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Nephrology Nurses’ Perspectives On Difficult Ethical Issues And Practice Guideline for Shared Decision Making
(Vol 34/No. 6. On-line test expires: 12/20/2009)
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.

CE Certification by ANNA requires a handling charge that must be paid by credit card. Pricing information is available by clicking on the "Post-Test Evaluation" link below.
  DOWNLOAD TEST ARTICLE
Please download and print the PDF file below:
  AUTHOR
Christy Price Rabetoy, NP
Christy Price Rabetoy, NP, is Nephrology Nurse Practitioner, Salt Lake City, UT. She has served as a member of the Nephrology Nursing Journal Editorial Board for many years and is a Past President of ANNA. She is also a member of ANNA’s Intermountain Chapter.
Bradley C. Bair, MS, MStat
Bradley C. Bair, MS, MStat, is Senior Data Analyst/Biostatitician, Division of Nephrology and Hypertension, University of Utah School of Medicine, Salt Lake City, UT.
  OUTLINE

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.

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  CE RELATED INFORMATION
This offering for 1.5 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:
To increase awareness of the nephrology nurses’ need to be cognizant of the issues surrounding end-of-life decisions to be made for those requiring hemodialysis.

Objectives:
1. Outline the history of nephrology clinical guidelines and position statements relating to end-of-life care in regards to the use of hemodialysis.
2. Relate the need for a shared decision making effort between health care workers, patients, and families to be used when discussing end-of-life care.
3. Recommend strategies to increase the awareness of nephrology nurses to their role in supporting nephrology patients and families struggling with end-of-life care decisions involving hemodialysis use.

AUTHOR DISCLOSURE STATEMENT
Christy Price Rabetoy has no conflicts of interest to disclose.
Bradley C. Bair 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.