Literature Review

From stigma to support: Changing the cancer conversation Oncology Nursing Society (ONS); by Anne Snively, MBA, CAE; 4/29/25 Certain treatments (palliative care, opioids) and diagnoses (lung cancer) are more prone to association with cancer-related stigma. Nurses can play a vital role in reframing these thoughts and promoting empathy. ... Caner-related stigma has wide-reaching effects across the care continuum, including poorer patient outcomes. ...

Top 50 Hospice Providers report now availableHospice News - Flagship Report; 4/30/25The hospice sector has undergone dramatic changes in recent years. Once a nonprofit, volunteer-driven movement, the industry is now a landscape dominated by for-profit entities, private equity, and publicly traded companies. This shift is reshaping care delivery, reimbursement models, and the competition that exists in end-of-life care. Hospice News partnered with Hospice Analytics to rank the largest hospice chains by 2023 Medicare claims. Using proprietary data, including Medicare payments and SEC filings, the report tracks changes in ownership and acquisitions, offering a comprehensive view of the industry landscape. Dive into the data and insights to better understand the evolving dynamics of the hospice industry.Editor's note: The "top" hospice providers is based on the size of chains, not on quality scores. Hospice Analytics--partner for this project--provides quality scores for these through its National Hospice Locator. (Hospice Analytics is a sponsor for this newsletter.)

Best, worst states for nurses in 2025Becker's Hospital Review; by Erica Carbajal; 4/29/25Washington is the best state for nurses to practice in 2025, according to WalletHub’s annual ranking, which evaluates compensation, opportunities for career growth and working conditions. To determine the best and worst states for nurses, the financial services company evaluated all 50 states across two key dimensions: opportunity and competition, and work environment. Each state was evaluated on 20 metrics within those dimensions, including average annual salary, healthcare facilities per capita, mandatory overtime restrictions and job growth. Here are the best and worst states for nurses in 2025, per the ranking:

NPHI opens 10th Annual Summit in Las Vegas, celebrating a decade of impact National Partnership for Healthcare and Hospice Innovation (NPHI)m Washington, DC; Press Release; 4/29/25The 10th Annual Summit of the National Partnership for Healthcare and Hospice Innovation (NPHI) officially kicks off this morning, April 29, at the Red Rock Resort in Las Vegas. This milestone Summit, themed “A Decade of Impact,” brings together hospice and palliative care leaders from across the nation to celebrate ten years of remarkable achievements and to explore the innovative strategies that will drive the future of high-quality, community-based care. ... Key topics include advancing policy solutions to prevent fraud and abuse in hospice, harnessing artificial intelligence to improve care, exploring international hospice, elevating outreach and communications, and strengthening the quality and consistency of services across the board. During the summit, NPHI will also debut a newly developed Cancer Clinical Provider Guide—designed to help members deliver the highest standards of cancer care. ... “As we mark a decade of impact, this summit is not only a time to reflect on the extraordinary progress we’ve made, but an opportunity to be forward thinking and anticipating what comes next,” said Tom Koutsoumpas, NPHI CEO. [NPHI is a sponsor of our newsletter.]

[Australia] New cuddle bed installed at Harden Hospital to support end-of-life care Forbes Advocate; 4/20/25 Harden Hospital’s acute ward has received a new ‘cuddle bed’ thanks to the Murrumburrah-Harden Hospital Auxiliary branch, which recently funded the purchase to support patients and their families during palliative care. ... The cuddle bed was a staff-suggested purchase, designed to provide comfort and dignity in end-of-life situations. The bed can electronically expand from a standard single to a double size at the push of a button. It allows family members to lie beside their loved one during their final moments, eliminating the need to sit upright in a chair or attempt to share a single bed. 

