Literature Review

From burnout to belonging: Creating space for grief in clinical education American Academy of Pediatrics (AAP) Journals Blog; by Rachita Gupta; 6/16/25 ... While significant progress has been made in addressing burnout and emotional distress in medicine, and in incorporating these topics into medical education, many clinicians remain hesitant and uncertain about how to address grief and distress from patient care in day-to-day clinical practice. This uncertainty exists both in terms of their own experiences and, even more so, in supporting trainees. A lack of emotional processing in these difficult situations can accelerate burnout and further disconnect clinicians from the humanism and vulnerability that are intrinsic to the privilege of practicing medicine. ... The recently published Hospital Pediatrics article by Bloomhardt et al, “Good Grief? Introducing the TEARS Framework for Educator to Support Learners Experiencing Grief,” (10.1542/hpeds.2024-008096) addresses the hesitancy many clinicians experience when assessing learners’ emotional processing during or after distressing patient cases by introducing the TEARS framework. ...Editor's Note: See a related post in today's newsletter, "“Her toes fell off into my hand”: 50 moments that changed healthcare workers forever."

Bossed around? Six ways to deal with difficult leadersBrain Circuits; by Merete Wedell-Wedellsborg; 6/11/25 Have you ever experienced behavior by a leader that defies conventional norms of engagement? Merete Wedell-Wedellsborg suggests strategies to handle bosses who dispense with widely accepted norms of civility, empathy, and ethical leadership.

Nurse practitioners step in as geriatrician ranks shrink The Washington Post; by Jariel Arvin; 6/15/25 On Fridays, Stephanie Johnson has a busy schedule, driving her navy-blue Jeep from one patient’s home to the next, seeing eight people in all. Pregnant with her second child, she schleps a backpack instead of a traditional black bag to carry a laptop and essential medical supplies ... “Our patient isn’t just the older adult,” Johnson said. “It’s also often the family member or the person helping to manage them.” Johnson isn’t alone. Today, nurse practitioners are increasingly filling a gap that is expected to widen as the senior population explodes and the number of geriatricians declines. The Health Resources and Services Administration projects a 50 percent increas in demand for geriatricians from 2018 to 2030, when the entire baby boom generation will be older than 65. ...

20 tools to stay organized and prevent leadership burnout Forbes; by Expert Panel for Forbes Business Council; 6/3/25 ... 20 Forbes Business Council members each share one tool or habit they recommend leaders adopt to stay organized and prevent burnout as a leader.

Hospice staff at UVM Home Health and Hospice vote to form union Vermont Biz - Vermont Business Magazine; by Tim, The University of Vermont Health Network - Home Health & Hospice; 6/6/25 After six months of organizing, a majority of the roughly 85 Hospice staff at UVM Home Health and Hospice voted Thursday to formalize their union. Hospice United will represent Nurses, LNAs, Social Workers, Chaplains, Bereavement Coordinators, Volunteers Coordinators, Cooks, and Admin Support in both the McClure Miller Respite House and the community-based team. ... With a 88% voting yes, this victory marks the establishment of union representation at every one of UVM Health Network’s seven locations. Once the votes are certified, staff will begin the process of bargaining their first contract with the UVMHN administration.  

State of the nursing workforce: 14 trends to know Becker's Clinical Leadership; by Mariah Taylor; 5/14/25 In 2025, the nursing workforce has stabilized compared to prepandemic numbers and is expected to grow. However, there are still several nursing challenges systems are facing. Here are 14 trends to know about the nursing workforce in 2025:

Blessing hands, healing hearts: CHP honors nurses with special ceremony Hometown Stations - ABC, FOX, NBC, CBS, Delphos, OH (WLIO); by Todd Cummins; 5/15/25 A local nonprofit agency is recognizing the dedication of its staff with a special blessing ceremony. In honor of National Nurses Week, the staff of CHP Home Care and Hospice participated in a “blessing of the hands” — a centuries-old tradition meant to honor the vital role nurses play in healing and compassion.  The idea came from Colleen Quickery, the administrator of Hearth & Home in Van Wert. Chaplain Steve Haddix said he has performed about 240 blessings for staff across Paulding and Van Wert counties, as well as the Lima and Delphos offices. This marks the first year CHP has offered the ceremony, and it has had a powerful impact on many who received it.Editor's note: Reminder that CNA Week is June 12-18, 2025.

5 evidence-based solutions to solve the leadership burnout crisis Inc.; by Peter Economy; 5/10/25 Leader burnout isn’t just another HR buzzword. It’s the reality many leaders are living right now. According to a recent report by talent solutions firm LHH, a staggering 56 percent of leaders reported experiencing burnout in 2024—up from 52 percent the previous year—with Gen-X and Millennial leaders affected most. I’ve spent years on both sides of this equation ... What I’ve learned is that sustainable leadership isn’t about superhuman resilience. It’s about working smarter. Here are five approaches that actually work for leaders in any kind of organization, anywhere.

