Nurses for Newborns®

Last updated: 2015

In brief

Evidence of model effectiveness

This model does not meet the criteria established by the Department of Health and Human Services (HHS) for an “evidence-based early childhood home visiting service delivery model” for the general population or for tribal populations because there are no high- or moderate-rated effectiveness studies of the model.

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Model description

Nurses for Newborns (NFN), a nonprofit, community-based organization, developed and administers a maternal and child health home visiting program of the same name. NFN provides services to pregnant women and families with children ages 2 or younger who reside in select counties in eastern Missouri and central Tennessee. The program targets families with medically fragile infants, teenage mothers, parents with mental health concerns or intellectual or physical disabilities, and families with limited resources. The program aims to decrease poor birth outcomes, prevent child abuse and neglect, reduce infant injuries and preventable hospitalizations and emergency department visits, increase immunization rates, and connect families with community resources. NFN consists of home visits with a nurse who conducts maternal and child health and developmental assessments, and screens for risk factors such as maternal depression, stress, and domestic violence. NFN offers services based on an overall assessment of the needs of the child and family, rather than on a set number of visits. Ideally, visits are initiated prenatally and are offered more frequently following the child’s birth. Home visits typically last 60 to 75 minutes. For more information, please read the Model Overview.

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Extent of evidence

Results of search and review
Number of manuscripts
At least one finding was eligible for review…
2
  …and at least one finding rated high
0
  …and at least one finding rated moderate (but none rated high)
0
  …and all findings that were eligible for review rated low
2
  …but manuscript is additional source1
0

1Additional sources have findings or details that perfectly overlap with another manuscript and are not rated.

For more information, see the research database. For more information on the criteria used to rate research, please see details of HomVEE’s methods and standards.

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Summary of findings

To see details on each finding HomVEE reviewed in well-designed research, click on the name of an outcome domain in the tables below. Findings rated low quality by HomVEE are not summarized here.

Outcomes
Findings

Outcome Child Development and School Readiness

Not measured

Outcome Child Health

Not measured

Outcome Family Economic Self-Sufficiency

Not measured

Outcome Linkages and Referrals

Not measured

Outcome Maternal Health

Not measured

Outcome Positive Parenting Practices

Not measured

Outcome Reductions in Child Maltreatment

Not measured

Outcome Reductions in Juvenile Delinquency, Family Violence, and Crime

Not measured

The section above focuses on findings from the full sample in a study. Subgroups that have been replicated in distinct samples also have findings reported above. HomVEE does not report the findings of non-replicated subgroups. Beginning with research reviewed in 2021, however, HomVEE, lists those subgroups on the details page of each manuscript that had at least one finding that rated moderate or high.

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Criteria established by the U.S. Department of Health and Human Services

Information based on comprehensive review of all high- and moderate-rated manuscripts
CriterionCriterion descriptionCriterion met?
1High- or moderate-quality impact study?No
2Across high- or moderate-quality studies, favorable impacts in at least two outcome domains within one sample OR the same domain for at least two non-overlapping samples?Not applicable
3Favorable impacts on full sample?Not applicable
4Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?
Reported for all research but only required for RCTs.		Not applicable
5One or more favorable, statistically significant impact reported in a peer-reviewed journal?
Reported for all research but only required for RCTs.		Not applicable

Notes: If the model does not meet criterion 3 but meets criteria 1 and 2 based on findings from subgroups, the impacts must be replicated in the same domain in two or more studies using non-overlapping analytic study samples. HomVEE assesses and reports criteria 4 and 5 for all models that have well-designed research, but meeting those two criteria is only required of models for which all findings are from randomized controlled trials. Please read the HHS criteria for evidence-based models for more information.

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