Literature Review

Hospice job vacancy rates fall in 2025; nurse wage gains slow Hospice News; by Jim Parker; 12/29/25 Job vacancies among hospice employers dropped to 12.78% in 2025 from 14.03% in 2024. Meanwhile, the rate of pay increases for registered nurses has fallen to 3.58% this year, compared to 2024’s 3.97%. This is according to a new salary and benefits report by the Hospital & Healthcare Compensation Service (HCS), the National Alliance for Care at Home and LeadingAge. The report also identified a decline in registered nurse turnover among hospices, to 25.48% from 26.82% year over year. 

A time for community and kindness Senior Concerns; by Martha Shapiro; 12/24/25 I am inspired by the spirit of the holidays and hope to carry some of it with me into the coming year. Thanksgiving marks the beginning of the holiday season. Then Chanukkah, Christmas, Kwanzaa, and finally the New Year. ... In truth, each holiday brings its own traditions, but together they form a season that invites reflection, generosity, and connection. ... Recently, someone wished me “happy all the things.”  It was a sweet and funny way to say happy holidays without knowing what holiday I celebrate. Truthfully, I do not mind what holiday someone references if their intent is to be kind. ...  At the same time, I am reminded that the holidays are not joyous for everyone. ... This year, I am making a conscious effort to practice small acts of kindness towards others, and to intentionally recognize and thank those that do them for me.

What makes a ‘good’ death? Former Durango hospice director reflects The Durango Herald, Durango, CO; by Jessica Bowman; 12/28/25 What is a “good” death? That’s up to each of us to decide for ourselves, said Anne Rossignol, former director of Mercy Hospice House. Rossignol said it’s a question more people should be asking themselves – and sooner. ... She earned her medical degree in 1999 and completed an internal medicine residency through the U.S. Army, where she served as a flight surgeon and completed two tours in Iraq. It was during her time at an Army hospital – where she guided patients and families through life-or-death decisions – that she felt drawn to palliative care. “These big soldiers in their uniforms would sit down with these families to talk about the end of life, and they’d be crying, and the families would be crying. It was so beautiful,” Rossignol said. ...

Early palliative care interventions linked with reduced mortality in patients with advanced NSCLC undergoing ICI treatment Lung Cancers Today; by Cecilia Brown; 12/24/25 Early palliative care interventions were associated with reduced mortality and longer survival among patients with advanced non–small cell lung cancer who received immune checkpoint inhibitors (ICIs), according to a recent study. Researchers from the Case Western Reserve University School of Medicine and University Hospitals Seidman Cancer Center presented the study findings at the International Association for the Study of Lung Cancer (IASLC) and American Society of Clinical Oncology (ASCO) 2025 North America Conference on Lung Cancer.

Holistic hospice provider expands to Pinellas County Catalyst; by Mark Parker; 12/24/25 A national end-of-life care company with unique offerings, including pet visits, personal pampering and Memory Bears made from a patient’s clothing, has expanded to Pinellas County. VITAS Healthcare is a nearly 50-year-old mobile hospice provider that takes a holistic approach to providing support during a sensitive time in someone’s life. A new administrative office at 12425 28th St. N. in St. Petersburg serves as a home base for interdisciplinary care teams. Kathleen Coronado, vice president of operations, said VITAS plans to eventually open a local inpatient center “for patients who need a higher level of care.” However, the company’s primary goal is to provide comfort wherever patients call home.

Hospice may offer patients with cancer some peace, comfort and controlCure Today; by Alex Biese; 12/18/25Hospice care emphasizes quality of life and dignity for terminal patients, distinct from palliative care, which can begin at any cancer stage. Disparities in hospice access arise from insurance, geographic, and racial factors, affecting utilization and perceptions of care.

