Literature Review

Elder abuse is easy to missNextAvenue; by Leida Snow; 5/6/24 Here is what to look for if you suspect a caregiver--whether a relative or a professional--is mistreating a loved one. ... People are living longer in their own homes outside of nursing homes or other institutional settings, which means that at some point each of us is likely to be a caregiver or looking for continuing health care for a loved one or ourselves. ... "My husband was in home hospice for the last months of his life." ... [A bereaved caregiver describes incidents with her husband's care.]  Then I ... went to the other room and called the agency's 24-hour number. 'I want her out of here,' I said. 'Please send someone else as soon as you can.' Lou briefly rallied the next morning, but he died later that day. Did the aide hasten his death? I believe she did."

Empathy exhaustion in nursing Psychiatry Advisor; by Elizabeth Quaye; 5/5/24 This article looks at the role of empathy in nursing, the causes and symptoms of empathy exhaustion, and steps nurses can take to address it. ...

Curricular reform in serious illness communication and palliative care: Using medical students' voices to guide change  Academic Medicine: Journal of the Association of American Medical Colleges; by Jennifer A Reidy, Kate Brizzi, Stephanie H Chan, Hollis Day, Scott K Epstein, Melissa Fischer, Priya S Garg, Anna Gosline, Carolina Jaramillo, Emma Livne, Suzanne Mitchell, Sarah Morgan, Molly W Olmsted, Patricia Stebbins, Isabella Stumpf, Tamara Vesel, Irene M Yeh, Megan E Young, Roberta E Goldman; 5/1/24 Purpose: To gather and leverage the voices of students to drive creation of required, integrated palliative care curricula within undergraduate medical education in Massachusetts, which is lacking in a majority of U.S. medical schools. Conclusions: This study confirms long-standing themes on students' experiences with SIC and palliative care topics, including feeling inadequately prepared to care for seriously ill patients as future physicians. Our study collected students' perspectives as actionable data to develop recommendations for curricular change.

May 6-12, 2024 National Nurses Week: Nurses Make a DifferenceNursing World; by the American Nurses Association; 4/30/24 The American Nurses Association is celebrating National Nurses Week 2024 May 6 - May 12, and throughout May. This year's theme, "Nurses Make the Difference," honors the incredible nurses who embody the spirit of compassion and care in every health care setting. Join us in recognizing the invaluable contributions of nurses worldwide. Whether you're a health care professional, a patient, or simply someone who appreciates nurses' dedication, this is your chance to express gratitude and support for their capability and fortitude. Let’s come together to celebrate Nurses Week 2024 and show our appreciation for these extraordinary professionals!

To stay open, rural nursing homes in the Midwest prioritize nurses NPR KCUR 89.3; by Aaron Bonderson; 5/1/24... Not enough nurses. Nursing home closures are creeping across Nebraska and other parts of the Midwest. Since 2020, 13 Nebraska nursing homes have shuttered, according to the American Health Care Association (AHCA). During that time, 25 Kansas nursing homes, 27 in Missouri, and 36 in Iowa closed their doors. According to the Center for Medicare Advocacy (CMA), 22 nursing homes in Iowa closed in 2022 alone because of poor quality of care and low occupancy. ... Staffing shortages and quality of care concerns are the leading reasons long-term care facilities shut down, according to the AHCA and the CMA. The pandemic didn’t help matters, stretching employees and resources to their limits.Editor's Note: Click on the title's link and scroll down for a US map of states with data for rank, nurse staff hours per resident per day (HRPD), total nurses, and total providers.

Penn State Hershey Medical Center nurses ratify new contractNBC WGAL TV 8; by Lori Has More; 4/27/24 More than 2,000 registered nurses working at Penn State Hershey Medical Center have ratified a new three-year contract. The union says their new deal will increase pay rates by an average of 22.5%, include more time off and new initiatives to address staffing needs. Editor's Note: These changes reflect national trends for recent healthcare strikes and high turnover rates: pay rates, work-life balance, and staffing. Additionally, we're seeing demands for improved workplace safety as a common theme for healthcare professionals.