'Patients just get violent' | Louisville healthcare workers describe attacks on the job, calling it a crisis ABC WHAS-11, Louisville, KY; by Shay McAlister, Joseph Garcia, Phillip Murrell, and MIchelle Zelli Right now Louisville’s nursing community is facing a crisis, saying they are under attack while on the job.  Since March, police have been called to three different Louisville hospitals after a nurse was assaulted. But those are only the attacks that are reported, several nurses told WHAS11 they face dangerous situations daily without the necessary support. ... The three incidents of violence against nurses sit on a map of hundreds of crimes reported at or near Louisville hospitals and nearby parking garages over the last year. According to LMPD’s crime data portal, 17 assaults were reported at Norton Hospital, 10 at Jewish Hospital, and 28 at the UofL Hospital parking garage over the last 12 months. ... “Many healthcare professionals that are harmed don't report it, and they don't report it because they don't think anybody will listen. And then there are others who think that it's part of the job. It is not part of the job,” CEO of the Kentucky Nurses Association Delanor Manson said. In 2023, Manson worked with lawmakers to formalize language requiring healthcare facilities to track incidents of violence and implement violence prevention strategies. It's a crisis for the career field. 

Addressing workforce challenges: Hospice in the news, April 2025 Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Cordt Kassner; 5/7/25 What defines quality in end-of-life care?  How are Hospice organizations navigating workforce challenges?  And why has medical aid in dying become such a critical conversation?  These questions take center stage in this data-driven exploration of April's most impactful Hospice and Palliative Care news stories. In this episode of TCNtalks, Chris Comeaux and Cordt Kassner discuss the top news stories from April, focusing on Hospice and Palliative Care.  They explore personal aspirations, data insights, the impact of spiritual care, emerging categories in news reporting, and key themes such as reimbursement and workforce challenges.  The conversation also touches on mission moments, regulatory changes, technology innovations, and the evolving nature of leadership in healthcare, particularly in the context of AI and human skills. ... Cordt closes the show with a Master's Class reviewing the National Hospice Locator, a valuable tool for finding high-quality Hospice Care anywhere in the country.

Good Samaritan: Kimberly Romey brings warmth and peace to Benefis Peace Hospice NBC, Billings, MT; by Joee Taylor; 4/28/25 At Benefis Peace Hospice, Kimberly Romey is more than just a housekeeper. She is a source of comfort and care for patients and their families. Romey, who is responsible for maintaining cleanliness throughout the hospice, is known for her personal connections with patients. "My job is to take care of this place. I clean the whole building, bathrooms, patient rooms. I sit and I visit with patients. If there's something that's not health care wise that I can get them, I'll get them," Romey stated. Her dedication goes beyond her job description. "It's good to be here for people that, you know, this is their last stay, and to make them comfortable and to make them happy and to do things for them; it's very rewarding," she said. Latoya Reovan, the director of Benefis Peace Hospice, witnesses Romey's commitment daily.Editor's note: Thank you, Kimberly, Latoya, and NBC of Billings for this empowering story, with powerful teachable moments. Calling all executive leaders: Do you know the housekeepers in your hospice inpatient facilities? At a minimum, do you intentionally greet and thank them with warmth and authenticity? What hospice-oriented culture do you foster? Read more of Kimberly Romey's descriptions about her role, "Because to me, this isn't just my job. I love being here." 

Experiences of hospice staff beyond the frontlines during COVID-19: A qualitative secondary analysis study Journal of Palliative Care and Social Practice; by Thanga Harini Sundaramoorthy, John I MacArtney, Abi Eccles; 4/12/25Three main themes were identified: (1) Blurred margins: Participants discussed facing difficulty separating work and home life and taking stresses and thoughts about work home. (2) Isolation, loneliness and social interactions ...  (3) Disruption to family and personal commitments: Some staff felt unable to see or support their parents, partners and children during the pandemic subsequently impacting their psychological and emotional well-being. Conclusion: Hospice staff compromised aspects of their personal life and family responsibilities during the pandemic to carry out their role at work. Workplaces and organisations should aim to support hospice staff more broadly to help with managing work-related pressures and balancing personal commitments in future emergency periods.Editor's note: Use this evidence-based research with your Emergency Disaster Preparedness Plans. Click here for the CMS.gov Emergency Preparedness Rule. Click here for Wisconsin's CMS Emergency Preparedness Rule Toolkit: Hospices.

By the Bay forges educational partnerships to grow hospice, home-based care workforce Hospice News; by Holly Vossel; 4/23/25 By the Bay Health has launched a new career program that aims to build up the next generation of home-based health care professionals amid widespread workforce shortages. The California-based health system unveiled its educational initiative, Pathways to Care Careers, in December 2024 as part of its 50th anniversary commemoration. The program is a collaboration with local schools and community organizations. By the Bay Health recently began a $1 million fundraising campaign to support the expansion of the career initiative. A main goal is to reach an increasingly diverse range of health care workers further upstream in their educational journeys, said Robertina Szolarova, chief administrative officer at By the Bay Health and program lead for its Pathways to Care Careers initiative.