Literature Review

Penn Health CEO on piecing together the healthcare hiring puzzle Becker's Hospital Review - Leadership & Management; by Madeline Ashley; 6/17/24 ... Penn Medicine has introduced programs to students and young people that will not only inspire them to join the healthcare industry, but prepare and train them for the opportunities that lie ahead. "I think the world needs mission oriented people," Kevin Mahoney [CEO of Philadelphia-based University of Pennsylvania Health System] told Becker's. "You've got to believe in where you're working, otherwise you're just punching the clock." In late May, the health system partnered with Heights Philadelphia, an organization that connects middle schoolers and up with career and college opportunities, and Philadelphia City Council majority leader Katherine Richardson to hold a career event. ... "By introducing students to the field, we’re creating a pathway to careers that enrich lives and make a difference in others. Encouraging careers in health care also helps to strengthen the field overall, ensuring a pipeline poised to answer the needs of the future." [Click on the title's link to read more of this innovative solution, and other student-oriented programs.] 

A palliative care curriculum may promote resident self-reflection and address moral injury The Journal of Surgical Research; by Shruti Koti, Lyudmyla Demyan, Danielle Deperalta, Sophia Tam, Gary Deutsch; 6/22/24 online ahead of print Introduction: There is a lack of formal palliative care education for surgical trainees, and the demanding nature of surgical training and exposure to challenging clinical scenarios can contribute to moral injury. We developed a palliative care curriculum to promote self-reflection, aiming to address moral injury in residents.Conclusions: The described palliative care curriculum accomplishes several goals as follows: it educates residents on palliative care topics, teaches communication tools, encourages self-reflection, and provides space for building peer relationships. The ease of implementation makes this curriculum applicable across various types of institutions, offering the potential to positively impact surgical training on a national scale.

Health system C-suites expanding Becker's Hospital Review - Leadership & Management; by Laura Dyrda; 6/18/24 Health system C-suites are evolving to meet the changing needs and priorities of the organization. Roles focused on the patient experience, sustainability and health equity are on the rise. Large and small health systems are revamping their C-suites to tackle new projects and oversee emerging areas of growth. Others are elevating clinical and IT leaders as their core accountabilities become an essential aspect of hospital strategy moving forward. Here are five emerging roles at health systems across the country.

'We may not ever be fully staffed': Health system C-suites plan for the future Becker's Hospital Review - Leadership & Management; by Laura Dyrda; 6/24/24 After the pandemic, most healthcare leaders experienced a "great resignation" as workers left for other service industries and ever since health systems have been dealing with a lack of skilled labor to backfill the vacancies. "As we have realized we may not ever be fully staffed to the degree we were pre-COVID, we now must augment our existing workforce with technology that extends their capabilities," said Mark Moseley, MD, president of USF Tampa General Physicians and executive vice president of Tampa General Hospital. "This is a two-part challenge. First, we need to deploy technology thoughtfully with sound blocking and tackling, which is expensive in both time and capital. Second, we must train our workforce to use these new technologies to aid them in their daily responsibilities in a manner that does not diminish the ethos of why many of us went into healthcare: the interactions with patients and members of the healthcare team." Physicians and nurses can fall on a wide spectrum of excitement or distaste for incorporating technology into their practice. Some may find it impersonal and challenging to understand while others see it as a tool boosting their capacity. ... [Click on the title's link to continue reading.]

Lawmakers remain committed to passing hospice workforce bill Hospice News; by Jim Parker; 6/24/24 Federal legislators plan to continue to work on passing a bill designed to bolster the hospice and palliative care workforce. The Palliative Care and Hospice Education Training Act (PCHETA) has come before Congress several times but has not yet been passed. The bill’s most recent development occurred in July 2023, when it was reintroduced by Sens. Tammy Baldwin (D-Wisc.) and Shelley Moore Capito (R-W.Va.). Capito has indicated that the senators are not giving up on the legislation as they seek to ensure that hospice and palliative care providers are able to meet growing demand. ... The legislation would establish fellowships through new palliative care and hospice education centers to provide short-term, intensive training, as well as incentivized award programs across all the relevant disciplines. It also would support programs to develop career paths within the field.

