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 systems 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 impacted 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.

Caring for Dying Infants: A Systematic Review of Healthcare Providers’ Perspectives of Neonatal Palliative Care

“…Other barriers to the facilitation of neonatal palliative care discussed in the literature include a lack of staff education and preparedness, a chaotic physical environment, language barriers, going further with treatment than comfortable on behalf of the parents, and provider emotional distress. 3,4,26,29,30,31 Almost 92% of respondents in the Haug et al study 4 felt that their institutions needed better education and training for their staff. Many providers also experience discomfort by providing care beyond their comfort level due to pressures from the family.…”

Potential effects of the nursing work environment on the work-family conflict in operating room nurses

“…They should analyze the potential major roles at a particular stage, so as to make good self-judgment, learn to decompress themselves, adjust their mentality, and thereby accept their own deficiencies to get the maximal support from their families; and (2) The nurse managers should communicate with the nurses actively, establish a multi-layered communication mechanisms, know the work attitudes of the nurses, try to find about their difficulties in maintaining life and work balance, pay attention to the work-family conflict, and promote their overall social support and belonging. In addition, in order to help the nurses master their daily timetable, the system of work sharing and reasonable scheduling should be carefully formulated according to the work-family conflict of the nurses to reduce the unnecessary pressure on their work and family[ 25 ].…”

Using Patient-Centered Care After a Prenatal Diagnosis of Trisomy 18 or Trisomy 13

“…There has been increased acknowledgment of patient preferences in the care of women who choose to continue pregnancies affected by severe or lethal fetal anomalies. The concepts of perinatal palliative care and prenatal advanced birth care planning have been evolving since the theory of perinatal hospice was introduced . Wool and colleagues published research in developing quality indicators in perinatal palliative care.…”

“…The concepts of perinatal palliative care and prenatal advanced birth care planning have been evolving since the theory of perinatal hospice was introduced. [32][33][34][35][36][37][38][39][40] Wool and colleagues [41][42][43] published research in developing quality indicators in perinatal palliative care. Perinatal palliative care initiatives are now increasingly supported by clinicians, parents, and professional entities.…”