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    <subfield code="a">10.3390/ijerph182111249</subfield>
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    <subfield code="2">sideral</subfield>
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    <subfield code="a">ART-2021-125003</subfield>
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    <subfield code="a">eng</subfield>
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  <datafield tag="100" ind1=" " ind2=" ">
    <subfield code="a">Chisbert-Alapont, E.</subfield>
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  <datafield tag="245" ind1=" " ind2=" ">
    <subfield code="a">Influence of palliative care training on nurses’ attitudes towards end-of-life care during the COVID-19 pandemic in Spain</subfield>
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  <datafield tag="260" ind1=" " ind2=" ">
    <subfield code="c">2021</subfield>
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    <subfield code="a">Aim: This study aims to assess the influence of training on nurses’ attitudes toward end-of-life care during the COVID-19 pandemic alarm state in Spain. Design: Cross-sectional descriptive study. Data collection was carried out by means of an ad hoc questionnaire using Google Forms in April and May 2020. The score of attitudes toward end-of-life care was used, to which sociodemographic variables and training in palliative care were added. Methods: Data were collected from 238 nursing professionals who had cared for COVID-19 and non-COVID-19 adult patients at the end-of-life stage in a hospital or nursing home. Results: Results showed that 51% of the nurses in the sample had training in palliative care. However, the percentage decreased to 38.5% among those who cared for COVID-19 patients and to 44.5% in those who cared for non-COVID-19 patients. In relation to attitudes about end-of-life care, more positive attitudes and a higher mean score were found in the trained group. Conclusions: Palliative care training is a key element in end-of-life care and is even more important in times of COVID-19. Impact: Although end-of-life accompaniment has been studied, few studies have included the influence of training on this during the pandemic. This study identifies key elements of accompaniment and training in a comparison of COVID-19 and non-COVID-19 patients during the pandemic. In relation to attitudes toward end-of-life care, the results showed a more positive attitude and a higher mean score in the trained group (3.43 ± 0.37 versus 3.21 ± 0.32), the difference being statistically significant (p &lt; 0.001).</subfield>
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    <subfield code="b">45 / 182 = 0.247</subfield>
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    <subfield code="a">ENVIRONMENTAL SCIENCES</subfield>
    <subfield code="b">100 / 279 = 0.358</subfield>
    <subfield code="c">2021</subfield>
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    <subfield code="a">PUBLIC, ENVIRONMENTAL &amp; OCCUPATIONAL HEALTH</subfield>
    <subfield code="b">71 / 210 = 0.338</subfield>
    <subfield code="c">2021</subfield>
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  <datafield tag="593" ind1=" " ind2=" ">
    <subfield code="a">Pollution</subfield>
    <subfield code="c">2021</subfield>
    <subfield code="d">Q1</subfield>
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  <datafield tag="593" ind1=" " ind2=" ">
    <subfield code="a">Health, Toxicology and Mutagenesis</subfield>
    <subfield code="c">2021</subfield>
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    <subfield code="b">2021</subfield>
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  <datafield tag="700" ind1=" " ind2=" ">
    <subfield code="a">García-Salvador, I.</subfield>
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  <datafield tag="700" ind1=" " ind2=" ">
    <subfield code="a">Ossa-Sendra, M.J. de la</subfield>
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  <datafield tag="700" ind1=" " ind2=" ">
    <subfield code="a">García-Navarro, E.B.</subfield>
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  <datafield tag="700" ind1=" " ind2=" ">
    <subfield code="a">Rica Escuin, M.L. de la</subfield>
    <subfield code="u">Universidad de Zaragoza</subfield>
    <subfield code="0">(orcid)0000-0002-4270-1660</subfield>
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  <datafield tag="710" ind1="2" ind2=" ">
    <subfield code="1">1006</subfield>
    <subfield code="2">255</subfield>
    <subfield code="a">Universidad de Zaragoza</subfield>
    <subfield code="b">Dpto. Fisiatría y Enfermería</subfield>
    <subfield code="c">Área Enfermería</subfield>
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  <datafield tag="773" ind1=" " ind2=" ">
    <subfield code="g">18, 21 (2021), 11249[13 pp.]</subfield>
    <subfield code="p">Int. j. environ. res. public health</subfield>
    <subfield code="t">International journal of environmental research and public health</subfield>
    <subfield code="x">1661-7827</subfield>
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