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attachment theory, chronic illness, patient-practitioner relationship, therapeutic alliance, treatment adherence



  1. Silva, Giovana G. MSN, RN, AGNP-C
  2. Swartz, Martha K. PhD, RN, CPNP, FAAN
  3. Molony, Sheila L. PhD, RN, GNP-BC


Abstract: This study presents an integrative review of the literature assessing the relationships among a patient's style in coping with a long-term health condition, the patient-practitioner therapeutic alliance, and treatment adherence among chronically ill adults. Evidence-based recommendations to improve nurse practitioner-patient therapeutic alliance and treatment adherence are suggested.