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Key aspects included the need for EOL care, EOL care decision-making, signs and symptoms of imminent death, and communication with relatives. The patient records pertain to patients who died in an acute neurological ward between January 2011 and August 2020; 123 with ischemic stroke, 48 with hemorrhagic stroke, 27 with amyotrophic lateral sclerosis [ALS], and 11 with Parkinson\u2019s disease or extrapyramidal and movement disorders [PDoed]. Both descriptive and inferential statistical analyses were performed to analyze the data.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Nurses identified the need for EOL care in 36% of cases and contributed to EOL decision-making as information brokers (15%), advocates (6%), and supporters (6%). They identified disease progression in 44% of the cases. The mean number of signs and symptoms in both the acute and progressive disease groups was 6.5 and ranged from 1 to 14. Patients with stroke without a documented EOL decision had more severe symptoms, including respiratory congestion (68%) and dyspnea (37%), than those with EOL decision. A higher frequency of no food intake was documented in patients with stroke receiving EOL care (<jats:italic>p<\/jats:italic>\u2009=\u20090.007) compared to those without. Among patients with ALS or PDoed, those with EOL decision showed a trend toward a higher frequency of unconsciousness or limited consciousness than those without EOL decision (<jats:italic>p<\/jats:italic>\u2009=\u20090.067). For all groups of patients, conversations with relatives occurred in 85% instances and family meetings in 93%.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Nurses made substantial contributions to EOL care decision-making for patients with neurological diseases. To improve early identification of imminent death in patients with neurological diseases in acute hospital wards, healthcare professionals must investigate barriers contributing to delayed recognition.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Clinical trial number<\/jats:title>\n            <jats:p> Not applicable<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s12912-025-02897-1","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T12:29:47Z","timestamp":1741696187000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Nursing contribution to end-of-life care decision-making in patients with neurological diseases on an acute hospital ward: documentation of signs and symptoms"],"prefix":"10.1186","volume":"24","author":[{"given":"Gudrun","family":"Jonsdottir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Runar","family":"Vilhjalmsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valgerdur","family":"Sigurdardottir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haukur","family":"Hjaltason","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne Elisabeth","family":"Klinke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helga","family":"Jonsdottir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,11]]},"reference":[{"key":"2897_CR1","doi-asserted-by":"publisher","first-page":"104666","DOI":"10.1016\/j.ijnurstu.2023.104666","volume":"151","author":"E Colquhoun-Flannery","year":"2024","unstructured":"Colquhoun-Flannery E, Goodwin D, Walshe C. 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The study obtained approval from the Ethics Committee at Landspitali, University Hospital of Iceland (reference number 26\/2017) for extracting data from patients\u2019 health records from January 1, 2011 to August 31, 2020 and was reported to the Icelandic Data Protection Authority. A renewal was granted in July 2023 (Nr. 36\/2023). This study uses coded data extracted from patient health records and hence no direct patient contact nor patient identifiable patient data. 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