Open AccessStaff motivation: A potential barrier to dialysis patient compliance
Author(s) -
Iacono Steven
Publication year - 2010
Publication title -
dialysis & transplantation
Language(s) - English
Resource type - Journals
eISSN - 1932-6920
pISSN - 0090-2934
DOI - 10.1002/dat.20409
Subject(s) - medicine , compliance (psychology) , patient compliance , dialysis , regimen , hemodialysis , nursing , family medicine , surgery , social psychology , psychology
BACKGROUND Research regarding patient compliance with their dialysis treatment regimen has tended to focus on system‐ and patient‐centered issues. The role of clinician motivation, and their views regarding the usefulness of the time they spend dealing with compliance, has not been well investigated. METHODS This study evaluated the views of 135 social workers, dietitians, and charge nurses in outpatient hemodialysis clinics across a 3‐state area regarding the usage of the time that they spend dealing with patient treatment compliance. RESULTS One‐third of the social workers and nurses believed that dealing with patient compliance was a poor or wasteful use of their time. When asked to rate their level of motivation 50% of nurses, 42% of dietitians, and 36% of social workers reported that they were tired or extremely tired of having to deal with these issues. On average, 13.8 hours are spent each week by these clinicians to address patient compliance. CONCLUSION Large numbers of dialysis social workers, dietitians, and charge nurses are fatigued by having to constantly address the treatment compliance deficits of their patients.