Literature Review

Winning at work and home with Randy Gravitt Teleios Collaborative Network (TCN); host Chris Comeaux with Randy Gravitt; 9/10/25 Join us in this insightful episode of "The Anatomy of Leadership" as we explore the challenge of winning at work and family life with Randy Gravitt, CEO of Lead Every Day. When was the last time you examined the connection between your leadership at work and your life at home?  In this eye-opening conversation, Randy Gravitt, CEO (Chief Encouragement Officer) of Lead Every Day, reveals that our greatest superpower isn't talent or expertise—it's our ability to choose.

Training and practice gaps in nursing home palliative care: A cross-sectional study Journal of the American Geriatrics Society (AGS); by Manali Saraiya, Molly A. Nowels, Rose L. Carlson, Jerad H. Moxley, Catherine A. Riffin, Evan Plys, M. Carrington Reid, Isabella Hastings, Taimur Mirza, Ronald D. Adelman, Daniel Shalev; 9/7/25 We conducted a cross-sectional survey of clinical employees (N = 398) at seven NHs within a single integrated health system in New York State to (1) gauge attitudes toward and knowledge about palliative care, (2) estimate the extent of engagement with advance care planning, and (3) elicit perceptions of the most valuable components of palliative care for NH residents. ... Despite support for palliative care, gaps in knowledge and clinical engagement persist and vary by discipline. Discipline-tailored training and program design may improve palliative care delivery in NHs and help ensure more consistent, value-aligned care for residents with serious illness.

This is the one question leaders need to ask themselves: To avoid burnout, leaders need to pay attention to their energy levels Forbes - Work Life; by Tim Jack Adams; 9/1/25 You’ve carried the weight of big decisions, the pressure to perform, to lead and deliver, all despite what’s happening behind the scenes. You’ve navigated through uncertainty and change, providing the space for everyone else to thrive. It’s a feeling that the most capable leaders feel. It’s not quite burnout, but a kind of dullness. A slow drain. A fog that creeps in quietly and makes it harder to stay clear, connected, and grounded. ... It's not about time, it's about energy. ...Editor's Note: Twenty years ago, this concept revolutionized my workday, productivity, outcomes, and overall well-bing, via the book The Power of Full Engagement: Managing Energy, Not Time, Is the Key to High Performance and Personal Renewal, by Jim Loehr, published 2003. This author's content is fresh, dated September 2025.

NMDOJ charges ‘imposter nurse’ who treated hospice patients in Albuquerque KRQE News, Albuquerque, NM; by Fallon Fischer; 8/28/25 A certified nurse assistant in Albuquerque is facing charges for allegedly stealing the identities of three nurses and illegally providing care to hospice patients, and in one case, almost causing one patient to die via a morphine overdose, according to the New Mexico Department of Justice. This week, a Bernalillo County grand jury issued an indictment against April Guadalupe Hernandez, 26, for 19 counts of misconduct including identity theft, nursing without a license, fraud totaling approximately $40,000, abuse of a resident, violations of the Nursing Practice Act and more. “To exploit trusting patients in their most vulnerable moments is unconscionable,” Attorney General Raúl Torrez stated in part, in a news release. 

The new state of HR: Pressures, systems and skills IBM Corporation; by Molly Hayes; 8/18/25 To prepare for the workforce of the future, HR leaders should face these challenges-head on. Recently, I spoke to Kimberly Morick, Global Technology Practice Leader at IBM, about how HR can create new paradigms within their organizations.

Is Gen Z changing the culture of medicine? Medscape; by Kelly K. James; 7/9/25 ... In the workplace, Boomers are often assumed to have strong work ethics, while Millennials tend to value their free time more than preceding generations. While generational generalizations have shortcomings (as do all generalizations), the incoming crop of Gen Z doctors will likely affect the culture of medicine in significant ways. ...

Over half of older employees plan to work 'indefinitely' and never retire Money Magazine; by Amd Hardy; 8/11/25 Many retirement-age Americans are planning to continue working — forever. Some 51% of employed Americans 65 or older say they expect to work “indefinitely,” according to a recent report from Asset Preservation, a financial advisory firm. Meanwhile, about 6 in 10 respondents say they plan to work “at least five more years” before retiring, putting the earliest age they would consider retiring at 70. ... Why older Americans are working so late in life seems to be a fairly even split between necessity and choice. About one half works to cover basic living expenses, like food, health care and housing, while the other half chooses to work to stay mentally and physically active. Guest Editor’s Note, Mark Cohen: As many hospices are still trying to rebuild the ranks of their volunteers to pre-pandemic levels, this report indicates the challenges may continue to grow. It’s worth noting that half of the Boomers who say they will continue working past normal retirement age would do so out of choice and not economic necessity. That opens the door to demonstrating the value and rewards of volunteer service. And for those volunteer managers younger than Boomers, it’s important to keep in mind that, more than any other generation, Boomers define themselves and measure their success in life in large part by their work.

