Literature Review

Is healthcare ready to embrace more young nurses?Becker's Clinical Leadership, by Erica Carbajal; 12/31/23In conversations about the nursing shortage, healthcare leaders often underscore the importance of building a pipeline by stirring interest among younger generations, and getting in front of high schoolers and middle schoolers. But is the industry fully ready to embrace more young nurses? ... Generally speaking, anyone under the age of 18 would not be able to secure full-time employment as a hospital nurse, but in the coming years, healthcare organizations could see a rise in the number of nurse applicants who've earned their degrees in their late teens or early 20s, particularly as they ramp up efforts to market the profession to especially young populations.

Nurses ‘bridge the gap’ between patients, doctors to talk end-of-life careCure, by Alex Biese; 12/22/23For patients with cancer and their caregivers, nurses can play an integral role when it comes to communicating wishes for end-of-life care, as one expert explained to CURE®. “Nurses bridge the gap, I feel, oftentimes, between the medical community and patients and caregivers, because … especially with the patients with cancer, they may be getting infusions, or different kinds of treatments, so there's a fair amount of time when nurses are in and out of the room or they're attending to the patients, etc., where physicians obviously wouldn't necessarily be there,” said Sara Douglas, a Gertrude Perkins Oliva professor in oncology nursing at Case Western Reserve University’s Frances Payne Bolton School of Nursing in Cleveland.

One-third of academic physicians intend to leave current institution within 2 yearsBecker's Hospital Review, by Ashleigh Hollowell, 12/18/23More than one-third of academic physicians reported that they intend to leave their current institution within the next two years, according to a cross-sectional survey of 18,719 in the role at 15 academic-affiliated health systems.

Palliative care pioneer named chief medical officer of The Elizabeth HospiceSan Diego Union-TribuneDecember 24, 2023Escondido, CA—Charles von Gunten, M.D., F.A.A.H.P.M. is the new chief medical officer for The Elizabeth Hospice and will oversee all medical aspects of the organization’s hospice and palliative care and services. ... Von Gunten is a pioneer in palliative medicine. He was the founding chairman of the test committee for Hospice & Palliative Medicine, American Board of Internal Medicine on behalf of nine American Board of Medical Specialties member boards. He received a Lifetime Achievement Award from the American Academy of Hospice and Palliative Medicine in 2011.

Serious Medical Errors Rose After Private Equity Firms Bought HospitalsNew York TimesDecember 26, 2023The rate of serious medical complications increased in hospitals after they were purchased by private equity investment firms, according to a major study of the effects of such acquisitions on patient care in recent years. The study, published in JAMA on Tuesday, found that, in the three years after a private equity fund bought a hospital, adverse events including surgical infections and bed sores rose by 25 percent among Medicare patients when compared with similar hospitals that were not bought by such investors. The researchers reported a nearly 38 percent increase in central line infections, a dangerous kind of infection that medical authorities say should never happen, and a 27 percent increase in falls by patients while staying in the hospital. 

Connecticut shouldn’t prevent nurse practitioners from operating independentlyBy Anitha D’SouzaCT MirrorDecember 20, 2023I’m passionate about the role of Nurse Practitioners who are Advanced Practice Registered Nurses and concerned that they’re not fully able to do all they’re capable of due to state rules. This affects not just health care workers but also us, the patients. Connecticut has some regulations that hold back NPs, even though they’re totally skilled and capable. 

10 Hospice Professionals Complete Innovative Professional ProgramEye on AnnapolisDecember 24, 2023Two social workers, three chaplains and five registered nurses are being celebrated for completing an innovative professional program pioneered by Hospice of the Chesapeake. The Clinical Ladder program, launched in early 2023, recognizes team members for their clinical expertise, professional and educational achievements, and contributions to the hospice team as well as the full organization. 

OSHA, NAHCA alliance aims to protect CNAs from safety and health hazardsMcKnight’s Senior LivingDecember 21, 2023A new alliance between the Department of Labor’s Occupational Safety and Health Administration and the National Association of Health Care Assistants aims to help protect certified nursing assistants in Missouri from exposure to safety and health hazards. The agreement, signed by OSHA’s regional office and NAHCA last month, provides the framework for a new alliance. 

Hospice of the Chesapeake celebrates highly successful first year with NICHEAnne Arundel (MD) PatchDecember 20, 2023Pasadena, MD—Hospice of the Chesapeake is celebrating the graduation of seven registered nurses and 46 certified nursing assistants in a prestigious training program. It marks a highly successful first year as a member of the Nurses Improving Care for Healthsystem Elders, or NICHE, program of New York University Rory Meyers College of Nursing. The program helped the not-for-profit hospice organization train nurses to become key leaders in the NICHE Leadership Training Program. 

Tired of the waiting lists for CA public universities, nursing students increasingly turn to expensive private programsPress-Democrat (Santa Rosa, CA)December 18, 2023... Private nursing schools are teaching more students each year, filling in the gaps as California hospitals face increasing staffing shortages and public, four-year universities struggle to grow. According to the California Board of Registered Nursing, in 2021 nearly 64,300 students applied for just 16,600 spots in associate, bachelor’s, and master’s degree nursing programs. About 55% of those spots were at private institutions. 

San Diego County’s first class of physician assistants graduates, seen as key to easing staffing shortagesSan Diego Union-TribuneDecember 18, 2023... Point Loma Nazarene University minted its first 28 physician assistants Friday, injecting a fresh set of trained troops into an ongoing battle to keep up with the increased demands for health care caused by an aging population and an exodus of burnt-out medical providers in the wake of the COVID-19 pandemic. It was the first graduating class of the university’s new physician assistant program and the first crop of locally trained PAs for any institution in San Diego County. 

The Language of Hospice Can Help Us Get Better at Discussing DeathTIMEDecember 18, 2023Just because death is inevitable doesn’t make it easy or natural to talk about. In a new study, researchers wondered if hospice workers—experts in end-of-life care—had lessons to teach the rest of us when it came to speaking with patients and families about death. Daniel Menchik, an associate professor of sociology at the University of Arizona who studies the use of language in different fields of medicine, spent eight months sitting in on team meetings at a hospice care facility that were also open to patients’ families. ... In the study, Menchik noticed that hospice workers used three different types of verbs in meetings with family members: predictive, subjunctive, and imperative. Predictive verbs are used to assert things about the future and include words like “will” and “going to.” Imperative verbs carry a similar firmness, but include a call to action; the most common one Menchik encounters in medical settings is “should.” Subjunctive verbs convey some sort of personal stance when talking about the future. “Think,” “feel,” “want,” and many other expressive phrases fall in this category. When a family starts hospice care, “their capabilities to engage in intense conversations [about death] are usually pretty limited,” Menchik says. But he believes that hospice workers help bridge that gap by minimizing their use of imperative verbs. In meetings he observed, imperative verbs made up just 17% of the verb phrases used by hospice professionals. That’s fairly uncommon in medicine. Editor's Note: Use this article to examine the language used in your team meetings; to strengthen your orientation of employees from non-hospice settings; to engage your admissions nurses in a lively dialogue about its applicability to their experiences with patients and families.