CKD Best Practice Guidelines

Decisional Support for Adults Living with Chronic Kidney Disease 

The purpose of this best practice guideline is:


To help nurses recognize patients with CKD experiencing decisional conflict related to situations in which there is more than one option available for managing their condition.

To help nurses support patient involvement in reaching quality health decisions. Quality decisions are made using the best available evidence about the options and are consistent with the patients’ values.


Clinical questions addressed in the guideline include:

1. What are the common health decisions faced by patients with CKD?

2. How can nurses involve patients in making decisions about the monitoring and management of CKD?

3. What interventions support involvement of patients with CKD in making these decisions?

4. How can nurses evaluate the quality of the decision-making process, including the decision support provided to patients with CKD?

5. How can organizations facilitate and monitor the provision of decision support?


This guideline contains recommendations and tools for nurses (Registered Nurses, Registered Practical Nurses, Advanced Practice Nurses, etc.) caring for patients with CKD, and working in various practice settings.
LINK: Registered Nurses Association of Ontario (RNAO) Best Practice Guideline: