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ELNEC Curricula


The first APRN course, supported by Cambia Health Foundation, debuted April 4 & 5, 2013 in Anaheim, CA with 115 APRN participants, representing 26 states. There are many palliative care teams across the US being led by APRNs and they are key team members who exemplify commitment to their varied roles in not only leadership, but practice, education, and research. Participants receive advanced education in pain and symptom assessment/management and communication. Additional education in palliative care-related finances, budgets, quality improvement, education, and leadership are also provided. Participants can choose to attend one of 2 tracks—adult-or pediatric-focused care.

View more information on current ELNEC-APRN national course offerings or to register.

Oncology APRN

ELNEC Oncology APRN (EOA) is a 5 year project funded by the National Cancer Institute (NCI). The NCI grant provides 5 national training courses (2018 – 2021) and its purpose is to educate and provide resources to oncology advanced practice nurses in an effort to prepare them to provide primary palliative care. 300 advanced practice nurses have attended the course in the first three cohorts.  

View the list of ELNEC Oncology APRN participants who have completed all requirements 1-year post course.

This project provides monthly webinars. Slides are available below for your review.

August 2018: ELNEC Oncology APRN Cohort 1.

November 2018:  Clinical Practice Guidelines for Quality Palliative Care – 4th Edition:  Why They Are Important to Oncology Primary Palliative Care APRNs.  Presented by Betty Ferrell, PhD, RN, MA, CHPN, FPCN, FAAN

April 2019: Updates From 2nd Cohort:  Improvements, Challenges/Opportunities, and Lessons Learned

July 2019:  Palliative Care Concerns in the Older Adult
Presented by Leana Chien MSN, RN, GCNS-BC, GNP-BC


August 2019: Thriving in a Stressful and Sometimes Traumatic Environment: Taking Responsibility to Promote and Adapt Excellent Self-Care. Presented by Pam Malloy, MN, RN, FPCN, FAAN

September 2019Palliative Care and Cancer Survivorship: They Work Together.  Presented by Denice Economou, PhD, RN, CHPN

October 2019: Cancer Pain Control During an Opioid Epidemic.  Presented by Judith A. Paice, PhD, RN, FAAN 

November 2019Legacy Work:  Transforming Grief at the Bedside.  Presented by Jessica Bullington, BSN, CHPN

January 2020: End of Life Issues for Veterans. Presented by Dorothy Wholihan, DNP, AGPCNP, ACHPN, FAAN

February 2020Reflections of Advanced Practice Palliative Nursing Across the US, presented by Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN
Watch webinar here.

March 2020: Assisting Children Whose Family Member is Dying of Cancer: Opportunities for Primary Palliative Nurses, presented by Cheryl Ann Thaxton, DNP, RN, CPNP, FNP-BC, CHPPN, ACHPN, FPCN

April 2020: Cohort 3 Participant Updates (6 Months post course)

June 2020:  How to Change a Culture to Make it Easier to Promote and Provide Palliative Care.  Presented by Patrick Coyne, MSN, ACHPN, ACNS-BC, FPCN, FAAN

July 2020: Caring for the Person: LGBTQIA+ Palliative Care presented by: Dr. Karla Schroeder DNP, RN, ANP-BC, MHA, NE-BC

August 2020: Self-Care: When, Why, & How? presented by Laura Fennimore, DNP, RN, NEA-BC


The ELNEC project announces a new curriculum for 2018 – ELNEC Communication. The area of communication has been a key part of the ELNEC curriculum since the project began in 2001. However, the national ELNEC Project Team receives consistent feedback that more emphasis is needed on this important topic, communication. The new ELNEC Communication curriculum is based on the National Consensus Project (NCP) Guidelines for Quality Palliative Care with separate modules developed to address communication in each of the eight NCP domains: structures and processes of care, physical aspects, psychological, social, spiritual, cultural, end of life care and ethical aspects of care. It is also an intraprofessional curriculum and will be presented as a train-the-trainer course with extensive teaching materials, slides and lab sessions designed to facilitate teaching communication principles as well as application through skills based learning.


Approximately 18,000 nurses and other healthcare professionals from diverse clinical backgrounds have been trained in this curriculum. ELNEC- Core is used to train staff nurses, advanced practice nurses, undergraduate and graduate nursing faculty, administrators, and researchers who work in acute care settings (i.e. medical-surgical and oncology units), clinics, homecare, hospice, and palliative care settings. Several national ELNEC- Core courses are held each year.

View more information on current ELNEC-Core national course offerings or to register.

Critical Care

This course was developed for nurses who work in intensive care, coronary care, burn and dialysis units, emergency departments, and other clinical areas encompassing critical care. At least two national train-the-trainer critical care courses are offered around the country annually.

