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DNP - University Access Only
Doctor of Nursing Practice (DNP)
advance care planning, advance directive, chronic kidney disease
Clinical practice guidelines (CPGs) support the need for providers to engage patients in a discussion of goals and priorities regarding end-of-life care through the use of advance care planning (ACP) (Agency for Healthcare Research and Quality [AHRQ], 2014). However, current data demonstrated a lack of implementation specific to patients with chronic kidney disease (CKD). A five question standardized tool developed from current guidelines served as the discussion guide for this intervention. Despite the great need for this project, patients who were eligible for the intervention were not willing to be active participants in an ACP discussion. The clinical significance, most notably the increased awareness of the nephrology Nurse Practitioner (NP) and other clinic providers, demonstrated ACP can be successful. Further research is needed to transform the topic of ACP in both research and practice.
Library of Congress Subject Headings
Chronic renal failure
Kidneys -- Diseases -- Patients
Advance directives (Medical care)
Includes bibliographical references (pages 86-92)
Number of Pages
South Dakota State University
In Copyright - Educational Use Permitted
Hinders, Chelsea, "Implementation of an Advance Care Planning Discussion for Patients with Chronic Kidney Disease" (2017). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 25.