BACKGROUND: @entity1442 ( @entity1442 ) empowers @entity1 to consider and communicate their current and future treatment goals. However, @entity1442 is not widely implemented in @entity740 ( @entity740 ) care settings. This study aims to describe clinicians' beliefs, challenges, and perspectives of @entity1442 in @entity1 with @entity740 . STUDY DESIGN: Qualitative study. SETTING _ @entity1 : Nephrologists (n=20), nurses (n=7), and social workers (n=4) with a range of experience in facilitating @entity1442 for @entity1 with @entity740 across Australia. METHODOLOGY: Semistructured interviews were digitally recorded and transcribed verbatim. ANALYTICAL APPROACH: Transcripts were analyzed using thematic analysis. RESULTS: 5 major themes were identified: facilitating informed decision making (avoiding preconceptions, conveying complete truths, focusing on supportive care, and synchronizing with evolving priorities), negotiating moral boundaries (contending with medical futility and respecting @entity1 vs family autonomy), navigating vulnerable conversations (jeopardizing the therapeutic relationship, compromising professional confidence, emotionally invested, and enriching experiences), professional disempowerment (unsupportive culture, doubting logistical feasibility, and making uncertain judgments), and clarifying responsibilities (governing facilitation, managing @entity2701 , and transforming multidisciplinary relationships). LIMITATIONS: Some findings may be specific to the Australian context. CONCLUSIONS: The @entity2701 among themes reflect that @entity1442 is paradoxically rewarding for clinicians because @entity1442 empowers @entity1 yet can expose personal and professional vulnerabilities. Clinicians believe that a more collaborative approach is needed, with increased efforts to identify the evolving and individualized needs and goals of @entity1 with @entity740 . Models of @entity1442 that address clinicians' personal and professional vulnerabilities when initiating @entity1442 may foster greater confidence and cultural acceptance of @entity1442 in the @entity740 setting.

Clinicians' Perspectives on Advance Care Planning for XXXX With @entity740 in Australia: An Interview Study.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PARTICIPANTS'] @entity1442 :: ('MESH:D020178', 'Disease') :: ['ACP', 'Advance care planning'] @entity740 :: ('MESH:D051436', 'Disease') :: ['CKD', 'chronic kidney disease'] @entity2701 :: ('MESH:D018781', 'Disease') :: ['tensions']
@entity1 :: (9606,Species) :: ['Patients']
