Literature Review

Rounds with Leadership: Focusing on the outcomes of NP practice American Association of Colleges of Nursing - The Voice of Academic Nursing; by American Colleges of Nursing (AACN); 8/28/24 ... In a synopsis of more than 50 research studies, the American Association of Nurse Practitioners found that patients under the care of NPs have fewer unnecessary hospital readmissions, higher patient satisfaction scores, and fewer unnecessary emergency room visits than patients under the care of physicians only. Recent studies have shown that ... NPs engaging in end-of-life care had fewer hospitalizations and higher hospice use; ... Despite such compelling evidence, challenges to NP education and practice continue. More than 20 states have yet to grant full scope of practice authority to NPs, denying these expert clinicians the opportunity to exercise the full range of their clinical expertise.

A leadership exodus looms as HR leaders consider leaving their jobs HR Dive; by Carolyn Crist; 8/23/24 About 57% of CHROs and 75% of people leaders are considering leaving their roles in the next 8-12 months, which could damage business continuity and growth, according to an Aug. 20 report by Blu Ivy Group. Major HR attrition could destabilize organizations due to a drop in institutional knowledge, a decrease in productivity and a weakening culture, according to the report. ... In more than 500 surveys and 50 interviews with CHROs and people leaders in the U.S. and Canada, 43% said they spend less than 10% of their time on long-term strategic planning. Continuous crisis management compromises strategic oversight and undermines growth, the report found.

Palliative care graduates undertake noble mission to impact lives of patients University of Maryland School of Pharmacy; by Andrew Tie; 8/20/24 The University of Maryland, Baltimore celebrated 43 graduates of the online Graduate Studies in Palliative Care in a summer ceremony at Pharmacy Hall on Aug. 9. Of the Class of 2024, 36 received their Master of Science degree and seven received a graduate certificate. Two members of the class completed a dual degree along with their Doctor of Pharmacy (PharmD) degree, which they received in May from the University of Maryland School of Pharmacy. ... The program attracts a diverse range of disciplines in health care, such as physicians, nurses, and chaplains.

5 DEI expectations organizations should have of all leaders Forbes; by Julie Kratz; 8/18/24 Without leadership support, diversity, equity and inclusion (DEI) efforts do not work. ... For organizations wrestling with holding leaders accountable for DEI, consider these questions: 

Cognitive impairment in the workplace Alzheimer's Association; email 8/14/24, webpage posted 8/8/24 Due to the aging of the U.S. population, rates of cognitive impairment and dementia in the workplace are on the rise. This creates challenges for employers, many of whom may not know how to best support employees who are experiencing symptoms of cognitive impairment. Conversely, employees may be hesitant to share with their employer the challenges that they’re experiencing. ... Recommendations Regarding Dementia in the Workplace ... [Click on the title's link for this excellent HR information.]

4 ways health systems combat burnout Becker's Hospital Review; by Kristin Kuchno; 8/13/24 Although burnout is down among healthcare professionals, its persistence still garners attention and solutions from systems. Physician burnout fell from 53% in 2022 to 48.2% in 2023, according to a July 2024 report by the American Medical Association. ... Here are four methods four hospitals and health systems are using to address workforce burnout.

Healthcare added 1 million workers since 2020: 5 things to know Becker's Hospital Review; by Molly Gamble; 8/12/24 Healthcare faces numerous workforce challenges, but the industry has steadily added jobs after the COVID-19 pandemic disrupted staffing. An Altarum analysis of U.S. Bureau of Labor Statistics data finds a dual reality for healthcare: The industry has added more than 1 million workers since March 2020 and, at the same time, thousands more healthcare jobs remain unfilled as demand for workers continues to far exceed the supply. Here are five takeaways from Altarum's jobs analysis, which includes breakdowns of the sectors that led employment recovery:

Giving feedback can be daunting for new leaders — here’s how to provide it thoughtfully The Conversation; by Tracy Walsh; 8/11/24 Giving performance feedback at work can be a stressful experience, especially for new leaders and their employees. It often evokes feelings of anxiety, uncertainty and defensiveness. ... Yet, feedback has never been more important. ... When feedback is delivered thoughtfully and perceived as constructive by employees, it can bridge the gap between potential and performance and provide clarity in times of uncertainty. ... [It] includes recognizing achievements, fostering professional development and building trust with employees. ... It’s equally important for leaders to seek and receive feedback from their employees. Embracing feedback enhances adaptability by providing leaders with real-time insights into what’s working and what’s not, allowing them to make necessary adjustments. [Click on the title's link for descriptions and guides.]

