Resources

The quarterly newsletter, ELNEC Connections, is sent to ELNEC Trainers, various palliative care organizations and projects, governmental agencies, and media representatives.  ELNEC Connections provides information on palliative care and offers a forum through which the network of ELNEC Trainers can stay in contact and share successful education strategies.  The newsletter is available online.

Subscribe to ELNEC Connections

CARES: Competencies And Recommendations for Educating Undergraduate Nursing Students Preparing Nurses to Care for the Seriously Ill and their Families
A document from the American Association of Colleges of Nursing (2016) that provides palliative care competencies developed for undergraduate nursing students.

Graduate Palliative Care Competencies  
A document from the American Association of Colleges of Nursing (2019) that provides palliative care competencies developed for graduate nursing students

The Oxford Textbook of Palliative Nursing
This 2019 edition is edited by Drs. Betty R. Ferrell, and Judith A. Paice

Advanced Practice Palliative Nursing
This 2016 edition is edited by Connie Dahlin, Patrick Coyne, and Dr. Betty Ferrell. 

The following publications include outcomes data from the follow up evaluation of selected ELNEC courses.

Boit, J.M., Ototo, R.l., Ali, Z., & Malloy, P. (2014). Rural hospice in Kenya provides compassionate palliative care to hundreds each year. Journal of Hospice & Palliative Nursing, 16(1), 240-245.

Buller, H., Virani, R., Malloy, P., & Paice, J. (2019).  End-of-Life Nursing Education Consortium (ELNEC) communication curriculum for nurses, Journal of Hospice and Palliative Nursing, 21(2), E5-E12.  doi:   10.1097/NJH.0000000000000540.

Coyne, P., Paice, J.A., Ferrell, B.R., Malloy, P., Virani, R., & Fennimore, L.A. (2007). Oncology End-of-Life Nursing Education Consortium training program: Improving palliative care in cancer. Oncology Nursing Forum, 34(4), 801-807.

Dahlin, C.M., Coyne, P.J., Paice, J., Malloy, P., Thaxton, C.A., Haskamp, A.  (2017).  ELNEC-APRN:  Meeting the needs of advanced practice nurses through education.  Journal of Hospice and Palliative Nurses, (19):3,  261-265. 

Fennimore, L., Wholihan, D., Breakwell, S., Malloy, P., Virani, R., & Ferrell, B. (Accepted/In press). A Framework for Integrating Oncology Palliative Care in Doctor of Nursing Practice (DNP) Education. Journal of Professional Nursing, 34(6), 444-448 https://doi.org/10.1016/j.profnurs.2018.09.003.

Ferrell, B., Mazanec, P., Malloy, P., & Virani, R.  (2018).  An innovative end-of-life nursing education consortium curriculum that prepares nursing students to provide primary palliative care.  Nurse Educator, 43(5).  

Ferrell, B., Malloy, P., Mazanec, P., & Virani, R. (2016). CARES: AACN's new competencies and recommendations for educating undergraduate nursing students to improve palliative care. Journal of Professional Nursing. 32(5):327-333.

Ferrell, B.R., Dahlin, C., Campbell, M.L., Paice, J.A., Malloy, P., & Virani, R. (2007). End-of-Life Nursing Education Consortium (ELNEC) training program: Improving palliative care in critical care. Critical Care Nursing Quarterly, 30(3), 206-212.

Ferrell, B., Malloy, P., & Virani, R. (2015). The End-of-Life Nursing Education Consortium project. Annals of Palliative Medicine, 4(2), 61-69. 

Ferrell, B., Malloy, P., & Virani, R. (2016). Celebrating the success of an AACN partnership. Journal of Professional Nursing, 32(1), 1-4.  http://dx.doi.org/10.1016/j.profnurs.2015.12.002.

