Literature Review

Opportunities and barriers to artificial intelligence adoption in palliative/hospice care for underrepresented groups: A technology acceptance model-based review Journal of Hospice & Palliative Nursing; by Tuzhen Xu and Gloria M Rose; 4/2/25 Underrepresented groups (URGs) in the United States, including African Americans, Latino/Hispanic Americans, Asian Pacific Islanders, and Native Americans, face significant barriers to accessing hospice and palliative care. ... Findings suggest that AI has the potential to improve decision-making, enhance timely palliative care referrals, and bridge language and cultural gaps. Artificial intelligence tools were found to improve predictive accuracy, support serious illness communication, and assist in addressing language barriers, thus promoting equitable care for URGs. However, barriers such as limited generalizability, biases in data, and challenges in infrastructure were noted, hindering the full adoption of AI in hospice settings. Artificial intelligence has transformative potential to improve hospice care for URGs by enhancing cultural sensitivity, improving communication, and enabling more timely interventions. However, to fully realize its potential, AI solutions must address data biases, infrastructure limitations, and cultural nuances. Future research should prioritize developing culturally competent AI tools that are transparent, explainable, and scalable to ensure equitable access to hospice and palliative care services for all populations. [Continue reading ...]

Higher sedentary time linked to more chronic conditions, study shows McKnights Long-Term Care News; by Kristen Fischer; 4/2/25 A new study showed a progressive increase in multimorbidity, or multiple chronic conditions, in people who spent more time sedentary (or not moving). When people limited their time being sedentary to under four hours a day, it was linked with a lower chance of multimorbidity. Findings were published Tuesday in Archives of Public Health. ... On average, 46.1% of participants were sedentary for one to three hours a day, while 9.4% of people were still for more than seven hours each day. When scientists put the data together, they noticed a clear trend: The longer time people spent sedentary, the more likely they were to have more health ailments. ... Systemic arterial hypertension, chronic spine problems and high cholesterol were the most common chronic conditions among participants. [Continue reading ...]  Editor's note: What health/wellness support do you provide for your employees who spend hours upon hours at a computer? Do you provide innovative breaks? Walking groups? A roomwith exercise machines? Employee discounts for local gyms? Email me with your supportive solutions. 

National Healthcare Decisions Week highlights the importance of Advance Care Planning JAX Chamber - Jacksonville News, Jacksonville, FL; 4/1/25 National Healthcare Decisions Week kicks off on April 14, 2025, with a nationwide effort to raise awareness about the importance of advance healthcare decision-making. This initiative encourages individuals to take proactive steps in planning for their future healthcare needs. Through various events and resources, the week aims to promote thoughtful conversations about healthcare decisions and the completion of advance directives to ensure patients' wishes are known and respected. ... For more information about National Healthcare Decision Day, please visit http://nhdd.org.

10 top health system workplaces, per USA TodayBecker's Hospital Review; by Giles Bruce; 3/21/25Ten health systems were named top workplaces March 21 by USA Today and human resources technology company Energage. The Top Workplaces USA 2025 list was determined using Energage’s confidential employee engagement surveys and participating company benchmarks that take into account years of workplace culture research.Here are the health systems that ranked in the top 100 among organizations with 2,500-plus employees:

Hospice Care and Community Center, Cleveland: First look Healthcare Design; by Tracey Walker; 3/24/25 Hospice of the Western Reserve (Cleveland), a provider of end-of-life palliative care, caregiver support, and bereavement services, chose a lakefront setting for its new Hospice Care and Community Center. Scheduled to open in 2025, the center will provide critical services, create a more efficient care environment, and support the evolving healthcare needs of Northern Ohio. Designed by architecture and interior design firm E4H Environments for Health Architecture (Williston Vt.), the facility will replace the existing Hospice House on the adjacent property, which has served the community for nearly 30 years. [Continue reading for "Interior design strategies" ...]

Trellis Supportive Care to host day of support for caregiversThe Chronicle, Winston-Salem, NC; by WS Chronicle; 3/22/25 Trellis Supportive Care is hosting a day of support for caregivers, free of charge and open to the public.  The program, “Caring for You: A Day of Support for Family Caregivers,” is set for Friday, April 4, from 8:30 a.m. – 3:30 p.m. at the Intergenerational Center for Arts and Wellness in Winston-Salem. This full-day program is both a retreat and educational day for caregivers. “We understand that caregivers are often unable to attend events such as this, therefore, we are removing that barrier,” shared Jacob Gordon, director of community programming with Trellis Supportive Care. For those responsible for caring for an adult family member, Trellis is arranging respite care in coordination with local partner agencies so that caregivers can attend.   ... “We hope this provides an opportunity for people to regroup, rejuvenate, and leave with valuable tips for moving forward as a caregiver,” shared Gordon.   

Etched in time: Hope Hospice making extra effort to recognize, appreciate New Braunfels-area veterans New Braunfels TheHerald-Zeitung, New Braunfels, TX; by Erica Wilson; 3/20/25 ... [Photo] The Veterans Plaza on Hope Hospice's New Braunfels campus is pictured on Wednesday, March 19, 2025.  ... Of Hope Hospice’s patients in the New Braunfels area, about one-fifth are typically veterans. ...  [Descriptions of their "We Honor Veterans" program.] ... [In] a show of support for community veterans, Hope Hospice’s main campus in New Braunfels has a veterans plaza honoring both living and deceased veterans. Bricks engraved with veterans' names surround a flagpole on the campus.  All veterans are eligible to have their names displayed in the plaza, whether or not Hope Hospice has served their families. Bricks can be purchased for $50, and funds go toward supporting Hope Hospice’s efforts to support veterans at the end of their lives.

