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Assessing Advance Care Planning Readiness in Individuals with Kidney Failure
 (Vol 33/No. 2. On-line test expires: 04/20/2008)
To receive continuing education credit, you must read the information in this article and take an on-line post test and fill out an on-line program evaluation form. The certificate will then be generated for you as a .pdf file which you can print out locally on your computer.

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  AUTHOR
Amy O. Calvin, PhD, RN
 Amy O. Calvin, PhD, RN, is Assistant Professor, The University of Texas Health Science Center at Houston, School of Nursing, and Palliative Care Nurse Researcher, St. Luke’s Episcopal Hospital, Texas Medical Center, Houston, TX.
Lillian R. Eriksen, DSN, RN
 Lillian R. Eriksen, DSN, RN, is Associate Professor, The University of Texas Health Science Center at Houston, School of Nursing, and Director of Nursing Research, Christus St. Joseph Hospital, Houston, TX.
  OUTLINE

The purpose of this study was to initiate development of an instrument to assess readiness of patients to discuss advance care plans. The first step of the development of the instrument involved the generation of a 49-item pool representative of the grounded theory of personal preservation (Calvin, 2004). The second step was to assess the content validity of the items using both a professional panel of four experts in end-of-life care and a patient panel of five persons currently being treated with hemodialysis in an inpatient setting. The third step was to pilot test the resultant 30-item instrument with another sample of 10 patients on hemodialysis. The instrument showed preliminary evidence of content validity (overall content validity index = 0.90) and internal consistency reliability of the scale (Cronbach’s alpha = 0.73).
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  CE RELATED INFORMATION
This offering for 1.4 contact hours is being provided by the American Nephrology Nurses’ Association (ANNA), which is accredited as a provider and approver of continuing education in nursing by the American Nurses’ Credentialing Center-Commission on Accreditation (ANCCCOA). This educational activity is approved by most states and specialty organizations that recognize the ANCC-COA accreditation process. ANNA is an approved provider of continuing education in nursing by the California Board of Registered Nursing, BRN Provider No. 00910; and the Kansas State Board of Nursing, Provider No. LT0148-0738. This offering is accepted for RN and LPN relicensure in Kansas

  EDUCATIONAL OBJECTIVES

Goal:
Present a method of determining the readiness of patients with chronic kidney disease to discuss advance care plans.

 Objectives:
1.Relate the concept of personal preservation to readiness to discuss advance care plans.
2.Summarize a tool used to assess the attitudes of patients with chronic kidney disease in relationship to personal preservation.
3. Design a plan for discussing advance care plans with a patient with chronic kidney disease.
AUTHOR DISCLOSURE STATEMENT
Amy O. Calvin, has no conflicts of interest to disclose.
Lillian R. Eriksen, has no conflicts of interest to disclose.

 ANNA and HDCN CE POLICY STATEMENTS

The CE policy and disclosure statements of the American Nephrology Nurses' Association are given in detail on the Symposium Home Page. The CE policy statements of HDCN are listed on this page.