Chisbert-Alapont, EncarnaGarcia-Salvador, IsidroDe La Ossa-sendra, Maria JesusGarcia-Navarro, Esperanza BegonaDe La Rica-Escuin, Marisa2025-01-072025-01-072021-11-01https://hdl.handle.net/10668/24414Aim: 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 (penAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/palliative careend-of-life carenursing educationnursing trainingCOVID-19Health-careDeathOutbreakresearch article34769767open access10.3390/ijerph1821112491660-4601https://www.mdpi.com/1660-4601/18/21/11249/pdf?version=1635315013718805400001