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Are transplant patients aware of the importance of medication compliance post organ transplantation

Are transplant patients aware of the importance of medication compliance post organ transplantation

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An essay for the 2011 Undergraduate Awards (Lecturer Nomination) Competition by aisling okeefe. It is nominated by Lecturer declan patton of University College Dublin in the category of Nursing & Midwifery
An essay for the 2011 Undergraduate Awards (Lecturer Nomination) Competition by aisling okeefe. It is nominated by Lecturer declan patton of University College Dublin in the category of Nursing & Midwifery

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Published by: Undergraduate Awards on Sep 01, 2012
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10/27/2013

 
Are transplant patients aware of the importance of medication compliance post organtransplantation?
Introduction
The purpose of this literature review is to examine whether transplant recipients areaware of the importance of medication compliance post organ transplantation. The topicthat the author was interested in derived from a current incident that occurred in thewriter’s clinical area. The author was exposed to a patient who was facing possibleorgan rejection due to the inability to adhere and comply with their post transplantmedical regime. In other words, clinical outcomes post transplantation is largely
 
dependant on the patient’s ability to adhere to the post transplant medication regimen.Others have agreed with this (Dobbels et al, 2010 & Delucchi et al, 2008). Thus, for that reason, the literature review has clear implications for the role of the nurse. Whendeveloping the research question, the author was aware of the importance of developinga question that would be both achievable and answerable from the literature (Aveyard,2010). Firstly, a mind map was created, whereby notes were made about ideas for theresearch question. In addition, the author made contact with the transplant clinicalnurse specialist that was working in the student’s area of interest. This enabled thewriter to get different perspectives on her idea.The next step was to locate literature that was relevant to the research question. Before beginning the literature searching, the writer contacted the librarian at the hospital for advice concerning the appropriate use of databases for the review. Moreover, in order to obtain literature, the author searched computerised databases, which were availablethrough both the writer’s hospital and university library. To ensure that the dataobtained was relevant, the author developed inclusion criteria for the search. For instance, the inclusion criteria included only articles that were in the english language,that were peer reviewed and that were from 2005 onwards. This allowed for a focusedstudy. The search engines used included Cinahl, Medline and Cochrane. The author will focus the essay on 10 key research articles, other literature and her own clinicalexperience. The following are the 10 key articles that will be focused on,Berquist et al (2006)Chisholm et al (2005)Feinstein et al (2005)2
 
Gheith et al (2008)Gordon et al (2009)Gremigni et al (2007)Orr et al (2007)Russell et al (2010)Taylor et al (2010)Zelikovsky et al (2008)
Aims
The 10 key articles had a research aim that explored and investigated the factors thatwere associated with compliance/non compliance to the medication regimen post organtransplantation. Moreover, several of the listed articles also aimed to explore andevaluate the prevalence/patterns of non compliance to the recommended medicationregimen (Gheith et al, 2008, Russell et al, 2010, Berquist et al, 2006 & Feinstein et al,2005). In addition, the outcomes/implications of medication non compliance were to beexamined (Russell et al, 2006, Gordan et al, 2009 & Taylor et al, 2010).
Methods/Methodology
MethodologiesThere are three main types of methodologies used in research. The methodologiesused can be qualitative, quantitative or a combination of both (Polit et al, 2010).Qualitative methods are concerned with exploring meaning and phenomena in their natural setting (Aveyard, 2007). In other words, the facts are usually acquired throughdirect observation, interviewing or gathering information (Macnee at al, 2007). In3

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