Amid trauma and burnout, it ‘takes courage’ to reflect on mental, emotional well-being Healio; by Jennifer Byrne; 7/31/24 ... [William E. Rosa, PhD, MBE, MS] began to realize that in the stressful, devastating situations he and his colleagues faced daily, there was much to be learned from the principles of trauma-informed care. ... “This is the idea that cultivating an awareness can prevent us from re-traumatizing ourselves and others,” he said. “I think it starts with reflecting on — and telling the truth about — our mental and emotional well-being. That takes courage.” In acknowledging the emotional scars, brokenness and vulnerability that comes from tragedy and loss, individuals can begin to heal a lifetime of stored and unresolved trauma, Rosa said. “As a workforce, you and I see unacceptable rates of suicide, burnout, moral distress and attrition,” he said. “It’s time that we come to safe and supported terms with our trauma — not just as individuals, but as a collective, not only for the patients and families we serve, but for us to survive.”Editor's Note: In this article, Dr. Rosa identified "the emotional impact of taking yet another patient off the ventilator at the end of life." Recent articles we've posted in this newsletter about trauma-informed care been in our "Top Reads." While those articles focused on trauma-informed care of the persons you serve, this focuses on the persons who serve, your all-important direct patient care clinicians.

Becoming time rich with physician moms: Sarah Wittry and Nicole Perrotte MarketScale - Ripple of Change; by Todd Otten; 7/30/24 In today’s high-stress healthcare environment, physician mothers face the formidable challenge of balancing demanding careers with their personal lives. The conversation on work-life balance is more relevant than ever, with more women in medicine seeking ways to manage these dual responsibilities effectively. How can physician moms navigate this landscape to reclaim time for themselves without guilt? What strategies can physician moms employ to achieve a healthier work-life balance? This pressing question lies at the heart of today’s discussion on the Ripple of Change podcast. ... Key points of discussion:

How home-based care’s leaders foster a multi-generational workforce Home Health Care News; by Joyce Famakinwa; 7/23/24 In order for the home-based care space to benefit from the demographic tailwinds coming its way, it needs to embrace emerging leaders who are bringing in fresh ideas. VNS Health, Andwell Health Partners and UVA Continuum Home Health are just a few of the companies that are throwing their support behind the next generation of leaders. ... Formerly Androscoggin Home Healthcare + Hospice, Andwell is a nonprofit operator that offers home health, hospice, palliative, behavioral health and pediatric care services. The company employs over 500 workers across all 16 counties in Maine. Along with cultivating the next crop of leaders, companies are figuring out how best to work with a multi-generational workforce.

Palliative care benefit work group Office of the Insurance Commissioner - Washington State; 7/23/24 The Washington state Legislature has directed the Office of the Insurance Commissioner, in consultation with the Health Care Authority, to convene a work group to design the parameters of a palliative care benefit and payment model for fully insured health plans. The work group must submit a report to the Legislature detailing its work and any recommendations by November 1, 2025. The work group must consider the following elements of a palliative care benefit: 

These are the most common jobs in each state in the US USA Today; by Sara Chernikoff; 7/22/24 The most common job in the U.S. is a three-way tie, according to data from the Bureau of Labor Statistics. Home health care and personal aides, retail workers and fast food counter workers ranked at the top of the list with 3.6 million workers in each occupation. ... The desire for home health and personal care aides is on the rise as the share of the elderly U.S. population grows exponentially. This occupation is the fastest growing among most states, news outlet Stacker, reported. ... Home health care aides typically assist people living with disabilities or with chronic illness. Personal care aides are often hired to care for people in hospice care, according to BLS. Advanced degrees are not required for most home health aides, rather those employed by home health or hospice agencies may need to complete formal training or pass a standardized test.Editor's Note: Federal requirements for nursing aides in hospice care are defined in the CMS Hospice of Conditions Participation §418.76 and for home health in the CMS Home Health Conditions of Participation §484.80. Additionally, extensive state laws exist, with differences between states.