Hospice care for medicaid cancer patients in Puerto Rico: implications on healthcare costs and utilization JNCI Cancer Spectrum; by Karen J Ortiz-Ortiz, Marjorie Vázquez-Roldán, Axel Gierbolini-Bermúdez, María Ramos-Fernández, Carlos R Torres-Cintrón, Yisel Pagán-Santana, Tonatiuh Suárez-Ramos, Kalyani Sonawane; 12/27/25 Online ahead of print Background: ... In Puerto Rico, Medicaid had no provisions for hospice care until July 2024, representing a significant public health challenge. This study examined the association between hospice coverage policy and EoL outcomes among patients with cancer enrolled in Medicaid.Conclusion: Hospice enrollment among Medicaid enrollees was associated with lower health expenditure, lower healthcare resource utilization, and a lower likelihood of mortality in an acute setting. The recent policy change to include hospice services coverage in Puerto Rico Medicaid is a positive step that must be sustained beyond 2027.

VNA responds to state approval of a new for-profit hospice provider in Indian River County VeroNews.com, Vero Beach, FL; by Community Submission; 12/23/25 The Visiting Nurse Association (VNA) of the Treasure Coast is responding to today’s announcement by the State of Florida approving a for-profit hospice provider to begin serving Indian River County in early 2026. The newly authorized provider will join a community that VNA has exclusively served with nonprofit hospice care for nearly 40 years. The approval follows a statewide Florida Need Projections review conducted by the Agency for Health Care Administration (AHCA) ... VNA has long met—and continues to meet—the hospice needs of residents across Vero Beach, Sebastian and Fellsmere.

Interprofessional collaboration between hospital-based palliative care teams and hospital ward staff: A realist review PLoS One; by Louana Moons, Fouke Ombelet, Mieke Deschodt, Maaike L De Roo, Eva Oldenburger, Inge Bossuyt, Peter Pype; 12/19/25  Conclusion: This realist review highlights the complexity of interprofessional collaboration between PCTs and ward staff, emphasizing the importance of tailored approaches that address specific contextual needs, expectations, and norms. Strengthening positive attitudes, clarifying roles, and fostering partnerships can enhance interprofessional collaboration, ultimately improving palliative care quality in hospital settings.

New York Gov. Hochul vetos bill banning for-profit hospices Hospice News; by Jim Parker; 12/23/25 New York Gov. Kathy Hochul (D) has vetoed legislation that would have effectively banned new for-profit hospices in the state. The New York State Assembly passed the bill earlier this month and submitted it to the governor’s office. It would have prohibited the establishment of for-profit hospices in New York state and forbid current for-profit operators from increasing capacity. Currently only two for-profit hospices operate in New York state. Hochul previously vetoed similar legislation in 2022, citing low hospice utilization in the Empire State.

When the nurse becomes the daughter: Lessons from my father's final daysAmerican Journal of Hospice & Palliative Care; by Keshia R Brown; 11/25Military service demands sacrifice, but no professional challenge prepared me for the deeply personal experience of caring for my father at the end of his life. This experience transformed my understanding of nursing by revealing the profound impact of presence, love, and dignity-centered care. Caring for my father illuminated the intersection of professional skill and personal devotion, demonstrating that the heart of nursing extends beyond clinical interventions. It resides in honoring the whole person and offering unwavering compassion in their most vulnerable moments. This narrative reflects on the emotional, ethical, and spiritual lessons learned as I walked my father through his final chapter-an unexpected gift and the greatest honor of my nursing career.

Is moral adequacy possible in the face of structural disadvantage? The experiences of health and social care staff in supporting homeless people using substances at the end of life Palliative Care and Social Practice; by Gary Witham https, Gemma Anne Yarwood, Sarah Galvani, Lucy Webb, and Sam Wright; 11/26/25 Background: Homeless people using substances at the end-of-life face many challenges in accessing and receiving good care. These can relate to poor interdisciplinary working by health and social care practitioners, stigma and structural disadvantage.Results: The data analysis resulted in three key discourse positions relating to how practitioners position themselves in relation to the practice challenges of supporting homeless people using AODs and approaching end of life. These were as follows: (i) what constitutes a good death and where, (ii) the limitations of professional boundaries and (iii) maintaining moral adequacy in the face of traumatic death.

Top healthcare sectors attracting private equity in 2025 Covenant Health Advisors; 12/18/25 ... If you’ve ever wondered how private equity shapes the healthcare world, stick around. We’ll break it down in simple terms, so it’s easy to follow. ...