Literature Review

How UCSF Health is rebuilding an 'instrumental' management layer Becker's Hospital Review; by Kelly Gooch; 12/17/24Middle managers have long played a crucial role in industries across the U.S. However, a November article from global management consulting firm Korn Ferry describes "a disappearing layer of middle management," particularly among professional-service firms that are "delayering" to improve flexibility and responsiveness. ...  [Data] shows that in 2023, middle managers accounted for 31.5% of all layoffs, with an average of 22% between 2018 and 2022. While Mitul Modi, Korn Ferry senior client partner in the firm's global healthcare services practice, said layoffs of managers have occurred at various health systems in 2024, he told Becker's he is not seeing this occur with patient-facing roles. Instead, he has observed an increased emphasis on developing middle managers. ... One example of this is San Francisco-based UCSF Health. ... UCSF Health's efforts center around investing in a management core training program.[Click on the title's link to continue reading.]

Palliative medicine for the community paramedic Journal of Emergency Medical Services (JEMS) - The Conscience of EMS; by Maurice Paquette; 12/17/24 The role of the paramedic is evolving. ... EMS has become a catch-all, a gateway into a somewhat—if not totally—fractured healthcare system. ... The landscape of healthcare is shifting as well. The pandemic, coupled with the realization of self-care, well-being, and mental health struggles has caused drastic reduction in the number of healthcare workers, and the amount of experience in skills that those healthcare workers carried with them. ... Over the past many years, we’ve seen a push for the idea of the community paramedic, as well as mobile healthcare. The establishment of a community paramedic program, especially in rural areas of the United States, would provide non-emergent care, under expanded scope and under the direction of a physician in the patient’s home.  According to a literature review in the International Journal of Paramedicine, the most common community paramedic program goals are to “aid patients in chronic disease management, reduce emergency department visits, reduce hospital admissions/readmissions, and reduce Healthcare costs.” Editor's note: Pair this with the article we posted yesterday, Characteristics of patients enrolled in hospice presenting to the emergency department.

Palliative care may improve quality of life for stroke survivors and their family members American Heart Association - Stroke News & Brain Health; by Newsroom; 12/16/24 Palliative care ... can help improve quality of life for stroke survivors as well as their family members, according to “Palliative and End-of-Life Care in Stroke,” a new scientific statement published today in the Association’s peer-reviewed scientific journal Stroke. ... The new statement complements the Association’s 2014 Scientific Statement on Palliative and End-of-Life Care in Stroke, which covered core palliative care competencies and skills for health care professionals who treat stroke patients. The statement includes strategies to improve communication about prognosis and goals-of-care, address psychosocial needs such as coping with loss, navigate complex health care systems and prepare for death with end-of-life care when necessary. It also highlights the substantial inequities that exist in palliative care after stroke across sociodemographic and regional characteristics and the need to reduce those disparities.

What they love and loathe: Medscape Nurse Career Satisfaction Report 2024 Medscape; by Jon McKenna; 12/13/24 Despite well-publicized issues buffeting their profession, nurses in a Medscape survey overwhelmingly said they are happy with their career choice, and most said they would make it again. They also told us about their most- and least-favored job features, recounted any experiences with abuse at work, revealed possible alternative careers, and reported union membership, among other insights. [Click on the title's link to continue reading.]

Northern Colorado cancer palliative care nurse leans on patients as she battles her own diagnosis ABC KJCT News 8, Fort Collins, CO; by Dillon Thomas; 12/11/24 A Northern Colorado woman who has spent years of her career helping patients navigate their cancer diagnosis says she leaned on her own patients for encouragement as she battled cancer herself. Riley Mulligan, a palliative care nurse navigator for UCHealth in Fort Collins, said she was able to battle her diagnosis of breast cancer by leaning into the courage of her patients while also taking lessons from herself. Mulligan’s journey battling cancer started nearly a decade ago, but the cancer she was helping battle wasn’t her own at the time. As a palliative care nurse, her job was to help some of the most ill patients that UCHealth treats. ... “I’m trying to take my own advice, I am trying to remember how to live. On the days I felt the worst, the most nauseous and tired, I still tried to get out and do things because I knew it would help me feel better,” Mulligan said.

Helping Korean Americans with end-of-life planning is her passion Penn Medicine News; by Daphne Sashin; 12/10/24 Eunice Park-Clinton, DNP, MSN, MBE, is standing before a crowd of Korean American senior citizens, and she wants to talk about the end of life. ... Park-Clinton, a nurse case manager in the Hospital of the University of Pennsylvania’s Emergency Department and an assistant nursing professor at West Chester University, is undeterred. Speaking in Korean, she takes a kind but frank approach as she walks the seniors through life-sustaining treatments they might be offered in their final days and the need to decide what they will—and won’t—want for a dignified end of life.  ... As a Korean American herself, Park-Clinton’s passion for culturally sensitive planning comes from her personal familiarity with the community and its norms. In her work as a nurse, she has personally witnessed older Korean and other Asian immigrants experience health disparities due to their lack of knowledge of the concept.

