title: EverCare nurse practitioner practice activities: similarities and differences across five sites.
abstract: OBJECTIVE
  To examine the similarities and differences in the performance and frequency of performance of EverCare nurse practitioner (NP) practice activities at demonstration sites in five states. This study builds upon a previous study in which the development and testing of the EverCare Nurse Practitioner Role and Activity Scale (ENPRAS) was conducted.
  
  
  METHODS
  A Background Data Sheet and the ENPRAS, a 99-item tool that encompasses six role subscales-Collaborator, Clinician, Care Manager/Coordinator, Counselor, Communicator/Cheerleader, and Coach/Educator, were completed by 127 EverCare NPs at demonstration sites in five states (Georgia, Maryland, Massachusetts, Colorado, and Florida).
  
  
  CONCLUSIONS
  Performance of NP activities across the demonstration sites in five states was generally consistent, with significant differences only in the amount of time spent on activities associated with the Collaborator and Coach/Educator roles. Overall, EverCare NPs spent more time on Clinician and Communicator/Cheerleader role activities than on activities associated with the other roles. EverCare NP patient caseload was positively related to frequency of performance of the Clinician and Care Manager/Coordinator roles.
  
  
  CONCLUSIONS
  EverCare NPs provide proactive primary care to long-stay nursing home residents. The observed consistency reflects a strong centrally directed practice model. The identified roles and activities of the EverCare NP are consistent with previous studies and reports focused on the roles and activities of NPs who provide care to nursing home residents in other models of care delivery. Policy makers, healthcare providers, and the public should take these findings into account when considering a national model of care for this population. Future studies should examine the effect of variations in performance of activities on resident-specific and setting-specific outcomes.
authors.affiliation: Department of Nursing, School of Health and Environment at the University of Massachusetts-Lowell, MA 01854-5126, USA. lisa_abdallah@uml.edu
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Abdallah
mesh_terms: D000328:Adult; D002568:Certification; D003120:Colorado; D004511:Education, Nursing, Graduate; D005431:Florida; D005845:Georgia; D006801:Humans; D016018:Least-Squares Analysis; D008134:Long-Term Care / Q000458:organization & administration; D008396:Maryland; D008404:Massachusetts; D008875:Middle Aged; D016294:Models, Nursing; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration*; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D009735:Nursing Homes / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration*; D017009:Professional Autonomy; D012051:Reimbursement Mechanisms; D011795:Surveys and Questionnaires; D013996:Time and Motion Studies; D016526:Workload