Excellence in ELNEC Award Winners Named

January 16-18, 2003 Undergraduate "Train the Trainer" Course

(click here to view other winners)



Excellence in End-of-Life Nursing Education Consortium (ELNEC) Award winners have been named for the January 16-18, 2003 Undergraduate ELNEC Course. Congratulations to the following individuals for leading innovative implementation of the ELNEC curriculum within twelve months of their ELNEC training:

Denise Butcher, Mayo Clinic Hospital (AZ)
Lorraine Bittinger, Big Bend Hospice (FL)
Cynthia L. Dakin, Northeastern University (MA)
Joelyn Scriba, Bemidji State University (MN)

Click on an individual name to discover why that person is being honored.


Denise Butcher

  • Developed and implemented an eight-hour end-of-life education course for palliative care core staff and staff from critical-care and oncology units.
  • Presents a two-hour end-of-life overview to new graduate nurses in orientation.
  • Developed a four-hour in-service session on palliative care for nurses and nursing assistants who are not core palliative care staff.
  • Acts as resource nurse to other nurses regarding palliative care throughout the hospital and attends palliative care patient rounds.
  • Attended an end-of-life coalition meeting for Arizona state
  • Developing palliative sedation policy for her employer
  • Helping develop educational materials for Family Practice residents in the Palliative Care rotation.
  • Serves as faculty for an ELNEC training course offered at an outside facility.

Lorraine Bittinger

  • Incorporated ELNEC training into the general hospice orientation.
  • Successfull included the Pain and Symptom Management modules in the extended clinical orientation.
  • Distributed a needs assessment survey to all employees, which showed the need to provide four ELNEC modules to the staff. The modules provided were Pain and Symptom Management; Ethics; Communication; and Care at the Time of Death. These modules are added to the orientation and to the extended orientation every month.
  • Over 200 new employees have been educated using the ELNEC modules.
  • Presented an all day end-of-life/palliative care training to nurses, psychologists, and administrators at Wakulla County Correctional Facility. This prison is offering a pilot program of a palliative care unit.
  • As part of the pilot program, she will provide end-of-life training to a select group of inmates who will be the actual caregivers.

Cynthia L. Dakin

  • Serves as a resource on end-of-life nursing care for the faculty at Northeastern University.
  • Added the end-of-life learner objective to the following courses:
    • Acute Med-Surg
    • Community Med-Surg
    • Acute Pediatrics
    • Community Pediatrics
  • Adapted a unique exercise to determine a student's end-of-life beliefs and concerns. This exercise allows the student to imagine what it would be like to possess different feelings/points of view about dying and then explain their personal feelings about dying.
  • Published an article in the July/August 2003 issue of Nusre Educator titled "Encouraging Student Nurses' Creative Expressions of End-of-Life Experiences."
  • Provides a guest lecturer with end-of-life experience in class for students and then asks students to identify palliative care resources within a clinical setting.

Joelyn Scriba

  • Presented an proposal for end-of-life content within the curriculum to the faculty curriculum committee.
  • Included a section on pain management in one of the courses at her school.
  • Developed a two-credit elective on end-of-life care. Thirty-five students enrolled in the first course. This course was also available to RNs for continuing education credit. It focused on:
    • Professional perspectives regarding end-of-life/palliative care
    • Psychosocial dimensions of end-of-life nursing practice
    • Ethical considerations
    • Death and bereavement
    • Professional nursing role in promoting palliative care (including integration within existing organizations)
  • Developed learning experiences and assignments:
    • Concept of praxis (students had conversations with families who have experienced loss and grief, and with nurses who discussed meaningful care and practices)
    • Identify how organizational elements within respective settings do/could reflect concepts associated with palliative/end-of-life practices
    • Examining end-of-life/palliative care using core values as a basis for practice
    • Have students identify implications for palliative care concepts in their daily practice experiences.
  • Added the following content to existing courses:
    • Communication and ethical topics were incorporated into a Psychosocial Nursing course.
    • Pain management and physiological dimensions have been added to a course on Altered Physiological Processes.
    • Added ELNEC content as a resource in the Family Nursing course.

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