title: Nephrology nurses' perspectives on difficult ethical issues and practice guideline for shared decision making.
abstract: Nephrologists and nephrology nurses have struggled with the technological, financial, and ethical concerns surrounding the life sustaining treatment of hemodialysis for as long as this treatment as been available. One of the overriding issues for the nephrology community has been appropriate utilization of this technology and the appropriate restraint for prescribing dialysis. Since the inception of dialysis, there has been discussion of guidelines for deciding who should receive and who should not receive this therapy. In 2000, a clinical guideline was developed to assist in directing the care of patients. The knowledge and acceptance of this guideline by nephrologists has been researched in the past. However, there is no data of knowledge and acceptance of the guideline by nephrology clinical nurses or nephrology nurse practitioners. A survey was conducted to begin to ascertain this information in order to better understand the perspectives of nephrology nurses.
authors.affiliation: Division of Nephrology and Hypertension, University of Utah School of Medicine, Salt Lake City, UT, USA.
authors.forename: Christy Price
authors.initials: CP
authors.lastname: Rabetoy
authors.forename: Bradley C
authors.initials: BC
authors.lastname: Bair
mesh_terms: D032722:Advance Care Planning / Q000941:ethics; D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D003657:Decision Making / Q000941:ethics*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007400:Interprofessional Relations / Q000941:ethics; D009398:Nephrology / Q000193:education / Q000941:ethics / Q000458:organization & administration; D009720:Nurse Clinicians / Q000193:education / Q000941:ethics / Q000523:psychology; D009722:Nurse Practitioners / Q000193:education / Q000941:ethics / Q000523:psychology; D024802:Nurse's Role; D015404:Nursing Methodology Research; D018579:Patient Selection / Q000941:ethics*; D017410:Practice Guidelines as Topic / Q000592:standards; D011369:Professional-Patient Relations / Q000941:ethics; D012017:Referral and Consultation / Q000941:ethics; D006435:Renal Dialysis / Q000941:ethics* / Q000451:nursing / Q000706:statistics & numerical data; D012956:Societies, Nursing; D013041:Specialties, Nursing / Q000193:education / Q000941:ethics* / Q000458:organization & administration; D011795:Surveys and Questionnaires; D013727:Terminal Care / Q000941:ethics; D014481:United States; D028761:Withholding Treatment / Q000941:ethics