Interventionist | • PHNs and nurse supervisors are Registered Nurses with a minimum of a baccalaureate degree in Nursing |
• PHNs and nurse supervisors complete educational sessions to develop core NFP competencies, and participate in ongoing learning activities | |
• NFP PHNs use professional judgement, skill, and knowledge to individualize care based on family strengths and risks and across six domains of the program | |
• Nurse supervisors provide clinical supervision with regular (weekly) reflection, demonstrate integration of the theories, and facilitate professional development essential to the PHN home visitor role | |
• Specific supervisory activities include one-to-one clinical supervision, case conferences, team meetings, and field supervision | |
Client eligibility | • Clients participate voluntarily, are a first-time mother, meet socio-economic disadvantage criteria at intake, is enrolled no later than week 28 of pregnancy |
• Clients are 24 years of age or younger at time of enrollment | |
Dose | • Client is visited one-to-one, one PHN to one first-time mother or family |
• Client is visited in her home or occasionally in another setting that is mutually determined between the PHN and the client | |
• Full-time PHNs have no more than 20 active clients | |
• A full-time supervisor is responsible for a team with a maximum of 8 NFP PHNs | |
Visit Schedule | • General guidance is provided about a visit schedule (see below); however, there is flexibility to alter the schedule to meet maternal needs, availability, and priorities. |
• Upon enrollment, four weekly visits then bi-weekly until delivery | |
• Post-partum, six weekly visits then bi-weekly until infant is 21 months | |
• Monthly visits from 21 to 24 months | |
Program Domains (Home visit content) | • Within each home visit, a PHN will review and discuss content from six domains: 1) personal health; 2) environmental health; 3) life course development; 4) maternal role; 5) friends and family; and, 6) health and human services |