treatment advice and not getting expected benefits were more telling clues. Use these as assessment flags, not proof.
Key findings
0178 of 113 people with HIV had the noncompliance diagnosis.
02Missed appointments was the most sensitive defining characteristic, at 96.21%.
03Nonadherence behavior and failure to meet outcomes were the most specific signs.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Recruitment was by convenience from an HIV outpatient clinic, so the findings may not apply to other HIV care settings. There was no gold standard for identifying the nursing diagnosis, so the reference judgment relied on expert nurses. The conceptual and operational definitions of the defining characteristics were not clearly defined in the literature, which the authors say may impair reliability. The study evaluated diagnostic clues, not whether acting on them improves adherence or patient outcomes.
Declared interests
The supplied text reports ethics approval but no funding or conflict-of-interest declaration.
The easy way to misread this
Do not treat missed appointments alone as proof of noncompliance. It was the most sensitive sign but was not the most specific, and the study did not test whether acting on the diagnosis improves adherence.