Annually, more than 13,000 children younger than 20 years (Compas, Jaser, Dunn, & Rodriguez, 2012) are diagnosed with cancer, and approximately 40,000 children are receiving cancer treatments (Compas et al., 2014). Despite advances in cancer therapy and improvements in overall survival rates during the past decades, children still die from cancer. Approximately 20% of all children diagnosed with cancer will not survive 5 years or more (American Cancer Society, 2016; Field & Behrman, 2003; Knobf, 2013). Therefore, enhancing the quality of palliative care (PC) and end-of-life (EOL) communication for children with cancer is a national health care priority (National Institutes of Nursing Research, 2014). EOL care is provided in the last days, weeks, or months of a child's life. PC has been defined as "the active holistic care of the child's mind, body, and spirit, [which] also involves giving support to the family" (World Health Organization [WHO], 2016). This complex care, which encompasses the medical, psychosocial, spiritual, and economic needs of patients, is provided by an interdisciplinary team to reduce symptom severity and improve quality of life (Feudtner et al., 2013; WHO, 2016). Pediatric oncology nurses are expected to clearly and 835448J POXXX10.