Abstract
Increasingly, patients and clinicians are considering palliative care interventions during pregnancy for the maternal-fetal dyad when a life-limiting diagnosis is confirmed. Nurses are at the forefront of providing hospice and palliative care that includes planning interventions for infants nearing the end of life. However, little is known about the work environment facilitators to the availability of complementary and alternative medicine (CAM) therapies. Using a national database of perinatal hospice and palliative care providers, we describe the types of CAM therapies available and explore the influence of the nurse work environment on the availability of CAM therapies with multivariate regression analysis. This study shows that having an education environment where clinicians are trained, along with a highly educated registered nurse support staff, and a bachelor of science in nursing-educated staff was critical to the availability of CAM therapies. The clinical implications for hospice and palliative nurses caring for infants and their families are discussed.