Literature Review

All posts tagged with “Clinical News | Physician & Nursing News.”



Core addiction skills training in hospice and palliative medicine fellowships: A national survey addiction skills training in HPM fellowships

09/26/26 at 03:30 AM

Core addiction skills training in hospice and palliative medicine fellowships: A national survey addiction skills training in HPM fellowshipsJournal of Pain & Symptom Management; by J Janet Ho, Steven Z Pantilat, Julie W Childers; 8/26Hospice and palliative medicine (HPM) clinicians increasingly care for patients with serious illness and prolonged opioid exposure, yet often report limited training managing consequences like opioid misuse or opioid use disorder (OUD). PDs [program directors] perceived that fellows have low confidence with opioid misuse or OUD, despite commonly encountering such patients. Most programs offered limited training (2-3 hours), though many provided electives. Fewer than 20% of programs had faculty with formal addiction training, and 25% reported no faculty with buprenorphine experience. Conclusion: Despite broad recognition of the importance of core addiction skills, a shortage of faculty expertise constrains education in HPM physician fellowships.

Read More

Facilitating decision making at end of life: How physicians’ experiences can inform the work of clinical ethicists

09/26/26 at 03:25 AM

Read More

Default hospice consultation in comfort measures orders and hospice engagement

09/26/26 at 03:20 AM

Default hospice consultation in comfort measures orders and hospice engagementJAMA Network Open; by L. Scott Sussman, John M. Henderson, Nancy Kim; 8/26Hospice improves end-of-life care quality yet remains underutilized, with persistent racial and ethnic access disparities. In this quality improvement study, embedding hospice consultation within CMO [comfort measures only] orders was associated with substantial and sustained increases in hospice engagement. Because hospice enrollment cannot occur without consultation, improving consult reliability represents a meaningful intervention. This project embedded hospice consideration directly into an existing clinical transition rather than relying on interruptive alerts or educational efforts alone. These findings contribute to evidence that EHR [electronic health record]-based behavioral nudges can guide clinicians in time-sensitive, high-stakes settings.

Read More

S.E.L.F.: Lessons in institutional cultural humility approach from an academic health center

09/26/26 at 03:00 AM

Read More

When to reconsider artificial nutrition and hydration near the end of life

09/25/26 at 03:00 AM

When to reconsider artificial nutrition and hydration near the end of life South Hospital News and Healthcare Report; by Kamal Wahab, MD, HMDC; 9/24/26 Few end-of-life decisions generate more emotion and uncertainty than whether to continue or initiate artificial nutrition and hydration. Clinicians must balance the potential benefits of these interventions against the burdens while keeping the patient’s goals and quality of life at the center of the discussion. Hospice does not mean stopping treatment. Patients may continue treatments that relieve symptoms or improve quality of life. The guiding principle is whether the intervention is helping the patient achieve what matters most to them.

Read More

Beyond the book: How stories help shape future physicians

09/24/26 at 03:00 AM

Beyond the book: How stories help shape future physicians University of Nevada, Las Vegas (UNLV); by Doug Criss; 9/22/26 Katie Houk builds a medical humanities collection that gives students at the Kirk Kerkorian School of Medicine space to reflect, create, and better understand the people they will care for. ... “Medical humanities is the integration of the humanistic fields into medical training,” Houk says. A large part of the work involves narrative medicine: reading and discussing fictional or true stories to build empathy for patients, connect physicians with one another, and encourage reflection on the physician-patient relationship and the profession itself.

Read More

4 in 5 doctors now work for ‘corporate entities’ as autonomy erodes

09/24/26 at 03:00 AM

4 in 5 doctors now work for ‘corporate entities’ as autonomy erodes Forbes; by Bruce Japsen; 9/8/26 Corporate entities now employ 82% of U.S. physicians, a trend eroding doctor autonomy, according to a new Physicians Advocacy Institute report. The survey reveals nearly half of doctors feel pressured to prioritize patient volume over optimal care. Furthermore, 63% encounter corporate barriers to out-of-network referrals, and 59% feel compelled to keep patients within their health system. PAI's CEO, Kelly Kenney, asserts that corporate owners' primary allegiance is to profits, not patients, directly restricting physicians' ability to ensure the best care.

