Literature Review

SCC launches Practical Nursing Program for high schoolers The Mount Airy News, Dobson, NC; Press Release; 7/19/25 Surry Community College is implementing a Practical Nursing program designed specifically for high school students. This initiative allows students to earn healthcare certifications, gain hands-on experience, and enter the workforce sooner —all while completing their high school education. This program offers a wide range of benefits for students and the community. High school students can simultaneously earn college credit and professional credentials through dual enrollment, setting them on a direct path toward a career in nursing. 

Effectiveness of an educational intervention in enhancing end-of-life care understanding and decision-making in African AmericansPalliative & Supportive Care; Delicia Pruitt, Megan Reilly, Stephen Zyzanski, Neli Ragina; 7/25AA [African American] patients are more likely than other ethnic groups to choose life-sustaining measures at the end of their lives, leading to patients not receiving care to help them die peacefully. This decision is partly based on lack of knowledge of the available EOL [end of life] care options. An educational tool like the one developed in this study may be helpful and lessen the time of education so that physicians can answer questions at the end of the session and empower individuals and communities to take an active role in creating a culture of wellness at the EOL and decreasing morbidity.

Palliative care education in pediatric cardiology fellowships: A survey of program directorsPediatric Cardiology; Lesje DeRose, Sarah Godfrey, Shabnam Peyvandi, Nicole M. Cresalia, Jill M. Steiner, Emily Morell; 6/25 Our survey demonstrated a wide range of PC [palliative care] educational practices among categorical pediatric cardiology fellowship programs. While most programs provided some form of PC education to their fellows, the amount and modality varied widely between programs, from very minimal PC exposure to required core PC rotations. Almost half of the participating PDs [program directors] reported dissatisfaction with the current amount of PC education in their fellowship programs. Programs such as VitalTalk (www.vitaltalk.org) and other (both in-person or virtual) modules have been utilized in other training environments with improvement in trainee comfort in PC topics, including CardioTalk for adult cardiology trainees. Didactic-based curricula in PC topics, such as mental health and ethics, have also been shown to help providers gain confidence in PC domains.

‘Family’s Voice Diary’ improved support for caregivers of patients at the end of life Oncology Nurse; by Ryner Lai; 7/1/25 The authors of this study sought to understand the challenges that caregivers face when a patient is approaching end of life. For this study, they worked with bereaved relatives, members of the public, healthcare professionals, and policymakers to develop the Family’s Voice Diary (FVD), an initiative that allowed participants to freely express their thoughts regarding end-of-life care and the role of caregivers. ... These interviews illuminated some of the challenges that were faced when providing end-of-life care. For example, families expressed a lack of knowledge regarding what “normal” dying looks like and they wanted more support from healthcare staff, but were reluctant to ask or didn’t know how to approach the subject. Healthcare professionals themselves appeared to be reluctant to discuss matters associated with death. 

A narrative review of clinicians’ perspectives on palliative care for advanced liver diseaseCurrent Hepatology Reports; Nicholas Hoppmann, Susan Feldman, Aidan Warner; 6/25 Integration of PC [palliative care] services for patients with ALD [advanced liver disease] is complicated by an unpredictable disease course and lack of comprehensive understanding of PC services across healthcare systems. In our current early stage of integration, clinicians’ perspectives highlight two major steps forward on the path to robust PC integration including increasing medical education on PC broadly and within hepatology to dispel misconceptions and provide skills to deliver primary PC as well as increasing collaboration between hepatology and specialty PC tailored to fit individual practice settings.Assitant editor's note: Perhaps the unpredictability of advanced liver disease is exactly why palliative care could be helpful. This may serve as a fruitful opportunity for PC programs to educate hepatologists. 

From burnout to belonging: Creating space for grief in clinical education American Academy of Pediatrics (AAP) Journals Blog; by Rachita Gupta; 6/16/25 ... While significant progress has been made in addressing burnout and emotional distress in medicine, and in incorporating these topics into medical education, many clinicians remain hesitant and uncertain about how to address grief and distress from patient care in day-to-day clinical practice. This uncertainty exists both in terms of their own experiences and, even more so, in supporting trainees. A lack of emotional processing in these difficult situations can accelerate burnout and further disconnect clinicians from the humanism and vulnerability that are intrinsic to the privilege of practicing medicine. ... The recently published Hospital Pediatrics article by Bloomhardt et al, “Good Grief? Introducing the TEARS Framework for Educator to Support Learners Experiencing Grief,” (10.1542/hpeds.2024-008096) addresses the hesitancy many clinicians experience when assessing learners’ emotional processing during or after distressing patient cases by introducing the TEARS framework. ...Editor's Note: See a related post in today's newsletter, "“Her toes fell off into my hand”: 50 moments that changed healthcare workers forever."

Integrating psychotherapeutic concepts to enhance serious illness communication: Assessment of a model curriculumJournal of Palliative Medicine; Danielle Chammas, Keri Brenner, Amanda Moment, Sarah E. Byrne-Martelli, Leah B. Rosenberg, Daniel Shalev; 5/25 Serious illness communication training often focuses on sharing medical information, discussing goals of care, and supporting patients and caregivers. Few communication frameworks explicitly integrate psychosocial concepts to improve therapeutic efficacy. Using Kern’s six-step curriculum development model, we created an interactive workshop focused on psychological formulation and countertransference. Results: Satisfaction was high (92% satisfied or highly satisfied), and most participants reported meaningful impact on their clinical practice (89%), teaching (93%), and team collaboration (93%) at eight-week follow-up. Conclusions: A multisite, half-day workshop significantly enhanced palliative care clinicians’ knowledge and perceived application of core psychotherapeutic concepts.

