{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:42:39Z","timestamp":1777495359715,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,11,23]],"date-time":"2021-11-23T00:00:00Z","timestamp":1637625600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chronic Illness"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the impact of a multifaceted strategy for quality end-of-life care in a tertiary public hospital in Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>The study design was quasi-experimental. The multifaceted strategy was applied between January and June 2017, and involved training the healthcare team in end-of-life discussions, the creation and documentation of advance directives, and consultation with the team specialized in palliative care. The periods analyzed were the pre-test period (Time 1, July 2015 to June 2016) and the post-test period (Time 2, July 2017 to June 2018).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Time 1 involved 302 deaths, with an average hospital stay of 21 days; Time 2 involved 410 deaths, with an average hospital stay of 16 days. Patients were prescribed morphine (44.04% vs. 36.3% [ p\u2009=\u20090.367]), methadone (9.60% vs. 4.39% [ p\u2009=\u20090.247]), midazolam (43.05% vs. 47.80% [ p\u2009=\u20090.73]), blood transfusions (31.13% vs. 24.63% [ p\u2009=\u20090.828]), enteral feeding (56.62% vs. 38.54% [ p\u2009=\u20090.59]) and antibiotic therapy (50.73% vs. 50.73% [ p\u2009=\u20090.435]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study found no changes in the end-of-life care quality indicators after the strategy was implemented. Multimodal educational strategies that develop communication skills in palliative care may enhance the quality of end-of-life care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17423953211058416","type":"journal-article","created":{"date-parts":[[2021,11,23]],"date-time":"2021-11-23T09:16:31Z","timestamp":1637658991000},"page":"146-156","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of a multifaceted strategy in end-of-life care in a tertiary hospital: A quasi-experimental study"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2303-1219","authenticated-orcid":false,"given":"Soraya Camargo","family":"Ito Suffert","sequence":"first","affiliation":[{"name":"Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre - Programa de P\u00f3sgradua\u00e7\u00e3o em Patologia, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6832-9409","authenticated-orcid":false,"given":"Luciana Silveira","family":"Campos","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora da Concei\u00e7\u00e3o Porto Alegre \u2013 Brasil, Porto Alegre, RS, Brazil"},{"name":"Insituto de Sa\u00fade P\u00fablica da Universidade do Porto, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Newton","family":"Barros","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora da Concei\u00e7\u00e3o, Porto Alegre, RS, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6763-6631","authenticated-orcid":false,"given":"Claudia Giuliano","family":"Bica","sequence":"additional","affiliation":[{"name":"Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre - Programa de P\u00f3sgradua\u00e7\u00e3o em Patologia, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,11,23]]},"reference":[{"key":"bibr1-17423953211058416","unstructured":"World Health Organization. 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