title: Advance care planning for patients with chronic kidney disease--why aren't nurses more involved?
abstract: Few patients with chronic kidney disease complete advance care planning and require the assistance and encouragement of their caregivers to address advance care planning needs. However, most nephrology nurses are reluctant to initiate these discussions and believe that patients will find these discussions upsetting. This article explores the fears that nephrology nurses have in addressing ACP with their patients, how this reality relates to general nursing research on the topic, and possible approaches to assist nephrology nurses in gaining confidence and expertise in this area.
authors.affiliation: Hartford Hospital, Hartford, CT, USA.
authors.forename: Christine M
authors.initials: CM
authors.lastname: Ceccarelli
authors.forename: Debra
authors.initials: D
authors.lastname: Castner
authors.forename: Mary S
authors.initials: MS
authors.lastname: Haras
mesh_terms: D016223:Advance Directives; D003144:Communication Barriers; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009723:Nurse-Patient Relations; D051436:Renal Insufficiency, Chronic / Q000451:nursing*; D012944:Social Support; D014481:United States