Literature Review

Navigating AI & change management: the evolving landscape of leadership in the age of continuous disruption Recruit-Talent.com | Leadership & Management; 7/24/26|... The Dawn of AI Change Leadership: Redefining TransformationAI change leadership is defined as the practice of facilitating the adaptation of individuals, teams, and entire organizations to the relentless pace of AI-driven transformation. Unlike traditional change management, which typically focuses on discrete initiatives with defined endpoints, AI change leadership grapples with ongoing technological disruption, the dynamic evolution of workforce skills, the complex interplay of human-AI collaboration, and escalating concerns surrounding trust and ethical implications. For decades, leadership research has underscored a fundamental tension inherent in successful change: the coexistence of stability and change. ... However, AI change leadership fundamentally disrupts this established paradigm. 

Sunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!

One clinician, every conversation: Palliative care delivery by solo APRN hospitalists in Critical Access HospitalsJournal of Hospice & Palliative Nursing; by Melissa Skoff; 7/26Advanced practice registered nurses (APRN) who practice as solo hospitalists in critical access hospitals are often underrecognized in their role in providing palliative and end-of-life care. This article describes the full scope of the solo APRN hospitalist in a critical access hospital setting with close attention to how complex patient demands contribute to the challenges in providing high-quality end-of-life communications. This article examines clinical, educational, and ethical dimensions of this work, and presents a case example that illustrates how these pressures present during a shift. Strategies to strengthen rural palliative care capacity are discussed, including tele-palliative care, remote ethics support, and APRN-centered education. As rural workforce shortages persist and continue to rise, alongside rising patient acuity, naming and addressing these structural gaps is essential in improving quality of care and protecting the well-being of a solo APRN hospitalist.

[Canada] Listening to young people on childhood death: a youth-focused participatory approach to children's palliative and end-of-life research and policymaking Children & Society; by Sydney Campbell, Nika Rovensky, Ryan Kent, Lauren Delaney, Franco A. Carnevale, Mary Ellen Macdonald; 6/23/26 Conclusion: Our study is one of the first to investigate the perspectives of young people in Canada regarding children's palliative and end-of-life (P-EOL) care, and the first in Canada to employ a participatory approach with young people in research about childhood death and dying. ... To date, the lessons we have learned can help researchers from diverse contexts aiming to carry out similar projects related to children's P-EOL care, based in the belief that the only way to truly shift current practices that overlook young people's voices and engagements as meaningful is through continuous advocacy, development, and application of engagement practices in all matters affecting young people.

Ennoble Care achieves outstanding quality outcomes and lower costs for high-needs Medicare patientsThe Best Times, Arlington, VA; by PR Newswire; 7/30/26Ennoble Care announced the publication of its 2026 Quality and Outcomes Report. The report highlights reductions in hospitalizations, improved quality of life, and lower costs for a population that is twice as medically complex as the national Medicare average.

Adopting the fourth pillar of acute care surgery: the current state of palliative medicine in trauma care Current Trauma Reports; by Alison Haruta and Kathleen O'Connell; 7/30/26Although most older trauma patients survive hospitalization, many deaths occur within six months after discharge, making early goals-of-care (GOC) discussions essential. However, palliative care consultation remains significantly underused, occurring in only 2–4% of severely injured trauma cases. ... Primary palliative care skills are essential for trauma surgeons, though effective integration into the trauma system has been variable. As the need grows, the specialty palliative care work force cannot keep up with demand, highlighting the need for surgeons to learn and perfect their primary palliative care skills, including communication skills and holistic symptom management. Palliative care should function as a core pillar of trauma care, ensuring dignity, reducing non-beneficial treatments, and improving end-of-life experiences for patients and families.

CMS’s decision to end temporary subsidies to Medicare’s stand-alone drug plans could mean larger premium increases for some beneficiaries next yearKFF; by Juliette Cubanski; 7/29/26 The Centers for Medicare & Medicaid Services (CMS) has just announced plans to end the temporary Part D Premium Stabilization Demonstration after 2026. The goal of the demonstration, which CMS originally stated could last for at least three years when it was established in 2024, was designed to stabilize stand-alone prescription drug plan (PDP) premiums and enrollment amid the rollout of changes to the Part D benefit under the Inflation Reduction Act. The IRA capped out-of-pocket drug spending for Part D enrollees and shifted more costs onto Part D plan sponsors, leading to higher expected costs and premiums, particularly for PDPs. Based on its evaluation of bids for 2027, CMS now states that PDP sponsors have gained “sufficient experience” to support bid development, suggesting that the extra financial support provided to PDP sponsors under the demonstration is no longer needed.

In New York, who will get to take advantage of medical aid in dyingPrism; by Ben Rappaport; 7/30/26For terminally ill patients, the new law [going into effect in New York on Aug. 5] offers the choice to end suffering. But cost, provider shortages, and medical distrust among communities of color could make the option less accessible. When Kiki Jackson first heard the phrase “medical aid in dying,” she scrunched her face in suspicion. Jackson, a 74-year-old lifelong resident of Harlem, was listening to a group discussion at a local senior center about New York’s new Medical Aid in Dying Act. For her and about a dozen other Black community members in attendance, the idea of terminally ill adults having the right to end their lives evoked troubling experiences with the medical system. ... Research aggregating over 20 years of data from 13 states and Washington, D.C., where similar laws are on the books, reveals that the people who’ve utilized medical aid in dying are overwhelmingly white, college-educated, and able to pay out of pocket.