Demographic variations and temporal trends in hospice and palliative care fellowship matches in the United States Scientific Reports; by Aman Goyal, Samuel L. Flesner, Urooj Shamim, Sonia Hurjkaliani, Priya Goyal, Mohamed Daoud & Amir Humza Sohail; 8/8/25 ... In summary, the number of Hospice and Palliative Care fellowship training programs, positions, and applicants increased. Female applicants, compared to males, and White applicants, relative to their representation in all fellowships, accounted for a larger proportion of applications and had higher match rates. ... Future research should focus on initiatives to address challenges such as the underrepresentation of certain demographics in palliative care and the growing demand for trained professionals as the population ages. 

The path to the future may be the un-obvious: Top news stories, July 2025 Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Cordt Kassner; 8/6/25 The future of hospice care hangs in the balance as providers navigate a perfect storm of challenges and opportunities. From financial pressures closing hospice houses to unprecedented Medicare fraud schemes, from technological disruption to changing consumer expectations – the hospice field stands at a critical inflection point that demands both reflection and action. Join hosts Chris Comeaux and Cordt Kassner as they delve into the latest trends and challenges in Hospice and Palliative Care, discussing key trends, challenges, and innovations shaping the field. This episode covers a wide range of topics, including the impact of healthcare layoffs, disruptive innovations, and the importance of disaster preparedness. 

Insurance companies’ Medicare pullback is here: Insurers are planning to scale back benefits, trim plans and exit from markets. Investors are cheering The Wall Street Journal; by David Wainer; 8/5/25 Many seniors enjoy the perks that come with Medicare Advantage. But those extras—like dental coverage and free gym memberships—are being scaled back. Insurers are cutting benefits and exiting from unprofitable markets, and Wall Street is cheering them on. Once rewarded by investors for rapid expansion in the lucrative privatized Medicare program, companies are now being applauded for showing restraint amid rising medical costs and lower government payments.

Burnout eases for doctors at every career stage as support rises American Medical Association (AMA); by Sara Berg; 7/22/25 Physician burnout is showing promising signs of decline, according to exclusive survey data from the AMA. The analysis reveals that burnout rates have fallen among physicians at every career stage after residency or fellowship training. At the same time, measures of job satisfaction and feeling valued in the workplace are on the rise—an encouraging shift that suggests meaningful progress in efforts to support physician well-being.  ... Nearly 18,000 responses from physicians across 43 states were received from more than 100 health systems and organizations that participated in the AMA Organizational Biopsy® last year. The AMA national physician comparison report—which is exclusive data to the AMA that is not published anywhere else—reflects 2024 trends on six key performance indicators—job satisfaction, job stress, burnout, intent to leave an organization, feeling valued by an organization and total hours spent per week on work-related activities ... 

Hospice East Bay workers to strike Tuesday KRON-4, Bay Area, CA; by Bay City News; 7/29/25 Hospice East Bay workers say they will strike Tuesday to protest spiking caseloads. Nearly 80 nurses, social workers, chaplains and bereavement counselors at Hospice East Bay joined the National Union of Healthcare Workers in 2023. The group said they’re still seeking their first contract after about 18 months of negotiations. The group said Friday in a statement they “are fed up with a severe understaffing of nurses and frustrated that management is bargaining in bad faith and refusing to enshrine existing patient care protocols into a contract before the hospice turns over control to an out-of-state chain.” 

Your secret weapon: How simple recognition fuels success HR Daily Advisor; by HR Daily Advisor Staff; 7/23/25 In today’s fast-moving work world, the key to winning isn’t just about cool tech or smart processes. It’s about truly putting people first. Dr. Meisha-Ann Martin, VP of People Research at Workhuman and speaker at SHRM 25, recently showed us just how powerful this can be. She highlighted that when done right, recognition isn’t just a nice gesture – it’s a game-changer for your entire company.