title: The relationship between the nursing environment and delivering culturally sensitive perinatal hospice care.
abstract: 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.
  
  
  METHODS
  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.
authors.affiliation: Assistant Professors at University of Tennessee, College of Nursing.
authors.forename: Sandra J
authors.initials: SJ
authors.lastname: Mixer
authors.affiliation: Assistant Professors at University of Tennessee, College of Nursing.
authors.forename: Lisa
authors.initials: L
authors.lastname: Lindley
authors.affiliation: Assistant Professor at University of Tennessee, Family and Consumer Science.
authors.forename: Heather
authors.initials: H
authors.lastname: Wallace
authors.affiliation: Instructor, Tennessee Technological University, College of Nursing.
authors.forename: Mary Lou
authors.initials: ML
authors.lastname: Fornehed
authors.affiliation: Assistant Professor, York College of Pennsylvania, Department of Nursing.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Wool
mesh_terms: D003695:Delivery of Health Care; D005260:Female; D005313:Fetal Death; D064946:Hospice and Palliative Care Nursing; D006738:Hospices / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D018743:Perinatal Care; D066087:Perinatal Death; D011247:Pregnancy; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016746:Transcultural Nursing; D014481:United States; D017132:Workplace
keywords: End-of-life care; Hospice organisation; Nursing administration; Nursing leadership; Nursing staff