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Implementing Nurse Family Partnership (NFP)®

Meets DHHS criteria for an evidenced based model

Prerequisites for Implementation

Last Updated

June 2011


Type of Implementing Agency

NFP NSO does not specify a type of implementing agency eligible for participation but does require that implementing agencies be organizations known in the community for being successful providers of prevention services to low-income families. All prospective agencies seeking to implement NFP must submit an implementation plan that conveys the organization is prepared to launch NFP.


Staffing Requirements

Four staffing components must be in place at implementing agencies: (1) nurse home visitors who conduct home visits with families, (2) nursing supervisors who supervise nurse home visitors, (3) an administrative assistant who manages data entry and other administrative tasks, and (4) other administrative staff that agencies deem necessary to ensure NFP is implemented as designed and with fidelity to the NFP model.


Staff Education and Experience

NFP NSO requires that nurse home visitors and nursing supervisors are registered professional nurses with a minimum of a Baccalaureate degree in nursing. NFP NSO prefers that supervisors have a master’s-level degree in nursing. The program also requires nurse home visitors, nursing supervisors, nurse consultants, site administrators, program managers, and state leaders to complete a series of introductory education sessions offered by NFP NSO. Nurse supervisors, nurse consultants, site administrators, program managers, and state leaders must participate in an annual education session to update their skills and knowledge.


Supervision Requirements

NFP NSO requires that a full-time nursing supervisor provides supervision to no more than eight individual nurse home visitors.

Nursing supervisors provide nurse home visitors clinical supervision with reflection, demonstrate integration of the theories, and facilitate professional development essential to the nurse home visitor role. Supervisory activities include one-on-one clinical supervision, case conferences, team meetings, and field supervision. Supervisors also receive consultation focusing on operational efficiency, clinical practice, and quality improvement.


Staff Ratio Requirements

NFP NSO requires that a full-time nurse home visitor carry a caseload of no more than 25 clients.


Data Systems/Technology Requirements

NFP NSO requires implementing agencies to use a web-based data system, called Efforts to Outcomes (ETO), to enter data, including staff and client characteristics, maternal and child health information, and home visit documentation.



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.