Nurse-Family Partnership

Nurse-Family Partnership's mission is to empower first-time mothers living in poverty to successfully change their lives and the lives of their children through evidence-based nurse home visiting. The goals of the Nurse-Family Partnership program are: 1. Improve pregnancy outcomes by helping women engage in good preventive health practices, including thorough prenatal care from their healthcare providers, improving their diets, and reducing their use of cigarettes, alcohol and illegal substances; 2. Improve child health and development by helping parents provide responsible and competent care; and 3. Improve the economic self-sufficiency of the family by helping parents develop a vision fo...
Dec 30, 2014

Meet NFP Nurse - Christina

Your support helps to change the lives of families - the Nurse-Family Partnership nurses work with these families and really get a chance to see the imact.  Here's a little bit about one of our NFP nurses, Christina:

When I started as an Nurse-Family Partnership nurse home visitor and saw the scientific results in the training materials, I thought, "Okay, it looks good; but I'll believe it when I see it." Now that I've been part of the program for seven years, I know it works. I love this job. I wouldn't ever want to do anything else.

Yes, it's a hard job. But we love it because we know it's a valuable one. We don't take lightly the fact that we're working directly with people's lives. We know we have a hand in the future.

One of my moms, Charque, went into preterm labor while her boyfriend was in juvenile detention. But she's doing well now. She graduated high school; she's working and thinking about college.

But other situations are much tougher. I had one client I visited for two years, and I'll tell you, I had to physically and mentally prepare myself every time I went into her home. I just never knew what I was going to see. This young woman had fundamental physical and mental health issues, she didn't have a job, her husband worked at a donut shop, and her parents were both dead. She had no health insurance, she was smoking, the fridge was always empty, the house was a mess with toys everywhere, and she was spending all her money on toys for the baby.

But as bad as it was, I truly believe if I weren't visiting her, it would've been worse. I got her to quit smoking; I got her on a food stamp program and hooked up with a living skills specialist.

A lot of the young women I see come from homes that are really rough. Some have no positive male role models, so the first guy who comes along and shows them any attention, they think it's love, and the next thing you know, they're pregnant. They don't have anyone to talk to, and people are telling them "you ruined your life."

Well, I'm someone she can talk to. She knows I'm not judgmental; I just listen to what she has to say and try not to tell her what I would do. Of course it can be frustrating – they need to come to decisions on their own, and we back them up, whatever they decide.

You know, we not only help young girls, we're also helping their children. I run into my moms whose babies are now in kindergarten, and they tell me, "Oh, he's reading the books you brought me!" Then I know that, because they enjoy reading, they'll enjoy school – and that means they'll go further in life.

Your support makes these relationships possible and helps to change the lives of families - thank you!


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Dec 30, 2014

Nurses Changing the Lives of Moms and Babies

Your support helps to change the lives of moms and babies, but the nurses who form relationships with these families are forever changed as well.  Here is a story about Gail, one of our Nurse-Family Partnership nurses:

When I first came to Guilford Child Development, a Nurse-Family Partnership implementing agency in North Carolina, I never dreamed my work with NFP would become a peak employment experience.

First of all, as a registered nurse, I had not worked in maternal-child health nursing since I completed my bachelor’s degree. Nor had I ever worked with teenagers, pregnant mothers, or infants. Consequently, I knew I had a huge learning curve to overcome. At the time, I would not have described myself as someone comfortable doing an intense home visitation program. Boy, was I wrong!

The Nurse-Family Partnership training represented a paradigm shift in my views of infant development. I have worked in many different areas of nursing, other than the training I received as a surgical intensive care nurse, and none have come close to the depth of preparation I received for NFP. And, after training, the program also had excellent internal supports in place to help new practitioners circumvent failure.

During initial training, I became acutely aware of what a nurse’s visits meant to an inexperienced mother. Throughout the prenatal months, the nurse was a source of support and information that covered the gamut of topics and concerns a new mother might anticipate. One important goal was to convey the messages required by the program’s protocol, in order to give the mother an opportunity to experience a healthy pregnancy. To the mother, it often meant having someone teach her and her family how to make a healthy pregnancy possible— to impart information in order to alleviate fears of the unknown abyss of childbirth, breastfeeding, and the dayto-day care of a newborn.

Once an infant was born, the goals changed. At this juncture, not only was it important to teach the mother how to be an informed parent, but it was also important to facilitate self-efficacy. Assisting the mother in finding solutions for positive outcomes was an integral part in the mother’s development. For this challenge, it was necessary for me to understand the mothers’ dreams for themselves. Some articulate their life’s vision quite easily, while others were in the formative state of goalsetting, and more self-exploration was required. It was this experience that separates Nurse-Family Partnership from other programs designed to improve outcomes for vulnerable new mothers. I felt as if I were teaching these young women to fish.

The transformations I witnessed in the mothers were a constant source of gratification for me. To observe the benefit our relationship had upon their infants’ social and physical development gave me an incredible sense of accomplishment. During the 2+ years I spent with each mother, I witnessed changes that were life-altering. Many
of the mothers I served were from different countries and backgrounds—which meant that on occasion, ideas I suggested were sometimes opposed to traditions and information prevalent in their cultures. I was also exposed to new customs as I listened to understand their thinking and feelings. The sharing of beliefs allowed us to decide what was negotiable, and this strategy created an environment in which both could grow and work toward common goals.

In order for me to facilitate such a major change in their beliefs and practices, a trusting relationship was required.
Having a woman allow me to be part of one of the most important and sacred events of their life sprung from the
strong commitment I had to guard and protect their trust in me.

