Preparing America’s Most Trusted Workforce to Become Language Nutrition Coaches

Nurses play a significant role in the lives of expectant/new parents and family members who are caregivers. Parents and caregivers look to nurses for advisement on how to care for their little one the best way possible. The unique relationship between nurse and caregiver is the cornerstone of the Talk With Me Baby model.

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Representing a workforce that reaches the largest percentage of the population of new and expectant parents, nurses are uniquely positioned to deliver language nutrition coaching.

  • Nearly all – 99% – new and expectant parents are seen by nurses between the third trimester of pregnancy and the child’s first birthday.
  • Between the third trimester of pregnancy and the baby’s first birthday, there are approximately 14 natural touch points between nurses and the parents and child
  • Health education is rooted in the origins of modern nursing and has become an increasingly important role played by nurses.
  • According to annual polling by Gallup, nurses are the most trusted profession in the United States.
  • Representing a national workforce of 2.8 million, nursing is the largest healthcare profession.

Talk With Me Baby: A Curriculum for Nurses is designed for obstetric, neonatal and pediatric nurses, including nurse practitioners, clinical nurse specialists, and midwives and has been approved by the Georgia State Nursing Association for one (1) Continuing Education Unit. (TWMB is currently developing two (2) and three (3) unit versions of the curriculum. Several colleges in Georgia have also begun to integrate this curriculum into their nurse training programs.)


The role of the nurse as a TWMB coach is two-fold:

1. Help families realize the important role they play in building their baby’s brain, language, school readiness, and the unique qualifications they have as their baby’s first and best teacher.

2. Empower families to practice language nutrition by building their skills and coaching them to use these with their baby.


The TWMB Coaching Model: “I do. We do. You do.” 

In the TWMB model, which is based on the coaching model developed by the Atlanta Speech School, the baby is the central focus of all interactions with parents. Being baby-centered means talking directly with the baby throughout all activities, such as examinations, patient education or even changing his or her diaper. Direct questions and comments to the baby whenever possible—realizing and expecting that parents will supply the answers. By directing the conversation to the baby, it emphasizes the importance of engaging the baby, knowing full well that the baby cannot answer yet. The baby becomes everyone’s conversational partner—especially that of the nurse. 


Nurses model language transactions and engage in educational interactions through the “I Do. We Do. You Do.” coaching model (also known as the Return Demonstration Model), illustrated above, by following these steps:

  1. Coach initially demonstrates the skill. 
  2. Coach and caregiver practice the skill together. 
  3. Parent or caregiver attempts the skill on his or her own, while the coach observes and provides feedback and encouragement. 

The model is similar to a standard coaching model used in both educational and nursing settings. The nurse first uses his/her skills and strategies to provide language nutrition to the baby and models the behavior to the family. Then the nurse asks the family or caregiver to try it together. Finally, the nurse asks the caregiver to try it by himself or herself using an action-oriented opportunity.


Become a TWMB Nurse Coach

The interactions between the family of a young child and the nurse are critical and will determine how families receive messaging and coaching. If you’d like to learn more about how to become a TWMB coach, please contact us at [email protected].


Talk With Me Baby is made possible by a grant from the United Way of Atlanta and is a collaborative effort among organizations.