Literature Review

When the prognosis shifts: How communication strategies can help patients and families plan for what’s next Cancer Nursing Today; by Monique Nugent, MD, MPH, Gina Mohr, MD, Sarah Anderson, DNP, AGACNP-BC, OCN, WCC, Sarah May, MD; 2/20/26 Monique Nugent, MD, MPH, author of Prescription for Admission and hospitalist at South Shore Health, joined Cancer Nursing Today and Urban Health Today to moderate a collaborative roundtable focused on leading challenging conversations in healthcare settings, including key takeaways and educational insights for oncology nurses. A multidisciplinary panel of experts accompanied Dr. Nugent ... [to discuss] how oncology nurses and other healthcare professionals should approach end-of-life discussions with patients and caregivers and why in-depth planning for these conversations is critical.

“You’re not just there to do a job”: a qualitative examination of Canadian long-term care worker strengths BMH Health Services Research; by Duneesha Goonetilleke, Nick Boettcher, Sofia Celis & Bonnie Lashewicz; 2/25/26, online ahead of print Results: We present three themes identifying interlocking expressions of strength. First, during crisis, workers stretched roles, redistributed tasks, and supported one another to sustain care under extreme constraint. Second, staff upheld person-centred care in their daily actions, working from values of dignity, relationships, and residents’ goals. Third, workers translated experience into learning and advocacy, articulating ideas to improve staffing, role clarity, leadership practices, and visitation approaches. Across these expressions, workers’ tenacity, togetherness, and shared purpose enabled collective action, although these strengths often entailed costs such as fatigue and moral strain. 

Hospital chaplain shares what end-of-life patients regret most Religion Unplugged; by Elizabeth Eisenstadt Evans; 2/24/26 ... In her research focused on the greater Boston area, Brandeis University professor (now President of Bryn Mawr College) Wendy Cadge found that many chaplains — whether they serve in hospitals, prisons or the military — often focus on end-of-life care and “big questions,” ones that might arise more forcefully in a time of crisis. ... When I’m with people near the end of their lives, what I most often witness is not fear of death itself, but grief over unfinished relationships and or unexpressed parts of the self. Many people grieve time they now see as wasted on what felt urgent in the moment but unimportant in hindsight — work that eclipsed connection, worry that crowded out presence, obligations that pulled them away from what actually nourished them. Alongside this is grief for words left unsaid, tenderness withheld, and versions of themselves they didn’t feel permitted to become.

Hollywood Health System, Inc. announces major expansion of palliative care services amid record demand The America Watch, Toluca, CA; Press Release; 2/20/26 Hollywood Health System, Inc. (HHS), a leading provider of comprehensive post-acute clinical care, today announced a significant increase in patient enrollment within its Palliative Care Services division. To meet this rising demand due to shifting demographics, the company is methodically expanding its clinical staffing and specialized resources, reinforcing its commitment to high-quality supportive care. ... To support the growing patient census, Hollywood Health System, Inc. has increased its clinical headcount by 25% over the last two quarters. 

Weaving a unified fabric of care will heal the patient-provider relationship MedCity News; by Sachin K. Gupta; 2/20/26 Healthcare can transform only when strategy, workflow, data, and human connection operate together with a single purpose: strengthen the relationship at the center of care. The healthcare industry is under strain. ... At the core of these problems is the strained patient-clinician relationship. Healthcare is losing the very relationship it was built on. This is one of the prime problems that we need to solve to build a stronger healthcare industry, and AI is the instrument. ... Healthcare can transform only when strategy, workflow, data, and human connection operate together with a single purpose: strengthen the relationship at the center of care.

‘Mass layoffs’ at PeaceHealth include hospice staff Hospice News; by Holly Vossel; 2/18/26 PeaceHealth has announced the elimination of 94 positions across its facilities in Washington state, effective on April 12, 2026. The impacted locations include the PeaceHealth Whatcom Hospice House and medical, surgical and cancer centers, among other facilities. PeaceHealth recently submitted a statement to the Washington Employment Security Department, which included a formal notice of workforce reduction that included “mass layoffs” as defined under state regulations. State requirements stipulate that businesses must provide 60 days notice prior to these types of layoffs under the Worker Adjustment and Retraining Notification (WARN) Act. 

