Implementation of geriatric acute care best practices: Initial results of the NICHE SITE self-evaluation

Marie Boltz, Elizabeth Capezuti, Joseph Shuluk, Julianna Brouwer, Deirdre Carolan, Shirley Conway, Sue Derosa, Rita Lareau, Denise Lyons, Sue Nickoley, Tyleen Smith, James E. Galvin

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Nurses Improving Care of Healthsystem Elders (NICHE) provides hospitals with tools and resources to implement an initiative to improve health outcomes in older adults and their families. Beginning in 2011, members have engaged in a process of program self-evaluation, designed to evaluate internal progress toward developing, sustaining, and disseminating NICHE. This manuscript describes the NICHE Site Self-evaluation and reports the inaugural self-evaluation data in 180 North American hospitals. NICHE members evaluate their program utilizing the following dimensions of a geriatric acute care program: guiding principles, organizational structures, leadership, geriatric staff competence, interdisciplinary resources and processes, patient- and family-centered approaches, environment of care, and quality metrics. The majority of NICHE sites were at the progressive implementation level (n=100, 55.6%), having implemented interdisciplinary geriatric education and the geriatric resource nurse (GRN) model on at least one unit; 29% have implemented the GRN model on multiple units, including specialty areas. Bed size, teaching status, and Magnet status were not associated with level of implementation, suggesting that NICHE implementation can be successful in a variety of settings and communities.

Original languageEnglish (US)
Pages (from-to)518-524
Number of pages7
JournalNursing and Health Sciences
Issue number4
StatePublished - Dec 2013

All Science Journal Classification (ASJC) codes

  • Nursing(all)


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