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 week 28 of pregnancy.
  • Element 5: Client is visited one-to-one, one nurse home visitor to one first-time mother or family.
  • Element 6: Client is visited in her home.
  • Element 7: Client is visited throughout her pregnancy and the first two years of her child's life in accordance with the current Nurse-Family Partnership guidelines.
  • 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 complete core educational sessions required by the Nurse-Family Partnership National Service Office and deliver the intervention with fidelity to the Nurse-Family Partnership model.
  • Element 10: Nurse home visitors, using professional knowledge, judgment, and skill, apply the Nurse-Family Partnership visit guidelines, individualizing them to the strengths and challenges of each family and apportioning time across defined program domains.
  • Element 11: Nurse home visitors apply 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 no more than 25 active clients.
  • Element 13: A full-time nurse supervisor provides supervision to no more than eight individual nurse home visitors.
  • 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 use Nurse-Family Partnership reports to guide their practice, assess and guide program implementation, inform clinical supervision, enhance program quality, and demonstrate program fidelity.
  • Element 16: 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 17: A Nurse-Family Partnership Implementing Agency convenes a long-term community advisory board that meets at least quarterly to promote a community support system to the program and to promote program quality and sustainability.
  • Element 18: Adequate support and structure shall be in place to support nurse home visitors and nurse supervisors to implement the program and to assure that data are accurately entered into the database in a timely manner.


"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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