{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:33:31Z","timestamp":1761896011245,"version":"build-2065373602"},"reference-count":38,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background\/Objectives: Promoting access to palliative care education at all levels and in diverse contexts is essential. In Brazil, however, despite progress, awareness remains limited. The Last Aid approach provides accessible ways for the public to engage in discussions about serious illness, death, dying, and grief, while also suggesting practical actions to support. The present study aimed to investigate whether Last Aid Courses are accepted and contribute to increasing knowledge and awareness of Palliative Care to different settings in Brazil. Design\/Methods: To obtain more in-depth views, a mixed methods approach was chosen, and participants from all Last Aid Courses offered in Brazil between March and November 2024 were invited to respond to a mixed qualitative\u2013quantitative questionnaire provided after the course. Results: Thirty-two courses were offered, with 343 participants. Most of the Last Aid Courses participants came from the general public (53.2%), followed by health students (28.1%). 98.8% of all respondents indicated they had acquired new knowledge. Qualitative analysis identified four themes: death as part of life, communication about dying, dignity and respect for patients\u2019 wishes, and the need for palliative care education. Participants highlighted autonomy, compassion, and dialogue as essential, reinforcing the urgency of expanding public education. Conclusions: The course implementation in Brazil showed positive results, indicating its potential to raise awareness about the topic, regardless of the context.<\/jats:p>","DOI":"10.3390\/nursrep15110386","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T05:28:43Z","timestamp":1761888523000},"page":"386","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["First Experiences with Last Aid Courses as Tool for Public Palliative Care Education in Brazil"],"prefix":"10.3390","volume":"15","author":[{"given":"Karin","family":"Schmid","sequence":"first","affiliation":[{"name":"Last Aid Brazil, S\u00e3o Paulo 04631-011, SP, Brazil"},{"name":"Last Aid Research Group International (LARGI), 24837 Schleswig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4409-6740","authenticated-orcid":false,"given":"Patricia Maluf","family":"Cury","sequence":"additional","affiliation":[{"name":"FACERES Medical School, S\u00e3o Jos\u00e9 do Rio Preto 15090-305, RJ, Brazil"},{"name":"Hospital de Base, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Last Aid Germany, 24837 Schleswig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georg","family":"Bollig","sequence":"additional","affiliation":[{"name":"Last Aid Research Group International (LARGI), 24837 Schleswig, Germany"},{"name":"Last Aid Germany, 24837 Schleswig, Germany"},{"name":"Department of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, 50931 Cologne, Germany"},{"name":"Department of Anesthesiology, Intensive Care, Palliative Medicine and Pain Therapy, Helios Klinikum, 24837 Schleswig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janaina Santos","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Federal University of Rio de Janeiro, Rio de Janeiro 21941-853, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e419","DOI":"10.1016\/j.jpainsymman.2021.12.015","article-title":"Cross Country Comparison of Expert Assessments of the Quality of Death and Dying 2021","volume":"63","author":"Finkelstein","year":"2022","journal-title":"J. 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