A call to action for business leaders in health care: Prioritizing employees’ mental health is a necessity Las Vegas Sun - Veagas Inc; Guest column by Karen Rubel; 12/9/24 As mental health continues to be recognized as a vital component of overall well-being, businesses—especially those in health care—must stay vigilant and proactive in addressing mental health challenges within the workplace. The importance of this issue has never been greater,  ... In a hospice setting, the emotional toll on caregivers is significant. Health care workers often form close bonds with their patients and their families, and the loss of a patient can be deeply affecting. At Nathan Adelson Hospice, our teams regularly come together to review patient care plans, but they also take time to discuss their personal experiences and challenges. These discussions provide an opportunity for our staff to offer mutual support and care. This peer-to-peer connection fosters a sense of community and helps staff process their emotions in a healthy way. ...

2025 BrightSpring brighter futures and hospice nursing scholarships now open BrightSpring Health Services - Careers; 12/3/24 Applications are being accepted from now through Friday, February 28, 2025, at 5 p.m. ET. For more information and to apply, visit https://cflouisville.awardspring.com/Home/Scholarships.  ... The BrightSpring Brighter Futures Scholarship awards one $10,000 per year scholarship, renewable for up to four years as long as the student maintains good academic standing with their college or university. ... The BrightSpring Hospice Nursing Scholarship awards four $5,000 per year scholarships, renewable for up to two years as long as the student maintains good academic standing with their college or university.Editor's note: How might your hospice organization partner with universities/colleges to provide a similar program for professional career growth?

A boom in male nurses: 8 notes Becker's Clinical Leadership; by Kelly Gooch; 12/2/24 Nursing offers various career opportunities and has traditionally been dominated by women. However, more men are entering the field due to its stability and pay potential, The Wall Street Journal reported Nov. 30. Eight notes related to the boom in male nurses:

Aged care nursing in the digital future Atlassian Jira, Australia; by Flinders University; 11/27/24 The results call for nurses to be included when digital innovations are in development, so they can actively shape their implementation and ensure high-quality, compassionate care for residents in their final stages of life. "In Australia and around the world, we have seen a significant increase in digital technologies in the health care sector," says study lead author Dr. Priyanka Vandersman, a Senior Research Fellow at Flinders University's Research Center for Palliative Care, Death and Dying (RePaDD).  "In aged care, these digital approaches can include helping with care planning and assisting with managing medication, but we need to ensure that nurses are equipped with the digital skills needed to use these tools effectively, while continuing to provide high quality, person-centered care."

Pet Peace of Mind program alleviates stress for hospice patients Poteau Daily News; by Ashley Torres; 11/26/24 Heart of Hospice in Poteau has announced a new program that will be helping with pet care while patients are on hospice care. The Pet Peace of Mind program, which began at Heart of Hospice Poteau on Nov. 15, aims to support the bond between pets and hospice patients during their final days. According to Heart of Hospice, the Pet Peace of Mind program “recognizes and actively supports the unique bond between hospice patients and their pet,” and “aligns with the Heart of Hospice mission to provide exceptional care and unparalleled service to the patients and families who have placed their trust in us.” The program is funded through donations, and the work is done by volunteers.  ... The Pet Peace of Mind program is aptly named, because it is all truly done to alleviate the anxiety and stress that hospice patients often feel while worrying about what will happen to their beloved pets when they are gone. Knowing that their pet’s needs are being met while they are on hospice care, and knowing that their pet will be taken care of even afterwards, allows the patient to focus on their own comfort during their last days.

The work of hospicing Stanford Social Innovation Review; by Vanessa Andreotti and Habib Nabatu; Winter 2025 issue, 11/20/24As we stand at the precipice of endings—of species, ecosystems, organizations, and systems themselves—the work of hospicing is to move beyond fear and embrace the deep transitions ahead with wisdom. To be stewards of this time, we must develop the practices and capacities to tend to these endings, not with urgency or control, but with a kind of stillness that invites the birth of new ways of being. Endings are not failures; they are part of a cycle that requires presence, reverence, and humility. Our hyperfocus on growth and expansion has left us ill-prepared to sit with death—whether it be the death of industries or the biosphere—and this discomfort with grief prevents us from being fully alive in the present. How might we allow the crumbling of outdated structures without rushing to rebuild too quickly? How might we hold space for what is irreversibly changing, without rushing to save or fix it? ...

Is your doctor using ‘never words’ that make you feel worse? Everyday Health; by Lisa Rapaport; 11/19/24 Words matter — especially when it comes to how doctors speak to patients and families facing a scary medical diagnosis. That’s because the exact words doctors use to explain complex health situations can make or break whether people feel heard and respected during appointments — and influence whether they follow doctors’ orders afterwards, according to a new survey published in Mayo Clinic Proceedings. Key Takeaways: