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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Nicole Gibson


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)
Health planning


Includes bibliographical references (pages 86-92)



Number of Pages



South Dakota State University


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