How work in the hospice field differs from hospital work Healthcare Business Today; 3/17/25 ... How work in the hospice field differs from hospital work goes beyond the obvious difference in care settings—it reflects a fundamental shift in approach, focus, and philosophy. Hospice focuses on enhancing quality of life, while hospitals often prioritize life-saving interventions. This contrast not only shapes patient care but also defines the role of the medical teams in these environments.

The 1 truly difficult part about being a caregiver that often gets overlooked HuffPost; by Kimberley Richards; 3/13/25 Emma Heming Willis, wife of actor Bruce Willis, recently talked about the needs of caregivers on social media. Experts share what to know about the vital role. ... Among the different ways society may overlook the various caregiving experiences, there’s one aspect of it that isn’t often talked about: Many times it’s an “invisible” job. ... Hemings Willis’ post sparked conversations online about caregivers and the many struggles that come with it. And experts say perhaps one of the most isolating is the issue of “invisibility. ... She said that caregiving is often seen as a “family duty,” which prevents it from “being recognized as a broader issue requiring systemic attention.” “This view is often compounded by gendered expectations, where women are traditionally expected to take on caregiving roles, leading to feelings of guilt and pressure when they seek assistance,” she said. “The lack of formal policies ... only deepens the invisibility of this vital role, making it even harder for caregivers to balance their responsibilities with their own well-being.”

Partners In Care hosts A Year to Live book discussion group starting April 5 Cascasde Business News; by CBN; 3/11/25 The Bereavement Department in conjunction with leadership at Partners In Care is hosting a community group to explore messaging in Stephen Levine’s book A Year to Live through a series of monthly sessions in 2025 and early 2026. In A Year to Live, Stephen Levine, author of the perennial bestseller Who Dies? teaches us how to live each moment, each hour, and each day mindfully—as if it were all that was left. On his deathbed, Socrates exhorted his followers to practice dying as the highest form of wisdom. Levine decided to live this way himself for an entire year, and now he shares with us how such immediacy radically changes our view of the world and forces us to examine our priorities. 

"The hospice heart": Hospice industry battles misconceptions, staffing shortages as expectations grow Pharos-Tribune, Logansport, IN; by  Josh Flynn Pharos; 3/9/25 ... There are a lot of misconceptions about hospice care and one of the largest is that entering hospice care is equal to giving up. ...Hospice care is one of the fastest growing industries as the Baby Boomer generation continues to age. The hospice care industry was valued at $34.5 billion in 2022 and is expected to grow in value to $67.7 billion by 2030. But misconceptions about hospice care and nursing shortages could threaten that future success. ... Maria Rogers is the public relations liaison at Guardian Angel Hospice in Logansport and she has devoted herself to tackling the misconceptions that surround hospice care. ... “You don’t have to be actively passing away to receive our services,” Rogers said. ... Jennifer Edwards, executive director of Heart to Heart in Mishawaka and Logansport, said many families don’t understand the role of medicine in hospice care. While something like chemotherapy would be discontinued, a hospice staff would never discontinue medications or fail to treat new problems that came up. ...

Nurse leaders can take the lead in promoting civility in the workplace Oncology Nurse Advisor; by Susan Rux, PhD, DNP, RN, FACHE; 2/28/25 Civility, the act of respecting others, especially in situations where disagreement or disparity may arise, occurs by intentionally displaying kindness and empathy. These behaviors help people to understand differences as well as uphold common ground across all social contexts. A stable foundation, afforded through civil actions, serves as a catalyst in achieving environments that promote diversity, equity, and inclusivity — the underpinnings of a culture of belonging. Nurse leaders can play a key role in creating this culture. Contrary to civility, in the healthcare setting, acts of incivility lead to increased levels of staff disengagement and turnover. Researchers have noted that a civil nursing workplace provides a safeguard against numerous professional issues, including but not limited to increased turnover rates, burnout, job dissatisfaction, and stress.

The project: This is hospice care PA Mediapoint, United Kingdom; 3/1/25 Hospice UK approached us to support the launch of their national “This is Hospice Care” campaign. The campaign aimed to raise awareness about hospice care and encourage people to leave a gift in their will to their local hospice. ... To further strengthen the campaign’s storytelling, we encouraged hospice nurses to bring objects representing the diverse services offered by hospices. Some of props included a pug to represent pet therapy, a potted plant symbolising hospice gardens and outdoor spaces, a birthday cake reflecting the sense of community and celebration within hospices, and a gift box to emphasise the theme of leaving a legacy. Bringing together nurses from twelve hospices, the shoot successfully blended visual storytelling with the core campaign messages. The imagery not only highlighted the importance of hospice care but also created compelling content for national and regional media.Editor's note: This creative initiative can be adapted easily for hospice teams (clinical and non-clinical), volunteers, and more. Click on the title's link to read more about this project's meaningful design, implementation, and outcoms.