Nurse-Family Partnership Model Elements.

Fidelity to the model elements is the key to local success.

The Nurse-Family Partnership Model Elements are supported by evidence of effectiveness based on research, expert opinion, field lessons, and/or theoretical rationales. When the program is implemented in accordance with these model elements, implementing agencies can have a high level of confidence that results will be comparable to those measured in research.

  • Element 1: Client participates voluntarily in the Nurse-Family Partnership program.
  • Element 2: Client is a first-time mother.
  • Element 3: Client meets low-income criteria at intake.
  • Element 4: Client is enrolled in the program early in her pregnancy and receives her first home visit by no later than the end of the 28th week of pregnancy.
  • Element 5: Client is visited one-to-one: one nurse home visitor to one first-time mother/family.
  • Element 6: Client is visited in her home as defined by the client, or in a location of the client’s choice.
  • Element 7: Client is visited throughout her pregnancy and the first two years of her child’s life in accordance with the standard NFP visit schedule or an alternative visit schedule agreed upon between the client and nurse.
  • Element 8: Nurse home visitors and nurse supervisors are registered professional nurses with a minimum of a Baccalaureate degree in nursing.
  • Element 9: Nurse home visitors and nurse supervisors participate in and complete all education required by the NFP NSO. In addition, a minimum of one current NFP administrator participates in and completes the Administration Orientation required by NFP NSO.
  • Element 10: Nurse home visitors use professional knowledge, nursing judgment, nursing skills, screening tools and assessments, frameworks, guidance and the NFP Visit-to-Visit Guidelines to individualize the program to the strengths and risks of each family and apportion time across the defined program domains.
  • Element 11: Nurse home visitors and supervisors apply nursing theory, nursing process and nursing standards of practice to their clinical practice and the theoretical framework that underpins the program, emphasizing Self-Efficacy, Human Ecology and Attachment theories, through current clinical methods.
  • Element 12: A full-time nurse home visitor carries a caseload of 25 or more active clients.
  • Element 13: NFP agencies are required to employ a NFP nurse supervisor at all times.
  • Element 14: Nurse 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 through specific supervisory activities including one-to-one clinical supervision, case conferences, team meetings and field supervision.
  • Element 15: Nurse home visitors and nurse supervisors collect data as specified by the Nurse-Family Partnership National Service Office and ensure that it is accurately entered into the NFP data collection system in a timely manner.
  • Element 16: NFP nurse home visitors and supervisors use data and NFP reports to assess and guide program implementation, enhance program quality, demonstrate program fidelity and inform clinical practice and supervision.
  • Element 17: A Nurse-Family Partnership implementing agency is located in and operated by an organization known in the community for being a successful provider of prevention services to low-income families.
  • Element 18: A Nurse-Family Partnership implementing agency convenes a long-term Community Advisory Board that reflects the community composition and meets at least quarterly to implement a community support system for the program and to promote program quality and sustainability.
  • Element 19: Adequate organizational support and structure shall be in place to support nurse home visitors and nurse supervisors to implement the program with fidelity to the model.


"The great thing about Nurse-Family Partnership is that it works. To put it simply… it decreases about everything you want to decrease and increases about everything you'd want it to increase."

– Thomas R. Frieden, M.D., M.P.H., former commissioner, New York City Department of Health & Mental Hygiene, February 8, 2007

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