Literature Review

20 states facing acute nursing shortages Becker's Hospital Review, by Kelly Gooch; 3/25/24 ... On March 1, Medical Solutions, a healthcare staffing company, released the 20 states where nurses are needed the most based on the most current nurse-to-state population ratios and projected need by 2030. Ratios in the report were from Census and Bureau of Labor Statistics data published in NurseJournal. Projected need by 2030 is from Projections Central, a site sponsored by the Labor Department. Here are the 20 states where nurses are needed the most, per the Medical Solutions article: ... 

Meaningful conversations to have with your loved oneMediaFeed.org, by Merritt Whitley; 3/27/24“One of the most important concepts in the field of grief and loss is that people drift in and out of the awareness of dying,” says Kenneth Doka, a senior consultant to the Hospice Foundation of America, and professor emeritus of gerontology at the graduate school of The College of New Rochelle. “Sometimes they do talk about it, sometimes not. The dying one should control the agenda. Don’t force conversations on them.” When your loved one feels ready to talk, the following suggestions can be comforting ways to begin a conversation: ...

Palliative care in the cardiovascular intensive care unit: A systematic review of current literatureCardiovascular Revascularization Medicine, by Agastya D Belur, Aryan Mehta, Mridul Bansal, Patrick M Wieruszewski, Rachna Kataria, Marwan Saad, Annaliese Clancy, Daniel J Levine, Neel R Sodha, Douglas M Burtt, Gregory S Rachu, J Dawn Abbott, Saraschandra Vallabhajosyula; 3/24/24, online ahead of print Results: Of 5711 citations, 30 studies were included. All studies were published in the last seven years and 90 % originated in the United States. Heart failure was the most frequent diagnosis (47 %), and in-hospital mortality was reported in 67 % of studies. There was heterogeneity in the timing, frequency, and background of the care team that determined palliative care consultation. In two randomized trials, there appeared to be improvement in quality of life without an impact on mortality.

A nurse practitioner-driven palliative and supportive care service in nursing homes: Evaluation of a quality improvement projectJournal of Hospice & Palliative Nursing; by Joan G Carpenter, Julianne Murthi, Molly Langford, Ruth Palan Lopez; 3/26/24, online ahead of print This article describes a quality improvement project implemented by a national postacute long-term care organization aimed at enhancing the provision of palliative care to nursing home residents. ... Most common symptoms that were managed included pain, delirium, and dyspnea; most common diagnoses cared for were dementia and chronic organ failure (eg, cardiac, lung, renal, and neurological diseases).

New Orleans nurses rally before union contract negotiations Healthcare Journal of New Orleans; 3/26/24Nurses rallied on March 25 at University Medical Center (UMC) in New Orleans as they began negotiations on their first union contract with LCMC Health, the hospital’s management. Nurses at UMC made history in December when they overwhelmingly voted to join National Nurses Organizing Committee/National Nurses United (NNOC/NNU), becoming the first unionized private-sector hospital in the state of Louisiana and members of the largest nurse’s union in the United States. 

Nurse arrested after morphine, other stolen medical drugs seized in Owensboro14 News WFIE, by Aaron Chatman; 3/26/24 Eight suspects were arrested and facing numerous charges after a massive drug bust in Owensboro. That’s according to the Daviess County Sheriff’s Office, who says they opened an investigation after receiving dozens of tips about a drug trafficking operation at the home of Pamela Bartimus. Deputies say Bartimus was an employee of Hospice & Palliative Care of Western Kentucky and had been stealing medication at her job.

Hospice of Santa Barbara offers insights into family grievingSanta Barbara Independent, by Hospice of Santa Barbara; 3/26/24Grieving the loss of a family member is a deeply intricate emotional journey. Shared bonds and histories make family grief especially unique. Family grief extends beyond the individual and intertwines with the collective fabric of shared experiences, roles and responsibilities. ... It is common for death to change the family dynamic. This can be a result of several factors, including age, relationship, role, difference in coping mechanisms, heightened stress and emotions, and unresolved family issues which can lead to the resurfacing of past grievances.Editor's Note: CMS Hospice COPs §418.3 defines: "Bereavement counseling means emotional, psychosocial, and spiritual support and services provided before and after the death of the patient to assist with issues related to grief, loss, and adjustment." The interdisciplinary team needs to understand individual and family grief, within the scope of their roles and responsibilities with family members.

Northwell hospital nurses set strike date Becker's Hospital Review, by Kelly Gooch; 3/22/24 Members of the New York State Nurses Association are set to strike April 2 at Staten Island University Hospital in New York City. The union represents 1,300 workers at the facility, according to an NYSNA news release. ... The union cited concerns about having enough staffing to meet the needs of the Staten Island community and contends wages are also still a key sticking point at the bargaining table. Members are seeking a contract that ensures enough experienced nurses are at the bedside to provide safe patient care.

Palliative care improves quality of life for bone marrow transplant patients Duke Health News & Media, by Alexis Porter; 3/25/24 ... Researchers tested the effectiveness of an integrated palliative care intervention across diverse settings. They enrolled 360 adults undergoing bone marrow transplants at three academic medical centers, including Duke University Hospital, Massachusetts General Hospital and the Fred Hutch Cancer Center at the University of Washington. ... Patients receiving the palliative care intervention reported better quality of life, defined by the degree to which an individual is healthy, comfortable, and able to participate in life events. They also had lower depression, PTSD and fatigue symptoms compared to those receiving usual care. 

Caring for patients with non-English language preferences American Association of Critical-Care Nurses; 3/25/24 ... With a growing population of people who speak a language other than English at home, nurses and other healthcare professionals must work toward providing better language-inclusive medical care. ... Nurses and other clinical providers must be well-informed regarding the lifesaving nature of language access in healthcare despite any personal bias against or perceived inconvenience of using interpreter services. [This article includes: ]

‘You can become a husband again’ National Association of Federal Retirees (Canada); by Jennifer Campbell; 3/25/24When his wife got a much-needed bed in palliative care, a perceptive nurse told Brian Hills he could concentrate on being a husband again, instead of a caregiver. 

Incurable but not hopeless: How hope shapes patients’ awareness of their advanced cancer prognosis The Conversation, by Jean Mathews and Michael Brundage; 3/24/24Hope is defined as the expectation of achieving a future good. Patients with cancer, whether it is curable or not, prioritize cure as their highest hope. ... Previous research indicates that less than half of patients with incurable cancer are aware of their prognosis. This is often attributed to a failure of communication. ... In the context of advanced cancer, the relationship between hope and hopelessness is balanced by acceptance, which can re-direct hope to new goals beyond cure, such as hope for connection with others and enjoyment of daily pleasures. 

Eight nurses from St. Vincent Hospital filed suit yesterday in Worcester Superior Court against Tenet Healthcare for wrongful termination after blowing the whistle on unsafe patient care conditions ABC WATE.com 6 / Cision PR Newswire; by Massachusetts Nurses Association; 3/22/24 Eight registered nurses represented by the Massachusetts Nurses Association at St. Vincent Hospital filed a lawsuit yesterday in Worcester Superior Court against the hospital and its owner, Dallas-based for-profit owner Tenet Healthcare alleging they were fired for exercising their legal and professional obligation to report "unsafe and illegal conduct and conditions" that jeopardized the health and dignity of the patients under their care. ... last month the nurses' claims were validated by The Joint Commission, which conducted an investigation into the nurses' complaints and found the hospital to be "non-compliant with applicable Centers for Medicaid and Medicare Services (CMS) Conditions."