The Relationship Between The Nursing Environment And Delivering Culturally Sensitive Perinatal Hospice Care

The Relationship Between The Nursing Environment And Delivering Culturally Sensitive Perinatal Hospice Care

Mixer Sandra J; Lindley L; Wallace Heather; Fornehed Mary Lou; Wool Charlotte

10.12968/ijpn.2015.21.9.423

International Journal Of Palliative Nursing

2015

End-of-life Care; Hospice Organisation; Nursing Administration; Nursing Leadership; Nursing Staff

Delivery Of Health Care; Female; Fetal Death; Hospice And Palliative Care Nursing; Hospices/statistics & Numerical Data; Humans; Infant; Perinatal Care; Perinatal Death; Pregnancy; Retrospective Studies; Surveys And Questionnaires; Transcultural Nursing; United States; Workplace

BACKGROUND: Wide variations exist among perinatal hospices, and barriers to perinatal palliative care exist at the healthcare level. Research in the area of culturally sensitive perinatal palliative care has been scarce, a gap which this study addresses. OBJECTIVE: To evaluate the relationship between the nurse work environment and the delivery of culturally sensitive perinatal hospice care. METHOD: This retrospective, correlational study used data from the National Home and Hospice Care Survey, which includes a nationally representative sample of hospice care providers. A multivariate logistic regression model was used to estimate the relationship between the delivery of culturally sensitive care and the nurse work environment. RESULTS: Accreditation, teaching status, and baccalaureate-prepared registered nurse staff had an impact on the provision of culturally sensitive perinatal care Conclusions: The hospice and nursing unit environments, specifically in regards to education and technology, may be important contributors to the delivery of culturally sensitive care.

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