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End-of-Life Nursing Education Consortium (ELNEC)

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Nurses Play a Key Role in Palliative Care

•  No other healthcare professional spends more time at the bedside than the nurse, supporting

– Physical needs – Psychological needs – Social needs – Spiritual needs

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However……

WE CAN NOT PRACTICE WHAT WE DO NOT

KNOW!

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How Did ELNEC Get Started? Partnership Established

•  City of Hope Medical Center, Duarte, CA

•  American Association of Colleges of Nursing, Washington, DC

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Celebrating 15 Years of Providing Palliative Care Education

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Results of This Partnership…. E L N E C

•  2000: Curriculum Developed •  2001: 1st National ELNEC Course • Currently 7 ELNEC Curricula:

Ø ELNEC-Core Ø ELNEC-Geriatric Ø ELNEC-Pediatric Palliative Care Ø ELNEC-Critical Care Ø ELNEC-APRN Ø ELNEC-International

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Latest Curriculum…..

•  Integrating Palliative Oncology Care into Doctor of Nursing Practice (DNP) Education and Clinical Practice

•  NCI-Funded •  June 29 & 30, 2015

St. Louis, MO

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Accomplishments Since ELNEC’s Inception

•  From Jan 2001 to March 2015, 164 National ELNEC train-the-trainer courses have been held across the US and internationally

•  Over 19,500 trainers •  Those trainers have gone back

to their community and have educated over 500,000 healthcare professionals

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Other Accomplishments

•  ELNEC trainers hold many courses each year

–  251 regional courses held in 2014 – Representing 37 states, the District of

Columbia, plus 10 international countries (e.g. Canada, Panama, Japan, Philippines, Singapore, Vietnam, Germany, Ethiopia, Turkey, Austria)

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International Efforts to Disseminate ELNEC

•  Presented in 6 of the 7 continents

•  Representing 85 countries – Teaching ELNEC courses – Presenting at international conferences – Meeting with Ministers of Health, Faculty in Schools of Nursing, etc

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ELNEC-International: Translated in 8 Languages

•  RUSSIAN

•  SPANISH •  JAPANESE

•  KOREAN

•  GERMAN •  ROMANIAN •  ALBANIAN

•  CHINESE

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ELNEC Addresses Needs Highlighted in 2014 IOM Report

Dying in America: Improving Quality/Honoring Individual Preferences Near the End of Life •  Delivering person-centered, family-oriented care •  Promoting clinician-patient communication and

advance care planning •  Providing interprofessional education and

development •  Developing policies and payment systems •  Encouraging public education and engagement

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ELNEC Modules Addressing Palliative Care

•  #1: Palliative Nursing Care

•  #2: Pain Management

•  #3: Symptom Management

•  #4: Ethical Issues*

•  #5: Cultural Considerations*

•  #6: Communication

•  #7: Loss, Grief, Bereavement

•  #8: Final Hours *Modules embedded in other 6

modules

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Throughout The Eight Modules Of ELNEC, There Are Certain Themes

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#1: Family as the Unit of Care

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#2:Vital Role of the Nurse as Advocate

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#3: Importance of Honoring Culture

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#4: Attention to Special Populations

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#5: End-Of-Life Issues Impact All Systems of Care

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#6: Financial Issues Influence End-of-Life Care

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#7: Common In Not Only Cancer & AIDS, But Also Other Life-

Threatening Illnesses/Sudden Death

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#8: Interdisciplinary Care is Essential

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Final Thoughts

•  Compassionate, educated work force •  Exceptional role models •  Everyone has a story—listen, be

present •  Advocate for excellence with the goal

of improving and expanding access to high-quality palliative care