Ferrell, B.R., Virani, R., Paice, J.A., Malloy, P., & Dahlin, C. (2010). Statewide efforts to improve palliative care in critical care settings. Critical Care Nurse, 30(6), doi: 10.4037/ccn2010248 

Ferrell, B., Virani, R., Paice, J.A., Coyle, N, & Coyne, P. (2009). Evaluation of palliative care nursing education seminars. European Journal of Oncology Nursing, 14(1), 74-49.  http://dx.doi.org/10.1016/j.ejon.2009.08.004.

Ferrell, B.R., Virani, R., Grant, M., Rhome, A., Malloy, P., Bednash, G., & Grimm, M. (2005). Evaluation of the End-of-Life Nursing Education Consortium (ELNEC) undergraduate faculty training program. Journal of Palliative Medicine, 8(1), 107-114.

Ferrell, B., Virani, R., Harrington Jacobs, H., Malloy, P., & Kelly, K. (2010). Arts and humanities in palliative nursing education. Journal of Pain and Symptom Management, 39(5), 941-945.

Ferrell, B.R., Virani, R., Malloy, P. (2006). Evaluation of End-of-Life Nursing Education Consortium project in the USA. International Journal of Palliative Nursing, 12(6), 269-276.

Ferrell, B.F., Virani, R., Malloy, P., & Kelly, K. (2010). The preparation of oncology nurses in palliative care. Seminars in Oncology Nursing, 26(4), 259-265.

Gabriel, M.S., Malloy, P., Wilson, L., Virani, R., Jones, D., Luhrs, C., Shreve, S. (2015). End-of-Life Nursing Education Consortium (ELNEC)–For Veterans: An educational project to improve care for all Veterans with serious, complex illness. Journal of Hospice & Palliative Nursing, 17(1), 40-47. doi: 10.1097/NJH.0000000000000121.

Grant, M., Wiencek, C., Virani, R., Uman, G., Munevar, C., Malloy, P., & Ferrell, B. (2013). End-of-life care education in acute and critical care: The California ELNEC project. AACN Advances in Critical Care, 24(2), 121-129. doi: 10.1097/NCI.0b013e3182832a94.

Jacobs, H.H., Ferrell, B., Virani, R., Malloy, P. (2009). Appraisal of the pediatric End-of-Life Nursing Education Consortium training program. Journal of Pediatric Nursing, 24(3), 216-221.

Kelly, K., Ersek, M., Virani, R., Malloy, P., & Ferrell, B. (2008). End-of-:ife Nursing Education Consortium geriatric training program: Improving palliative care in community geriatric care settings. Journal of Gerontological Nursing, 34(5), 28-35.

Kelly K., Thrane, S., Virani, R., Malloy, P., & Ferrell, B. (2011). Expanding palliative care nursing education in California: The ELNEC-Geriatric project. International Journal of Palliative Nursing, 17(4), 188-194.

Long, C. & Kelly, K. (2011). ELNEC: Providing opportunities to expand palliative and end-of-life education in Arizona nursing homes. Arizona Geriatrics Society Journal, 16(1), 9-12.

Malloy, P., Ferrell, B., Virani, R., & Mazanec, P.  (2018).  Promoting palliative care internationally:  Building leaders to promote education, practice, and advocacy.  Journal of Pain & Symptom Management , 55(28), 140-145. DOI: http://dx.doi.org/10.1016/j.jpainsymman.2017.03.032.

Malloy, P., Boit, J., Tarus, A., Marete, J., Ferrell, B., & Ali, Z. (2017). Providing palliative care to patients with cancer: Addressing the needs in Kenya. Asia-Pacific Journal of Oncology Nursing, (4)10, 45-49.

Malloy, P., Ferrell, B.R., Virani, R., Uman, G., Rhome, A., Whitlatch, B., & Bednash, G. (2006). Evaluation of end-of-life nursing education for continuing education and clinical staff development educators. Journal for Nurses in Staff Development, 22(1), 31-36.

