Literature Review

Phoenix medical students using AI to help them navigate difficult diagnoses or patient discussions NBC News 12, Phoenix, AZ; by Troy Lynch; 1/12/26 For nursing students, delivering a life-altering diagnosis or navigating end-of-life discussions can be more daunting than any clinical procedure. At Creighton University’s Health Sciences Phoenix campus, students are now turning to artificial intelligence to bridge that emotional gap. Launched in the fall of 2024, Creighton faculty and computer science students developed a specialized AI chatbot designed to help nursing students practice "soft skills" in a low-stakes environment. Unlike general-purpose AI, this program is custom-coded to simulate patient interactions and provide immediate, nuanced feedback on empathy and professional tone.

No time like the present: End-of-life simulation in the first semester of a 12-month accelerated baccalaureate nursing programJournal of Hospice & Palliative Nursing; by Alexander T Wolf, Karen L Hunt, Maura D Penfield; 12/25Accelerated nursing programs face unique challenges in incorporating palliative care. This report describes a high-fidelity home hospice simulation developed for first-semester students in a 12-month accelerated baccalaureate nursing program in the northeastern United States. The simulation integrated foundational nursing skills with palliative care competencies. Thematic analysis of student reflections revealed 5 emerging themes: pain management, empathy, family involvement, communication, and knowledge and preparation. Despite challenges in creating a realistic home environment, the simulation provided valuable hands-on experience in palliative care, demonstrating the potential for early curricular integration of these crucial skills.

“Can We Talk?” A community-based training to improve serious illness communication Home Healthcare Now; by Ashley Kaminski Petkis, DNP, APRN, AGACNP-BC and Eric Hackenson, DPT; Jan/Feb 2026 Serious illness conversations (SICs) are often delayed or avoided in community-based healthcare due to clinician discomfort and lack of training. Given that many patients wish to die at home, yet often do not, there is a need for structured communication training in home care and hospice settings to ensure the care we provide aligns with patient and family preferences. ...  By embedding SIC training within a community-based organization, this work demonstrated how modest interventions can catalyze a change in practice, reinforcing the idea that SICs are a standard of quality care rather than an optional enhancement.

Teaching primary palliative nursing care: A model of competency-based educationJournal of Professional Nursing; by Hannah Murphy Buc, Melissa McClean, Janet Armstead Wulf; Jan-Feb 2026Holistic care models such as primary palliative care offer individuals a coordinated, interprofessional and compassionate approach in any healthcare setting regardless of condition. Currently, palliative and end-of-life nursing care content is either threaded throughout nursing curricula or not included at all. This article documents the development of a required primary palliative care course in a baccalaureate nursing program and shares recommendations on competency-based teaching and evaluation methods to encourage implementation in other academic nursing settings. Course evaluations indicate that the class was well received and valuable to students' learning experience.

Hospice and palliative medicine fellows' perspectives on physician-assisted dying education: Hospice and palliative medicine fellows' perspectives on physician-assisted dyingJournal of Pain and Symptom Management; by James Cescon, Antoinette Esce, Melanie Koren, Edith Meyerson, Mollie A Biewald, Robert M Arnold, Anup Bharani, Laura Belland; 11/25Physician-Assisted Dying (PAD) is legal in a growing number of U.S. states, with access expanding nationally due to recent legislative changes. An anonymous nine-item survey was sent to all HPM fellows (N=21) at the Icahn School of Medicine at Mount Sinai. All respondents agreed that learning about PAD in fellowship is important. Topics of interest included ethical considerations (95%), legal criteria (86%), responding to requests in serious illness conversations (86%), navigating requests (76%), and pharmacology/modes of ingestion (71%). While only 10% intended to provide PAD in future practice, 57% were unsure or had not thought about it, and 33% were not considering it. These findings underscore a clear educational need and may guide curriculum development.

Terminally ill Stanford professor teaches class about dying from cancerCBS News, Bay Area, CA; by Elizabeth Cook; 3/13/25 A Stanford University professor's new curriculum explores the multiple aspects and phases of a person dying of cancer, and it comes from a person with first-hand knowledge. Dr. Bryant Lin has been a professor for almost two decades. He's used to being the teacher, not the subject of his classes. But that all changed in 2024 when he was diagnosed with stage 4 lung cancer. ... The diagnosis was a dose of cruel irony. Lin co-founded the Center for Asian Health Research and Education. One of the priorities for the foundation is researching non-small cell adenocarcinoma, also known as "never-smoker lung cancer," the same cancer diagnosis that Lin received. ... The class is called "From diagnosis to dialogue: A doctor's real-time battle with cancer." Within minutes of being posted, the class and the waitlist were full. ... The 10-week course covers the entire spectrum of cancer as seen through the eyes of someone who is living it. ... Stanford University recorded every session of the class so that they could live on for future physicians. If you would like to watch them, they can be found on YouTube. 

