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continuing, education, hospice, Japan, nursing education, nursing, terminal care, palliative care nursing



  1. Takenouchi, Sayaka PhD, MPH, RN
  2. Sasahara, Tomoyo PhD, RN
  3. Miyashita, Mitsunori PhD, RN
  4. Kawa, Masako PhD, RN
  5. Umeda, Megumi PhD, RN, OCNS
  6. Kuwata, Miyoko MSN, RN, GCNS
  7. Arahata, Tomoko PhD, RN
  8. Kizawa, Yoshiyuki PhD, MD
  9. Tamura, Keiko PhD, RN, OCNS


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.