Read More

Finger Lakes Nurse Honor Guard gives late nurses a final tribute

09/23/26 at 03:00 AM

Finger Lakes Nurse Honor Guard gives late nurses a final tribute Democrat and Chronicle; by Mike Murphy; 9/21/26 As Ruth Benjamin was getting ready to retire after more than 50 years in nursing, two of her colleagues passed away. ... Nursing is a calling and a way of life, Benjamin said by way of explanation, and many like her and her colleague gave everything they had to their profession. ... After some research, Benjamin founded the Finger Lakes Nurse Honor Guard, which celebrates its third anniversary in October. The all-volunteer honor guard ensures that late nurses are recognized, in a similar way that honor guards pay tribute to late military or first responders. ... The service is free.Editor's Note: Though this article is behind a paywall, you can learn more about this inspirational Finger Lakes Nurse Honor Guard from their website.

Read More

Palliative and psycho-oncology care: Dr. Ramy Sedhom on patient distress signs

09/23/26 at 03:00 AM

Palliative and psycho-oncology care: Dr. Ramy Sedhom on patient distress signs Oncology Nursing News; by Alex Biese; 9/21/26Ramy Sedhom, MD, of Penn Medicine Princeton Health discusses blending palliative care with psycho-oncology to treat patient distress in oncology care. ... In this Q&A with Oncology Nursing News, Sedhom discusses strategies for bridging historical silos between palliative care and psycho-oncology, debunks persistent misconceptions surrounding supportive interventions in curative settings, and identifies clinical red flags for unseen distress. 

Read More

Palliative care conversations can enhance support for patients with advanced cancer

09/23/26 at 03:00 AM

Palliative care conversations can enhance support for patients with advanced cancer Oncology Nurse Advisor; by Megan Garlapow, PhD; 9/22/26 Palliative care and hospice address different points along the trajectory of serious illness, and clinicians can improve patient and family understanding by clearly distinguishing the 2 services and using direct, supportive language, according to a presentation at ONS Bridge 2026 by Meg Krasne, MD, MPH, clinical expert and instructor at Dana-Farber Cancer Institute and Harvard Medical School. ... She described palliative care as a specialized medical discipline centered on symptom management, coping, and medical decision-making. Rather than representing a transition away from active treatment, palliative care can function as an additional layer of support throughout the course of serious illness. 

Read More

Fionnuala Crowley on the palliative care gap in oncology: with specialists in short supply, oncology nurses can play a larger role

09/21/26 at 03:00 AM

Fionnuala Crowley on the palliative care gap in oncology: with specialists in short supply, oncology nurses can play a larger role Medpage Today; by Jeff Minerd; 9/18/26 Because many patients with cancer are not receiving adequate palliative care from specialists, primary oncology care teams may need to step up to fill the gap, said authors of a "Comments and Controversies" article in the Journal of Clinical Oncology. "Even if cancer centers have palliative care services, the capacity of these services is often insufficient," Fionnuala Crowley, MD, of the Icahn School of Medicine at Mount Sinai in New York City, and colleagues wrote. Furthermore, research suggests that the need for palliative care specialists is outpacing supply and there will be serious shortages by 2040, the team added. 

Read More

Top ten tips palliative care clinicians should know when caring for seriously ill patients with stimulant use disorders

09/19/26 at 03:15 AM

Top ten tips palliative care clinicians should know when caring for seriously ill patients with stimulant use disordersJournal of Palliative Medicine; by Rebekka DePew, Nicole Dussault, Kyle Quirk, Erin Vipler, Josh Borris, Sandra DiScala, Teddy Scheel, Katrina Nickels, Gregg Robbins-Welty, Janet Ho; 8/26Stimulant use disorder (StUD) is common in the hospice and palliative care (PC) setting, though guidance for clinicians remains limited. Stigma around stimulant use is widespread and can lead to impaired clinician/patient communication, poor symptom control, and lower quality of care. PC clinicians should be able to diagnose StUD, understand the potential pharmacologic and nonpharmacologic management options, engage with patients in a trauma-informed way, and refer to addiction medicine colleagues when appropriate. When utilizing opioids for pain management, PC clinicians should be aware of the impact of stimulant use on opioid risk and toxicity. In this article, a multidisciplinary group of PC, hospice, addiction medicine, psychiatry, ethics, and pharmacy clinicians presents ten practical tips for caring for seriously ill patients with current or prior StUD.

