Literature Review

The collusion in discussing prognosis with cancer patients MedPage Today's KevinMD.com; by Kyle Edmonds, MD; 6/14/26 Two people sit in an exam room. One has an illness that will end their life. The other knows. Neither wants to say it out loud, so neither does. The conversation drifts toward next steps (another scan, another line of therapy, another visit on the calendar), and both leave the room feeling that it went well. This is not a thought experiment. In 2012, the New England Journal of Medicine published a study by Jane Weeks and colleagues that should have changed practice overnight. ... That was 2012. Same finding turned up again recently: 986 advanced cancer patients, 74 percent still misperceiving their treatment’s intent. The pattern is alive and well.

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 physicians need to learn cannabis medicine now MedPageToday's KevinMD.com; by Janice Makela, MD; 5/31/26 I am a geriatrics and hospice and palliative medicine physician with over 20 years of experience. Over the years, I have seen how cannabis has helped my patients, and I am very comfortable with my patients using cannabis. But like many physicians, I was not formally trained in cannabis medicine. ... Since then, I’ve learned a lot about cannabis. And I also learned that ... most doctors have very little knowledge about cannabis or the endocannabinoid system. ... As new policies roll out, health care providers need to take time to educate themselves about cannabis. Otherwise, how can we help our patients?

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. 

From loss to calling: Nursing students’ experiences of family terminal illness and death in the formation of professional identity and humanistic care Death Studies; by Laurie Glick and Adi Finkelstein; 5/10/26 ... This qualitative study examined nursing graduates who experienced the terminal illness and death of a close family member, providing them with early exposure to clinical settings and shaping their emotional insight and sensitivity to the psychosocial dimensions of end-of-life care. Their experiences often deepened their desire to enter the nursing profession and deliver compassionate, humanistic, family-centered care as clinical practitioners. 

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.