Malloy, P., Ferrell, B.R., Virani, R., Wilson, K., & Uman, G. (2006). Palliative Care Education for Pediatric Nurses. Pediatric Nursing, 32(6), 555-561.

Malloy, P., Paice, J., Coyle, N., Coyne, P., Smith, T., & Ferrell, B. (2014). Promoting palliative care worldwide through international nursing education. Journal of Transcultural Nursing, 25(4), 410-417.

Malloy, P., Paice, J.A, Ferrell, B.R., Ali, Z., Munyoro, E., Coyne, P., & Smith, T.(2011). Advancing Palliative Care in Kenya. Cancer Nursing, 34(1), E10-E13.

Malloy, P., Paice, J., Virani, R., Ferrell, B.R., Bednash, G. (2008). End-of-Life Nursing Education Consortium: 5 years of educating graduate nursing faculty in excellent palliative care. Journal of Professional Nursing, 24(6), 352-357.

Malloy, P., Sumner, E., VIrani, R., & Ferrell, B.R. (2007). End-of-Life Nursing Education Consortium for pediatric palliative care. The American Journal of Maternal Child Nursing, 32(5), 298-302.

Malloy, P., Takenouchi, S., Kim, H.S., Lu, Y., & Ferrell, B. (2018). Providing palliative care education: Showcasing efforts of Asian nurses. Asia-Pacific Journal of Oncology Nursing, 5(1), 15-20.

Malloy, P., Thaxton, C., Battista, V., & Ferrell B. (2018). Education: The key to providing, maintaining and sustaining excellent pediatric palliative care. ChiPPS E-Journal, (50), 35-38.

Malloy, P., Thrane, S., Winston, T., Virani, R., & Kelly, K. (2013). Do nurses who care for patients in palliative and end-of-life settings perform good self-care? Journal of Hospice and Palliative Nursing, 15(2), 99-106. doi: 10.1097/NJH.0b013e31826bef72

Malloy, P., Virani, R., Kelly, K., Jacobs, H.H., & Ferrell, B. (2008). Seven years and 50 courses later: End-of-Life Nursing Education Consortium continues commitment to provide excellent palliative care education. Journal of Hospice and Palliative Nursing, 10(4), 233-239.

Malloy, P., Virani, R., Kelly, K., & Munevar, C. (2010). Beyond bad news: Communication skills of nurses in palliative care. Journal of Hospice and Palliative Nursing,12(3), 166-174.

Mitrea, N., Ancuta, C., Malloy, P., & Moşoiu, D. (2019).  Developing, promoting, and sustaining palliative care across central eastern Europe: educating nurses to be leaders is a critical first step" Journal of Hospice and Palliative Nurses.   doi: 10.1097/NJH.0000000000000590 [published ahead of print] https://journals.lww.com/jhpn/Abstract/publishahead/Developing,_Promoting,_and_Sustaining_Palliative.99918.aspx

Mitrea, N., Mosoiu, D., Ancuta, C., Malloy, P., & Rogozea, L. (2017). The impact of the end-of-life nursing education consortium international training program on the clinical practice of eastern European nurses working in specialized palliative care services: A Romanian case study. Journal of Hospice and Palliative Nursing, 19(5), 424-434.

Paice, J.A., Erickson-Hurt, C., Ferrell, B., Coyle, N., Coyne, P.J., Long, C.O., Mazanec, P., Malloy, P., & Smith, T.J. (2011). Providing pain and palliative care education internationally. The Journal of Supportive Oncology, 9(4), 129-133.

Paice, J.A., Ferrell, B.R., Coyle, N., Coyne, P. & Callaway, M. (2008) Global efforts to improve palliative care: The international End-of-Life Nursing Education Consortium Training Programme. Journal of Advanced Nursing, 61(2), 173-180.

