We conducted a qualitative study on self-reported learning outcomes and educational gains of participants in an international NPC e-learning course. Participants were asked the following questions: (1) How has your perception of NPC changed or developed after completing this course? (2) Please describe one or two key ethical considerations in NPC. How has this course equipped you to address these? (3) How has this course helped you to understand the emotional and spiritual needs of neurologic patients and their caregivers? (4) Reflect on any personal experiences or insights you have gained during the course and how these might influence your approach to NPC.

Thematic analysis showed changes in participants’ perceptions of NPC and several specific educational gains. Participants recognized NPC as a multiprofessional and interdisciplinary effort requiring more than medical knowledge and disease-specific treatment skills. They gained understanding of the complexity of prognosis in neurological diseases, as well as ethical concepts as the basis to approach difficult decisions. Valuing patient/caregivers needs as well as providing honest and open communication were recognized as key components of care. In particular, providing emotional support and building relationships to enhance the spiritual component of care were avidly discussed as essential nonmedical treatment options.