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Continuing Nursing Education

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Nephrology Nurses’ Perspectives On Difficult Ethical Issues
And Practice Guideline for Shared Decision Making
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Christy Price Rabetoy and Bradley C. Bair

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


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, is Senior Data Analyst/Biostatitician, Division of Nephrology and Hypertension, University of Utah School of Medicine, Salt Lake City, UT.