Development and Initial Validation of the NephRN Perceptions Toward Advance Care Planning Instrument

• Published in: Nephrology nursing journal : journal of the American Nephrology Nurses' Association Vol. 42; no. 3; pp. 257 - 67; quiz 268
• Main Authors: Haras, Mary S, Astroth, Kim S, Hesson-McInnis, Matthew S, Kossman, Susan P, Woith, Wendy M
• Format: Journal Article
• Language: English
• Published: United States Jannetti Publications, Inc 01.05.2015; Anthony J. Jannetti, Inc
• Subjects: Adult; Advance care planning; Advance Care Planning - organization & administration; Advance Care Planning - standards; Advance directives; Advocacy; Aged; Aged, 80 and over; Analysis; Attitude of Health Personnel; Attitudes; Care and treatment; Chronic kidney failure; Death & dying; Education, Nursing, Continuing; Factor Analysis, Statistical; Female; Health Knowledge, Attitudes, Practice; Humans; Kidney diseases; Male; Methods; Middle Aged; Nephrology Nursing - organization & administration; Nurses; Nursing; Nursing Care - organization & administration; Nursing Care - psychology; Nursing Staff, Hospital - education; Nursing Staff, Hospital - psychology; Patients; Perceptions; Pilot Projects; Practice; Psychometrics; Quality; Renal Insufficiency, Chronic - nursing; Reproducibility of Results; Surveys and Questionnaires; United States; Verbal communication; United States
• ISSN: 1526-744X; 2163-5390

The purpose of this study was to develop and pilot test an instrument to measure the perceptions of nephrology nurses toward advance care planning, the NephRN Perceptions Toward Advance Care Planning instrument. Four components of advance care planning were identified: knowledge, attitudes, comfort, and support. The four-component solution explained 63.88% of variance. Cronbach's alpha was 0.92, and subscale reliability ranged between 0.86 and 0.94. This instrument shows promise as a reliable and valid measure of nephrology nurse perceptions toward advance care planning for persons with chronic kidney disease.