Changes in the Geriatric Care Environment Associated with NICHE (Nurses Improving Care for HealthSystem Elders)

Marie Boltz, Elizabeth Capezuti, Susan Bowar-Ferres, Robert Norman, Michelle Secic, Hongsoo Kim, Susan Fairchild, Mathy Mezey, Terry Fulmer

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44 Scopus citations

Abstract

The aging of the U.S. population has profound implications for acute care nursing practice. NICHE (Nurses Improving Care for HealthSystem Elders) is the only national nursing program that addresses the needs of the hospitalized older adult. This secondary analysis examines the influence of the NICHE program on nurse perceptions of the geriatric nursing practice environment and quality of geriatric care, as well as geriatric nursing knowledge in a sample comprising 8 acute care hospitals in the United States that administered the Geriatric Institutional Assessment Profile before and after NICHE implementation. Results were compared in a sample of 821 and 942 direct care nurses, respectively. Controlling for hospital and nurse characteristics, both nurse perceptions of the geriatric nursing practice environment (P < .0001) and quality of geriatric care (P =.0004) increased, but not geriatric nursing knowledge (P =.1462), following NICHE implementation. NICHE tools and principles can exert an important influence over the care provided to older adult patients by increasing the organizational support for geriatric nursing.

Original languageEnglish (US)
Pages (from-to)176-185
Number of pages10
JournalGeriatric Nursing
Volume29
Issue number3
DOIs
StatePublished - May 1 2008

All Science Journal Classification (ASJC) codes

  • Gerontology

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    Boltz, M., Capezuti, E., Bowar-Ferres, S., Norman, R., Secic, M., Kim, H., Fairchild, S., Mezey, M., & Fulmer, T. (2008). Changes in the Geriatric Care Environment Associated with NICHE (Nurses Improving Care for HealthSystem Elders). Geriatric Nursing, 29(3), 176-185. https://doi.org/10.1016/j.gerinurse.2008.02.002