Paice, J.A., Ferrell, B., Coyle, N., Coyne, P., & Smith, T. (2010). Living and dying in east Africa: Implementing the End-of-Life Nursing Education Consortium curriculum in Tanzania. Clinical Journal of Oncology Nursing, 14(2), 161-166.

Paice, J.A., Ferrell, B.R., Virani, R., Grant, M., Malloy, P., & Rhome, A. (2006) Graduate nursing education regarding end-of-life care: Solutions to an urgent need. Nursing Outlook, 54(1), 46-52.

Paice, J.A., Ferrell, B.R., Virani, R. Grant, M., Malloy, P., & Rhome, A. (2006). Appraisal of the Graduate End-of-Life Nursing Education Consortium (ELNEC) training program. Journal of Palliative Medicine, 9(2), 353-360.

Virani, R., Malloy, P., Dahlin, C., & Coyne, P. (2014). Creating a fabric for palliative care in safety net hospitals: End-of-Life Nursing Education Consortium for public hospitals. Journal of Hospice & Palliative Nursing, 16(5), 312-319.

Virani, R., Malloy, P., Ferrell, B.R., Kelly, K. (2008). Statewide efforts in promoting palliative care. Journal of Palliative Medicine, 11(7), 991-996. 

Arahata, T., Miyashita, M., Takenouchi, S., Tamura, K., & Kizawa, Y. (2018). Development of an instrument for evaluating nurses' knowledge and attitude toward end-of-life care: End-of-Life Nursing Education Consortium-Japan core quiz. Journal of Hospice & Palliative Nursing, 20(1), 55-62. doi:10.1097/NJH.0000000000000393.

Boit, J.M., Ototo, R.l., Ali, Z., & Malloy, P. (2014). Rural hospice in Kenya provides compassionate palliative care to hundreds each year. Journal of Hospice & Palliative Nursing, 16(1), 240-245.

Chrastek, J.R., & Gordon, P. (2017).  Training and mentoring End-of-Life Nursing Education Consortium (ELNEC) educators in India:  Namaste ELNEC-a pilot project.  Journal of Hospice and Palliative Nursing, 19(5), 435-441.  doi: 10.1097/NJH.0000000000000369.

Grimes, C., Wanless, R.S., & Damonti, J. (2014). New models for elevating the practice and status of community-based nursing across the spectrum of cancer care in Central and Eastern Europe.  European Journal of Oncology Nursing, 18(Supplement 2), S97-S122.

Kang, K.A., & Hwang, A.R. (2012). Pediatric hospice and palliative care. The Korean Journal of Hospice and Palliative Care, 15(3), 131-140.

Kang, K., Kim, H.S., Kwon, S.H., Nam, M.J., Bang, K.S., Yu, S. ., ... & Chung, B.Y. (2014). Nurses’ knowledge of and attitudes toward pediatric palliative care of Korea. The Korean Journal of Hospice and Palliative Care, 17(4), 289-300.

Kim, H. S., & Hong, Y. S. (2016). Hospice palliative care in South Korea: Past, present, and future. The Korean Journal of Hospice and Palliative Care, 19(2), 99-108.

Kim, H. S., Kang, K. A., Kim, S., Kim, Y., Yoo, Y. S., Yu, S., ... & Jung, Y. (2019). Palliative care competencies required of undergraduate nursing students in Korea. The Korean Journal of Hospice and Palliative Care, 22(3), 117-124.

Kim, B. H., Kim, H.S., Yu, S.J., Choi, S., Jung, Y., & Kwon, S. H. (2012). Evaluation of the End-of-Life Nursing Consortium-Geriatric train-the-trainer program in Korea, Korean Journal of Adult Nursing, 24(4), 390-397. 

Kim, H.S., Kim, B.H., Yu, S.J., Kim, S., Park, S.H., Choi, S., & Jung, Y. (2011). The effect of an End-of-Life Nursing Education Consortium course on nurses' knowledge of hospice and palliative care in Korea. Journal of Hospice & Palliative Nursing, 13(4), 222-229.