View more information on current ELNEC-Critical Care national course offerings or to register


With life expectancy increasing and the numbers of aging adults growing each day, the healthcare system in the U.S. and abroad requires nurses to be educated in meeting the palliative care needs of older adults. The ELNEC-Geriatric curriculum addresses the specific educational needs of nurses who provide care to people who reside at home or are being cared for in community-based settings, such as assisted living, nursing communities, skilled nursing settings, hospices, or ambulatory care clinics. Each module provides essential elements of geriatric palliative care that are easy to teach and implement across community care settings. Unique features of the course include a focused module on geriatric palliative care that elaborates on physiologic changes in older adults, medications, and chronic conditions using a person-centered approach. Geriatric syndromes are integrated across all 9 modules. Undergraduate and graduate nursing faculty report that its supplemental teaching materials and case studies are invaluable to their current lectures. In addition, the curriculum includes supplemental teaching strategies for educating unlicensed personnel that work with geriatric patients and their families.

View more information on current ELNEC-Geriatric national course offerings or to register.

Pediatric Palliative Care

ELNEC- Pediatric Palliative Care was designed and developed by 20 pediatric palliative care experts and piloted in 2003. Each year, at least three national train-the-trainer pediatric palliative care courses are offered across the US. The curriculum also includes perinatal and neonatal content.

View more information on current ELNEC-Pediatric Palliative Care national course offerings or to register.

ELNEC ONLINE: Core, Critical Care, Geriatric and Pediatric

ELNEC training courses (Core, Critical Care, Geriatric, and Pediatric Palliative Care) are available on online through Relias. Ten communication vignettes and study guides are also available. 

Undergraduate/New Graduate Online

ELNEC Undergraduate – Revised for May 2020!

In 2017, ELNEC Undergraduate online curriculum was launched. Cambia Health Foundation (CHF) provided funding to develop an innovative ELNEC online curriculum to integrate palliative care in undergraduate nursing education across the nation. In keeping with ELNEC standards for revising online curricula every 3 years, ELNEC Undergraduate has been updated. The curricula has a new title and a new look, based on thousands of evaluations from all six modules. The content is fresh with a new format. Case-based questions in a clinical judgement framework have been added to selected modules. References are updated; free faculty supplemental materials are available for all schools using the curriculum. Because there still are many students who are not being prepared to provide primary palliative care, we have made the curriculum appropriate for newly graduated RNs so that healthcare institutions could use the curriculum in orientation and nurse residency programs.

Available for your Institution’s bookstore: ELNEC Undergraduate Online Curriculum.  Email Relias at if you would like to add the ELNEC Undergraduate Curriculum to your bookstore.

For more information on ELNEC Undergraduate/New Graduate please contact or

Graduate Online

View this article for further information about ELNEC-Graduate. 

To review the Graduate Palliative Care Competencies, adopted by the American Association of Colleges of Nursing in January, 2019, view this statement.

NOTE:  CEs are not provided for registered nurses who are students in an RN-BSN program nor graduate school of nursing.


While the initial ELNEC efforts, launched in 2000, were focused in the United States, many ELNEC trainers have had opportunities to travel internationally and provide this education to nurses and other healthcare providers throughout the world. Currently, ELNEC trainers and faculty have traveled to six of the seven continents, representing 100 countries. Many trainers have provided ELNEC educational courses, while others have gone as consultants to work with educators, health administrators, and community leaders to improve care of the seriously ill in their countries. Some are working on translating ELNEC into other languages and adapting it to increase the relevance to other cultures. As of 2020, ELNEC has been translated into 12 additional languages:  Albanian, Armenian, Chinese, Czech, German, Hindi, Hungarian, Japanese, Korean, Romanian, Russian, and Spanish.

Building palliative care leaders has been a major emphasis of the national ELNEC team. To date, 100+ nurses and physicians have attended leadership courses from 2024-2019. To find an international ELNEC trainer, visit: and go to the International Trainers tab.



The ELNEC-For Veterans curriculum is designed to meet the unique needs of nurses caring for Veterans with serious illness. The expertise gained at these courses promises to improve the quality of palliative care for thousands of Veterans in 153 Department of Veterans’ Affairs Medical Centers across the U.S. To date, six national train-the-trainer Veterans courses have been held across the U.S. with 745 nurses and other members of the interdisciplinary team in attendance, representing over 200 VA facilities (i.e. medical centers, clinics, CLC’s, etc). Community partners with VA (i.e. homecare, hospice, etc.) have attended these courses, too, as they care for many Veterans in various community settings. 

View more information on the ELNEC-For Veterans curriculum.