This analysis is intended to assist public health nurses and others to apply the principles and standards of professional nursing conduct and practice to the development and utilization of home health aide services. Part I, "Development of a Home Health Aide Service" covers (1) agency organization and policies, including such topics as legal basis, relationships with other official agencies, accreditation, and liability insurance, (2) the administration plan, including goals, contracts, fees and financial accounting, coordination of services, and evaluation and interpretation of services, (3) the team concept, (4) selection and recruitment of aides including such topics as nondiscrimination, methods of recruitment, and qualifications of candidates, (5) training, including core course, inservice training, orientation and continued training and supervision, (6) personnel policies, and (7) agreements in the utilization of aides employed by other agencies. Part II, "Utilization of Home Health Aide Services" discusses (1) placement and assignment including nursing assessment, nursing care plans, and introducing the aide to the family, (2) communication, and (3) supervision and evaluation of the aide. Appendixes include guidelines from "A Guide for the Utilization of Personnel Supportive to Public Health Nursing Services" (ED 023 923). (JK)