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Development of the International Guidelines for Home Health Nursing

Narayan, Mary MSN, RN, HHCNS-BC, CTN-A; Farris, Cindy PhD, MPH, CNE; Harris, Marilyn D. MSN, RN, NEA-BC, FAAN; Hiong, Fong Yoke MSC, RN

doi: 10.1097/NHH.0000000000000604

Throughout the world, healthcare is increasingly being provided in home and community-based settings. There is a growing awareness that the most effective, least costly, patient-preferred setting is patients' home. Thus, home healthcare nursing is a growing nursing specialty, requiring a unique set of nursing knowledge and skills. Unlike many other nursing specialties, home healthcare nursing has few professional organizations to develop or support its practice. This article describes how an international network of home healthcare nurses developed international guidelines for home healthcare nurses throughout the world. It outlines how the guidelines for home healthcare nursing practice were developed, how an international panel of reviewers was recruited, and the process they used for reaching a consensus. It also describes the plan for nurses to contribute to future updates to the guidelines.

Mary 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.

The authors declare no conflicts of interest.

Address for correspondence: Mary Narayan, MSN, RN, HHCNS-BC, CTN, 10340 Brittenford Drive, Vienna, VA (

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