Literature Review

Your culture isn't what you say—it's what you tolerate | part one Teleios Collaborative Network (TCN); by Chris Comeaux; 9/926 Your organization’s culture isn’t defined by the values hanging on the wall—it’s defined by the behaviors leaders allow to continue. In Part One of Your Culture Isn't What You Say—It's What You Tolerate, host Chris Comeaux sits down with Tom Foster, President of Foster Learning Corporation and author of Premeditated Culture: The Consequences of What We Tolerate, for a compelling examination of how organizational culture is actually created.  Foster challenges a common leadership assumption: culture begins with defining what an organization believes. Instead, he argues that leaders should start by identifying the specific behaviors they want to see—because beliefs, values, customs, and ultimately culture become visible through what people actually do.

Narrative review of the US specialty palliative nursing workforce 2025: Measurement for now and the futureJournal of Pain & Symptom Management; by Susan Lysaght Hurley, Morgan E Murphy, Marian Grant, Caitlin Brennan, Joanne Reifsnyder, Joan G Carpenter; 8/26A robust, expertly trained nursing workforce is needed to care for over 13 million people living with serious illness in the United States (US). Workforce data remain limited due to the diversity of nursing roles in hospice and palliative care. No comprehensive estimate exists for the broader palliative nursing workforce; however, a 2024 national survey estimated 56,619 registered nurses working in hospice. Palliative nursing education was not formally integrated into US nursing curricula until 2021 with the AACN publication of The Essentials, and only 12 healthcare organizations offer specialty nurse residency or fellowship programs. The National Board for Certification of Hospice Nurses was established in 1992 in the US and awarded the first certification to registered nurses in 1994; in 2025 nearly 12,000 nurses are certified.

Your culture isn't what you say—it's what you tolerate | part one Teleios Collaborative Network (TCN); by Chris Comeaux; 9/926 Your organization’s culture isn’t defined by the values hanging on the wall—it’s defined by the behaviors leaders allow to continue. In Part One of Your Culture Isn't What You Say—It's What You Tolerate, host Chris Comeaux sits down with Tom Foster, President of Foster Learning Corporation and author of Premeditated Culture: The Consequences of What We Tolerate, for a compelling examination of how organizational culture is actually created.  Foster challenges a common leadership assumption: culture begins with defining what an organization believes. Instead, he argues that leaders should start by identifying the specific behaviors they want to see—because beliefs, values, customs, and ultimately culture become visible through what people actually do.

Hospice care has increased in Minnesota, but some nurses are set to strike MINNPOST; by Maddie Robinson; 9/4/26 Allina Health hospice nurses are demanding better pay and more manageable caseloads as demand for care has grown statewide. After more than a year of contract negotiations and on the heels of a one-day strike in early July, Allina Health hospice nurses are set to strike for one week starting September 11 after union members said the hospital did not adequately address employee concerns about raises, staffing and caseloads. More than 60 Allina nurses in the SEIU Healthcare Minnesota and Iowa union voted unanimously to authorize the strike August 21. After additional contract negotiations with a federal mediator a week later did not pan out for either party, the union announced on August 31 their 10-day notice to strike, during which time contract negotiations will continue. 

Celebrating Connie Fox: 96 years young and 25 years of giving backHERLIFE Magazine; by HERLIFE Magazine; 9/1/26This year, we proudly celebrate Connie Fox, our oldest active volunteer, as she turns 96 years young. Connie began volunteering with Hospice of San Joaquin in 2001, after our hospice cared for her husband. ... When asked why she continues to volunteer, Connie’s answer is simple. “The satisfaction. I’ve loved every minute of it. ... We are family. I love Hospice of San Joaquin.” The feeling is mutual. ... At 96, Connie continues to embrace life with enthusiasm. ... She firmly believes that staying involved and positive is the key to a fulfilling life.

Longtime hospice volunteer grateful for ability to help patients, families Northeast Mississippi Daily Journal, Tupelo, MS; by Leslie Criss; 9/1/26 Back in 2000 when Pat Rutledge was new to Fulton, she realized she needed to find something to do with her time. She went through training to become a volunteer at North Mississippi Health Services Hospice. That was more than 20 years ago. "I'm the only volunteer from back then still here," said the 83-year-old. "I was assigned a patient, went to visit and just fell in love with being a hospice volunteer."Editor's Note: As hospice organizations' names, ownership, and services shift over the years, do your volunteers still feel seen? Pat began in her mid-50s and stayed 25 years — proof that purpose and appreciationcan keep a volunteer for decades. Look at your volunteers: what are you doing--today--to help them stay, through years ahead? What is something new you can do?

