Literature Review

IBM study finds 60% of employees worry AI is eroding critical thinking skills Complete AI Training; 9/21/26 A new IBM study finds that 60% of employees worry AI is eroding their skills, with critical thinking cited most often as declining. The research, released September 21, 2026, surveyed 1,500 CHROs and 8,800 employees globally, revealing a gap between the skills HR leaders say AI demands and what workers prioritize. While 71% of CHROs identify the ability to supervise, validate and override AI outputs as the workforce's most essential skill, only 29% of employees rank judgment as important. At the same time, CHROs cite critical thinking (57%) and human judgment (48%) as among the most important workforce capabilities.

Hospice Foundation of America receives Partner of the Year Award from Penn State College of MedicineHospice Foundation of America, Washington, DC; Press Release, Cindy Bramble; 9/11/26 Hospice Foundation of America (HFA) was named 2026 Partner of the Year by the Penn State University College of Medicine [Thursday, 9/10]. The award recognizes HFA’s significant contributions to a National Institutes of Health funded research initiative, the Project Talk Trial, which studied how to best engage communities across the U.S. in advance care planning. ... With its vast national network, HFA connected PSU College of Medicine researchers to community organizations across the country to bring advance care planning conversations to 1,799 people in 78 communities across 32 states and the District of Columbia. Project Talk Trial is the largest research study of its kind.Editor's Note: Congratulations, Hospice Foundation of America! We thank you for your longstanding, innovative leadership to improve hospice care throughout our nation.

[Australia] $15.4m investment to expand high-quality palliative care across Australia University of Wollongong Australia; Press Release; 9/9/26 Every year, thousands of patients and their families navigate the end-of-life without the care they deserve and need. A major initiative, led by the University of Wollongong (UOW), will ensure patients receive compassionate palliative care regardless of their postcode. Building on the success of UOW’s Palliative Care Outcomes Collaboration (PCOC), the new program PCOC-Plus was awarded $15.4 million from the Australian Government to translate PCOC’s groundbreaking research into clinical practice, improving support and care for people with life-ending illnesses. 

End-of-life care behind bars: regular reviews of articles and reports on key issues in prison hospice and palliative care.End-of-Life Care Behind Bars - A Periodic Literature Search; September 2026 issue Highlights: Prison palliative care and compassionate release should be treated as interconnected rather than competing mechanisms; the constitutional crisis of end-of-life care for incarcerated individuals; prison officers matter in end-of-life care; community hospice engagement in end-of-life care in prisons; person-first language in correctional healthcare – two perspectives; critical reappraisal of policy and practice in correctional healthcare; conducting ethical health research in prisons

How dementia is being defeated: Incidence among the elderly is falling fastThe Economist; 7/26When Eric Stallard, an actuary and academic, began looking into the incidence of dementia among elderly Americans, he was so stunned by his findings that he held off publishing his first paper on the subject for two and ahalf years while he double-checked his work... Instead of confirming the received wisdom that America faced an intensifying plague of the condition, they showed that the proportion of old people succumbing to it was in fact shrinking fast... Last year he and some colleagues published research in the Journal of the American Medical Association showing that, whereas 40 years ago three in every ten Americans aged 85-89 had dementia, by 2024 just one in ten had it.

Nonreporting of race and ethnicity in medical research harms us all JAMA Internal Medicine | Editorial | Health Equity; by Sharon K. Inouye, MD, MPH, Jerard Kneifati-Hayek, MD, MS, Annette Flanagin, RN, MA, Kirsten Bibbins-Domingo, PhD, MD, MAS; Raegan W. Durant, MD, MPH; 8/24/26 At JAMA Internal Medicine, we have become increasingly aware that some US researchers are unable to report on race or ethnicity as demographic variables to describe their sample or to conduct stratified analyses by these variables. In some cases, we have been informed that based on 3 recent US federal executive orders, the stewards of federal databases, such as those responsible for distributing data from the Centers for Medicaid and Medicare Services (CMS), are unable to release any race or ethnicity data for research purposes. The restrictions may be particularly prohibitive when study investigators are US federal employees. We have been informed of similar concerns occurring at other biomedical journals. Editor's Note: This theme recurs throughout our American history. Stark examples repeatedly emerged when I was researching and writing my recent e-book: A History of Care: 250 Years of Need, Service and Hope.