36 hospitals, health systems cutting jobs Becker's Hospital CFO Report; by Kelly Gooch; updated 6/21/24 A number of hospitals and health systems are reducing their workforces or jobs due to financial and operational challenges. Below are workforce reduction efforts or job eliminations announced this year.  June:

Psychological health in Palliative Care: Thematic analysis of a psychiatrist's and an art therapist's clinical reflexive journals Palliative Medicine; by Wen Phei Lim, Roxanne Jia Yu Chew, Clare O'Callaghan; 6/19/24 online ahead of print Aim: This study aims to describe how patients receiving palliative care experience psychological health, explore the meaning of a palliative care clinician's work and contribute to the understanding of psychological health in palliative care through the reflexive and visual journals of clinicians.

Palliative care nurses share precious lessons learnt after decades working with the dying News.com.au [Australia]; by Jessica Wang; 6/16/24 After taking care of terminal patients who are facing death for 35 years, Sydney nurse Cindy Grundy has learnt a lesson or two about living. Her most cherished is to “guard your time” and treat it like the invaluable commodity that it is, says the palliative care nurse, who works in an inner-city public hospital. “To me, time is everything. It’s so precious,” the 59-year-old said. “You need to learn how to prioritise things and let go of the things that don’t matter. I appreciate the smaller things in life from working in this job but time is a big thing for me.” ... At the heart of what she does, and other palliative care nurses do, is make sure patients can get the most out of the last few hours, days, weeks or months of life – whether that’s through managing their symptoms or fulfilling their last wishes. “They’re dying but they’re still alive and that’s a chance for laughter, love and new experiences,” says fellow Sydney-based nurse Steven Turk.

RN pay for all 50 states adjusted by cost of living | 2024 Becker's Hospital Review; by Mackenzie Bean; 6/13/24 California has the highest hourly mean wage for registered nurses, even after adjusted for cost of living, according to data from the Bureau of Labor Statistics. [Following] are the mean hourly wages for nurses in all 50 states and Washington, D.C., adjusted for cost of living. Becker's calculated these figures using May 2023 salary data from BLS and 2024 cost of living index data from the World Population Review. (Click on this title's link for each state's (1) RN hourly mean wage, (2) Cost of living index, and (3) RN hourly mean wage, adjusted by cost of living.

4 CFOs' keys to improved operating performance Becker's Hospital CFO Report; by Andrew Cass; 6/13/24Altru, Memorial Health, Penn State Health and Sharp HealthCare are among the systems that reported improved year over year operating performance in their most recent financial reports.  Becker's asked the CFOs of the four health systems to share one key to their boosted operating performance: ...

The value of a DNP degree: Translating your knowledge into nursing practice Delaware State Nurses Association; by Karen L. Pickard, DNP, RN, CNE, NEA-BC; 6/13/24The Doctor of Nursing Practice (DNP) degree has gained traction in the United States over the last twenty-two years. Nurses who specialized in clinical practice and held an advanced practice license supported the development of the DNP degree as an alternative to a terminal degree specialized in research science and academia, the Ph.D. ... Having a broader perspective related to the business of healthcare while understanding the clinical challenges nurses face at the bedside gives a DNP-prepared nurse opportunities to present information and solutions through a different lens. Opportunities on boards, advisory committees, and professional organizations have become vast, ...Editorial Note: Does your organization have DNP professionals whose skills you are under-utilizing? Do you have talented, motivated nurses who would benefit from a DNP career ladder plan? Share this article. What career ladder options and support do your Human Resources systems provide?

3,000+ nurses at 6 Providence facilities to strikeBecker's Hospital Review; by Kelly Gooch; 6/10/24 Members of the Oregon Nurses Association are set to begin a three-day strike June 18 at six Providence facilities, in what the union deems the largest nurses' strike in the state's history. The union represents more than 3,000 nurses at the following facilities, according to an ONA news release: