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Implementing Nurses for Newborns®

Materials and Forms to Support Implementation

Last Updated

June 2015


Operations Manuals

An NFN operations manual outlines required staff qualifications, professional development, program content, community partnerships/networks, program management, and monitoring.


Service Delivery Forms

The NFN database tracks individual case risk factors, services provided, and outcomes.


Assessment Tools

During the first home visit, the nurse conducts maternal and child health and developmental assessments and screens for risk factors such as maternal depression, stress, and domestic violence using the following tools:

  • Edinburgh Postnatal Depression Scale
  • Primary Care Tool for Assessment of Depression
  • Everyday Stressors Index
  • Protective Factors Survey
  • Ages and Stages Questionnaire
  • Ages and Stages Questionnaire, Social Emotional
  • T-ACE (alcohol consumption screen)



Although all participating families receive core educational messages and tools, NFN does not use a standardized curriculum. After identifying family need and risk through required assessments and screening, nurses autonomously provide services within 23 clinical guidelines. For identified issues not covered by the guidelines, nurses are expected to discuss intervention options with their nurse supervisor and the LCSW, as appropriate.

NFN clinical guidelines cover identifying goals, defining issues, assessment requirements and tools, developing care plans, educational materials, resources and referral options, and documentation guidelines. Formal guidelines are available for the following topics:

  • Initial assessment/engagement
  • Maternal assessment
  • Child abuse and neglect
  • Alcohol use during and after pregnancy
  • Substance abuse and misuse
  • Tobacco use
  • Domestic violence
  • Stress management
  • Perinatal depression
  • Suicide risk
  • Adolescent pregnancy and parenting
  • High-risk prenatal conditions
  • Dental health
  • Breastfeeding preparation
  • Breastfeeding support and initial infant nutrition
  • Infant/toddler assessment
  • Infant nutrition
  • Medical home/access to care
  • Immunization
  • Growth and development
  • Reproductive life plan
  • Preconception care between pregnancies
  • Maternal infections


Available Languages

All materials are available in English and Spanish. Some materials are also available in Bosnian and Vietnamese.


Fidelity Measurement

NFN assesses home visitors’ timely completion of visits and documentation and their compliance with core clinical guidelines including mental health, social welfare, child abuse and neglect, and child development screenings; education on pre- and postnatal nutrition, signs and symptoms of illness, child safety, feeding, cardiopulmonary resuscitation and choking, safe sleep, growth and development, and contraception; and assessment for substance abuse. Compliance is assessed through weekly clinical case reviews, monthly case management meetings, and peer and supervisory reviews. NFN also assesses fidelity through telephone calls an administrative staff member makes to families served in the previous week to verify home visitors’ fidelity to model requirements, and through monthly paper satisfaction surveys that families complete. Every three weeks, nurse home visitors receive validation reports on their fidelity to the core model standards during the time period.


Fidelity Standards

Home visitors are expected to adhere to core program requirements with a minimum of 80 percent of families.



The information contained on this page was last updated in June 2015. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by Nurses for Newborns on May 7, 2015. HomVEE reserves the right to edit the profile for clarity and consistency.