I had moments of great pleasure throughout my relationship with each family, not just at the end of the time I spent
with them. As a relationship would come to a close, I realized I had a very strong feeling of ownership. I was ecstatic
to see a two-year-old—previously destined to be physically, emotionally, and developmentally delayed—move to
within the normal ranges of infant growth and development. Even more rewarding was to watch them progress into
toddlerhood with flourishing cognitive, motor and language skills.

I was always impressed with the mothers’ commitment to create a nurturing and supportive environment that allowed
their children to meet developmental milestones. After many months together, these women were finally in the
position to teach their own children and others to fish.

Your support of Nurse-Family Partnership helps to make these life altering differences in the lives of families - thank you!


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Sep 24, 2014

Creating Bright Futures

Brady and Ginevieve
Brady and Ginevieve

Your support of Nurse-Family Partnership creates bright futures - not just for the babies born into the program, but for the moms too!  Here is a story about one of our families: 

Hers is a strong, clear voice with an energy that young people seem to have when their future
is undeniably bright. To talk with Brady today, you’d never know it wasn’t always that way.

"I was in a low point," she confides.  A low point just before she met the young man who would quickly become the father of her child.  Her first marriage had ended in less than a year, due to domestic abuse. The divorce was followed by job loss, and the need to move in with her grandmother for a while. But Brady began to pull herself up.

“I got a new job waitressing and moved in with a colleague who introduced me to Sean,” she said. “I tell people that he and I shook hands and we were pregnant!” she laughs, in hindsight. But at the time, it wasn’t something to laugh about.

“We were doing…not great,” said Brady. The timing could not have been worse for starting a family, as the Great Recession had begun and job lay-offs were prevalent, especially in construction, where Sean worked. He had moved back in with his parents.

“We both had messed up personal lives,” said Brady. On top of that, neither one knew anything about babies, yet these almost strangers were going to soon become parents together.

Brady did know enough to seek out prenatal healthcare at a clinic in Shreveport, where a nurse referred her to Nurse-Family Partnership (NFP). “I thought it was an automatic that everyone signed up,” she remembers. “So I did.”

That was the start of her two-and-a-half year journey with two nurses who became her sounding boards, her support and her friends. Her first NFP nurse home visitor was Nancy, who helped her through her pregnancy and when her daughter was born.

July 15 marked six years since Ginevieve was born and was named after Brady’s grandmother, who was born on the same day 81 years earlier. She was perfect.

The young family, however, was struggling. “We didn’t know each other very well and I wasn’t very good about knowing how to talk our way to compromise,” said Brady. "I spent the time trying to fix everything, do everything. I think I changed all the diapers for the first two years." 

Brady was feeling the stress of the relationship and baby. On top of that, she felt criticized. “A lot of what I heard when Ginevieve was very young was how I was doing everything wrong.”

What often kept her going was Nancy and Wendi, the nurse supervisor who took over when Nancy left her job mid-way through Brady’s time in the program.

“Nancy and Wendi were there to have an adult conversation with me and care about me,” said Brady. “I didn’t have any of that. No one else was telling me I was doing a good job, but to hear from an actual nurse, validating me…I felt like a success because of that.”

Give credit to Brady, says Wendi. “She was hungry for knowledge.”

The nurse-client mom relationship is a trusted one. Nurse-Family Partnership tries to keep the same nurse with a mom throughout the program, but it isn’t always possible because of moves and job changes. When Nancy left NFP, Wendi knew that there was a chance that Brady would not connect with her as the new nurse. “But she took it in stride and really welcomed me with open arms,” said Wendi.  "I felt like after our very first visit, I had known her a long time.”

Wendi also knew that this young woman, who was dealing with instability in her relationship, her housing situation and her job, was someone who had a great deal of strength.

“I was enchanted by Brady,” said Wendi. “She was one of the very few moms that I’ve known who was still breastfeeding at 18 months. It told me she had a lot of perseverance and heart.”

Brady had learned from Nancy just how important breastfeeding is to a baby’s health and development, and Wendi reinforced that. Brady embraced that knowledge, breastfeeding Ginevieve past the age of two. Today she believes it has made a difference to both her child and herself.

“It’s one of my proudest things,” said Brady. “It is invaluable. Ginevieve is so smart. And we are so close, because breastfeeding is not only about breastfeeding, it’s about closeness.”

Ginevieve is now an artistic little girl who reads well and is ready to start second grade in the fall of 2014.  She also was one of only two children in her kindergarten class who were invited to test for Louisiana’s Gateway accelerated program in first grade.

Her mom is understandably proud, and so is her former nurse, who recently saw both Brady and Ginevieve more
“Ginevieve was thriving,” said Wendi. “Very smart; she had a big vocabulary. Not to mention that she is preciously cute!”

Wendi is also quick to compliment her former client, who is employed as a WIC breastfeeding peer counselor. “If ever there was a role model for breastfeeding moms, Brady has a market on that!”

It is a job she adores. “I love working with moms to give back what I was given,” said Brady

Does she see just a little bit of herself in some of the young women she now helps? “Absolutely,” Brady said. “Too many women don’t have support. I didn’t.” To pay it forward just a little more, she often refers her clients, when appropriate, to Nurse-Family Partnership.

Today, Brady and Sean are no longer a couple, but they continue to raise Ginevieve together. Despite their difficult start, Brady is quick to praise.  "He is a great dad," she said. “We made it work; we raised our daughter together for six years.”

And, thanks in part to two strong role models, Brady found her own voice that seemed to be at risk of being lost in that early rush of pregnancy, relationship and motherhood. “Everyone needs support, and for me that was NFP.”

Brady has a child who is thriving; she has a meaningful job that she loves. And, she is earning her Bachelor’s degree in
Education from Louisiana State University in Shreveport. She knows that NFP made a significant difference in her life, and she knows she now loves working with moms and babies herself.

As for her future? “Wherever the Lord puts me and wherever I'll be the most effective is where I'll go."

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