Kim, H.S., Yu, S.J., Park, S.H., Choi, S.E., & Kim, S. (2009). End- of-Life Nursing Education Consortium (ELNEC) International curriculum faculty guide (호스피스완화간호 교육과정 ELNEC 인터내셔널). [Translation book] Ilsan: Sewon media. <Translated in Korean> COH & AACN (2008). ELNEC International curriculum faculty guide. Duarte, CA: ELNEC project office.

Kim, H.S., Yu, S.J. et al. (2012). End- of-Life Nursing Education Consortium (ELNEC) Geriatrics curriculum faculty guide (노인호스피스완화돌봄 교육자 가이드). [Translation book] Seoul: Koonja Publishing Inc. <Translated in Korean> COH & AACN (2008). ELNEC Geriatrics curriculum faculty guide. Duarte, CA: ELNEC project office.

Jung, Y., Yu, S., Kim, H.S., Kim, S., Kim, S., Park, S., & Choi, S.E. (2019). Influencing factors on moral distress in adult intensive care unit nurses in General Hospital of South Korea. [Post Presentation]. Korean Society of Nursing Science 10^th international Nursing Conference proceeding book, 163-163.

Malloy, P., Boit, J., Tarus, A., Marete, J., Ferrell, B., & Ali, Z. (2017). Providing palliative care to patients with cancer: Addressing the needs in Kenya. Asia-Pacific Journal of Oncology Nursing, 4(1), 45-49.  doi: 10.4103/2347-5625.199073.

Malloy, P., Ferrell, B., Virani, R., & Mazanec, P.  (2018).  Promoting palliative care internationally:  Building leaders to promote education, practice, and advocacy.  Journal of Pain & Symptom Management, 55(28), 140-145.  doi: http://dx.doi.org/10.1016/j.jpainsymman.2017.03.032.

Malloy, P., Paice, J., Coyle, N., Coyne, P., Smith, T., & Ferrell, B. (2014). Promoting palliative care worldwide through international nursing education. Journal of Transcultural Nursing, 25(4), 410-417.

Malloy, P., Paice, J.A, Ferrell, B.R., Ali, Z., Munyoro, E., Coyne, P., & Smith, T. (2011). Advancing palliative care in Kenya. Cancer Nursing, 34(1), E10-E13.

Malloy, P., Takenouchi, S., Kim, H.S., Lu, Y., & Ferrell, B. (2018). Providing palliative care education: showcasing efforts of Asian nurses. Asia-Pacific Journal of Oncology Nursing, 5(1), 15-20.

Mitrea, N., Ancuta, C., Malloy, P., & Moşoiu, D. (2019).  Developing, promoting, and sustaining palliative care across central eastern Europe: educating nurses to be leaders is a critical first step" Journal of Hospice and Palliative Nurses, 21(6), 510-517.   doi: 10.1097/NJH.0000000000000590

Mitrea, N., Mosoiu, D., Ancuta, C., Malloy, P., & Rogozea, L. (2017). The impact of the End-of-Life Nursing Education Consortium international training program on the clinical practice of eastern European nurses working in specialized palliative care services: a Romanian case study. Journal of Hospice and Palliative Nursing, 19(5), 424-434.

Mitrea, N., & Dumitrescu, M.  (2012). Palliative nursing education in Romania. Journal of Hospice & Palliative Nursing, 14(6), E1-E7. doi: 10.1097/NJH.0b013e318255ad8a.

Nambayan, AG. (Oct 26, 2016).  Leadership and palliative care in Asia, ISNCC Conference Features/Blog. https://www.theatlantic.com/health/archive/2020/07/herd-immunity-coronavirus/614035/; Accessed July 16, 2020.

Okumura-Hiroshige, A., Fukahori, H., Yoshioka, S., Kuwata, M., Nishiyama, M., & Takamichi, K. (2018). Development of the end-of-life care nursing attitude scale for Japanese geriatrics. Journal of Hospice & Palliative Nursing, 20(3),272-278. doi:10.1097/NJH.0000000000000442.

