How EverCare nurse practitioners spend their time

Robert L Kane, Shannon Flood, Gail Keckhafer, Todd H Rockwood

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


OBJECTIVES: To describe how nurse practitioners (NPs) employed by EverCare, a Medicare HMO serving exclusively nursing home residents, spend their working days. DESIGN: A descriptive study based on structured self-reports. SETTING: Nursing homes. PARTICIPANTS: Seventeen NPs employed by EverCare in five sites. MEASUREMENTS: Self-reports of time spent over a 2-week period and specific reports of how time was spent on selected cases. RESULTS: NPs spend about 35% of their working day on direct patient care and another 26% in indirect care activities. Of the latter, 46% of the time was spent interacting with nursing home staff, 26% with family, and 15% with the physicians. The mean time spent on a given patient per day was 42 minutes (median 30); of this time 20 minutes was direct care (median 15). CONCLUSIONS: NPs' activities are varied. Much of their time is spent communicating with vital parties, an important function that supports the physicians' primary care role and should enhance families' satisfaction with care.

Original languageEnglish (US)
Pages (from-to)1530-1534
Number of pages5
JournalJournal of the American Geriatrics Society
Issue number11
StatePublished - Nov 22 2001


  • Nurse practitioners
  • Nursing homes
  • Primary care


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