Literature Review

USF Health College of Nursing launches new Hospice and Palliative Care Graduate Certificate Program for nurses USF Health - University of South Florida; 3/25/24In response to the increasing need for skilled professionals in end-of-life care, USF Health College of Nursing has launched a graduate certificate program in Hospice and Palliative Care. This program will equip registered nurses with the education, training, and clinical hours required to take the Certified Hospice and Palliative Nurse (CHPN®) exam. The USF Health College of Nursing Hospice and Palliative Care Certificate is an online training program consisting of six courses taken over three semesters. 

Northwell hospital nurses set strike date Becker's Hospital Review, by Kelly Gooch; 3/22/24 Members of the New York State Nurses Association are set to strike April 2 at Staten Island University Hospital in New York City. The union represents 1,300 workers at the facility, according to an NYSNA news release. ... The union cited concerns about having enough staffing to meet the needs of the Staten Island community and contends wages are also still a key sticking point at the bargaining table. Members are seeking a contract that ensures enough experienced nurses are at the bedside to provide safe patient care.

Palliative care improves quality of life for bone marrow transplant patients Duke Health News & Media, by Alexis Porter; 3/25/24 ... Researchers tested the effectiveness of an integrated palliative care intervention across diverse settings. They enrolled 360 adults undergoing bone marrow transplants at three academic medical centers, including Duke University Hospital, Massachusetts General Hospital and the Fred Hutch Cancer Center at the University of Washington. ... Patients receiving the palliative care intervention reported better quality of life, defined by the degree to which an individual is healthy, comfortable, and able to participate in life events. They also had lower depression, PTSD and fatigue symptoms compared to those receiving usual care. 

‘You can become a husband again’ National Association of Federal Retirees (Canada); by Jennifer Campbell; 3/25/24When his wife got a much-needed bed in palliative care, a perceptive nurse told Brian Hills he could concentrate on being a husband again, instead of a caregiver. 

Digital avatars and personalized voices—How AI is helping to restore speech to patients JAMA Network, by Samantha Anderer and Yulin Hswen, ScD, MHP; 3/22/24 This conversation is part of a series of interviews in which JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, and expert guests explore issues surrounding the rapidly evolving intersection of artificial intelligence (AI) and medicine.  As a specialist in advanced brain mapping methods, Edward Chang, MD, set out to understand the mechanisms that turn our thoughts into words. Now, with the help of AI, his team at the University of California, San Francisco (UCSF) Weill Institute for Neurosciences has demonstrated that the brain signals associated with speech-related sensory and motor processes could grant a new voice to patients who have lost the ability to speak.

Eight nurses from St. Vincent Hospital filed suit yesterday in Worcester Superior Court against Tenet Healthcare for wrongful termination after blowing the whistle on unsafe patient care conditions ABC WATE.com 6 / Cision PR Newswire; by Massachusetts Nurses Association; 3/22/24 Eight registered nurses represented by the Massachusetts Nurses Association at St. Vincent Hospital filed a lawsuit yesterday in Worcester Superior Court against the hospital and its owner, Dallas-based for-profit owner Tenet Healthcare alleging they were fired for exercising their legal and professional obligation to report "unsafe and illegal conduct and conditions" that jeopardized the health and dignity of the patients under their care. ... last month the nurses' claims were validated by The Joint Commission, which conducted an investigation into the nurses' complaints and found the hospital to be "non-compliant with applicable Centers for Medicaid and Medicare Services (CMS) Conditions."

End-of-life care in heart failure MedPageToday; by Crystal Phend, reviewed by Andrew Perry, MD; 3/22/24 Palliative care has a perception problem. It's often associated with end of life or advanced cancer. However, cardiovascular disease actually accounts for a higher proportion of adults in need of palliative care than does cancer (38.5% vs 34%), according to the World Health Organization. Patients with heart failure (HF) have a median survival of about 5 years -- on par with many types of cancer, yet patients with cancer are much more likely to be referred to palliative care. 

Top 10 patient safety threats of 2024: Helping new clinicians, maternal care barriers, AI, and more Chief Healthcare Executive, by Ron Southwick; 3/21/24 When ECRI unveiled its list of the leading threats to patient safety for 2024, some items are likely to be expected, such as physician burnout, delays in care due to drug shortages or falls in the hospital. However, ECRI, a nonprofit group focused on patient safety, placed one item atop all others: the challenges in helping new clinicians move from training to caring for patients. ... ECRI’s top 10 threats to patient safety for 2024: 

8 likely next in-demand nursing roles, per Tampa General's chief nurse Becker's Clinical Leadership, by Laura Dyrda; 3/15/24 ... "In the next two to three years, the nursing team may require new roles and skills to adapt to the changing healthcare landscape," said Wendi Goodson-Celerin, DNP, APRN, senior vice president and chief nursing executive at Tampa (Fla.) General Hospital. Dr. Goodson-Celerin outlined potential roles and skills that may be in demand over the next two to three years:

Physicians often shy away from preparing their patients to dieToday'sHospitalist, by Colleen Poggenburg, MD, MS; 3/22/24 There's beauty in death if we can tolerate looking. ... The beauty in death is the reflections that occur in the weeks, days and minutes prior to it, which together make up a summary of someone’s life. Why then do physicians view this time-honored decline as a series of clustered medical problems, when it really is just someone moving toward death? Are we so concerned about treating just one more condition, and do we actually think it will solve the growing list of medical problems that dying patients have? ... I compared dying to pregnancy to “soften” the description of this decline. Here’s how I see that comparison: ...Editor's Note: The author offers a fascinating, meaningful comparison of physician/patient conversations with someone who is pregant versus someone who is dying. I encourage you to share this article with your clinical leaders (and adapt it for staff), as this model beautifully reframes important conversations that can empower patients and their families.

Palliative care in the older adult with cancer and the role of the geriatrician: a narrative review Annals of Palliative Medicine, by Bibban Bant Deol, Lisa Binns-Emerick, MOhammad Kang, Pragnesh Patel; 3/15/24 online ahead of print Conclusions: Embedding primary care geriatrics in the palliative care arena helps to provide more access to this care. This integration helps providers address basic symptom management, advance care planning and work with individuals on goals of care to assure the care being provided is congruent individual's priorities. Older adults respond to symptoms different than their younger counterparts. Management of these symptoms has to be addressed in a manner commiserate with their age.

Bill to help health workers with burnout moves ahead in Congress Modern Healthcare, by Michael Mcauliff; 3/20/24 A bill designed to help counter depression, burnout and suicide among healthcare providers cleared a key hurdle Wednesday, passing unanimously out of the House Energy and Commerce Committee. The Dr. Lorna Breen Health Care Provider Protection Reauthorization Act of 2024 updates and extends for five years an earlier version of the law. It funds grants for healthcare organizations and associations to run programs aimed at improving workers' mental health amid staff shortages and ongoing fallout from the COVID-19 pandemic. 

Frailty needs to be a factor in drug development, proposed guidelines suggest McKnights Long-Term Care News, by Kristen Fischer; 3/20/24A new report on strategies for geriatric drug development and assessment determined that drugs need to consider age as well as other factors that older adults face such as cognitive impairment, frailty and polypharmacy. This is according to the International Union of Basic and Clinical Pharmacology (IUPHAR) Geriatric Committee, which published the report. The strategies specifically focused on integrating frailty as a factor in drug development. The report, published in the Journal of the American Geriatrics Society earlier this month, includes 12 principles pertaining to frailty in reference to drug development. The recommendations include measuring frailty at the start of when a person goes on a drug they’ll likely take regularly.