Table 2.

Canadian nurse-family partnership model elements

Client characteristics
1.	Client participates voluntarily in the Nurse-Family Partnership program.
2.	Client is a first-time mother.
3.	Client meets socioeconomic disadvantage criteria at intake.
4.	Client is enrolled in the program early in her pregnancy and receives her first home visit no later than the end of the 28th week of pregnancy.
Intervention context
5.	Client is visited one-to-one: one public health nurse to one first-time mother/family.
6.	Client is visited in her home.
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.
Expectations of nurses and supervisors
8.	Public health nurses and nurse supervisors are registered professional nurses with a minimum of a baccalaureate degree in nursing.
9.	Public health nurses and nurse supervisors complete core educational sessions required by the University of Colorado and deliver the intervention with fidelity to the NFP model.
Application of the intervention
10.	Public health nurses, using professional knowledge, judgment and skill, apply the Nurse-Family Partnership Visit-to-Visit Guidelines, individualizing them to the strengths and challenges of each family and apportioning time across defined program domains.
11.	Public health nurses apply the theoretical framework that underpins the program, emphasizing Self-Efficacy, Human Ecology and Attachment theories, through current clinical methods.
12.	A full-time public health nurse carries a caseload of no more than 20 active clients.
Reflection and clinical supervision
13.	A full-time nurse supervisor provides supervision to no more than eight individual public health nurses.
14.	Nurse supervisors provide public health nurses clinical supervision with reflection, demonstrate integration of the theories, and facilitate professional development essential to the public health nurse role through specific supervisory activities including one-to-one clinical supervision, case conferences, team meetings, and field supervision.
Program monitoring and use of data
15.	Public health nurses and nurse supervisors collect data as specified by the University of Colorado (or provincial equivalents) 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.
Sponsoring agency
16.	An 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.
17.	An Nurse-Family Partnership Implementing Agency convenes a long-term Community Advisory Board that meets at least quarterly to establish a community support system for the program and to promote program quality and sustainability.
18	Adequate support and structure shall be in place to support public health nurses and nurse supervisors to implement the program and to assure that data are accurately entered into the database in a timely manner.