Literature Review

The health care job that's most in demand in each state, based on data MSN; by Paxtvn Merten; 11/17/24 ... The job? Home health and personal care aides. The U.S. expects to add close to a million jobs in this profession over the next decade. ... After COVID-19 devastated nursing homes, surveys have found fewer Americans are willing to live in them as they age. As a result, even more families may discover ways to use full-time or part-time in-home aides for end-of-life care. An analysis including more than 70 other health care jobs projected all but three states to add home health and personal care aides in the highest numbers. In just three states—Colorado, Florida, and South Dakota—did registered nurse job growth outpace home health. ... Medical Technology Schools identified the health care positions expected to add the most jobs in each state and Washington D.C. from 2020 to 2030, using Bureau of Labor Statistics data compiled by Projections Central. States are listed in alphabetical order, and the top three health care positions by the number of new jobs are provided. ...Editor's note: Click here for the US Department of Labor's "Projections Central" for state-specific data and projections.

Thanksgiving Day is a good day to recommit our energies to giving thanks and just giving. ~Amy Grant

Differences in drug shortages in the US and CanadaJAMA; Mina Tadrous, PharmD, PhD; Katherine Callaway Kim, MPH; Inmaculada Hernandez, PharmD, PhD; Scott D. Rothenberger, PhD; Joshua W. Devine, PharmD, PhD; Tina B. Hershey, JD, MPH; Lisa M. Maillart, PhD; Walid F. Gellad, MD, MPH; Katie J. Suda, PharmD, MS; 10/24There are persistent global drug shortages, in part because drug-related supply chains are increasingly globalized; these drug shortages are associated with delayed or missed treatment and adverse outcomes. In addition, pandemics and natural disasters disrupt global drug production, further affecting supply chains. [In this study] drug-related reports of supply chain issues were 40% less likely to result in meaningful drug shortages in Canada compared with the US. These findings highlight the need for international cooperation between countries to curb the effects of drug shortages and improve resiliency of the supply chain for drugs.

Health professions students’ reflections about principles of interprofessional collaboration after shadowing interprofessional palliative care roundsAmerican Journal of Hospice and Palliative Medicine; Jeannette Kates, PhD, APRN, FPCN; Ceasia Brown, BA; Jenna Campolieto, BA; Maria Brucato, PhD; 10/24Future healthcare professionals are educated on collaborative practice methods through interventions that may include shadowing. While shadowing allows students to learn from and about other health professions, it often fails to offer an opportunity for the student to work and collaborate with other health professionals. These results suggest that shadowing offers an opportunity to identify and learn interprofessional competencies in interprofessional palliative care curricula, as made evident through student reflection assignments.

Willingness to be present throughout patient death via medical aid in dying in a national sample of interdisciplinary US hospice clinicians: a content analysis of rationalesPalliative Care and Social Practice; Todd D. Becker, Cindy L. Cain, John G. Cagle, Joan K. Davitt, Nancy Kusmaul, Paul Sacco; 10/24 The United States is one of a growing number of countries across Europe, North America, Oceania, and South America to have legalized what, domestically, is referred to as medical aid in dying (MAID). The objective of the current study was to explore attitudes toward presence throughout a patient’s death via MAID in hospice physicians, nurses, social workers, and chaplains. Participants who were willing to be present (n = 305 [74%]) attributed their willingness to personal support, definitions of quality clinical care, and values from their professional training. Those who were unwilling (n = 63 [15%]) noted personal objections to the concept of MAID, personal objections to MAID participation, and perceptions of MAID’s misalignment with healthcare. Hospice clinicians would benefit from greater professional guidance and support pertaining to MAID.

Facility- and community-level factors associated with hospice patient experiencePalliative and Supportive Care; by Mengying He, Ganisher Davlyatov, Gregory Orewa, Haiyan Qu, Robert Weech-Maldonado; 11/24For-profit and chain-affiliated hospices were negatively associated with CAHPS® scores. Organizational longevity and Medicare payer mix were positively associated with CAHPS® scores. Hospice community factors including competition, per capita income, and the racial/ethnic minorities' percentage were negatively associated with CAHPS® scores.

