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Implementing Nurse Family Partnership (NFP)®

Meets DHHS criteria for an evidenced based model

Program Model Overview

Last Updated

June 2011

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The information in this profile reflects feedback from this model’s developer as of the above date. The description of the implementation of the model here, including any adaptations, may differ from how it was implemented in the studies reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the DHHS criteria for evidence of effectiveness.

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Implementation Support

The Nurse Family Partnership® (NFP) is a home visiting program model supported in its replication by a Colorado nonprofit organization referred to as the Nurse-Family Partnership National Service Office (NFP NSO). The NFP NSO helps states and communities implement and sustain NFP.

The NFP NSO has established partnerships for the provision of consultative services in many states and major urban areas, including Colorado, Louisiana, Minnesota, North Carolina, Oklahoma, Pennsylvania, South Carolina, Texas, and New York City.

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Theoretical Model

NFP is shaped by human attachment, human ecology, and self-efficacy theories. NFP nurse home visitors use input from parents, nursing experience, nursing practice, and a variety of model-specific resources coupled with the principles of motivational interviewing to promote low-income, first-time mothers’ health during pregnancy, care of their child, and own personal growth and development. Nurse home visitors build on parents’ own interests to attain the model’s goals.

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Target Population

NFP is designed for first-time, low-income mothers and their children.

NFP requires a client to be enrolled in the program early in her pregnancy and to receive a first home visit no later than the end of the woman’s 28th week of pregnancy. Services are available until the child is 2 years old.

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Targeted Outcomes

NFP is designed to (1) improve prenatal health and outcomes, (2) improve child health and development, and (3) improve families’ economic self-sufficiency and/or maternal life course development.

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Program Model Components

NFP includes one-on-one home visits between a registered nurse educated in the NFP model and the client.

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Program Model Intensity and Length

NFP nurses conduct weekly home visits for the first month after enrollment and then every other week until the baby is born. Visits are weekly for the first six weeks after the baby is born, and then every other week until the baby is 20 months. The last four visits are monthly until the child is 2 years old. Home visits typically last 60 to 75 minutes. The visit schedule may be adjusted to meet client needs.

NFP NSO recommends that programs begin conducting visits early in the second trimester (14–16 weeks gestation) and requires programs to begin visits by the end of the 28th week of pregnancy. Clients graduate from the program when the child turns 2 years old.

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Location

NFP programs are located in 32 states: Alabama, Arizona, California, Colorado, Delaware, Florida, Illinois, Iowa, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nevada, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin, and Wyoming.

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Adaptations and Enhancements

Adaptations or enhancements to the program model are managed under the leadership of Dr. David Olds at the University of Colorado.

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Notes

The information contained on this page was last updated in June 2011. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the Nurse Family Partnership National Service Office on June 17, 2011. HomVEE reserves the right to edit the profile for clarity and consistency.

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