Staying connected: A longitudinal, multisite, interprofessional rural fellowship collaborationJournal of Pain & Symptom Management; by Rhianon R. Liu, Rebecca N. Hutchinson, Stephen H. Berns, Nastasha Stitham, Jackie Fournier, John W. Wax MD , Lisa A. Stephens, Jonathan S. Jolin, Maxwell T. Vergo; 11/25Four interprofessional Hospice and Palliative Medicine (HPM) fellowship programs in rural northern New England states created an in-person educational retreat series. The goal of the series was to maximize shared educational resources and foster community amongst faculty and fellows, in an upstream attempt to improve recruitment/retention of clinicians in three rural states with inadequate access to specialty palliative care. At least 88% of fellows rated the retreats effective in strengthening their clinical, communication, teamwork, and leadership skills. Over four-fifths of faculty and fellows felt the retreats increased their sense of belonging and decreased professional isolation. The retreats were a top factor influencing fellowship choice for 29% of fellows, as well as a major incentive to remain practicing in the region for 32% of faculty.

25 years of progress: ELNEC and AACN transforming palliative nursing education Journal of Hospice & Palliative Nursing - JHPN / HPNA; by Cassandra Godzik, PhD, APRN, CNE, Deborah Trautman, PhD, RN, FAAN, Robert Rosseter, MBA, MS, FAAN, Pamela Malloy, MN, RN, FPCN,Jennifer DiBenedetto, PhD, APRN, Polly Mazanec, PhD, AOCN, ACHPN, FPCN, FAAN; 12/25 In the year 2000, leaders with the American Association of Colleges of Nursing joined with Dr. Betty Ferrell and her colleagues at City of Hope to address gaps in how nurses are educated to care for patients at the end-of-life and their families. ... To date, more than 1.7 million nurses have been educated with the ELNEC curriculum, and more than 1200 undergraduate and 440 graduate schools of nursing offer ELNEC training in palliative end-of-life care. The remarkable academic-practice partnership at the heart of ELNEC has dramatically changed nursing care for patients with serious illnesses and their families in the United States and globally. ... Editor's Note: As ELNEC celebrates its 25th anniversary, we honor a leadership legacy that has transformed nursing education and elevated end-of-life care worldwide. What began as a visionary collaboration between AACN and Dr. Betty Ferrell at City of Hope has become a global standard—preparing nurses for clinical excellence, compassionate presence, and interdisciplinary care. With deep appreciation, we celebrate Dr. Betty Ferrell, ELNEC, AACN, City of Hope, and the leaders who continue to champion this vital work forward.

[Europe] Muslims often don’t trust palliative care. A new charity aims to change that  Hyphen; by Weronika Stryzyzynska; 12/15/25 Al-Amal, founded by a doctor and a chaplain, is informed by the Muslim view of a good death — something they say is lacking in mainstream care. A new charity to support Muslims navigating palliative care is preparing to launch after Ramadan. As well as providing an emotional support telephone line, Al-Amal will also offer practical advice on accessing culturally and religiously appropriate care.  The Muslim view of what a good death looks like is informed by values beyond the medical. … This can affect the way Muslim patients include their families in the decision-making process or their approach to pain management.

Daughters of Marshall: 4th-generation graduate credits family's perseverance for her success The Herald-Dispatch, Huntington, WV; by Mary Jane Epling; 12/13/25 What looks like an ordinary graduation stage to most will feel more like a well-worn trail to Marshall University senior Emma Randan--a path carved by three generations of women who crossed it before her.  ... [Forty-six years before ]her great-grandmother, Laura Darby, was wrapping up her long-awaited associate's degree in nursing, taking part in Marshall's Class of 1979. ... Darby would go on to complete a bachelor's degree in nursing and earned a master's by 1982, using her Marshall-built network to dream up Hospice of Huntington for a senior project. The nonprofit founded by Darby was the first hospice in the state of West Virginia to become Medicare-certified, and it still provides end-of-life care to patients from West Virginia, southern Ohio and eastern Kentucky.

CHAP celebrates 60 years in home-based care Community Health Accreditation Partner (CHAP); email and website; 12/5/25 This year, CHAP marked a milestone that speaks volumes about our legacy and our future: our Diamond Jubilee. Sixty years of progress, partnership, and innovation came to life as our incredible team gathered to celebrate not just an anniversary, but the people who make our mission possible every day. It was a moment to honor the tradition that began in 1965 and continues to shape home-based care across the nation; a tradition built on excellence, compassion, and a shared commitment to the providers we serve. As we reflected on six decades of impact, the celebration reminded us of something even more powerful: the strength of our present and the promise of what’s next.Editor's Note: Hospice & Palliative Care Today celebrates CHAP immeasureable contributions to improving patient / caregiver / family care, staff education and standards, organizational systems, and more!