Literature Review

From loss to calling: Nursing students’ experiences of family terminal illness and death in the formation of professional identity and humanistic care Death Studies; by Laurie Glick and Adi Finkelstein; 5/10/26 ... This qualitative study examined nursing graduates who experienced the terminal illness and death of a close family member, providing them with early exposure to clinical settings and shaping their emotional insight and sensitivity to the psychosocial dimensions of end-of-life care. Their experiences often deepened their desire to enter the nursing profession and deliver compassionate, humanistic, family-centered care as clinical practitioners. 

Geographic distance between perinatal and pediatric palliative care services and implications for practice standards American Journal of Hospice and Palliative Medicine; by Radion Svynarenko, PhD, Meaghann S. Weaver, MD, PhD, MPH, HEC-C, Ambria Williams, BA,Ashley Kiefer Autrey, MD, DonnaMaria E. Cortezzo, MD, Abigail B. Wilpers, PhD, Abagail D. Cohen, MA, HEC-C,  Lisa C. Lindley, PhD, RN, FPCN, FAAN; 5/14/26 Background: Practice standards recommend early integration of perinatal and pediatric palliative care (PC) with seamless transitions across settings. Little is known about the proximity between these services nationally. Results: 418 pediatric PC physicians and 296 perinatal PC programs were included. Five states (CA, TX, NY, FL, OH) had the highest concentrations of pediatric PC physicians. ... Median drive times to the nearest pediatric PC physician for programs lacking on-site expertise reached approximately 5 hours in NM and SD; 3 hours in ND and MT; and 2 hours in AL, CO, WV, and TN.

The dying dream of the dead to be at peace with life DW; by Hannah Fuchs; 5/22/26 Many people have vivid dreams shortly before death. Research suggests the dreams are not a sign of confusion — but may help both the dying and their loved ones make sense of loss. Known as End‑of‑Life Dreams and Visions (ELDVs), they often occur as dreams during sleep, and sometimes as visions while a person is awake. For those experiencing them, they can feel more vivid and real than ordinary dreams — and for those observing them from the outside, it can be unsettling. Medicine long dismissed ELDVs as episodes of sudden confusion (delirium) or as side-effects of medication. But today, the thinking is shifting.

10 of the biggest regrets nurses hear from dying patients SavingAdvice.com; by Amanda Blankenship; 5/15/26 ... Hospice nurse Bronnie Ware famously documented several of the most common regrets she heard from patients nearing death, including working too much and failing to stay close to loved ones. These end-of-life regrets offer important lessons for anyone hoping to live with fewer disappointments and more peace.

States with the most, fewest licensed nurses per capita Becker's Clinical Leadership; by Mariah Taylor; 5/21/26 The National Council of State Boards of Nursing found the District of Columbia has the most licensed nurses per capita, while Utah is the state with the fewest for the second year in a row. ... Becker’s used 2025 Census data to calculate how many nurses are in each state per 100,000 population. Here are the five with the most and the five with the fewest nurses. ...Most [list starts with highest]: District of Columbia ... Alaska ... New York ... Minnesota ... Massachusetts ... Fewest [list starts with lowest]: Utah ... Washington ... Georgia ... Idaho ... Texas ...

AI: as much peril as promise? KFF; podcast/transcript hosted by Chip Kahn III with guest Robert Wachter, MD; 5/19/26 Episode 4, AI Series: What does AI mean for patients in bed and doctors at the bedside? Host Chip Kahn and guest Dr. Robert Wachter, Chair of the Department of Medicine at the University of California, San Francisco, discuss whether AI will produce a different kind of doctor in the future — a “clinician curator rather than a clinician-diagnostician.” The answer could define the future of medicine and the doctor-patient relationship.

