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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Brandi Pravecek

Second Advisor

Mary J. Isaacson


Introduction: Nurse discomfort providing palliative and end of life (PEOL) care may negatively affect patients with PEOL needs. Deficient PEOL communication skills and limited understanding of symptom management are a distress among nurses. The End-of- Life Nursing Education Consortium Core (ELNEC) curriculum may help ease nurses’ challenges providing effective PEOL communication and symptom management. Evidence Summary: A literature review was completed with the following databases searched: CINAHL, CINAHL with Ebscohost, PubMed, Wiley, and Journals@Ovid. Twenty-nine articles were chosen for review.
Gaps: There was a dearth of studies on nurses providing PEOL care in rural areas. Continuing education for nurses specific to PEOL care is not routinely discussed. Recommendations for Practice: ELNEC curriculum is well supported for enhancing nurse knowledge in PEOL care. Rural hospitals should include PEOL education among nurses to improve their comfort in PEOL care and awareness, and impact collaboration among nurses and the healthcare team. The Comfort with Communication in Palliative and End of Life Care (C-COPE) evaluates nurse comfort in communication with PEOL care and may guide educational curriculum selection. Use of the Palliative Performance Scale Version 2 (PPSv2) can provide guidance for palliative or hospice referrals among the healthcare team.

Library of Congress Subject Headings

Palliative treatment -- Study and teaching.
Terminal care -- Study and teaching.
Communication in nursing.
Nurse and patient.

Number of Pages



South Dakota State University


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