How to plan for a ‘good death,’ according to a VCU researcher VCU News, Virginia Commonwealth University; by Madeline Reinsel; 2/16/26 People talk a lot more about death than dying. That’s according to Yifan Lou, Ph.D., a Virginia Commonwealth University School of Social Work assistant professor who studies how expectations around death and end-of-life care differ across cultures. ... “My job is really trying to understand different populations and then help design a policy and health care system that can support their value of the good death.” Planning for a good death requires patients and families to make decisions around hospice care, pain management, quality of life, financial affairs and long-term care, ideally alongside a social worker.

This American Heart Month, Carolina Caring elevates cardiac care for serious illness Carolina Caring, Newton, NC; Press Release; 2/9/26 February is American Heart Month, a national effort to raise awareness about heart disease, the leading cause of death in the United States. As of 2025, 6.7 million Americans over the age of 20 are living with heart failure (Heart Failure Society of America, 2025). ... In response, Carolina Caring’s Advanced Cardiac Care program provides effective, tailored support to patients with chronic heart conditions. As the first cardiac care program of its kind in North Carolina, Carolina Caring combines nationally recognized standards of care with a home-based hospice approach. 

What can we learn from death in the age of longevity? Time; by Arianna Huffington; 2/16/26 ... Research on those at the end of life shows that our values change as death approaches. At the end, we don’t crave more status or more things, but more connection. A study on terminally ill patients found that common reflections include concern for loved ones, gratitude, and spirituality. Another found that the most commonly discussed topics included accepting one's imperfections, celebrating and appreciating what you have, giving, and service to others. And a study of hospice patients found that they showed “the desire to grow and change at this critical time.” If hospice patients can grow and change at the end of life, why not grow and change now? ... It is a surprising, but important, lesson to learn: bringing death into our lives is what paradoxically allows us to live more fully.  

Suffolk paramedic students participate in 1st clinical hospice-specific rotation Patch, Westhampton-Hampton Bays, NY; by Lisa Finn; 2/12/26 In a groundbreaking new program, Suffolk County Community College paramedic students have begun participating in New York State’s first hospice-specific clinical rotation at the East End Hospice Kanas Center for Hospice Care in Westhampton Beach. As part of their program training, Suffolk students already complete more than 600 clinical hours in areas that overlap with emergency services, including emergency rooms, labor and delivery, and mental health, officials said. The new initiative introduces an unprecedented focus on hospice care within paramedic education, officials added.

How an ethics course can prep you for med school: It can strengthen communication and empathy and help with complex treatment and research decisions. U.S. News & World; by Neha Raju; 2/10/26 Medical school applicants often focus on the most tangible parts of preparation: grades, MCAT scores, clinical hours and research. Ethics courses, when considered at all, are sometimes treated as peripheral or “nice to have” rather than genuinely useful. That view misses how central ethical reasoning has become ...

Spreading the principles of palliative care to all corners Health Affairs; by Jessica Nutik Zitter; 2/2/26 My daughter Sasha is a first-year medical student. ... Most recently, she has been envisioning herself as a palliative care physician. She tells me it may be the only specialty that will allow her to practice her values. As a long-time palliative care physician who has acted as an evangelist for the specialty, I surprised myself with a reflexive response. “I’m not sure that’s the best choice for you,” I said. ... Something needs to change—for our patients and for ourselves. ... I propose several strategies ...

How ‘rest’ became the biggest four-letter word in healthcareMedscape; by Eric Spitznagel; 1/30/26As a resident at Yale New Haven Hospital in New Haven, Connecticut, he did his best to get enough of it, which wasn’t often. Even when he managed a full night’s sleep, it didn’t bring the relief he expected. His body might slow down, but his mind didn’t. “My mind kept racing through patient records,” Jacobs said. “So even sitting on the couch wasn’t helping.” He was on the cusp of understanding what few healthcare workers figure out: True rest requires more than lying down. It requires something that pulls your attention out of the mental loops that medicine trains clinicians to spin 24/7. ...