Literature Review

Lawmakers mull bills to ensure hospice, home health worker safety Hospice News, by Holly Vossel; 4/19/24 Lawmakers in Connecticut and Vermont have recently introduced legislation aimed at protecting hospice and home health workers. Some stakeholders worry that the laws may impact care continuity among vulnerable homebound terminally ill populations lacking end-of-life support.

Man forces himself inside home, robs 2 women, including hospice patient, at gunpoint in north St. Louis NBC 5, St. Louis; by Calrissa Cowley; 4/19/24 The victim in hospice care was unable to move on her own or call the police during the ordeal. A man is facing charges three days after forcing his way into a north St. Louis home and robbing two 60-year-old women, one of whom was in hospice care, at gunpoint. St. Louis prosecutors charged 46-year-old Ronnie Jackson on Thursday with one count of first-degree robbery, one count of burglary, one count of kidnapping and three counts of armed criminal action. Each charge is a felony.

Help Serenity Hospice workers win their unionSEIU503; 4/18/24Workers at Serenity Hospice have been organizing for pay equity, adequate raises, affordable health care, regular hours, PTO, and the ability to manage trauma and compassion fatigue. The workers unanimously decided to form a union, and asked management to voluntarily recognize them. Serenity’s parent company (Addus Healthcare) already has SEIU-represented employees at its home health agency in Eugene. Instead, Addus hired one of the most expensive union-busing law firms in the country, and has been paying them hundreds of dollars per hour to spread anti-union propaganda. Workers are sticking together and staying strong, and plan to vote YES in their union election next week. Editor's Note: Hospice & Palliative Care Today's posting of this article denotes neither support nor opposition to this action. Rather, we are reporting it for hospice and palliative care leadership awareness. Unions and strikes among healthcare professionals--for these same cited reasons--continue to be a growing trend, nationwide.

Clinician burnout and effectiveness of guideline-recommended psychotherapies JAMA Network - Psychiatry; by Nina A. Sayer, PhD; Adam Kaplan, PhD; David B. Nelson, PhD; et al; 4/17/24 Importance: Clinician burnout has been associated with clinician outcomes, but the association with patient outcomes remains unclear. Conclusions: This prospective cohort study suggests that clinician burnout was negatively associated with patient outcomes from evidence-based psychotherapies. Findings support research to test the hypothesis that interventions to reduce burnout may improve outcomes from guideline-recommended psychotherapies for PTSD. Future work should determine when and how burnout is associated with intervention delivery and patient outcomes.Editor's Note: Most research on hospice and palliative clinician burnout focuses on physicians and nurses. Examine this in light of your psychosocial/spiritual professionals, i.e. social workers, chaplains/spiritual care, and bereavement counselors. 

Volunteers make best days possible for 600 people a day at VNA Hospice NWIGreatNews.Life, Valparaiso, IN; 5/19/24VNA Hospice NWI serves over 600 people a day. From Hospice and Palliative Care, Grief Support services for adults and children to the Medical Guardian help button and a Meals on Wheels program, the impact of VNA services around the region is tremendous. The VNA staff work tirelessly to ensure these essential services are available each day – but they can’t do it alone. Their team relies on an army of volunteers, who do everything from stuffing envelopes and labeling meal bags, to working directly with hospice patients and bereaved children, and delivering the meals. Maria Galka, Director of Development for VNA Hospice, said that the organization’s volunteers outnumber its staff by about five to one. Editor's Note: April's Volunteer Appreciation Month is still underway. Learn from this superb article, posted on an online community site. VNA Hospice NWI's astonishing volunteer program bears repeating: "... the organization’s volunteers outnumber its staff by about five to one."

Health Talk: Getting into a health care career The Barre Montpelier Times Argus Online, by Peg Bolgioni; 4/13/24According to the American Hospital Association, there will be a shortage of up to 3.2 million health care workers by 2026. America will face a shortage of up to 124,000 physicians by 2033 and will need to hire at least 200,000 nurses per year to meet increased demand, and to replace retiring nurses. ... The mission of Southern Vermont Area Health Education Center is to enhance community efforts to grow and sustain the health workforce in southern Vermont. One of the ways we do this is by delivering pathway programs that connect students to health careers. [Click the title's link to read about this event.]Editor's Note: How might your organization create similar career engagement and education in your community? 

Potential CMS measure shows divide over quality training standards Modern Healthcare, by Mari Devereaux; 4/12/24 Hospitals may soon be required to provide set quality training to staff as part of a Medicare reporting program, but health systems and advocacy organizations are split on whether the standardization of quality-related skill sets is necessary to improve patient care.

Hospices face ‘devastating’ financial crisis as staff costs rises, charity warns Shropshire Star, United Kingdom; 4/15/24 Hospices are facing a “devastating” financial crisis because of rising staff costs which are putting services at risk, a charity has warned. The chief executive of Hospice UK, Toby Porter, said the last year had seen the “worst financial results for the hospice sector in around 20 years.”

Physician coaching by professionally trained peers for burnout and well-being: A randomized clinical trial JAMA Network; by Stephanie B. Kiser, MD, MPH; J. David Sterns, MD, MPH; Po Ying Lai, MS; et al; 4/12/24Findings: In this randomized clinical trial of 138 physicians, participants who received 3 months of coaching by professionally trained physician peers had a statistically significant reduction in interpersonal disengagement and burnout, with improvement in professional fulfillment and work engagement.

How to become a nurse later in life Board Vitals; 4/11/24 Embarking on a career in the nursing field later in life is an inspiring journey that many individuals choose to undertake. Whether it’s a personal passion or a long-held dream, it’s never too late to pursue a fulfilling career in healthcare. In this guide, we will answer the most common questions asked by those starting a nursing career later in life. Editor's Note: Does your hospice or palliative care organization partner with a nursing school? Or with any other type of university, community college, etc. that educates professionals for roles used in your organization? Explore opportunities to instill information and interest in end-of-life care.

Why so many nurses are fleeing healthcare — and how hospitals can address the problem MedCity News, by Katie Adams; 4/10/24Nearly one-fifth of nurses are projected to leave the healthcare workforce by 2027. The American Organization for Nursing Leadership published a report revealing one of the biggest reasons nurses are exiting the industry: their managers are too busy to train and support them.

Overcoming key diversity gaps within the healthcare continuum MedCity News, by Alexandra Moens; 4/9/24Leaders need a framework to identify, understand, effectively address diversity gaps, and measure improvement across the continuum of care. A data-driven approach can provide valuable insights into demographic trends, disparities in healthcare access and outcomes, and the underlying factors contributing to these discrepancies. Disparities in diversity and inclusion continue to permeate every aspect of healthcare. ... In the U.S., stark statistics reveal the extent of these imbalances. Only about 36% of active physicians are female, with even fewer identifying as non-White. While Black and Hispanic Americans comprise a considerable portion of the population, their representation among healthcare practitioners is disproportionately low. 

‘Ladders and lattices’ provide career opportunities for CNAs McKnights Senior Living, by Kathleen Steele Gaivin; 4/10/24Providers would be wise to help certified nursing assistants advance in their careers, according to an article in Caring for the Ages, a publication of AMDA–The Society for Post-Acute and Long-Term Care Medicine. “One promising concept involves career ladders and lattices,” wrote Joanne Kaldy, senior contributor. “As a CNA, ladders enable you to pursue opportunities to move ‘up the ladder’ into other positions, such as licensed practical nurse (LPN), registered nurse (RN), or administrator. ..."