Literature Review

Providence Chief Nursing Officer: All hospitals should be using these 3 tools MedCity News, by Katie Adams; 3/19/24 The workforce shortage is especially acute among nurses. There are 193,100 projected job openings per year for nurses in the U.S. between 2022 and 2032, but only 177,400 new nurses are predicted to enter the workforce during that entire 10-year period. That isn’t even enough to fill one year’s worth of the projected job openings. In order for this issue to improve, hospitals must embrace the technology on the market that has been proven to alleviate nurse burnout, said Syl Trepanier, chief nursing officer at Providence, in a recent interview at the ViVE conference in Los Angeles. ...

Amid tense negotiations, Oregon nurses allege patient neglect by PeaceHealth during strike Eugene Register-Guard, by Miranda Cyr; 3/20/24 Tensions between PeaceHealth and Sacred Heart home health and hospice nurses persist, with the Oregon Nurses Association (ONA) claiming last week that PeaceHealth neglected patients during the nurses' two-week strike in February. ... ONA has been negotiating a new contract with PeaceHealth for a full year. The last contract expired in April of 2023. Despite 40 negotiation meetings, no agreement has been reached, according to ONA.

Music Therapy intervention to reduce symptom burden in hospice patients: A descriptive study American Journal of Hospice & Palliative Care; by Madison H Estell, Kevin J Whitford, Angela M Ulrich, Brianna E Larsen, Christina Wood, Maureen L Bigelow, Travis J Dockter, Kimberly L Schoonover, Amy J Stelpflug, Jacob J Strand, Monica P Walton, Maria I Lapid; 3/19/24 online ahead of printResults: Patients reported a reduction in symptom severity and emotional distress and an increase in QOL. All patients endorsed satisfaction with music therapy, describing it as particularly beneficial for stress relief, relaxation, spiritual support, emotional support, and well-being. Scores on overall QOL and stress were worse for caregivers. 

Private equity-backed consolidation divides physicians Modern Healthcare, by Alex Kacik; 3/18/24 ... Fewer physicians — only 46.7% in 2022 compared with 60.1% in 2012 — work in practices wholly owned by doctors amid struggles to manage reimbursement cuts, regulation and rising expenses. As a result, more physicians are joining health systems, private equity-backed management services organizations and insurers. That trend has spurred research, lobbying groups, regulation and legislation on physician employment models. 

Where states stand on medical marijuana in the workplace JD Supra, by Madalyn Cohee; 3/18/24 A federal judge in Vermont last month ruled a plaintiff’s medical marijuana use was not protected by the Americans with Disabilities Act. In Skoric v. Marble Valley Regional Transit District et al., the plaintiff was fired by his employer for failing a random drug test by testing positive for marijuana despite having a valid, state-issued medical marijuana card and being prescribed medical marijuana to treat his chronic pain and depression.

Navigating difficult conversations with patients with terminal cancer diagnoses Oncology Nursing News, by Darlene Dobkowski, MA; 3/18/24 Although oncology nurses need strong communication skills to help all of their patients navigate their cancer journeys, it is critical to have the ability to have difficult conversations with patients who received a terminal diagnosis, ... Betty Ferrell, Ph.D., M.S.N., CHPN, director and professor in the Division of Nursing Research and Education in the Department of Population Sciences at City of Hope in Duarte, California, said in an interview with Oncology Nursing News. For the past 24 years, her institution has been directing a project called the End-of-Life Nursing Education Consortium (ELNEC), which is a palliative care training program and includes a module focused on communication.  ... “One of the things that we teach nurses is … that your No. 1 job is to listen,” Ferrell said. “Another thing that we say to nurses is, it is not your job to have all the answers. Patients ask very unanswerable questions. ‘Why me?’ is not an answerable question. But when a patient says, ‘Why me,’ then we want nurses to have good communication skills to say, ‘I can imagine why you're asking that question. Because as you've shared with me, you had no idea that you might be diagnosed with cancer, or you're the first person in your family to ever have cancer.’”

Sylvester researchers, collaborators call for greater investment in bereavement care NewsWise, by Sylvester Comprehensive Cancer Center; 3/15/24The public health toll from bereavement is well-documented in the medical literature, with bereaved persons at greater risk for many adverse outcomes, including mental health challenges, decreased quality of life, health care neglect, cancer, heart disease, suicide, and death.  ... Wendy G. Lichtenthal, PhD, FT, FAPOS, who is Founding Director of the new [Sylvester Comprehensive Cancer] Center and associate professor of public health sciences at the University of Miami Miller School of Medicine, noted, “We need a paradigm shift in how healthcare professionals, institutions, and systems view bereavement care. Sylvester is leading the way by investing in the establishment of this Center, which is the first to focus on bringing the transitional bereavement care model to life.”

Healthcare provider anti-burnout bill advances in Congress Modern Healthcare, by Michael Mcauliff; 3/12/24 A bill to support healthcare workers struggling with burnout, stress and other work-related mental health problems advanced in Congress on a unanimous subcommittee vote Tuesday. ... The measure funds grants for healthcare organizations and professionals associations to offer employee education programs to address burnout, encourage peer support, and direct struggling providers to mental and behavioral health treatment.

Spiritual care key to addressing disparities among underserved black communities Hospice News, by Holly Vossel; 3/11/24Spiritual hospice care providers are an important link to building bridges of access and trust among underserved African American populations. ... Having a historical context of understanding around the faith-based barriers among African American populations is a significant part of improving utilization, according to Wayman Scott, associate director of diversity, equity, inclusion and community relations at Maryland-based Gilchrist. Scott also has a background in hospice chaplaincy and serves as chair of the diversity committee at the Hospice & Palliative Network of Maryland.

How NYC Health + Hospitals is reining in travel nurse expenses Becker's Hospital CFO Report, by Mackenzie Bean; 3/7/24 NYC Health + Hospitals has made progress in decreasing its dependence on travel nurses, though staffing expenditures still exceed the public health system's allocated budget, executives told New York City Council leaders during a preliminary budget hearing March 5.

10 urgent patient safety challenges in 2024 Becker's Clinical Leadership, by Ashleigh Hollowell; 3/11/24While employment for new clinicians was positive in the last year with 96% of new nurses finding work, the issue is transitioning those clinicians from education into bedside and hospital practice, which is the most pressing safety challenge of 2024, according to the ECRI's annual report on patient safety. ... Here are the 10 most urgent patient safety challenges facing providers in 2024 ...

Ohio’s Hospice cuts unnamed number of staff, CEO confirms Journal-News Butler County; by Samantha Wildow; 3/8/24Ohio’s Hospice has reduced its staff by an unnamed number of employees, the CEO confirmed to the Dayton Daily News. Ohio’s Hospice is a partnership of nonprofit hospices in Ohio committed to “a shared vision of strengthening and preserving community-based hospices,” the organization said.  “Since our beginning, our focus has been and will always be on the patients and families we have the privilege of serving,” said Kent Anderson, CEO of Ohio’s Hospice. The nonprofit has faced “inflationary pressures,” he said, which have impacted labor, energy and other costs.