“…Previous studies have identified the characteristics of patients perceived as problematic by British nurses (Kelly andMay, 1982, Stockwell, 1984), and more recently have linked the concept with value judgements made by the nurses (Johnson and Webb, 1995) and nurses' perceptions of patient's refutation of their competence (Breeze and Repper, 1998). However, what appears unique to this study is that nurses appear challenged by reasonable queries regarding possible self-management strategies, and rather than being accepted as a genuine suggestion, the patients described in the scenarios and within the data were viewed as non-compliant in the narrowest sense (World Health Organization, 2003).…”