Focus on Family Nurse Partnership / Nurse-Family Partnership
IN THIS ISSUE:
Author: Sam Mason
Author title: Research and Analysis Director
Description: The Family Nurse Partnership programme, known as the Nurse-Family Partnership in the United States, where it was developed, supports vulnerable first time young mothers and fathers, to give their child the best possible start in life and aims to improve maternal and child health and development outcomes across the life course. It does this through intensive home visiting support during pregnancy and the first two years of life. Specially trained family nurses visit women and their families regularly. They support them to adopt positive health behaviours, understand their child’s development and provide sensitive and attuned care, and plan for their own and their child’s future well-being by making positive choices around education, work, relationships and future pregnancies.
Description writer: Sam Mason, Research and Analysis Director, Family Nurse Partnership National Unit, UK
Author: Ann Rowe
Author title: International Nurse-Family Partnership (NFP) Consultant
Description: The Family Nurse Partnership (FNP) is an evidence-based programme originating in the USA, where it is known as the Nurse-Family Partnership (NFP). The programme has been developed over thirty years by Professor David Olds (Olds, 2002) and is designed to impact on a number of public health issues known to have a profound effect on the developmental growth and life-long outcomes of children born into disadvantaged circumstances (Olds et al., 1997). It consists of a schedule of home visits, beginning in early pregnancy and concluding when the child reaches two years, organised into a series of domains and provided by experienced nurses who use materials and methods set out by the programme model. It was introduced in England to be tested in 2007 (Barnes, 2011) and since then has been implemented in many sites across the UK with a client group of first time young mothers (Hall & Hall, 2007). As with other evidence-based programmes, NFP comes with a set of core expectations (Core Model Elements) to ensure that the programme is implemented with fidelity to the original model (Hill & Olds, 2013; Fixsen et al., 2005), whilst accepting that some adaptations will be necessary to accommodate the programme within the context of other societies.
Description writer: Ann Rowe, International Nurse-Family Partnership (NFP) Consultant
Author: Sue Simpson
Author title: Family Nurse Supervisor
Description: The Family Nurse Partnership (FNP) is a relational programme that has a psycho-educational approach underpinned by the theories of human ecology, attachment and self-efficacy. Fundamental to the success of the programme is the relationship between the family nurse and client(s), known as a therapeutic alliance or relationship
Description writer: Sue Simpson, Family Nurse Supervisor, Newcastle-Upon-Tyne Hospitals NHS Foundation Trust, UK
Author: Julie Bennett
Author title: Family Nurse Supervisor
Description: Supporting the transition to parenthood is essential for the health and positive development of the baby whilst in the womb and in early life. Enabling parents to be loving, sensitive and responsive to their child’s needs, and thus providing a strong parent–child attachment, reduces the risk of children facing disruptive issues in later life and improves their social and emotional wellbeing (Burstow et al., 2013; Healthy Child Programme, 2009). Family nurses maximise the therapeutic relationships they form with their clients to support them to focus on establishing a positive relationship with their baby throughout the antenatal period and during the first two years of their baby’s life
Description writer: Julie Bennett, Family Nurse Supervisor, Stoke-on-Trent and Staffordshire North FNP, UK
Author: Emma Cook, Mary Clarke, Nicole Hobson
Author title: Emma Cook, FNP Clinical Advisor/Educator; Mary Clarke, FNP Sessional DANCE Educator/Psychological Consultant; Nicole Hobson, FNP Sessional DANCE Educator/Supervisor
Description: The Family Nurse Partnership programme promotes careful attention to what is going on between the parent and baby at an intimate level and guides the family nurse’s attention to the most important aspects of parenting
Description writer: Emma Cook, FNP Clinical Advisor/Educator; Mary Clarke, FNP Sessional DANCE Educator/Psychological Consultant; Nicole Hobson, FNP Sessional DANCE Educator/Supervisor
Author: Lynne MacKinnon
Author title: Family Nurse Supervisor
Description: The ending of any relationship can be emotionally difficult, even a professional one such as the family nurse (FN) has with her clients. The intensity of the therapeutic relationship, and the visiting schedule of weekly and two weekly visits over two and a half years, mean that clients can develop a strong bond with their family nurse which is reciprocated by the nurse. The importance of developing this relationship, which is strengths-based, is imperative to the delivery of the programme and supports clients to see themselves in a wider social context; however, the ending of the relationship can be challenging
Description writer: Lynne MacKinnon, Family Nurse Supervisor
Author: Lindsay Andrews, Alison Oxley
Author title: Lindsay Andrews, Clinical Advisor and Clinical Educator; Alison Oxley, Clinical Lead
Description: Supervision is about paying attention to our practice (Caroll, 2010); it is the dancing partner of our work (Murphy, 2009). The FNP programme invests in supporting family nurses and supervisors to develop their knowledge, skills and understanding in order to do their complex and emotional work well. Regular, effective supervision is a core model element of the programme and takes place weekly (FNP, 2014). It provides a forum for the supervisor to role model qualities and professional behaviours of a skilful helper
Description writer: Lindsay Andrews, Clinical Advisor and Clinical Educator, Family Nurse Partnership National Unit, UK; Alison Oxley, Clinical Lead, FNP National Unit, Scotland
Author: Mary Griffiths
Author title: Service Development and New Projects Lead
Description: Group Family Nurse Partnership (gFNP) has the same goals as FNP but is aimed at older first time mothers at potential risk of poor outcomes, with a particular focus on encouraging sensitive attuned parenting styles, adopting healthy behaviours, making positive choices and increasing social capital through shared learning and peer support. Providing the FNP intervention via a group offers important opportunities for social networking
Description writer: Mary Griffiths, Service Development and New Projects Lead, Family Nurse Partnership National Unit, UK
Author: Kate Billingham
Author title: CBE
Description: The Nurse-Family Partnership (NFP) is part of a global movement to find solutions to lifelong effects of disadvantage in early life. Today, after ten years of international replication, NFP is being tested and implemented in the Netherlands, England, Scotland and Northern Ireland, Canada and Australia, as well as the US. In the UK, the programme is called the ‘Family Nurse Programme’ and in The Netherlands, it is known as ‘Voorzorg’. Norway and Bulgaria are getting ready to test the programme. The NFP international community is supported by the NFP International Team under the leadership of Professor David Olds at the University of Colorado
Description writer: Kate Billingham, Consultant for Nurse-Family Partnership International and Prevention in Early Life
Author: Claire Runciman
Author title: Australian Nurse-Family Partnership Program Leadership Group
Description: Demands for scarce health and welfare resources to be channeled into evidence-based programs are becoming louder in Australia. This paper provides an example of how the Nurse-Family Partnership is used to support Aboriginal and Torres Strait Islander women in Australia and identifies some challenges, successes and opportunities in replicating the program in this context
Description writer: Claire Runciman, Australian Nurse-Family Partnership Program Leadership Group
Author: Nina Smith
Author title: Childbirth Educator
Description: The name of Lamaze is known throughout the world because of its association with psychoprophylaxis and the ‘Lamaze method’ for childbirth. Despite changes over time, the patterned breathing recommended by Lamaze, which Michaels (2014) describes as ‘the method’s hallmark’, is still in use
Description writer: Nina Smith, Childbirth Educator