Abstract
Background. The International Home Care Nurses Organization and the American Nurses Association (ANA) are collaborating to develop the International Scope and Standards of Home-Based Nursing Practice. The first step was to conduct research with home-based nurses (HBNs; nurses who provide care for patients in their homes) to develop an evidence-base for the international scope and standards document.
Methodology. This IRB-reviewed study consisted of a literature review to locate key documents (e.g.; ICN, 2021; Narayan et al., 2017; Nursing and Midwifery Council, 2024; Rusli et al., 2021, Saari et al., 2024) and four surveys: 1) status of country’s Home-Based Nursing (HBN) practice, 2) HBNs' perspectives about scope of practice, 3) HBN standards for practice, and 4) basic competencies for HBNs. The surveys were developed sequentially, using data from each previous survey to develop the next survey. Each survey captured quantitative and qualitative data on a secure web-based platform in 2024. Convenience, purposive, and snowball sampling recruited over 100 HBN participants from six geographic world regions. Potential participants were sent an e-mail invitation to participate in the study and were asked to forward the invitation to their HBN colleagues. ANA’s online research platform was used for consent, anonymous data collection, and initial analysis. Data were transferred to SPSS for further analysis.
Findings. HBNs’ opinions about the status and preferred scope, standards and competencies of HBN practice by country and geographic region will be reported.
Notes
References:
1. International Council of Nurses. (2021). ICN code of ethics for nurses. International Council of Nurses. https://www.icn.ch/sites/default/files/2{Citation}023-06/ICN_Code-of-Ethics_EN_Web.pdf.
2. Narayan, M., Farris, C., Harris, M. D., & Hiong, F. Y. (2017). Development of the International Guidelines for Home Health Nursing. Home Healthcare Now, 35(9), 494–506. DOI: 10.1097/NHH.0000000000000604
3. Nursing and Midwifery Council, United Kingdom. (2024). Standards of proficiency for community nursing specialist practice qualifications. https://www.nmc.org.uk/globalassets/sitedocuments/standards/2024/printer-friendly/standards-of-proficiency-for-nursing-spq-print-friendly.pdf.
4. Rusli, K. D. B., Tan, A. J. Q., Ong, S. F., Speed, S., Lau, Y., & Liaw, S. Y. (2021). Home-based nursing care competencies: A scoping review. Journal of Clinical Nursing, 32(9–10), 1723–1737. https://doi.org/10.1111/jocn.16169.
5. Saari, M., Coumoundouros, C., Tadeo, J., Northwood, M., Chyzzy, B., Holyoke, P., & Giosa, J. (2024). Updating the community health nurses of Canada core competencies for home health nursing: A modified eDelphi study. SE Research Center.
6. World Health Organization. (2017). Enhancing the role of community health nursing for universal health coverage. World Health Organization. https://iris.who.int/handle/10665/255047
Sigma Membership
Theta Lambda at-Large
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Competence, Public and Community Health, Global Leadership, Home Care Nurses
Recommended Citation
Hinck, Susan M. and Narayan, Mary C., "Research Findings Describing Home-Based Nurses’ International Scope and Standards of Practice" (2025). International Nursing Research Congress (INRC). 261.
https://www.sigmarepository.org/inrc/2025/presentations_2025/261
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Research Findings Describing Home-Based Nurses’ International Scope and Standards of Practice
Seattle, Washington, USA
Background. The International Home Care Nurses Organization and the American Nurses Association (ANA) are collaborating to develop the International Scope and Standards of Home-Based Nursing Practice. The first step was to conduct research with home-based nurses (HBNs; nurses who provide care for patients in their homes) to develop an evidence-base for the international scope and standards document.
Methodology. This IRB-reviewed study consisted of a literature review to locate key documents (e.g.; ICN, 2021; Narayan et al., 2017; Nursing and Midwifery Council, 2024; Rusli et al., 2021, Saari et al., 2024) and four surveys: 1) status of country’s Home-Based Nursing (HBN) practice, 2) HBNs' perspectives about scope of practice, 3) HBN standards for practice, and 4) basic competencies for HBNs. The surveys were developed sequentially, using data from each previous survey to develop the next survey. Each survey captured quantitative and qualitative data on a secure web-based platform in 2024. Convenience, purposive, and snowball sampling recruited over 100 HBN participants from six geographic world regions. Potential participants were sent an e-mail invitation to participate in the study and were asked to forward the invitation to their HBN colleagues. ANA’s online research platform was used for consent, anonymous data collection, and initial analysis. Data were transferred to SPSS for further analysis.
Findings. HBNs’ opinions about the status and preferred scope, standards and competencies of HBN practice by country and geographic region will be reported.
Description
The World Health Organization (2017) recommends international standards for community health nursing. Toward that goal, the purpose of this research was to identify the status of home-based nursing and the scope, standards, and competencies of practice in various countries. Over 100 home-based nurses from 45 countries participated in four web-based surveys to develop the International Scope and Standards Home-Based Nursing Practice. Findings are reported for the first time at this conference.