Artificial intelligence and machine learning in cancer pain: A systematic reviewJournal of Pain and Symptom Management; by Vivian Salama, Brandon Godinich, Yimin Geng, Laia Humbert-Vidan, Laura Maule, Kareem A Wahid, Mohamed A Naser, Renjie He, Abdallah S R Mohamed, Clifton D Fuller, Amy C Moreno; 12/24Forty four studies from 2006 to 2023 were included. Implementation of AI/ML tools promises significant advances in the classification, risk stratification, and management decisions for cancer pain. Further research focusing on quality improvement, model calibration, rigorous external clinical validation in real healthcare settings is imperative for ensuring its practical and reliable application in clinical practice.

Saturday newsletters focus on headlines and research - enjoy!

Machine learning for targeted advance care planning in cancer patients: A quality improvement studyJournal of Pain and Symptom Management; by Mihir N Patel, Alexandria Mara, Yvonne Acker, Jamie Gollon, Noppon Setji, Jonathan Walter, Steven Wolf, S Yousuf Zafar, Suresh Balu, Michael Gao, Mark Sendak, David Casarett, Thomas W LeBlanc, Jessica Ma; 12/24Objectives: Examine a quality improvement mortality prediction algorithm intervention's impact on ACP documentation and EOL care. Conclusion: Identifying patients with cancer and high mortality risk via machine learning elicited a substantial increase in documented ACP conversations but did not impact EOL care. Our intervention showed promise in changing clinician behavior. Further integration of this model in clinical practice is ongoing.

3 clear signs to quickly identify someone with good leadership skills: Good leadership in the business world extends beyond hitting targets, increasing revenue, and achieving status. Inc., by Marcel Schwantes; 11/20/24 If you’ve ever had the chance to work under a good leader, you’ve probably noticed something important: They actually care about their people. They’re not just focused on hitting targets or climbing the ladder themselves—they genuinely care about helping their team succeed, both in their current roles and in their long-term goals. For many leaders, this doesn’t come naturally. It’s tough to balance caring for others when you’re under pressure to deliver results and meet expectations. But here’s the thing: Research—and countless stories from top leaders I have interviewed on my podcast—shows that focusing on your people is a game-changer for the success of your business. It’s not just a feel-good approach; it’s smart strategy. ... When leaders consistently show they care and foster the right environment, the positive ripple effects are undeniable. Let’s talk about three clear signs that will tell you someone is fit for leadership:

This New York Times bestselling author cracked the code on transformative leadership Forbes Talks; by Brittany Lewis with Keith Ferrazzi; 11/19/24 Keith Ferrazzi and Forbes reporter Brittany Lewis discuss his new book Never Lead Alone: 10 Shifts from Leadership to Teamship on 'Forbes Talks.' Keith Ferrazzi, a #1 New York Times Bestselling Author of Never Eat Alone, Leading Without Authority, Competing in the New World of Work, and his newest book, Never Lead Alone: 10 Shifts from Leadership to Teamship. Keith is an acclaimed global executive team coach, who stands at the forefront of transformative leadership having coached the transformation of Fortune 500 corporations, the World Bank, fast growth Unicorns and even governments of entire countries. The founder of Ferrazzi Greenlight, Keith spearheads behavioral shifts in leadership and high impact teams, empowering organizations to thrive in the ever-evolving landscape of business. Keith's research can be found in prestigious publications including Harvard Business Review, Forbes, The Wall Street Journal, Fortune, Fast Company, and Inc. Magazine, where his columns serve as valuable insights for business leaders.

Nursing homes with more black residents lag in care goal discussions Medical Xpress; by Columbia University Irving Medical Center; 11/20/24 New research from Columbia University School of Nursing published in the American Journal of Hospice and Palliative Medicine shows that timely goals of care discussions are less likely to take place in nursing homes with a higher percentage of Black residents. These discussions are crucial to ensuring that nursing home residents receive care that aligns with their wishes, postdoctoral research fellow Jung A. "Chloe" Kang, Ph.D. '24, Professor Patricia Stone, Ph.D., and their colleagues note in the report, published online September 15, 2024. But these conversations are often delayed until patients experience life-threatening events, the authors add, which can lead to unwanted therapies and unnecessary hospitalizations. ...