Abstract: Objective: To develop the neonatal skin injury risk assessment tool for measuring of Chinese neonatal skin injury risk. Methods: Using the Delphi method, the Neonatal Skin Risk Assessment Scale and The Neonatal Tissue Viability Risk Assessment Tool for reference, with bergstorm's conceptual model of skin pressure injury and Vincen's risk and safety analysis theory as the framework, the expert consultation questionnaire was formed on the basis of interviews with 18 clinicians and nurses. Seventeen experts were selected for two rounds of expert consultation, and the items of the scale were screened to form the final risk assessment tool for neonatal skin injury. Results: The expert's positivity was high and the response rates of the two-round consultation were 94.74% and 94.44% and the coefficient of the expert's authorities Cr were 0.841 and 0.885, after the two-round consultation, Kendall's W was 0.460 (P<0.01). Finally, the neonatal skin injury risk assessment tool included nine items (gestational age, weight, humidity, nutritional intake status, friction and shear force, tissue oxygenation and perfusion, types of medical equipment, autonomous activities, use of exosmosis drugs) was formulated. Conclusion: The reliability and authority of neonatal skin injury risk assessment tool developed with Delphi method is relatively high. It can provide a reference for clinical nurses to evaluate the skin risk of newborns and lays a foundation for testing the reliability and validity and evaluating the predictive ability of the scale.

Key words: Delphi method; neonatal; skin nursing; scale