The Nurse–Family Partnership in Colorado: Supporting High‐Quality Programming With Implementation Science

Neal, Michelle; Fixsen, Amanda

doi:10.1111/jnu.12506

Cited by 6 publications

(5 citation statements)

References 18 publications

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“…The onset of COVID-19 set the stage for a natural experiment to evaluate the impact of the sudden shift to telehealth on patients and providers in nurse-led care models in urban, rural, and frontier communities across the state of Colorado. Three care models included were federally qualified health centers (FQHC) ( 9 ), which provide integrated primary care and mental health services, certified nurse–midwifery practices ( 10 ), and the Nurse-Family Partnership (NFP) home visitation program for first-time, low-income mothers and their babies ( 11 ).…”

Section: Methodsmentioning

confidence: 99%

Patient and Provider Perceptions of COVID-19-Driven Telehealth Use From Nurse-Led Care Models in Rural, Frontier, and Urban Colorado Communities

Barton¹,

Amura²,

Willems

et al. 2023

Journal of Patient Experience

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The purpose of this study was to characterize the patient and provider engagement in the sudden telehealth implementation that occurred with the onset of the COVID-19 pandemic. Patients and providers from 3 nurse-led models of care (federally qualified health centers, nurse midwifery practices, and the Nurse-Family partnership program) in Colorado were surveyed. Data from the Patient Attitude toward Telehealth survey and Provider Perceptions about Telehealth were collected. Patient respondents (n = 308) who resided primarily in rural or frontier communities were female, white, and Hispanic. Patients in urban areas used telehealth more frequently than in rural or frontier areas ( P < .001). Rural/Frontier patients had significantly lower attitude scores than urban patients across each of 5 domains assessed. Telehealth modality differed across location ( P < .023), with video calls, used more frequently by urban providers, and phone calls used by rural/frontier providers. Our data highlight differences in telehealth access and attitudes across rurality. These findings may contribute to future policy while addressing barriers to telehealth access and delivery.

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Section: Methodsmentioning

confidence: 99%

Patient and Provider Perceptions of COVID-19-Driven Telehealth Use From Nurse-Led Care Models in Rural, Frontier, and Urban Colorado Communities

Barton¹,

Amura²,

Willems

et al. 2023

Journal of Patient Experience

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“…This coordination is partially accomplished through establishment of Community Advisory Boards, which are mandated as part of the NFP model for community replication (Neal and Fixsen, 2020). In spite of this mandate, sites vary in the extent to which nurse home visitors collaborate with providers in cross-sectors.…”

Section: Introductionmentioning

confidence: 99%

“…In implementing NFP in the US, an organisation and community must be fully knowledgeable and supportive of the program to be successful; and NFP must coordinate with other health and human services to maximise program success to improve family health (Olds et al., 2003). This coordination is partially accomplished through establishment of Community Advisory Boards, which are mandated as part of the NFP model for community replication (Neal and Fixsen, 2020). In spite of this mandate, sites vary in the extent to which nurse home visitors collaborate with providers in cross‐sectors.…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of effective collaboration among nurse home visitors, healthcare providers and community support services in the United States

Williams

McManus

Brooks‐Russell

et al. 2021

Health Social Care Comm

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Collaboration across sectors is needed to improve community health, but little is known about collaborative activities among public health prevention programs. Using the Nurse-Family Partnership® (NFP) home visiting program as context, this qualitative study aimed to describe effective collaboration among nurse home visitors, healthcare providers and community support services to serve families experiencing social and economic adversities. We used grounded theory to characterise collaboration with six purposively sampled NFP sites in the United States through in-depth interviews. We interviewed 73 participants between 2017 and 2019: 50 NFP staff, 18 healthcare providers and 5 other service providers. Interviews were recorded, transcribed, validated and analysed in NVivo 11. Validation steps included intercoder consistency checks and expert review. Thematic memos were synthesised across sites. Most participants perceived collaboration to be important when serving families with complex needs, but substantial variation existed in the degree to which NFP nurses collaborate with providers dependent on provider type and community context. Factors that contributed to effective collaboration were relational in nature, including leadership commitment and provider champions, shared perceptions of trust, respect and value, and referral partnerships and outreach; organisational in terms of mission congruence between providers; and structural such as policy and system integration that facilitated data sharing and communication channels. These findings provide greater insights into effective cross-sector collaboration and care coordination for families experiencing adversities. Collaboration across sectors to promote health among families experiencing adversities requires intentional efforts by all inter-professional providers and continued commitment among all levels of leadership to coordinate services.

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“…One example of such programming is the Nurse-Family Partnership, an evidence-based community health program that partners nurses with first-time, low-income mothers spanning the peripartum period until the child is 2 years old. This program has been impactful in not only reducing perinatal substance use but also improving child health and promoting economic security (Neal & Fixsen, 2020; Tung et al., 2019).…”

Section: Potential Policy Solutionsmentioning

confidence: 99%

Modernizing Perinatal Substance Use Management

Kameg

2020

Policy, Politics, & Nursing Practice

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The increase in prescription and illicit opioid use since 2000 has become an urgent public health crisis. While the opioid epidemic spans racial, regional, and socioeconomic divides, women have surfaced as one demographic affected by opioid use and related sequelae. Certain federal and state regulations, secondary to the Child Abuse Prevention and Treatment Act, strip pregnant women with opioid use disorders of the ability to engage autonomously with their health care clinician while simultaneously impeding their ability to achieve and sustain recovery. The purpose of this article is to explore current health policy that impacts pregnant women who use opioids. Recommendations to improve care, broadly, will be highlighted to include access to contraceptive services, universal screening for perinatal substance use, and access to appropriate treatment strategies. Policy modifications to facilitate these recommendations are discussed. The Centers for Disease Control and Prevention Policy Analytical Framework was utilized to derive recommendations. The recommendations are relevant to advanced practice registered nurses and midwives who have the potential to treat substance use in women, to women’s health and pediatric registered nurses, and to nursing administrators who are involved in decision-making in obstetric and pediatric settings.

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The Nurse–Family Partnership in Colorado: Supporting High‐Quality Programming With Implementation Science

Cited by 6 publications

References 18 publications

Patient and Provider Perceptions of COVID-19-Driven Telehealth Use From Nurse-Led Care Models in Rural, Frontier, and Urban Colorado Communities

Patient and Provider Perceptions of COVID-19-Driven Telehealth Use From Nurse-Led Care Models in Rural, Frontier, and Urban Colorado Communities

A qualitative study of effective collaboration among nurse home visitors, healthcare providers and community support services in the United States

Modernizing Perinatal Substance Use Management

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