ELNEC Pediatric Module 5: Cultural and Spiritual Considerations in Pediatric Palliative Care

ELNEC Pediatric Module 5: Cultural and Spiritual Considerations in Pediatric Palliative Care 

We certainly live in a very diverse world and it is critical that all healthcare professionals understand and respect cultural beliefs and traditions. The assessment of culture, as well as the assessment and interventions that support spirituality, is essential in providing excellent palliative care to children and their families. In this course, you will learn that culturally competent care includes recognition of multiple factors (e.g., ethnicity, gender, sexual orientation, social class, etc.). An interdisciplinary team approach is critical to assuring cultural competency.


Hours: 0.70 - 0.75


Certificates provided by accrediting body (4 Match)

District of Columbia Board of Nursing


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 0.70 contact hours for participating in this course.

American Nurses Credentialing Center

0.75 HOURS

Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 0.75 contact hours for participating in this course.

Georgia Board of Nursing

0.75 HOURS

Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 0.75 contact hours for participating in this course.

South Carolina Board of Nursing

0.75 HOURS

This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

Course Details

Course Code: REL-PAL-ELNEC-PED5-V2
Hours: 0.75
Type: Online Course
Content Expiration Date: 11/30/2021
Learning Objectives:
Identify dimensions and influence of culture on pediatric palliative care.
Describe how you can provide culturally competent care to children and their families.
Recall strategies for the culturally sensitive spiritual assessment of children and families.

Section 1: Introduction

About This Course

Learning Objectives

Section 2: Culture and Palliative Care

Meet Kimberly


End-of-Life Care

Components of Culture

Cultural Sensitivity¬

Culturally Competent Care

Cultural Assessment


Communication Considerations

Role of the Family

Meet Abdul


Spiritual Assessment

Testimonial: Pam Malloy

Guidelines for Addressing Spirituality


Section 3: Conclusion


Course Contributors

Testimonial Presenter



Instructor: The National ELNEC Project - 2018 Pediatric (modules 2, 5, and 9)

The ELNEC Project, which began in 2000, is a partnership between the American Association of Colleges of Nursing (AACN), Washington, DC and the City of Hope, Duarte, CA. For more information about ELNEC, go to www.aacnnursing.org/ELNEC.

The content for this course was created or revised by:

Amy Haskamp, MSN, PCNS-BC, CPON, CHPPN is a Pediatric Clinical Nurse Specialist for the Pediatric Palliative Care Team (PACT) at Riley Hospital for Children at Indiana University Health Hospital.  She has over 16 years of experience caring for children with cancer before joining PACT in 2014.  Working with the oncology population, she became interested in pain management, psychosocial support, and pediatric palliative care.  She lectures and teaches at the local, national, and international level, and has been a member of the ELNEC pediatric faculty since 2011.  Ms. Haskamp is an active reviewer for pediatric palliative care education, and has co-authored a book chapter and several articles on various aspects of pediatric palliative care. She earned her bachelor's degree from Purdue University and master's degree from Indiana University. She is an active nursing alumnus of Purdue University providing multiple guest lectures on pediatric oncology and palliative care.  Amy remains very committed to the Association of Pediatric Hematology-Oncology Nurses (APHON) and was the 2017 recipient of the Dr. Patricia Greene Leadership Award. 

Cheryl Ann Thaxton, DNP, RN, CPNP, FNP-BC, CHPPN has enjoyed over 25 years of experience in nursing. She is both an ELNEC-Core and ELNEC-Pediatric Palliative Care trainer, and she also helped to develop portions of the ELNEC-APRN curriculum.   She is currently working as an Advanced Practice Nurse for The University of Texas Southwestern Medical Center in Dallas, Texas, Palliative Care Team. Dr. Thaxton worked several years as the Program Coordinator for the Pediatric Quality-of-Life Program at Duke Children's Hospital and Health Center in Durham, North Carolina. Prior to Duke Children's Hospital, she had several years of experience working with pediatric cardiac intensive care, primary care, and neonatal intensive care patients. She has provided several course lectures to ABSN and APRN students as well as medical students. Dr. Thaxton was selected to serve on the Pediatric Examination Development Committee for the Hospice and Palliative Credentialing Center (formerly known as the National Board for Certification of Hospice and Palliative Nurses) which is the only nursing specialty organization to offer certification to all members of the nursing team (APRN, RN, pediatric RN, LP/VN, NA) as well as administrators and perinatal loss care professionals. She has co-authored several publications related to pediatric palliative care and the needs of children with life‐limiting illnesses.  Dr. Thaxton's overall interest in caring for children with chronic pain and life-limiting illness is driven by her passion to serve pediatric and neonatal patients and their families. Her desire to promote the implementation of culturally sensitive initiatives has helped to develop strategic models of care through education and curriculum development. In 2014, Dr. Thaxton received an award for being one of the Great 100 Nurses of North Carolina. 

Vanessa Battista, MS, RN, CPNP is a board certified Pediatric Nurse Practitioner (PNP) and is currently a member of the Pediatric Advanced Care Team (PACT) at The Children's Hospital of Philadelphia. Ms. Battista initially worked as a clinical research coordinator/nurse overseeing all aspects of clinical research trials for patients with a variety of neuromuscular diseases. She then practiced as an advanced practice nurse at the neuromuscular centers at both The Columbia University Medical Center and The Children's Hospital of Boston, before being recruited to The Boston College Connell School of Nursing to develop the Pediatric Palliative Care Masters subspecialty program. Ms. Battista then relocated to Philadelphia to serve in her current role. She also serves as a board member and consultant for various organizations that provide services for patients and families living with life-threatening diseases. She lectures and teaches at the local, national, and international level, and is a member of the ELNEC pediatric faculty.  Ms. Battista is an active reviewer for publications and grants, and has co-authored several book chapters and articles on various aspects of pediatric palliative care. She earned her bachelor's degree from Boston College in psychology, with minors in health sciences and faith, peace, and justice studies; her nursing degree and master's degree from Columbia University School of Nursing; and completed a certificate in Pastoral Ministry at the Boston College School of Theology and Ministry. Ms. Battista was the recipient of the ELNEC Award for Excellence and the Distinguished Young Alumni Award from Columbia University.

Disclosure: The National ELNEC Project - 2018 Pediatric (modules 2, 5, and 9) has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; in the following settings: Hospice, Palliative Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.