Read More

Personalized sedation goals for agitated end-of-life delirium: Secondary analysis of RECORD trial

09/19/26 at 03:10 AM

Read More

59% of health care workers say they will look for a new job in the next year, and employers guess 39%

09/18/26 at 02:00 AM

59% of health care workers say they will look for a new job in the next year, and employers guess 39% Physicians Practice; by Austin Littrell; 9/16/26 The 2026 Healthcare Workforce Barometer measures the gap between what practice leaders think their staff want, and what staff say they want. Fifty-nine percent of U.S. health care workers say they are likely to look for job openings, interview for or switch to a new role in the next year, according to the 2026 Healthcare Workforce Barometer released Wednesday by The Harris Poll. Employers surveyed alongside them estimated that 39% of their own staff would. Forty-two percent of employees said they are likely to look outside their organization; employers put it at 32%. ... Roughly 40% of the employee sample are physicians, nurses, nurse practitioners or physician assistants; approximately 60% work in other patient-facing roles.

Read More

Phoenix Home Care & Hospice expands Technology Assisted Waiver Services to Southeast Kansas

09/17/26 at 03:00 AM

Phoenix Home Care & Hospice expands Technology Assisted Waiver Services to Southeast Kansas The Joplin Globe, Joplin, MO; Press Release; 9/15/26 Phoenix Home Care & Hospice has expanded its Technology Assisted Waiver services into six Southeast Kansas counties: Allen, Bourbon, Cherokee, Crawford, Labette and Neosho. ... Phoenix's Technology Assisted Waiver nurses provide individualized care based on each child's medical needs and plan of care. Services may include ventilator management, tracheostomy care, G-tube feedings, medication administration and management, IV therapy, total parenteral nutrition, routine blood draws and other skilled nursing services.

Read More

Hospice families and Mercy patients navigate overlapping Allina strikes as health system reports 37 doctors crossed picket lines

09/17/26 at 03:00 AM

Hospice families and Mercy patients navigate overlapping Allina strikes as health system reports 37 doctors crossed picket linesMedical Daily, Minneapolis, MN; by Elena Vega; 9/16/26Allina Health says only about half of the nearly 150 physicians represented by Doctors Council SEIU walked off the job when a four-day strike began Monday, Sept. 14, at Mercy Hospital's Coon Rapids campus and Unity campus in Fridley. Allina spokesperson Blois Olson told the Minnesota Reformer that 37 union doctors crossed the picket line and 40 were not scheduled to work this week. ... As of Wednesday, Sept. 16, MedicalDaily had not found a newer official count or a public response from the union. The physician strike is running alongside a separate seven-day walkout by roughly 60 Allina hospice nurses that began Friday, Sept. 11, and is scheduled to run through Thursday, Sept. 17.

Read More

BPC’s comment on the CMS 2027 Physician Fee Schedule (PFS) proposed rule

09/16/26 at 03:00 AM

BPC’s comment on the CMS 2027 Physician Fee Schedule (PFS) proposed ruleBipartisan Policy Center (BPC); by Zach Gaumer; 9/15/26 [Letter to Mehmet Oz, Administrator, CMS/HHS] This letter includes BPC’s comments on select provisions of CMS’s proposed rule. The enclosed comments focus on our recent work on Medicare Part B physician payment reform and primary care payment reform, digital technology and AI, complex and long-term care, and rural health care. We offer comments on the following provisions within the proposed rule:

Read More

Every nurse is an advocate

09/16/26 at 03:00 AM

Every nurse is an advocate ONS | Voice; by Brenda Van Sambeek; 9/15/26 ... Advocacy happens when we raise a safety concern, help a patient overcome barriers to treatment, mentor a new colleague, or suggest a better way to deliver care. Most nurses advocate regularly; we simply may not think of those actions as advocacy.Why Nurses Needs a Seat at the Table ...

Read More

How nurses fit into the modern healthcare team

09/16/26 at 03:00 AM

How nurses fit into the modern healthcare team World Business Outlook; blog; 9/15/26 Care is rarely delivered by one expert acting alone. It is built through constant coordination, quick decisions, and a steady flow of information between professionals. In that shared space, nurses often become the people who connect everyone else. 

