Date Approved

1996

Graduate Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

First Advisor

Andrea C. Bostrom

Second Advisor

Patricia W. Underwood

Third Advisor

Aubrie Gordon

Abstract

Medication nonadherence in schizophrenic clients is a major issue for psychiatric nurses. The purpose of this descriptive study was to explore factors identified by the schizophrenic client and the client's primary nurse that contribute to medication nonadherence. The Health Belief Model and Peplau's Model were the theoretical frameworks used. The sample included 20 schizophrenic clients with a history of medication nonadherence and 20 primary psychiatric registered nurses.; Face-to-face interviews using the Compliance Interview Questionnaire were conducted with the psychiatric client and the primary nurse. Results indicated a difference between nurses' and clients' perceptions of the reasons for medication nonadherence. Most frequently, nurses believed that clients did not feel the need for medication. The most identified reason for clients was medication side effects. Furthermore, results indicated that nurse-client pairs of the same gender were more likely to agree on the frequency of ingestion of medication than nurse-client pairs of different genders.

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