5 things every leader can learn from Pope Francis  Inc., by Suzanne Lucas; 4/21/25 He led the world’s largest organization with humility and a willingness to engage with different groups and hear different viewpoints. ...  [Pope Francis' death marks] the end of a papacy that influenced far more than just the Catholic Church. In his 12 years as pope, he led with a style that offers enduring leadership lessons for anyone in a position of authority, especially in business. ... While I’m not Catholic, I have followed his work in the 12 years he’s served as pope, and there are plenty of things you can learn about his leadership of the Catholic Church and apply in your life and business.

[Canada] Hospice placements provide nursing students new perspectives BarrieToday.com; by Marg Bruineman; 4/26/24 As Georgian College works toward having its first graduating class in its bachelor of science in nursing (BScN) degree program next year, students are moving into practical placements in health care. Among them is a new opportunity to explore opportunities in hospice and end-of-life care – a field that continues to develop to meet the needs of an aging population. ... The response from the hospice community, she says, was encouraging. Georgian now has agreements with all nine hospices in the Simcoe-Muskoka-York area that were approached, including hospices in Vaughan and Richmond Hill. The students work onsite for 72 hours over three weeks allowing them to immerse themselves into the setting.

April’s ending, and so is my motivation to do spring cleaning. ~ Anonymous

UVM Health Network employees plant thousands of trees VB VermontBiz, South Burlington, VT; by Tim; 4/25/25 ... Each year to celebrate Earth Day, health system employees in Vermont have planted trees at their homes and in their communities to support and celebrate a healthy and vibrant environment. ... This year, that effort grew from employees at two partner hospitals -- University of Vermont Medical Center and UVM Health Network - Porter Medical Center -- to include nearly every organization in the health system:  ...  Home Health and Hospice, ... “We were thrilled to take part,” said Kristin Walsh, RN, CHWC, an employee health nurse at Home Health and Hospice and the organizer of their local effort, which distributed 150 trees and shrubs to employees. “We work tirelessly to take care of others, even in the toughest of circumstances. That’s why we wanted to share local saplings from the Intervale with employees. ..." 

Experiences of hospice staff beyond the frontlines during COVID-19: A qualitative secondary analysis study Journal of Palliative Care and Social Practice; by Thanga Harini Sundaramoorthy, John I MacArtney, Abi Eccles; 4/12/25Three main themes were identified: (1) Blurred margins: Participants discussed facing difficulty separating work and home life and taking stresses and thoughts about work home. (2) Isolation, loneliness and social interactions ...  (3) Disruption to family and personal commitments: Some staff felt unable to see or support their parents, partners and children during the pandemic subsequently impacting their psychological and emotional well-being. Conclusion: Hospice staff compromised aspects of their personal life and family responsibilities during the pandemic to carry out their role at work. Workplaces and organisations should aim to support hospice staff more broadly to help with managing work-related pressures and balancing personal commitments in future emergency periods.Editor's note: Use this evidence-based research with your Emergency Disaster Preparedness Plans. Click here for the CMS.gov Emergency Preparedness Rule. Click here for Wisconsin's CMS Emergency Preparedness Rule Toolkit: Hospices.

Health sector answers Trump's call for deregulation ideas Modern Healthcare; by Bridget Early; 4/29/25 The Trump administration wants the healthcare industry to recommend rules and regulations to toss. Trade groups representing hospitals, health insurance companies and others have ideas. The White House, the Centers for Medicare and Medicaid Services and other parts of the federal government are seeking suggestions to guide President Donald Trump's campaign to radically restructure and diminish the federal government. ... CMS included a request for information in Medicare payment rules the agency proposed this month. Comments are due June 10.

 Just when the caterpillar thought the world was over, it became a butterfly. ~ Chuang Tzu

Bristol Hospice expands, rebrands palliative care program Hospice News; by Holly Vossel; 4/25/25 Bristol Hospice has expanded and rebranded its palliative care program amid rising demand for these services. The hospice provider on Wednesday launched the Bristol Palliative Care program, designed to support seriously ill patients with chronic or life-limiting conditions. Formerly the Advanced Illness Management (AIM) program, the rebranding reflects the hospice’s enhanced patient-centered services and sprawling geographic footprint.