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Table 1 NFP Program Model Elements for British Columbia

From: Weathering the rural reality: delivery of the Nurse-Family Partnership home visitation program in rural British Columbia, Canada

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
  1. Adapted from Jack et al. [8] and Prevention Research Center for Family and Child Health [9]