Okumura-Hiroshige, A., Fukahori, H., Yoshioka, S., Nishiyama, M., Takamichi, K., & Kuwata, M. (2019). Developing a measure of end-of-life care nursing knowledge for Japanese geriatric nurses. Journal of Hospice & Palliative Nursing, 21(4), E1-E9. doi:10.1097/NJH.0000000000000532.

Okumura-Hiroshige, A., Fukahori, H., Yoshioka, S., Nishiyama, M., Takamichi, K., & Kuwata, M. (2020). Effect of an end-of-life gerontological nursing education programme on the attitudes and knowledge of clinical nurses: A non-randomised controlled trial International Journal of Older People Nursing, 15(3), e12309. https://doi.org/10.1111/opn.12309.

Paice, J.A., Erickson-Hurt, C., Ferrell, B., Coyle, N., Coyne, P.J., Long, C.O., Mazanec, P., Malloy, P., & Smith, T.J. (2011). Providing pain and palliative care education internationally. The Journal of Supportive Oncology, 9(4), 129-133.

Paice, J.A., Ferrell, B.R., Coyle, N., Coyne, P. & Callaway, M. (2008) Global efforts to improve palliative care: The international End-of-Life Nursing Education Consortium Training Programme. Journal of Advanced Nursing, 61(2), 173-180.

Paice, J.A., Ferrell, B., Coyle, N., Coyne, P., & Smith, T. (2010). Living and dying in east Africa: Implementing the End-of-Life Nursing Education Consortium curriculum in Tanzania. Clinical Journal of Oncology Nursing, 14(2), 161-166.

Pal, IF. (2012). Palliative care: helping the dying to live until he dies. Philippine Inquirer, Nov 1, 2012. https://newsinfo.inquirer.net/299410/palliative-care-helping-the-dying-to-live-until-he-dies Accessed November 8, 2020.

Park, S.H., Kim, H.S., Yu, S. J., Choi, S., Kim, S., Jung, Y., & Kim, B.H. (2011). Dissemination of the End-of-Life Education Consortium (ELNEC) program in Korean nursing (751) [Post Presentation]. Journal of Pain and Symptom management, 41(1), 303-304.

Pirnazarova, G., Paice, J.A., Schlickau, J., Coyle, N., & Erickson-Hurt, C.  (2013).  Palliative care in Kyrgyzstan: special challenges and a new role for nursing.  Journal of Hospice and Palliative Nursing, 15(8), doi: 10.1097/NJH.0b013e318296b383

Ramilo-Cruz, N., Cruz, R.O., & Corvera,, R.A. Hospice and palliative care services in the Philippines: a cross-sectional survey. Unpublished manuscript

Takenouchi, S. (2018).  Empowering nurses through End-of-Life Nursing Education in Asia: nurses as advocates for patients' dignity. Asia Pacific Journal of Oncology Nursing, 5(1), 9-11.  doi: 10.4103/apjon.apjon_68_17.

Takenouchi, S., Miyashita, M., Tamura, K., Kizawa, Y., & Kosugi, S. (2011). Evaluation of the End-of-Life Nursing Education Consortium—Japan faculty development program: validity and reliability of the "End-of-Life Nursing Education Questionnaire". Journal of Hospice & Palliative Nursing, 13(6), 368-375.

Takenouchi, S., Sasahara, T., Miyashita, M., et al. (2017). Empowering nurses through translating the End-of-Life Nursing Education Consortium: The End-of-Life Nursing Education Consortium-Japan Core Curriculum Project. Journal of Hospice and Palliative Nursing,19(6), 539-549.

The following pages are suggested videos that may be used across various ELNEC courses/curricula along with possible scenes and ordering information. This is only a suggested list; you can also choose other videos that will illustrate and enhance the content for the ELNEC modules. 

