“…The most promising impact of two or less nursing encounters has been its influence on client's use of other health care services (Bradley & Martin, 1994; Ghilarducci & McCool, 1993; Oda & Boyd, 1988; Zotti & Zahner, 1995). Other researchers have found no significant difference in health outcomes between control groups and clients who received one or two nursing contacts (Barkauskas, 1983; Oda, Heilbron, & Taylor, 1995; Stanwick, Moffat, Robitalle, Edmond, & Dok, 1982). Byrd (1997) described the customary single postpartum home visit as primarily a screening activity in which the PHN provides as much health and referral information as possible.…”