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Development of the International Guidelines for Home Health Nursing
Mary Narayan1, Cindy Farris, Marilyn D Harris
1Mary Narayan, MSN, RN, HHCNS-BC, CTN-A, is a Home Health Clinical Nurse Specialist, Narayan Associates, Vienna, Virginia. Cindy Farris, PhD, MPH, CNE, is the Director of Undergraduate Nursing, Department of Nursing, Indiana Purdue University Fort Wayne, Fort Wayne, Indiana. Marilyn D. Harris, MSN, RN, NEA-BC, FAAN, is the Retired Executive Director, Abington Memorial Hospital Home Care & Hospice, Willow Grove, Pennsylvania. She is a current author and editor, Warminster, Pennsylvania. Fong Yoke Hiong, MSC, RN, is an Assistant Director of Nursing, Hua Mei Centre for Successful Ageing, Tsao Foundation, Singapore. Acknowledgements: The authors of this article-the taskforce leaders for the Guidelines-wish to acknowledge and thank the nurses who helped develop this article: Carol Long, PhD, RN, FPCN, FAAN, and Barbara Piskor, MPH, BSN, RN, NEA-BC. Also, special thanks to Denise McEnroe-Petitte, PhD, MSN, BSN, AS, RN, for her work on the Glossary accompanying the Guidelines.
Home healthcare nursing is a growing specialty. An international network of nurses developed global practice guidelines to support this vital field, ensuring consistent, high-quality patient care worldwide.
Area of Science:
- Nursing Practice
- Global Health
- Healthcare Delivery
Background:
- Healthcare delivery is shifting towards home and community settings globally.
- Home healthcare nursing is a growing specialty with unique knowledge and skill requirements.
- Limited professional organizational support exists for home healthcare nursing practice.
Purpose of the Study:
- To describe the development of international guidelines for home healthcare nursing practice.
- To outline the methodology used for guideline creation and consensus-building.
- To establish a framework for ongoing updates and contributions to the guidelines.
Main Methods:
- An international network of home healthcare nurses collaborated on guideline development.
- An international panel of reviewers was recruited for expert evaluation.
- A consensus-reaching process was employed by the review panel.
Main Results:
- International guidelines for home healthcare nursing practice were successfully developed.
- A structured process for recruitment and consensus among international reviewers was implemented.
- A plan for future guideline updates involving nurse contributions was established.
Conclusions:
- International collaboration can effectively create essential practice guidelines for emerging nursing specialties.
- The developed guidelines provide a foundation for advancing home healthcare nursing globally.
- A mechanism for continuous improvement ensures guidelines remain relevant and comprehensive.
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