Literature Review

Evolving medical licensing laws could affect hospice workforce, diversity challenges Hospice News; by Holly Vossel; 5/1/24 A rash of states are restructuring their medical licensing requirements to allow more trained clinicians from other countries to find employment in the United States. The trend is an aim to address prolific workforce shortages, including in hospice, but could also have impacts on improving diversity, equity and inclusion. Some states have restructured medical licensing requirements for certain international medical graduates (IMGs) to allow more clinical professionals to work in the United States.

To stay open, rural nursing homes in the Midwest prioritize nurses NPR KCUR 89.3; by Aaron Bonderson; 5/1/24... Not enough nurses. Nursing home closures are creeping across Nebraska and other parts of the Midwest. Since 2020, 13 Nebraska nursing homes have shuttered, according to the American Health Care Association (AHCA). During that time, 25 Kansas nursing homes, 27 in Missouri, and 36 in Iowa closed their doors. According to the Center for Medicare Advocacy (CMA), 22 nursing homes in Iowa closed in 2022 alone because of poor quality of care and low occupancy. ... Staffing shortages and quality of care concerns are the leading reasons long-term care facilities shut down, according to the AHCA and the CMA. The pandemic didn’t help matters, stretching employees and resources to their limits.Editor's Note: Click on the title's link and scroll down for a US map of states with data for rank, nurse staff hours per resident per day (HRPD), total nurses, and total providers.

Southern states fare worst in USA Today’s searchable staffing level database McKnights Long-Term Care News; by Josh Henreckson; 4/26/24 Many US skilled nursing facilities currently meet some provisions of the new federal staffing rule at least some of the time, but only 160 — slightly more than 1% — consistently meet all requirements, according to a new analysis. Facilities located in southern states had the most ground to make up on staffing, based on a review of summer 2023 Centers for Medicare & Medicaid Services data by USA Today. The analysis, published Wednesday, includes a searchable database with information on individual facilities — including the facility’s name, address and the average hours of care per resident per day compared to the new national standard of 3.48.

Penn State Hershey Medical Center nurses ratify new contractNBC WGAL TV 8; by Lori Has More; 4/27/24 More than 2,000 registered nurses working at Penn State Hershey Medical Center have ratified a new three-year contract. The union says their new deal will increase pay rates by an average of 22.5%, include more time off and new initiatives to address staffing needs. Editor's Note: These changes reflect national trends for recent healthcare strikes and high turnover rates: pay rates, work-life balance, and staffing. Additionally, we're seeing demands for improved workplace safety as a common theme for healthcare professionals.

Letter: Volunteers make a difference in community The Meadville Tribune - Meadville, PA; by Melissa Swartwood; 4/27/24Our community is at its best when we come together to help others in a time of need. At Hospice of Crawford County, trained volunteers give their time, attention and compassion to help people and families facing the end of life to live as fully as possible. ... Our volunteers specialize in various areas of service, [many examples given]... As we wrap up Volunteer Month ... Hospice of Crawford County would like to show appreciation for our volunteer team. ... Across the United States, more than 430,000 hospice volunteers give over 19 million hours of service every year. Every single volunteer deserves our appreciation and grateful acknowledgement.Editor's Note: We highlight this example of both thanking hospice volunteers and raising community awareness about hospice volunteer opportunities. From Hospice & Palliative Care Today to your organization, we celebrate and thank your volunteers!

How leaders are building the healthcare workforce pipeline Becker's Hospital Review; by Kelly Gooch; 4/24/24 The workforce is top of mind for hospitals and health systems, and executives are investing in retention and upskilling to address shortages and reduce reliance on contract labor. ... "We've got to start thinking about it differently and probably getting to people a lot earlier than we do now," Laura Hurst, administrator for Cooper Green Mercy Health Services Authority, an affiliate of Birmingham, Ala.-based UAB Health System, told Becker's. ... These strategies include working more closely with high schools, community colleges and other schools to help provide instruction and support and highlight the benefits of working in healthcare.

Congresswoman Kat Cammack introduces legislation to block 80-20 Rule Home Health Care News; by Joyce Famakinwa; 4/26/24 ... On Thursday, Congresswoman Kat Cammack (R-Fla.) introduced a bill to block the U.S. Department of Health and Human Services (HHS) from finalizing the 80-20 provision. Additionally, the legislation would also block HHS from implementing any similar rules that place a minimum requirement for how much of Medicaid spending on HCBS goes towards direct workers’ wages. Cammack’s reason for introducing this legislation is her belief that the 80-20 provision will severely limit access to care at a time when providers are already struggling to serve patients.

Survey illustrates value of quality onboarding programs at home care firms McKnights Home Care, by Adam Healy; 4/24/24 Investing in a robust, high-quality onboarding and training program can yield big returns for home care firms, especially when workers are in short supply, according to a new survey report by healthcare technology company Viventium. The firm surveyed 175 administrators and 220 caregivers working at post-acute care firms. It found that caregivers are nearly 90% more likely to feel secure in their employment and be more engaged with their work after having a good onboarding experience. These positive results can lead to lower turnover rates and better-trained employees, according to the report.

Oncology social workers' involvement in palliative care: Secondary data analysis from nationwide oncology social workers surveyPalliative & Supportive Care; by Ting Guan, Karlynn BrintzenhofeSzoc, Alyssa Middleton, Shirley Otis-Green, Tara Schapmire, Makeeta Rayton, Krista Nelson, Michael L Grignon, Brad ZebrackResults: Responses from a secondary data set of 243 oncology social workers involved in palliative care results in a 6-factor solution comprising 34 tasks. These factors were identified as: Therapeutic Interventions for Individuals, Couples, and Families; Facilitate Patient Care Decision-making; Care Coordination; Assessment and Emotional Support; Organization and Community Service; and Equity and Justice.Significance of results: The findings can be used to develop job descriptions and education for social workers employed in palliative cancer care. The clear role descriptions also make social work visible to other professionals in palliative oncology. By clarifying the roles of oncology social workers, this study contributes to the improvement of palliative care delivery and enhances interprofessional collaboration within cancer care teams.

Hospice nurse reveals the most common deathbed regretsUnilad; by Niamh Shackleton; 4/24/24Bronnie Ware, a nurse who has spent a large majority of her career working in palliative care, found that there were five common things that people regretted about their lives upon reflection as they approached death.

Behind the stethoscope: Exploring nursing ethics Noozhawk, Santa Barbara County, by Green Shoot Media; 4/22/24 The American Nurses Association developed a Code of Ethics for Nurses in the 1950s. It has been revised over the years to respond to technological advances and changes in society and the nursing field. Gallup takes a poll every year asks how the public ranks various professions for having high honesty and ethics. For 22 straight years, nurses come in as the most respected in terms of honesty and ethics. In 2024, 78% of the poll takers perceived them as honest.

Breaking News: Labor Department announces final overtime rule McKnights Senior Living, by Kimberly Bonvissuto; 4/23/24 The Department of Labor on Tuesday announced a final rule that expands overtime protections to millions of salaried workers beginning this summer. The overtime rule increases the salary thresholds necessary to exempt a salaried executive, administrative or professional employee from federal overtime pay requirements. Effective July 1, the salary threshold will increase to the equivalent of an annual salary of $43,888 and will increase to $58,656 on Jan. 1.  The July 1 increase updates the current annual salary threshold of $35,568, which is based on a 2019 overtime rule update.