Read More

Effective palliative care for hospice transitions

09/16/26 at 03:00 AM

Effective palliative care for hospice transitionsJAMA Internal Medicine; by May Hua, MD, MS, Miguel Cid, MPH, Claire Barshied, PhD, Rachel C. Shelton, ScD, MPH, Grace Hu, MPH, Natasha Stekl, MPH, Carrie Brill, BS5; Elise C. Carey, MD, and R. Sean Morrison, MD; 9/14/26 Question: What factors impact the ability of palliative care teams to affect hospice use for patients with metastatic cancer?Findings: In this qualitative study across 6 sites with interviews among 93 clinicians and patients, institutions with high and low performance in hospice use exhibited substantive differences in the relationship between palliative care and oncology teams. At high-performing sites, the relationship was characterized by mutual trust and respect, warmth and familiarity, and empathy for each other, while at low-performing sites, the relationship was characterized by a lack of trust and familiarity as well as negative regard for each other.Meaning: These findings suggest that the relationship between palliative care and oncology teams is a modifiable factor that could affect care delivery and patient outcomes.

Read More

Enhancing quality of life for terminally ill veterans during the COVID-19 pandemic and beyond

09/15/26 at 03:00 AM

Enhancing quality of life for terminally ill veterans during the COVID-19 pandemic and beyond Medscape | Federal Practitioner; by Denise Kresevic, PhD, RN, APN-BC, Marilyn Swanson, DNP, RN, FNP-C, Muralidhar Pallaki, MD, Bridgette Wasil, MSN, RN CHPN, Rosalie Diaz, PsyD, and Christopher J. Burant, PhD; 9/14/26 Background: Honoring individualized preferences for end-of-life interventions for veterans is a priority for families and caregivers. Medications used to treat symptoms such as pain, anxiety, and delirium may also result in sedation, making it difficult to balance comfort while minimizing sedation. ... Conclusions: The See Me, Hear Me, Comfort Me model may help hospice teams better align end-of-life care with individual preferences. ...

Read More

The dark side of full patient autonomy

09/15/26 at 03:00 AM

The dark side of full patient autonomy Medscape; by Lisa O'Mary; 9/14/26 Paternalism is out. Shared decision-making is in. But some communication and ethics experts say medicine is veering far too much toward full patient autonomy. A new review in the journal Health Communication found that clear delivery, active listening, and empathy were associated with patient trust. Obvious? Probably. But here’s the twist: The authors also found that paternalistic styles didn’t always harm trust — and even aided shared decision-making in some situations, particularly in contexts such as emergency care, serious illness, and end-of-life decisions.

Read More

Free webinar for physicians and healthcare professionals: Reducing hospital readmissions and length of stay in advanced illness patients

09/15/26 at 03:00 AM

Free webinar for physicians and healthcare professionals: Reducing hospital readmissions and reducing Hospital Readmissions and Length of stay in advanced illness patients VITAS Healthcare; Press Release; 9/14/26

Read More

Grand jury: Gracedale nurse's 'demons' attack on hospice patient as 911 calls went unanswered

09/14/26 at 03:00 AM

Nurse accused of ‘exorcism’ as nursing home resident’s 911 calls went unanswered for 34 minutes Yahoo!News; Olivia Richman; 9/12/26 A resident at a Pennsylvania nursing home called 911 at 2:53 a.m. and reported that a nurse was trying to kill people. Four calls and more than half an hour later, police finally reached the room. ... The grand jury report says the agency licensed practical nurse, Octavia Lasha Robinson, was standing over a hospice resident identified as E.B. when officers arrived on June 23, 2025. Robinson had her fingers pressed into the resident's mouth, while blood was visible on the resident's clothing and bedding and on items scattered around the room. The episode was described by witnesses as an attempt to drive demons from the resident. The report says Robinson repeatedly spoke about demonic possession as police took her into custody.

Read More

PHarmacist avoidance or reductions in medical costs in PALLiative care inpatient services: PHARM-PALL

09/12/26 at 03:35 AM

PHarmacist avoidance or reductions in medical costs in PALLiative care inpatient services: PHARM-PALLJournal of Palliative Medicine; by Celena Wilson, Jennifer Ku; 8/26Inpatient palliative care (PC) pharmacists have been shown to improve clinical and team outcomes. To quantify the cost avoidance (CA) associated with a full-time inpatient PC pharmacist based on clinical interventions. Conclusions: A PC pharmacist may help avoid significant health care costs, particularly in the areas of deprescribing, identifying untreated indications, and using PC expertise to make therapeutic recommendations.

Read More