{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T10:04:57Z","timestamp":1784023497602,"version":"3.55.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"crossref","award":["308337\/2023-9"],"award-info":[{"award-number":["308337\/2023-9"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify characteristics associated with an intention to complete advance directives (ADs) and end-of-life treatment preferences for outpatients with heart failure (HF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross-sectional, analytical study. Sociodemographic and clinical data were collected from 108 patients with HF in an outpatient clinic in S\u00e3o Paulo, SP, Brazil. Quality of life (QoL) was assessed using the Minnesota Living with Heart Failure Questionnaire; knowledge about HF and the intention to complete ADs were assessed using a script. The relationships among variables were assessed through the chi-square and Mann\u2013Whitney tests, with\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05 considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The intention to complete ADs was significantly associated with reporting adherence to pharmacological recommendations (99% vs. 88.1%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u00a0=\u00a00.02), worse QoL (29.7\u00a0\u00b1\u00a018.2 vs. 20.9\u00a0\u00b1\u00a011.0;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u00a0=\u00a00.0336), perceived knowledge about HF (89.7% vs. 63.6%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u00a0=\u00a00.0495), not wishing the healthcare providers would decide about treatment (27.3% vs. 2.15,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u00a0=\u00a00.0026), and considering ADs useful (91.8% vs. 27.3%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). End-of-life treatment preferences included living as long as possible (50.5%), not being sedated (37.1%), and staying close to family and friends for as long as possible (32.0%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Characteristics associated with an intention to complete ADs and end-of-life treatment preferences were identified in patients with HF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for nursing practice<\/jats:title>\n                    <jats:p>These results can help facilitate patients\u2019 completion of their ADs or activate their intention to maximize opportunities to exercise autonomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/2047-3095.12474","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T09:38:31Z","timestamp":1716889111000},"page":"209-218","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Characteristics associated with the intention to complete advance directives and end-of-life preferences in Brazilians with heart failure"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2991-7069","authenticated-orcid":false,"given":"Beatriz","family":"Murata Murakami","sequence":"first","affiliation":[{"name":"Escola Paulista de Enfermagem, Universidade Federal de S\u00e3o Paulo (EPE-UNIFESP), S\u00e3o Paulo, Brazil"},{"name":"Educa\u00e7\u00e3o Continuada, Hospital DF Star, Bras\u00edlia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1514-1079","authenticated-orcid":false,"given":"Vitor","family":"Latorre Souza","sequence":"additional","affiliation":[{"name":"Escola Paulista de Enfermagem, Universidade Federal de S\u00e3o Paulo (EPE-UNIFESP), S\u00e3o Paulo, Brazil"},{"name":"Setor de Hemodin\u00e2mica, Instituto Dante Pazzanese de Cardiologia, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1396-9393","authenticated-orcid":false,"given":"Evelise Helena","family":"Fadini Reis Brunori","sequence":"additional","affiliation":[{"name":"Unidade de Terapia Intensiva Neopedi\u00e1trica, Instituto Dante Pazzanese de Cardiologia, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9169-695X","authenticated-orcid":false,"given":"Eduarda","family":"Ribeiro Dos Santos","sequence":"additional","affiliation":[{"name":"Faculdade Israelita de Ci\u00eancias da Sa\u00fade Albert Einstein, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6243-6497","authenticated-orcid":false,"given":"Camila","family":"Tak\u00e1o Lopes","sequence":"additional","affiliation":[{"name":"Escola Paulista de Enfermagem, Universidade Federal de S\u00e3o Paulo (EPE-UNIFESP), S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,25]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1885-5857(10)70275-9"},{"key":"e_1_3_3_3_1","unstructured":"Brasil. 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Assist\u00eancia ao doente terminal: Vantagens na aplicabilidade das diretivas antecipadas de vontade no contexto hospitalar. Revista Ga\u00facha de Enfermagem, 38(4), e65617.","journal-title":"Revista Ga\u00facha de Enfermagem"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047-3095.12151"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1983-80422013000300011"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-018-0366-5"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11897-020-00483-x"},{"issue":"9","key":"e_1_3_3_14_1","article-title":"Prognostic awareness and goals of care discussions among patients with advanced heart failure","volume":"13","author":"Gelfman L. P.","year":"2020","unstructured":"Gelfman L. P., Sudore R. L., Mather H., McKendrick K., Hutchinson M. D., Lampert R. J., Lipman H. I., Matlock D. D., Swetz K. M., Pinney S. P., Morrison R. S., Goldstein N. E. (2020). 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