A husband’s story of end-of-life care at home MedPage Today's KevinMD.com; by Ron Louie, MD; 11/27/25... When my wife died at home, it wasn’t really a surprise. ... Over the previous few weeks, we had notified her primary care physician’s office of the need for a home hospice referral, but because of some snafu, the correct wording wasn’t used, and the paperwork stalled. ... Years before, we had already obtained a POLST (Portable Order for Life-Sustaining Treatment, our state’s “green form”), signed by a doctor, that made clear my physician wife’s choices in advanced directives: no CPR, tube feedings, or IV treatments. ... Since we didn’t have an active home hospice referral, I knew that firefighters could pronounce her death; my own license had lapsed in retirement. ... The firefighters left, but the police stayed quite awhile until they were cleared by the Medical Examiner’s office. ...Editor's Note: This caregiver story powerfully tells challenges experienced by a retired oncologist/spouse. Calling all leaders who are part of referral and admissions processes, pay attention to the problems caused by delays: firemen, police, and (not named) lack of bereavement care.

Proposing a framework to license autonomous clinical AI: as autonomous clinical AI continues to evolve, we need uniform regulatory standards, says LDI Fellow Penn LDI - Leonard Davis Institute of Health Economics; by Alon Bergman, PhD; 5/15/26 Late last month, Utah’s Medical Licensing Board called for the immediate suspension of the state’s pilot program with the AI company Doctronic. The program lets a chatbot evaluate patients and recommend prescription renewals for nearly 200 chronic condition drugs, with the state planning to phase out physician review of each case. The board said that it only learned about the pilot after it had launched. Its warning was blunt: proceeding without proper clinical oversight “potentially places Utah citizens at risk.” ... Utah is one of at least 47 states now considering more than 250 bills governing clinical AI, producing a patchwork of rules on bias audits, payment policy, and patient consent.Editor's Note: See related article by the same author Alon Bergman, AI doctors should be licensed. Here’s a framework to do that: Utah's pilot program with Doctronic shows that federal action is necessary. 

 Wisconsin-made film "Winter Hymns" gets more showings on the silver screen WKWO-27 ABC, Madison, WI; by Lucas Kihmm; 5/17/26 A movie that's produced and filmed right here in Wisconsin, Winter Hymns tells the story of a palliative care doctor meeting with a series of dying patients over a one day span. Writer and Director of the film Nathan Deming sat down with 27 News anchor Lucas Kihmm to talk about the movie and says he was inspired by his father, who was a palliative care physician, to make the film. ... It's now getting more exposure to audiences across the state and country after Flix Brewhouse gave Deming the opportunity to show his film in theaters. 

Assessing PA student interest in hospice and palliative medicineThe American Journal of Hospice & Palliative Care; by Ryan Baldeo, Rachael Broder; 4/26While hospice and palliative medicine (HPM) is a critical and growing field, Physician Associates (PAs) are underrepresented. This study sought to assess PA student interest in HPM and identify strategies to increase engagement with the Physician Associates in Hospice and Palliative Medicine (PAHPM) organization. The survey assessed attitudes toward HPM and identified barriers to organizational involvement. Lack of awareness was the primary barrier to involvement (75.8%). Students expressed interest in educational resources (63.6%), job opportunities (57.6%), and mentorship (51.5%). Most respondents (81.8%) do not currently follow PAHPM on social media, but 72.7% indicated they would follow an Instagram account.

Ribbon cutting held for Bernardo Hospice Care The Newberry Observer, Newberry, SC; by Kelly Duncan; 5/11/26 Dr. Michael Bernardo has been a staple in the Newberry community for over 30 years, providing care for families in all stages of life, from childbirth and adult medicine to making the transition to geriatric care and opening his own hospice practice, Bernardo Hospice Care, in 2023. Last week, Bernardo Hospice Care was officially welcomed into the community with a ribbon cutting ceremony. ... Earlier this year Beranardo was named Physician of the Year by the SC Home Care & Hospice Association. ...

Clinician grief is a hidden crisis in modern hospice care MedPage Today's KevinMD.com; by Linda Ellington, RN; 5/12/26 I stood knocking at the door of my hospice patient like I did every Monday for the past eight months. A musically talented man in his early 40s was always waiting for my weekly nursing visit, more so for the aspect of socialization. He was diagnosed with colon cancer two years prior and had a colostomy bag, leaving this once vibrant, social, even handsome man a shell of what he once was. He became introverted and allowed only one friend to check on him occasionally. He had no family and only one estranged child who lived in another country. There was no answer at the door ...