SOS: What does Google and ChatGPT say about SSVI and quality?Substack; by Joan Teno; 8/26Medicare recently finalized a new hospice scorecard called the Service and Spending Variation Index (SSVI). It gives each Medicare-certified hospice a number from 0 to 16, built from nine billing-based measures, where a higher score flags a hospice whose spending and service patterns look unusual compared with its peers. A high score is not proof of bad care or fraud — it mainly signals to Medicare which hospices may be worth a closer look. In this post I asked Google Gemini and ChatGPT to interpret a sample hospice’s score, and I compare how well each explained what the number does, and does not, mean for a family choosing a hospice.Publisher's note: Even though Substack is a blog site rather than a journal, Joan's content is outstanding and also fits here on a Saturday research issue!

Deactivation of cardiac devices at the end of life: clinical and ethical challenges Current Heart Failure Reports; by Marie-Gabrielle Courtès, Fiona Ecarnot, Mathilde Giffard; 8/13/26 Device deactivation in patients with heart failure is an increasingly relevant clinical and ethical challenge as the use of cardiovascular implantable electronic devices expands. ... Deactivating implantable cardioverter defibrillators can prevent painful and unnecessary shocks at the end of life, which may otherwise prolong dying without improving quality of life. Multidisciplinary involvement, including palliative care consultation, is essential to support patient-centered decision-making and symptom management. This review synthesizes the latest evidence and consensus on device deactivation in heart failure, emphasizing the need for communication, initiated early in the disease course, as well as individualized care, and integration of patient preferences throughout the disease trajectory.Editor's Note: What Policies and Procedures does your organization have in place? What interdisciplinary education do you ensure for all IDG members regarding this challenge for patients, families, and legal representatives? This clinical and ethical challenges presents potentially horrific trauma for the patient and those present when the person is actively dying and dies. Clincial and legal knowledge, preparations, and communications, and documentation are crucial.

Avoiding 3 risk factors in midlife could add 13 dementia-free years Medical News Today; by Amy McLean; 8/5/26 [For you own health and well-being:] Researchers analyzed data in the Atherosclerosis Risk in Communities (ARIC) study, a cohort study that began in 1987. They examined the data of 12,409 participants. They assessed three risk factors, which the ARIC study consistently measured:

LATE vs Alzheimer’s: Biomarkers, Mixed Dementia, and Clinical Realities with Nate Chin and Sterling Johnson GeriPal; podcast by GeriPal with Sterling Johnson and Nate Chin; 8/6/26 Up until just a couple years ago, an 85-year-old patient presenting with gradual, amnestic memory loss was almost automatically presumed to have Alzheimer’s disease. However, new biomarkers and the recognition of conditions like Limbic-predominant age-related TDP-43 encephalopathy (LATE) are reshaping our understanding of cognitive decline in older adults. It’s looking more clear that pure Alzheimer's dementia is rare in older adults, and co-occurring pathologies that may include Alzheimer’s, LATE, Lewy Body, and vascular neuropatholigies, are the rule rather than the exception. ... Sterling Johnson is a clinical neuropsychologist and researcher who leads the CLARiTI study, which is attempting to uncover the intersecting causes of dementia.  Nate Chin is the medical director and Clinical Core Co-Leader for the Wisconsin Alzheimer’s Disease Research Center (ADRC), the host of the Dementia Matters podcast, and author of a new book When Memory Fades.  

[Sweden] Expressing wish to die not a desire to hasten death but an opportunity for dialogue: studyMcKnights Long-Term Care News; by Foster Stubbs; 8/4/26An advanced healthcare at patients’ homes (AHCPH) patient’s expression of a wish to die should be understood by nurses as an opportunity for dialogue and assessment rather than as a straightforward indication of a desire to hasten death, according to a study published in Global Qualitative Nursing Research. ... One overarching theme was identified over the course of the study, “Alleviating suffering by Engaging With the Patient’s Lifeworld.” 

Hospice doctor reveals the loved ones who will visit and those who won’t in your final dreams Upworthy; by Cecily Knobler; 8/1/26 “They had a pivotal role in the formation of who you were.” ... Hospice physician and neurologist Dr. Christopher Kerr, MD, PhD, recently appeared on The Oprah Podcast to discuss his experiences with people as they neared their last breath. After interviewing over 1,500 patients described as being in “lucid” mental states, he has discovered a common theme among the memories of their dreams. ... “End-of-life experiences testify to our greatest need to love and be loved, ... To be nurtured and feel connected. To be remembered and forgiven. They provide continuity between and across lives. ... The most common thing they would dream about is seeing their deceased loved ones. And it wasn’t just anybody. It was those that loved and secured the most. So there’s almost this form of final justice. If somebody withheld love, one parent, they were excluded, but the one who nurtured and loved and secured was included.”