Literature Review

Nursa Survey finds 98% of hospital CFOs view nurse staffing as top challenge Morningstar, provided by Business Wire; 4/2/24Survey results offer insight into C-suite perspectives on workforce trends and financial impact. Nursa, a nationwide platform that exists to put a nurse at the bedside of every patient in need, today released the results of a survey with healthcare decision-makers that examines their perspectives on the evolving social contract of employment, opinions on the 1099 workforce, and reflections on what makes a nurse truly valuable to an organization. Key findings from the survey include:

The Workforce Management Playbook: How Mercy is empowering nurses, saving premium labor costs + improving care Becker's Hospital Review in collaboration with Trusted Health; 3/29/24 At Becker’s 11th Annual CEO + CFO Roundtable, in a session sponsored by Trusted Health, two leaders from Mercy (St. Louis) — Cheryl Matejka, CFO, and Betty Jo Rocchio, DNP, senior vice president and system chief nursing officer — discussed how the right workforce management platform can help organizations redesign their staffing models in tune with nurses’ evolving needs, while saving costs and improving operational efficiency. In Mercy’s presentation to over roughly 100 hospital executives there were three major themes.

What is an end-of-life doula? Psychology Today, by Cheralyn Leeby, PhD, LMFT; 3/31/24"The appellation ‘end-of-life doula’ (EOLD) is increasingly used as an umbrella term to identify lay people, primarily women, who provide a diversity of non-medical supports—social, emotional, practical, and spiritual—for people nearing the end of life, including those close to them" (Krawzik and Rush, 2020). The term doula is derived from the Greek word "doule," which means helper or maidservant. Families hire death coaches to facilitate, guide, and emotionally support the dying process.

How’s Your Soul? JAMA Network, by Daivd Vermette, MD, MBA, MHS; 3/28/24 "Brother David, how’s your soul?” The question took me by surprise. It was time for my first advisement meeting with my residency program director. In medicine, the machine runs on competence and achievement of “milestones.” Yet, as I braced for a meeting to trudge through performance evaluations and in-training exam scores, I awoke to humanity. ... Medical education has numerous models for coaching, advising, and mentoring. While these models helped develop my professional life, they missed the fundamental core of who I am: a human being. Perhaps instead we could embrace a model in medical education built on the tenets of pastoral care. ...

MultiCare healthcare workers in Spokane might go on strike NBC KHQ - NonStop Local, by Laura Erickson; 3/28/24Over 1,400 healthcare workers at MultiCare Deaconess and Valley Hospitals plan to strike for seven days beginning April 7, denouncing what they’re calling “bad faith bargaining” from institution executives in response to short staffing crises in their hospitals. The SEIU Healthcare 1199NW union consists of over 33,000 caregivers throughout hospitals, clinics, mental health, skilled home health and hospice programs in Washington and Montana.

5 C-suite roles talent leaders are watchingBecker's Hospital Review, by Alexis Kayser; 3/21/24Becker's recently connected with HR and talent executives to learn how their health systems are strengthening leadership pipelines. When asked which leadership roles they expect to focus hiring efforts on in the coming years, these C-suite titles emerged.

Hospice & Palliative Care Handbook: Quality, Compliance, and Reimbursement, 4th Edition McGraw Hill - Access APN; textbook by Tina M. Marrelli and Jennifer Kennedy; 3/28/24 “Hospice & Palliative Care Handbook, Fourth Edition, is an invaluable resource for timely hospice regulatory and compliance information, documentation, care planning, and case management. It provides clear guidance for hospice managers, clinicians, and interdisciplinary group members. I have utilized Tina Marrelli’s home health and hospice handbooks to support training new clinical staff and students for decades and consider these resources to be the gold standard.” – Kimberly Skehan, MSN, RN, HCS-D, COS-C, Vice President of Accreditation - Community Health Accreditation Partner

20 states facing acute nursing shortages Becker's Hospital Review, by Kelly Gooch; 3/25/24 ... On March 1, Medical Solutions, a healthcare staffing company, released the 20 states where nurses are needed the most based on the most current nurse-to-state population ratios and projected need by 2030. Ratios in the report were from Census and Bureau of Labor Statistics data published in NurseJournal. Projected need by 2030 is from Projections Central, a site sponsored by the Labor Department. Here are the 20 states where nurses are needed the most, per the Medical Solutions article: ... 

New Orleans nurses rally before union contract negotiations Healthcare Journal of New Orleans; 3/26/24Nurses rallied on March 25 at University Medical Center (UMC) in New Orleans as they began negotiations on their first union contract with LCMC Health, the hospital’s management. Nurses at UMC made history in December when they overwhelmingly voted to join National Nurses Organizing Committee/National Nurses United (NNOC/NNU), becoming the first unionized private-sector hospital in the state of Louisiana and members of the largest nurse’s union in the United States. 

Alzheimer’s deaths expected to grow and industry not prepared with workers, report show Journal-News, by Samantha Wildow; 3/26/24The number of Alzheimer’s deaths in the U.S. more than doubled between 2000 and 2021, the Alzheimer’s Association says in its latest report, which details how about half of health care workers say their industry is not fully equipped to handle the growing population of people with dementia. ... Multiple factors play into why deaths to Alzheimer’s disease and other forms of dementia are increasing, including how the health care system is getting better at treating other things like heart disease and cancer, one local doctor said.

Caring for patients with non-English language preferences American Association of Critical-Care Nurses; 3/25/24 ... With a growing population of people who speak a language other than English at home, nurses and other healthcare professionals must work toward providing better language-inclusive medical care. ... Nurses and other clinical providers must be well-informed regarding the lifesaving nature of language access in healthcare despite any personal bias against or perceived inconvenience of using interpreter services. [This article includes: ]

Palliative care improves quality of life for bone marrow transplant patients Duke Health News & Media, by Alexis Porter; 3/25/24 ... Researchers tested the effectiveness of an integrated palliative care intervention across diverse settings. They enrolled 360 adults undergoing bone marrow transplants at three academic medical centers, including Duke University Hospital, Massachusetts General Hospital and the Fred Hutch Cancer Center at the University of Washington. ... Patients receiving the palliative care intervention reported better quality of life, defined by the degree to which an individual is healthy, comfortable, and able to participate in life events. They also had lower depression, PTSD and fatigue symptoms compared to those receiving usual care. 

15 top health system workplaces, per USA Today Becker's Hospital Review, by Giles Bruce; 3/21/24 Fifteen health systems were named top workplaces in the U.S. by USA Today and human resources technology company Energage. Released March 20, the Top Workplaces USA 2024 list was determined using Energage's confidential employee engagement surveys and participating company benchmarks that take into account years of workplace culture research. [Click on the title's link to view these 15 health systems]Editor's Note: Each of these health systems has a hospice and/or palliative program. We honor your commitments and innovations to ensure "top workplace cultures" for your employees.