Creating a climate for compliance

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Abstract
A frequently undetected problem in the long-term management of cancer patients is their low level of compliance with the therapeutic regimen. Nurses assume erroneously that cancer patients are highly compliant; there is, however, little evidence to support this assumption. Indeed, available evidence suggests the opposite. Unlike the acute care hospital setting where decisions are made and executed by staff, in long-term or ongoing care, cancer patients have the prime responsibility for implementing their therapeutic regimen. Clearly, compliance levels may determine the overall effectiveness of therapy for cancer patients, but little research has been conducted on compliance behavior among patients with cancer. This paper describes a framework around which nurses can create a climate for compliance behavior. By creating a climate for compliance, improved effectiveness of cancer therapy and the subsequent improved quality of life for individuals with cancer should be the achieved result.

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