Literature Review

Health equity starts at home: Renewing the heart of nursing  Minority Nurse; by Michelle Cortez Adams; 7/10/25 ... I started my nursing career in the ICU, told (as many of us are) that hospital experience was a must. And while the work was meaningful, it wasn’t fulfilling. My patients were often unconscious. My goal was to stabilize and transfer them. I never got to know their stories, their families, or whether they ever found healing beyond discharge. That changed when I moved into home hospice and then home health care. This shift taught me that home nursing is not only a career path—it’s a calling. I saw the impact of my work every day. I helped clients reach personal goals, not just clinical benchmarks. I was welcomed into their lives by name. I wasn’t just preserving life—I was restoring it. Home health care reminded me why I became a nurse in the first place: to form real connections, to bring comfort and dignity, and to care for the whole person—body, mind, and spirit.

Twenty-fourth proclamation relating to wildfiresOffice of the Governor - State of Hawai'i, Hawaii.gov; by Reece Kilbey; 7/7/25By the authority vested in me by the Constitution and laws of the State of Hawai’i, to provide relief for disaster damages, losses, and suffering, and to protect the health, safety, and welfare of the people, I, Josh Green, M.D, Governor of the State of Hawai’i, hereby proclaim as follows: ... [This lengthy document has 8 references to "hospice."]

Petaluma and Santa Rosa hospice workers kick off 2-day strike against Providence Petaluma Argus-Courier, Petaluma, CA; 7/2/25 Nearly 100 hospice workers and supporters protested in Petaluma and Santa Rosa on Wednesday as part of a two-day strike against what they call bad-faith bargaining with Providence as the health care giant joins forces with a private equity-backed hospice company. The hospice workers, who are represented by the National Union of Healthcare Workers, said they’ve been locked in negotiations for their first contract for two years and are frustrated with Providence’s “stalling.” They accuse the health care provider of not wanting to settle their contract while it works on a joint venture with a for-profit company. 

Workplace violence bill passes the Oregon House and Senate, heads to Governor's desk The Source, Bend, OR; 6/30/25 The Oregon Legislative Assembly passed groundbreaking workplace violence legislation aimed at keeping frontline healthcare workers safe in hospitals, and home health and hospice settings across Oregon. Senate Bill 537 B (SB 537) was passed by the House just three days after it was passed by the Senate and heads to Governor Kotek for her signature. ... What SB 537 Accomplishes: SB 537 focuses on pragmatic, prevention-oriented solutions that protect frontline nurses and caregivers in hospitals and in home health and hospice settings. ... Why This Matters: ... Nationally, between 2007 and 2022, hospital staff experienced a 181% increase in workplace violence injuries. In Oregon, a staggering 92% of ONA members reported incidents of violence last year—far above national averages.

6 healthcare layoffs in 1 weekBecker's Hospital Review; by Madeline Ashley; 6/26/25 Amid ongoing industry shifts, many hospitals and health systems are experiencing significant financial strain, prompting them to make difficult decisions such as laying off employees. Here are the six healthcare instances of layoffs that Becker’s has reported on since June 19:

“Her toes fell off into my hand”: 50 moments that changed healthcare workers forever BoredPanda; by Dominyka; 6/18/25 When we go through traumatic events, our brain can shut out feelings and thoughts as a way to protect us from emotional or physical damage. This can make people go numb in stressful situations, so our bodies have time to figure out the best course of survival.  Healthcare workers are frequently exposed to traumatic experiences, so when they were asked what event made them go permanently numb, they shared many devastating stories. Scroll down to find them below, and don’t forget to share similar ones if you have any. 

HCS Home Care/Hospice Salary & Benefits studies underway American Health Care Association (AHCA) and National Center for Assisted Living (NCAL); by Lisa Hohenemser; 6/17/25 Hospital & Healthcare Compensation Service (HCS) has announced the 2025 Home Care and Hospice Salary & Benefits studies are now underway. The Reports are recognized as the authoritative source for comprehensive marketplace data for home health + hospice agencies. Last year’s Home Care Report contained data from 1,079 home health agencies. The Hospice Report had data from 797 hospice agencies. Both studies include questions on staffing issues, nursing turnover/vacancy rates, and sign-on bonuses used by agencies to attract new employees. The results cover salaries/bonuses and hourly/per visit rates for 60 positions, with job data reported by auspice type, revenue size, region, state, and CBSA. Also included are 19 fringe benefits, planned salary increases, productivity/caseload, and data on visit and shift differentials.  Directions to Participate in the HCS Home Care or Hospice Salary & Benefits Study: ... There is no cost to participate. 

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. ...

The two kinds of people in the world--and why it matters for leadership Fast Company; by Robert E. Siegel; 6/3/25 Hard-nosed leadership and compassionate leadership aren’t opposites. The best leaders embrace both. One provocative assertion I often make when teaching is that there are two kinds of people in the world: those who have hearts and those who don’t. ... I then share that many leaders look at changing technology and changing markets and realize that a lot of jobs in their companies will inevitably be eliminated within the next few years, and it’s not hard to predict which jobs will go away. The question is how the executives react to this realization. ... For the purposes of Systems Leadership, it doesn’t matter which type of person you are in my (admittedly reductive) shorthand. You need to invest in your people whether you have a heart or not, for at least three major reasons.

AI job disruption could lead to 20% unemployment in 5 years Becker's Health IT; by Naomi Diaz; 5/30/25 AI startup Anthropic is sounding the alarm on AI’s potential to reshape the workforce — and not in a good way, CNN reported May 29. Dario Amodei, CEO of Anthropic, told CNN in an interview that AI is on track to disrupt the white-collar labor force at an unprecedented pace. He warned that U.S. unemployment could rise to 20% within one to five years. Entry-level, white-collar roles could be hit hardest, with up to half potentially eliminated as AI grows more capable, Mr. Amodei told Axios.

Table of Experts: Women leaders create resilient company culture Portland Business Journal, Portland, OR; 5/16/25 Prioritizing employee well-being, providing support and fostering empowerment are essential for navigating challenges and driving business success. Portland Business Journal Publisher and President Candace Beeke recently convened a Portland BizWomen Coalition roundtable sponsored by Providence Health Plan. ... The topic was navigating the currents of change: women leaders fostering resilient workplace cultures. 

[June 12-18, 2025] Why celebrating CNA Week is a big deal ShiftMed; by Sarah Knight; 4/23/25 National Certified Nursing Assistant (CNA) Week, which kicks off on the Thursday of the second full week of June, is an annual tribute to the dedicated individuals who form the backbone of our healthcare system. So, as we approach CNA Week 2025, we must recognize their tireless efforts and unwavering commitment. ... CNA Week 2025 kicks off on Thursday, June 12 and runs through Wednesday, June 18. This year’s theme, “We Are the Champions,” celebrates CNAs as the unsung heroes of frontline care—professionals who ensure patients feel seen, heard, and truly cared for every single day. ...

Roughly 40 percent of nurses plan to leave profession within 5 years, survey finds McKnights Home Care; by Adam Healy; 5/13/25 The nursing workforce today is more stable than it was during the height of the COVID-19 pandemic, but a significant share of nurses still plan to leave the profession behind in the next five years, according to the 2024 National Nursing Workforce Survey published in the Journal of Nursing Regulation. ... Approximately 40% of RNs, LPNs and LVNs surveyed said that they planned to leave nursing sometime in the next five years. In 2022, roughly 26% of nurses said the same. The most common reasons nurses cited for wanting to leave their jobs included retirement, stress or burnout, workloads and pressures caused by understaffing, the report noted.