Congresswoman Kat Cammack introduces legislation to block 80-20 Rule Home Health Care News; by Joyce Famakinwa; 4/26/24 ... On Thursday, Congresswoman Kat Cammack (R-Fla.) introduced a bill to block the U.S. Department of Health and Human Services (HHS) from finalizing the 80-20 provision. Additionally, the legislation would also block HHS from implementing any similar rules that place a minimum requirement for how much of Medicaid spending on HCBS goes towards direct workers’ wages. Cammack’s reason for introducing this legislation is her belief that the 80-20 provision will severely limit access to care at a time when providers are already struggling to serve patients.

Understanding the scope of aggressive incidents in hospitals | Safer Hospitals Chief Healthcare Executive; by Ron Southwick; 4/26/24 Researchers found healthcare workers are facing a verbal or physical incident at least once for every 40 hours worked. Joanne De Santo lennaco of Yale University talks about protecting staff. Even with more attention being placed on violence in hospitals and health systems, healthcare leaders say many incidents don’t come to light. ... Much attention has been focused on incidents involving healthcare workers that have resulted in physical injuries, but she says that fails to capture the hostility healthcare workers routinely encounter, she says.

PeaceHealth's home nurses authorize a potential second strike The Lund Report, by Nathan Wilk; 4/23/24Homecare and hospice nurses at PeaceHealth Sacred Heart in Springfield [OR] have authorized a second strike that could last indefinitely. The nurses are seeking a contract with same wage increases as their in-hospital counterparts. They previously went on strike for two weeks in February. ...During the previous strike, nurses accused PeaceHealth of providing poor replacement care to patients. If this strike goes through, Waltasti said it would continue to provide uninterrupted services, but he also pointed to other options for patients.

Oncology social workers' involvement in palliative care: Secondary data analysis from nationwide oncology social workers surveyPalliative & Supportive Care; by Ting Guan, Karlynn BrintzenhofeSzoc, Alyssa Middleton, Shirley Otis-Green, Tara Schapmire, Makeeta Rayton, Krista Nelson, Michael L Grignon, Brad ZebrackResults: Responses from a secondary data set of 243 oncology social workers involved in palliative care results in a 6-factor solution comprising 34 tasks. These factors were identified as: Therapeutic Interventions for Individuals, Couples, and Families; Facilitate Patient Care Decision-making; Care Coordination; Assessment and Emotional Support; Organization and Community Service; and Equity and Justice.Significance of results: The findings can be used to develop job descriptions and education for social workers employed in palliative cancer care. The clear role descriptions also make social work visible to other professionals in palliative oncology. By clarifying the roles of oncology social workers, this study contributes to the improvement of palliative care delivery and enhances interprofessional collaboration within cancer care teams.

How the FTC's ban on noncompetes will shake up healthcare workforce strategiesHealthleaders; by Jay Asser; 4/25/24CEOs will have to adjust their strategies to maintain their workforce if the final rule stands. Key Takeaways:

CMS increases hours to 3.48 in final staffing rule McKnights Long-Term Care News, by Kimberly Marselas; 4/22/24 Nursing homes will be required to deliver 3.48 hours of daily direct care per patient under a final staffing mandate issued this morning. A White House statement on the rule [4/22] said that 3.0 hours must be split between registered nurses at 0.55 hours and 2.45 hours for certified nurse aides. The remaining time was not immediately defined by the White House release, and the full rule text was not available.

Health systems creating new IT C-suite roles Becker's Hospital Review, by Naomi Diaz; 4/19/24 In response to evolving demands within the healthcare landscape, hospitals and health systems are reconfiguring their C-suites and leadership teams to align with organizational priorities. Among the recent developments, several institutions have introduced new roles to their executive teams. [Click on the title's link for examples.]