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Elnec Module – Terms and Conditions


Participants who complete a national ELNEC course sponsored by AACN/City of Hope are considered ELNEC Trainers, part of a national network of specially-prepared nurse educators who are qualified to teach ELNEC content to others. A list of ELNEC trainers, listed by states, who are willing to assist with teaching local courses is maintained on the ELNEC website ( Trainers/Find-a-Trainer. In addition, local trainer courses are held around the country. While considered ELNEC Trainers, these “second generation” trainers are not listed on the national trainer list, but may sponsor training activities as described below. ELNEC Trainers may incorporate ELNEC content into already-developed programs, or create new educational activities for specific audiences. They are expected to use ELNEC materials and may adapt the materials as described in the “ELNEC Copyright Permission” (also on the website). ELNEC Trainers must coordinate educational activities, but may utilize other qualified faculty as appropriate. Educational activities fall into the following categories:

1. End-of-Life Education This consists of short programs of less than six to eight hours, and/or less than all eight-nine ELNEC modules (depending on the curriculum). These short end-of-life care courses may have a variety of general titles (e.g. end of life care), but may not be called ELNEC training.

2. ELNEC Training Any educational activity that utilizes ELNEC materials, includes all ELNEC modules, and consists of a minimum of one hour per module is considered “ELNEC Training.” These programs must be coordinated through the ELNEC Project Office so that the integrity of the ELNEC curriculum is assured, and the Project Office is aware of the ELNEC training occurring around the country. Those who complete this type of program may be designated as “ELNEC Trained”. Although interdisciplinary audiences and students often are invited to these courses, ELNEC training is primarily designed for registered nurses. Non-RN nursing students may not receive this designation.

3. Trainer Conferences or Train-the-Trainer Programs These are two or three-day conferences designed to teach a group of professional nurses to become trainers of the ELNEC curriculum, usually within a specific healthcare system or geographic area. Participants who complete the program are designated as “ELNEC Trainers”, although they are not part of the national network described above. In these trainer courses, all modules must be covered, with approximately one hour devoted to content and approximately one hour devoted to teaching strategies and resources for each module. Requests to host this type of course are individually considered, and courses are planned in close collaboration with the ELNEC Project Office. Sponsorship of trainer courses is not authorized unless this prior coordination has occurred.

4. Non-traditional Activities Although ELNEC Trainers are encouraged to use creative approaches to teach this specialized content, in-person classes are the preferred vehicle. Any other proposed use must be coordinated in advance through the ELNEC Project Office. This includes posting on an agency intranet, offering classes via distance technology, preparing self-study materials, or an entrepreneurial approach. ELNEC content may not be posted to the Internet or published by ELNEC Trainers.

*NOTE: ELNEC curricula are updated annually. Trainers are not permitted to use a curriculum over 3 years old. New curricula can be purchased only by those who have attended a national ELNEC train-the-trainer course at:

For further information or questions contact: and or

 ELNEC Project Copyright Permission

Up-dated 8/10

  1. Disclaimer. The intent of this curriculum is to enhance palliative care by providing educational resources for nurses. Neither the End-of-Life Nursing Education Consortium (ELNEC) Project nor the funding organizations (the Robert Wood Johnson Foundation, the National Cancer Institute (NCI), and the Aetna, Archstone, California HealthCare, Cambia Health , Milbank, Oncology Nursing, Open Society, and Stupski Foundations, the American Association of Colleges of Nursing (AACN), US Cancer Pain Relief and the US Department of Veterans Affairs) endorse any of the medications, products, or treatments described, mentioned, or discussed in this curriculum, nor make any representations concerning the efficacy, appropriateness, or suitability of any particular therapy. Please note that this curriculum and the information contained herein are provided for educational reference purposes only. Treatment decisions should be made only after careful assessment of the status and needs of a particular case. In view of the possibility of human error or advances in medical knowledge, neither the ELNEC Project nor the funding organizations warrant that the information contained herein is in every respect accurate or complete. They are neither responsible nor liable for any errors or omissions that may be found in such information or for the results obtained from the use of such information.

  2. Curriculum materials. Copyright for the ELNEC Project curriculum is held by City of Hope (COH) and the American Association of Colleges of Nursing (AACN). The copyright includes items in the syllabus not specifically attributed to other sources. Those who have completed the ELNEC Project training course are granted permission to duplicate and/or modify ELNEC materials for use in their facilities. These materials include content outlines, slides, and many instructional resources. ELNEC materials may not be published, posted electronically or distributed outside of a course/class without prior approval by COH and AACN. For approval please contact the ELNEC Project Office at:

  3. Attribution. When using ELNEC curriculum materials in any form, clear attribution to the program is expected. The following statement is to be displayed prominently in instructional materials:
    The End-of-Life Nursing Education Consortium (ELNEC) Project is a national end-of-life educational program administered by City of Hope (COH) and the American Association of Colleges of Nursing (AACN) designed to enhance palliative care in nursing. The ELNEC Project was originally funded by a grant from the Robert Wood Johnson Foundation. Additional funding has been received from the Aetna, Archstone, California HealthCare, Cambia Health, Millbank, Oncology Nursing, Open Society, and Stupski Foundations, American Association of Colleges of Nursing (AACN), National Cancer Institute (NCI), US Cancer Pain Relief, and the US Department of Veterans Affairs (VA). Materials are copyrighted by COH and AACN and are used with permission.

  4. ELNEC Project resources attributed to others. The ELNEC curriculum contains some resources originally developed or copyrighted by others. These items are used with permission and the original source is clearly identified. ELNEC participants may duplicate and use these items as they appear in the ELNEC curriculum, for in person classes or similar direct instruction, and are expected to recognize the original author/source as cited in the ELNEC materials. These items may not be published, modified, reformatted, or used in other ways for non-ELNEC purposes without the permission of the original author/source.

  5. Exceptions. ELNEC copyright permission does not extend the textbook (Oxford Textbook of Palliative Nursing, 5th Edition, 2019 nor Advanced Practice Palliative Nursing, 2016, used in the course).

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