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Developing Nursing Standard Guidelines for Nurses in a Neonatal Intensive Care Unit: A Delphi Study.

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Healthcare (Basel, Switzerland)
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Summary

This study developed evidence-based nursing standard guidelines for neonatal intensive care units. These guidelines enhance high-risk neonatal care and reflect Korean nursing practice standards.

Keywords:
Delphi techniqueeducationinfantnursing

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Area of Science:

  • Neonatal Intensive Care Unit Nursing
  • Pediatric Nursing
  • Healthcare Standards Development

Background:

  • Neonatal intensive care units (NICUs) require specialized nursing care.
  • Standardized guidelines are essential for consistent, high-quality neonatal care.
  • Existing practice standards may not fully encompass NICU-specific needs.

Purpose of the Study:

  • To develop comprehensive nursing standard guidelines for nurses in a neonatal intensive care unit.
  • To establish evidence-based practices for high-risk neonatal care.
  • To create a resource for practical clinical education in Korean NICUs.

Main Methods:

  • The Delphi method was employed to achieve expert consensus.
  • Thirteen pediatric adolescent specialists and NICU nurses participated.
  • Guidelines were developed from existing standards and direct NICU observations.

Main Results:

  • An initial 178 items were generated from nursing and professional practice standards.
  • An additional 10 items were added based on NICU observations.
  • Expert validation resulted in a final set of 184 standard guideline items.

Conclusions:

  • The developed guidelines provide a framework for high-risk neonatal care.
  • These standards are significant for practical clinical education in nursing.
  • The guidelines reflect Korean nursing practice standards and NICU characteristics.