1 / 19

Michigan and Nurse Family Partnership

Michigan and Nurse Family Partnership. Implementing an Evidence-Based Preventive Intervention for Families. Why We Did It. To impact the health disparity of African American families in Michigan.

landon
Télécharger la présentation

Michigan and Nurse Family Partnership

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Michigan and Nurse Family Partnership Implementing an Evidence-Based Preventive Intervention for Families

  2. Why We Did It • To impact the health disparity of African American families in Michigan. • To replicate Nurse-Family Partnership, an evidence-based program with proven outcomes for families.

  3. Nurse-Family Partnership Outcomes: • Improve health during pregnancy & improve birth outcomes • Improve child health and development • Improve families’ economic self-sufficiency

  4. NFP Model Elements • Serve low-income, first time mothers • Early enrollment of pregnant women • Implement program with nurses, prefer BSN • Utilize visit guidelines that focus on personal health, caregiving skills and life course development • Duration of program is 2.5 years

  5. Nurse-Family Partnership Provides • Professional Development for nurses • Web-Based Clinical Information System Program Evaluation • State Reports • Continued support to refine implementation • Prepare for NFP growth overtime

  6. Michigan and Nurse-Family Partnership Department of Community Health and NFP partners together: • Community and organizational planning • Site Selection • Nurse training and consultation • Evaluation and reporting program data • Program advocacy, visibility and support

  7. Creative Funding Partnerships • Three way partnership: • The Michigan Department of Community Health • Department of Education • Department of Human Services and Nurse-Family Partnership • Michigan Department of Community Health initially funds program • Graduated local contribution of • 10%, • 20% • 25% over the first 3-year cycle

  8. State of Michigan Funding • State Nurse Consultant .5 FTE • State Infant Mental Health Specialist .5 FTE • Sites funded in 4 communities Detroit Benton Harbor Pontiac Grand Rapids .5 Supervisor .5 Data Entry 4 nurses serve 100 families

  9. Community Support in DetroitNFP Steering Committee • Skillman Foundation • Wayne County Department of Human Services • Wayne State University College of Nursing • Infant Morality Project • Detroit Public Schools • Southwest Counseling and Development Services • Several health plans • County Commissioner • Community resident • Office of School Social Work Services

  10. What We Found Gestational age at program enrollment: n = 572 Michigan clients 47% enrolled before 16 weeks 53% enrolled between 17 – 28 weeks 4% enrolled at 29 weeks or later

  11. Mothers’ Health Problems Identified at entry into the program: • Asthma = 17% NFP National Data Asthma = 14% • Urinary Tract Infections = 7% • Underweight before pregnancy = 6% • High Blood Pressure = 6% • Heart Problem = 5% • Mental Disorder = 5%

  12. History of Domestic and/or Family Violence Self report at intake: • History of physical or emotional abuse = 26% • Physical abuse in past year = 16% • Physical abuse during pregnancy = 8% • Forced sex in past year = 3% • Afraid or partner/someone else = 5%

  13. Premature Infants All NFP Births 339 African American Infants: • NFP Michigan (222) = 10.4% • Michigan African American = 16.5% • Detroit African American = 15.6% Michigan & Detroit Residents 2001-2003

  14. Low Birth Weight Infants African American Population: NFP Michigan (226) = 11.9% 29% of low birth weight infants were 5.0-5.5 lbs Michigan African American =14.2% Detroit African American = 14.5% Michigan & Detroit Residents 2001-2003

  15. Successes • Early gestational age enrollment • Accessing care early • Utilizing community services • 6.1% decrease in preterm births • 2.3% decrease in low birth weight infants

  16. Barriers & Challenges • Establishing a new program • Establishing referral system • Recruitment and retention of nurses suited for long-term and intensive services for vulnerable families • Adequate community support and advocacy • Sustainability of program

  17. What We Think About What We Found • Improved pregnancy and child health outcomes • Early access to care and services • Increased clinical skills for nurses • Creative partnerships & funding • Improved local community collaboration and support

  18. Take Home Message • Improve pregnancy and child health outcomes with evidence based NFP • Support sites to develop best practices • Renew community partnerships • Be creative with current funding sources

  19. NFP Supervisor Quote • “It’s an evolution , the development comes over time. Once we got the word out to the community and nurses began to learn how to deliver the NFP the momentum has been enormous – and now its pure love for the program and the relationships with clients.”

More Related