Four Seasons offers virtual dementia training Four Seasons, Flat Rock, NC; Press Release; 6/10/25 Four Seasons is excited to now offer Virtual Dementia Training to the community! The Virtual Dementia Tour (VDT) is a patented, ground-breaking, and evidence-based method of building a greater understanding of dementia. This training will be provided free for community groups or faith-based communities. There is a cost for external healthcare staff training. Learn more or schedule a training by contacting Mary Jo Powers (Four Seasons Director of Home Care) or Jenny Martin (Four Seasons Home Care Recruitment & Training Coordinator) at 828.696.0946 or HomeCareVM@FourSeasonsCFL.org. ... “Virtual Dementia Training helps caregivers better understand what their patients’ and loved ones’ lives are like. The training helps foster empathy and patience to ensure the best care and quality of life for those living with dementia. We are honored to bring this impactful training to our communities,” says Dr. Ruth Thomson, DO, MBA, HMDC, FAAHPM, FACOI, Four Seasons Chief Medical Officer.

A single academic site study of five years evaluating pharmacy students’ palliative care clinical reasoning using Script Concordance TestingAmerican Journal of Hospice ad Palliative Medicine; Florence Labrador, PharmD-c; Kyle P. Edmonds, MD, FAAHPM; Toluwalase A. Ajayi, MD, FAAP, FAAHPM; Rabia S. Atayee, PharmD, BCPS, APh, FAAHPM; 5/25This study aimed to evaluate the impact of a Pain and Palliative Care elective didactic course on enhancing clinical reasoning skills among Doctor of Pharmacy (PharmD) students using the Script Concordance Test (SCT). The elective course was offered six times, covering various palliative care topics such as opioid management, procedural pain, and end-of-life care. The study found a statistically significant improvement in SCT scores from pre- to post-course assessments ... This study demonstrates the effectiveness of a targeted palliative care elective in improving clinical reasoning skills among pharmacy students.

An end-of-life nursing education consortium (ELNEC) regional approach to integrating primary palliative care in nursing educationJournal of Professional Nursing; Toni L Glover, Olga Ehrlich, Andra Davis, Megan Lippe, Carrie L Cormack, Theresa Jizba, Amanda J Kirkpatrick, Susan Meskis; May-June 2025With the concurrent movement toward competency-based nursing education and the incorporation of Hospice, Palliative, and Supportive Care as one of the four spheres of care in the latest AACN [American Association of Colleges of Nursing] Essentials, nurse educators face a myriad of challenges in incorporating palliative care content into undergraduate and graduate curricula. The challenges include: a lack of faculty expertise in palliative care education; a lack of administrative or faculty support to include primary palliative care content in nursing curricula; a lack of evidence-based teaching strategies on primary palliative care nursing education; and, a lack of funding to support the development of robust, evidence-based strategies to strengthen primary palliative care nursing education. The purpose of this article is to describe an innovative regional approach advancing primary palliative care nursing education. To ensure nursing students are practice-ready, both undergraduate and graduate programs must provide education that builds knowledge and competency in primary palliative nursing care. 

Hawai'i Pacific University alumni join forces to build a pioneering palliative care team for student excellence Special to The 'Ohana - HPU's Daily News, Honolulu, HI; 6/3/25 A group of HPU alumni from the nursing, social work, public health and business administration programs ... will be working towards steering a newly established palliative care team at HPU to assist nursing students, social workers and public health students to play an important role in understanding palliative care, hospice and communication with family and survivors. The team will play a role in setting up clinical placements in the community at St. Francis Palliative Care Units and Hospice, to give our nursing students invaluable hands-on experience in providing compassionate care for patients with serious and life-limiting illnesses. HPU Assistant Professor Joy Bliss, Ph.D., will also be designing simulations for “effective listening and communication skills,” to enhance student’s performance and skills in grief and this specialty of nursing. ... This initiative is not only an opportunity to strengthen the clinical training of nursing students, but also an essential step forward in improving the availability and quality of palliative care in Hawaiʻi. 

The Mentorship Model: Cultivating resilience and leadership in palliative care pharmacy Pharmacy Times; by Alana Hippensteele; 5/22/25 Key Takeaways

UAB resident leaders complete Chief Residents Leadership Development Workshop UAB Medicine - The University of Alabama at Birmingham; by Katherine Gaither; 5/19/25 Fourteen UAB chief residents recently completed the Chief Residents Leadership Development Workshop. The program, presented by the UAB Medicine Leadership Development Office, was held on May 9, 2025. The Chief Residents Leadership Development Workshop is focused on helping chief residents from core residency programs build their leadership competencies. The sessions include small-group breakout sessions that provide chief residents with the tools, skills, and learning opportunities to enhance their understanding of interpersonal communication and group dynamics, which are critical to success and satisfaction as clinical leaders.