Top challenges for hospice nurses Hospice News; by Jim Parker; 8/28/26 Hospice nurses are wrestling with work-life balance, heavy caseloads and other difficulties amid widespread staffing shortages. The dearth of prospective hospice employees is well known and has existed for years. In addition to impacting provider businesses, this trend also affects nurses on the ground. This often comes in the form of a bigger workload, more travel time and the emotional toll of working with the dying, according to Skelly Wingard, CEO of By the Bay Health.

Hospice of Southern West Virginia is offering free Hospice Aide training for qualified applicants sABC-4 WOAY, Beckley, WV; by Brandy Lawrence; 8/26/26 Hospice of Southern West Virginia is offering Hospice Aide training at no cost to applicants interested in starting a career caring for hospice patients in their homes and at Bowers Hospice House. Applicants must have a high school diploma or equivalent, reliable transportation, and complete a WV Cares background check and drug screening. Applications are open now, and training begins on the first day of employment once all pre-employment requirements are completed. Editor's Note: Bravo to Hospice of Southern West Virginia for this innovative, supportive edcuation initiative to address staffing needs for hospice aides. To adapt this for your hospice, examine the CMS Hospice Conditions of Participation: § 418.76 Hospice aide and homemaker services.

Avoiding 3 risk factors in midlife could add 13 dementia-free years Medical News Today; by Amy McLean; 8/5/26 [For you own health and well-being:] Researchers analyzed data in the Atherosclerosis Risk in Communities (ARIC) study, a cohort study that began in 1987. They examined the data of 12,409 participants. They assessed three risk factors, which the ARIC study consistently measured:

One clinician, every conversation: Palliative care delivery by solo APRN hospitalists in Critical Access HospitalsJournal of Hospice & Palliative Nursing; by Melissa Skoff; 7/26Advanced practice registered nurses (APRN) who practice as solo hospitalists in critical access hospitals are often underrecognized in their role in providing palliative and end-of-life care. This article describes the full scope of the solo APRN hospitalist in a critical access hospital setting with close attention to how complex patient demands contribute to the challenges in providing high-quality end-of-life communications. This article examines clinical, educational, and ethical dimensions of this work, and presents a case example that illustrates how these pressures present during a shift. Strategies to strengthen rural palliative care capacity are discussed, including tele-palliative care, remote ethics support, and APRN-centered education. As rural workforce shortages persist and continue to rise, alongside rising patient acuity, naming and addressing these structural gaps is essential in improving quality of care and protecting the well-being of a solo APRN hospitalist.

WVU Medicine gave $25K in cash to hundreds of aspiring nurses. Did it work? Becker's Clinical Leadership; by Paige Twenter; 7/27/26 When WVU Medicine started handing aspiring nurses up to $25,000 in cash, the bet was that money for life’s expenses, not just tuition, would keep them in school. Early returns suggest it is. As of late July, the Morgantown, W.Va.-based system had signed 985 students to its Aspiring Nurse Program and expected to cross 1,000 within a month, said Jessica Huffman, DNP, RN, assistant vice president of system nursing services. The program, which launched in August 2023 at two sites before expanding systemwide, gives students their stipends upfront to cover living costs — a flat tire, a utility bill, groceries — in exchange for a three-year commitment to work as a full-time direct care registered nurse at the 25-hospital system. The premise, drawn from student surveys, was that money is what pushes West Virginia nurses out of school before they finish, not a lack of aptitude.

[Global] Following WHO Global Cancer Report, international nursing and palliative care leaders call for urgent workforce investment for rising cancer needs World Health Organization (WHO) and Internationalouncil of Nurses (ICN); Joint Statement on World Health Organization (WHO) Global Status Report on Cancer 2026; 7/24/26Based on the evidence in WHO’s recent Global Status Report on Cancer 2026, the International Council of Nurses (ICN), International Society of Nurses in Cancer Care (ISNCC) and International Children's Palliative Care Network (ICPCN) urge leaders to invest in and protect the nursing and health workforce to urgently strengthen health systems and improve cancer outcomes across the full continuum of care. ICN, ISNCC, ICPCN welcome the report’s clear message that the future of cancer care will not be secured through medicines and technology alone, but through the health workforces that are the backbone of care. We affirm that meeting the world’s most urgent cancer challenges depends on investing in nurses and multidisciplinary teams; addressing workforce shortages and burnout; and moving away from medicalized models towards people-centered, equitable health care across prevention, treatment, survivorship, rehabilitation and palliative services.

Executive Personnel Changes - 7/24/26