For an additional listing of relevant videos, you can find a complete video list along with descriptions by referring to the City of Hope (COH) Pain/Palliative Care Resource Center Index: Category III: Palliative Care, under Educational Materials/Curriculum section, Item #3, “Care of the Dying Patient” video listing.

• Ten Communication Vignettes: Study Guides
• Suggested Videos for ELNEC-Core and/or ELNEC-Critical Care Courses
• Suggested Videos for ELNEC-Geriatric Courses
• Suggested Videos for ELNEC-Pediatric Palliative Care Courses

Palliative Care: Support for Those With Serious, Life-Threatening Illness and Their Families
Presentation slides

Palliative Care: Providing Excellent Patient-Centered Care When Most Needed
Information sheet

2018 National Consensus Project Guidelines for Quality Palliative Care

Center to Advance Palliative Care (CAPC): Provides resources for palliative care program development and growth. Access essential palliative care tools, education, resources and training for interprofessional healthcare teams. 

City of Hope Pain and Palliative Care Resource Center (COHPPRC): Serves as a clearinghouse to disseminate information and resources to assist others in improving the quality of pain management and end of life care. The COHPPRC provides a central source for collecting pain assessment tools, patient education materials, quality assurance materials, palliative care resources, research instruments and other resources. The pain and symptom management cards can be found on the home page of the COHPPRC. 

End-of-Life Nursing Education Consortium (ELNEC): This project, a partnership between the City of Hope and the American Association of Colleges of Nursing (AACN), is a national education initiative to improve palliative care. The project provides undergraduate and graduate nursing faculty, CE providers, staff development educators, specialty nurses in pediatrics, oncology, critical care and geriatrics, and other nurses with training in palliative care so they can teach this essential information to nursing students and practicing nurses.

Essentials in Hospice and Palliative Care: A Practical Resource for Every Nurse, 2017
Textbook written by Katherine Murray, from Life and Death Matters

Essentials in Hospice and Palliative Care: A Practical Resource for Every Nurse – Learning Activities, 2017
A compilation of learning activities that dovetail with the nurses text, from Life and Death Matters

Fast Facts and Concepts: Fast Facts and Concepts provide concise, practical, peer-reviewed, and evidence-based summaries on key topics important to clinicians and trainees caring for patients facing serious illnesses. These documents are designed to be easily accessible and clinically relevant monographs on palliative care topics. They are intended to be quick teaching tools for bedside rounds, as well as self-study material for health care professional trainees and clinicians who work with patients with life-limiting illnesses.

Hospice and Palliative Nurses Association (HPNA): Established in 1986, HPNA is the nation's largest and oldest professional nursing organization dedicated to promoting excellence in hospice and palliative nursing care. In addition, HPNA has two other organizations under its arm: Hospice and Palliative Credentialing Center (HPCC) and the Hospice and Palliative Nurses Foundation (HPNF).

Joint Commission Advanced Palliative Care Certification: Launched in September 2011, The Joint Commission’s Advanced Certification Program for Palliative Care recognizes hospital inpatient programs that demonstrate exceptional patient and family-centered care and optimize the quality of life for adult and pediatric patients with serious illness. 

Relias: 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.

ELNEC-Undergraduate and ELNEC-Graduate are also available on Relias. NOTE: Courses on Relias are NOT ELNEC train-the-trainer courses

The Pain Management and Symptom Management cards were published by the Division of Nursing Research and Education at City of Hope in Duarte, CA. These reference cards are free of charge and no copyright is needed. The author information is included on the card. We recommend having them printed, cut, laminated, and folded from a professional printer. ELNEC trainers should always check here to make sure that the most current version is being used. Use the links below to download the PDFs. 

• Pain Management Guidelines and Opioid Equianalgesic
• Quick Reference Guide for Symptom Management

Updated January 2021