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Empowering Nurses Through Translating the End-of-Life Nursing Education Consortium: The End-of-Life Nursing Education Consortium–Japan Core Curriculum Project

Takenouchi, Sayaka PhD, MPH, RN; Sasahara, Tomoyo PhD, RN; Miyashita, Mitsunori PhD, RN; Kawa, Masako PhD, RN; Umeda, Megumi PhD, RN, OCNS; Kuwata, Miyoko MSN, RN, GCNS; Arahata, Tomoko PhD, RN; Kizawa, Yoshiyuki PhD, MD; Tamura, Keiko PhD, RN, OCNS

Journal of Hospice & Palliative Nursing: December 2017 - Volume 19 - Issue 6 - p 539–549
doi: 10.1097/NJH.0000000000000385
Feature Articles

The End-of-Life Nursing Education Consortium–Core Curriculum was translated in 2005 and has made a significant contribution to Japanese nurses. In this article, we describe our experience with curriculum revision to reflect on the cultural background inherent in Japan and evaluate the effect that it brought to the trainers. The main focus of this major revision was to (1) make the content relevant to the Japanese health care system, (2) add unique cultural considerations to each module, (3) replace case studies and role play scenarios, (4) add a new module “End-of-Life Care for Geriatric,” and (5) set clear rules for trainers. One thousand one hundred twenty evaluations were collected from participants of the End-of-Life Nursing Education Consortium–Japan Core train-the-trainer programs from 2011 to 2016. Course evaluations were highly positive, with all questions having mean scores greater than 4.1 of 5 across all 6 years of study. Comparative statistical analysis showed that refinement of the course not only helped nursing educators gain knowledge but also assisted them with developing a clear picture of how to plan and organize their training course. This course could be a valuable model to nursing educators seeking to develop their own leadership training seminar or introducing End-of-Life Nursing Education Consortium curricula.

Sayaka Takenouchi, PhD, MPH, RN, is program-specific senior lecturer, Department of Ethics Support, Kyoto University Hospital, Japan.

Tomoyo Sasahara, PhD, RN, is assistant professor, Division of Health Innovation and Nursing, Faculty of Medicine, University of Tsukuba, Japan.

Mitsunori Miyashita, PhD, RN, is professor, Division of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai, Japan.

Masako Kawa, PhD, RN, is chairperson, Non-Political Organization Palliative Care Support Group, Tokyo, Japan.

Megumi Umeda, PhD, RN, OCNS, is professor, Graduate School of Health Science, Showa University, Tokyo, Japan.

Miyoko Kuwata, MSN, RN, GCNS, is director, Division of Nursing Care Development, Oume Keiyu Hospital, Japan.

Tomoko Arahata, PhD, RN, is assistant professor, Faculty of Nursing and Medical Care, Keio University, Tokyo, Japan.

Yoshiyuki Kizawa, PhD, MD, is professor, Department of Palliative Medicine, Kobe University Graduate School of Medicine, Japan.

Keiko Tamura, PhD, RN, OCNS, is professor, Department of Palliative/Gerontology Nursing, School of Human Health Science, Kyoto University Graduate School of Medicine, Japan.

Address correspondence to Sayaka Takenouchi, PhD, MPH, RN, Kyoto University Hospital Department of Ethics Support, Yoshida Konoecho, Sakyo-ku, Kyoto 606-8501, Japan (

The End-of-Life Nursing Education Consortium (ELNEC) project was originally developed by the American Association of Colleges of Nursing in Washington, DC, and City of Hope, in Duarte, California (Betty Ferrell, PhD, FAAN, principal investigator). The ELNEC–Japan Project was originally supported by a grant from the Ministry of Health, Labour, and Welfare for Scientific Research Grant for Clinical Cancer Research in 2007-2010 (Yoshiyuki Kizawa, PhD, MD, principal investigator), and the ELNEC-Japan train-the-trainer program is also supported by Japan Society of Palliative Medicine.

The authors have no conflicts of interest to disclose.

© 2017 by The Hospice and Palliative Nurses Association.