Literature Review

The missing middle in healthcare—and why it matters | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Bridget Sumser and Sonya Dolan; 6/20/26 What happens between a life-changing diagnosis and hospice care?  In Part One of this thought-provoking conversation, Chris Comeaux welcomes Mettle Health co-founder Sonya Dolan and Director of Counseling & Programs Bridget Sumser to explore what they call healthcare’s “missing middle.” ... Together, they unpack how Mettle Health was created to provide a different kind of support: one centered on accompaniment rather than treatment, resilience rather than answers, and human connection rather than healthcare transactions.

The missing middle in healthcare—and why it matters | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Bridget Sumser and Sonya Dolan; 6/20/26 What happens between a life-changing diagnosis and hospice care?  In Part One of this thought-provoking conversation, Chris Comeaux welcomes Mettle Health co-founder Sonya Dolan and Director of Counseling & Programs Bridget Sumser to explore what they call healthcare’s “missing middle.” ... Together, they unpack how Mettle Health was created to provide a different kind of support: one centered on accompaniment rather than treatment, resilience rather than answers, and human connection rather than healthcare transactions.

Leading with purpose creates a vision for the future of oncology nursing Oncology Nursing Society - ONS; by Ryne Wilson, DNP, RN, OCN; 6/1/26 Momentum is not accidental; it is built through courageous decisions and shared purpose. As ONS moves forward to advancing oncology nursing excellence across clinical practice, policy, and scientific discovery, we are guided by our 2026–2028 Strategic Plan.

Why pre-admission is hospice’s next operational advantage Hospice News; by Jack Silverstein; 5/29/26 When Dr. Darius Joshi named his San Jose, California-based hospice Redwood Hospice, the name had more significance than simply proximity to Redwood National and State Parks. [Rich metaphor of redwood trees for quality hospice care as related to referrals and admissions ...] ... Inside the rise of the pre-admission platform: three areas of improvement:

By the Bay Health recognized as 2026 Golden Bell Honoree for Innovative Healthcare Workforce Development Program ByTheBayHealth.org News, Larkspur, CA; by Sarah Robertson; 5/27/26 By the Bay Health has been named a 2026 Golden Bell Honoree by the Marin County Office of Education (MCOE) and the Marin County School Boards Association (MCSBA) in recognition of its Pathways to Care Careers initiative ... The award recognizes By the Bay Health’s longstanding partnership with Marin County schools and its commitment to expanding access to healthcare career education for high school and college students. A key component of the initiative is the Introduction to the World of Healthcare course at San Marin High School. Funded by private donations to By the Bay Health, the course is taught by a By the Bay Health clinician and clinical guest lecturers through a partnership with the Marin County Office of Education.Editor's Note: Congratulations on this innovative partnership and investment in future healthcare professionals. May this intergenerational model inspire other healthcare organizations to help cultivate the next generation of compassionate care.

Bridging the gap: a hospitalist-designed, nurse-driven palliative care model in a community hospital The Hospitalist; by Natasha Rai Morris, MD, MHA, CHCQM, CRCR, CCDS and Jessica Staton, MSN, MBA, RN, CCM; 6/1/26 ... [The] number of clinicians trained in palliative care is insufficient to meet the increasing demand for goals-of-care and advance care planning discussions. ... To address this gap, a 90-day pilot program was designed and implemented by a hospitalist and registered nurse care manager. The purpose was straightforward: expand access to early goals-of-care conversations, advance care planning, and appropriate hospice referral without waiting for a fully staffed specialty palliative team. ... In short, this model produced measurable documentation gains, earlier advance-care planning, and culture change toward goal-concordant care without requiring a full dedicated palliative team on site.

First do no harm: communication surrounding non-beneficial treatments American Journal of Hospice and Palliative Medicine; by Cassie Stanzler, MD, Adam Marks, MD, MPH, and Laura Taylor, MD, MSc; 5/21/26 Despite a consensus in the medical community that clinicians should not offer non-beneficial treatments (NBTs) to their patients, little guidance exists on the particular communication needs around this fraught topic. While intended in the spirit of non-maleficence, setting limits around NBTs can be seen by patients and families as abandonment, resulting in conflict. In this paper, we propose a framework to guide Palliative Care clinicians in communicating about these complex issues with patients and families. ... Our framework emphasizes proactive relationship building with patients and families, close attention to their values, and compassionate limit-setting when medically appropriate. 

Nurse and provider perceptions of palliative care Nursing Management; by Eydie Tipton, Tracy Viers, and Chelsea Wilson; 5/1/26 Conclusions: Findings suggest that knowledge gaps may not be the primary barrier to palliative care (PC) utilization. Instead, systemic and cultural factors likely contribute to under-referral. Leadership-driven strategies, including standardized referral processes, enhanced interprofessional education, and supportive clinical environments, may help translate knowledge into consistent practice.Editor's Note: Yes, real persons are behind each research article we post. Read this community's pride in the palliative care nurses of Quincy, IL behind this study. Eydie, Tracy and Chelsea saw a need, developed a research project, and saw it through to publication: National journal publishes palliative care research by area nurses.

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.

Mass General Brigham claims 1,400 lives saved hoodline, Boston, MA; by Benjamin Cortez; 5/21/26 Mass General Brigham says a two year, systemwide push to standardize safety checks, expand hospice and roll out predictive analytics sharply cut inpatient deaths, tallying more than 1,400 lives saved in two years by the health system’s own math. Several front line physicians inside those hospitals are not buying it. They argue that shifts in hospice placement and clinical documentation, not overnight miracles in bedside care, probably explain much of the improvement. The result is a rare, very public tug of war between executives celebrating quality rankings and clinicians who say the numbers do not line up with what they see on the wards.