Abstract: Objective: To explore the impact of bedside nursing program based on linear visual flow on nurses' cognitive and behavioral perceptions of nursing safety in the Neonatal Intensive Care Unit (NICU), and to provide evidence for promoting nurses' clinical nursing safety. Methods: Twenty-nine patients admitted from December 2022 to February 2023 were recruited in the control group, while 32 patients admitted from March 2022 to May 2023 were assigned to the observational group by convenience sampling method, and the control group used the linear visual inspection supervision scheme. A linear visual diagram and a linear visual inspection checklist were drawn up for critically ill patients, and basic knowledge training and practical training were conducted to, while the control group was on routine bedside rounds, evaluate the differences in safety cognition and behavior, as well as the incidence of adverse events in infants before and after the training of NICU nurses. Results: After the implementation of bedside nursing program based on the linear visual process, the knowledge and scores of safety competence of nurses were higher than those before the training (P<0.05). The incidences of pressure injury and infusion extravasation in critically infants in the observational group were lower than those in the control group (P<0.05). Conclusion: Bedside nursing program based on linear visual process can effectively improve nurses' cognitive and behavior of safety, reduce the incidence of pressure injury, infusion extravasation and unplanned extubation in NICU critically infants, improve nursing quality management, and ensure clinical safety.

Key words: visual guidance; nursing process; nurse; cognitive behavior; safety competency