Boltz Marie
Hartford Institute for Geriatric Nursing, New York University College of Nursing, 726 Broadway, New York, NY 10003, USA.
AACN Adv Crit Care. 2011 Apr-Jun;22(2):142-9. doi: 10.1097/NCI.0b013e31821455c9.
As the population continues to age, the specialized needs of older adult patients warrant the close attention of the critical care nurse. The combination of critical illness, age-related changes, multiple comorbidities, and the hospital environment can make the diagnosis and management of the older adult's critical illness challenging. The NICHE (Nurses Improving Care for Healthsystem Elders) program provides a framework to create an aging-sensitive care environment in the critical care setting. The Geriatric Resource Nurse model is the foundation of the program. The goals of NICHE are to support nursing departments to (1) bring evidence-based geriatric practice to the bedside; (2) build patient- and family-centered environments; (3) cultivate healthy and productive practice environments aligned with meeting the specialized needs of older adults and their families ("geriatric nursing practice environments"); and (4) conduct comprehensive measurement of geriatric initiatives.
随着人口持续老龄化，老年患者的特殊需求值得重症护理护士密切关注。危重病、与年龄相关的变化、多种合并症以及医院环境等因素综合起来，会使老年危重病患者的诊断和管理具有挑战性。NICHE（护士改善医疗系统老年护理）项目提供了一个框架，以便在重症护理环境中营造对老年人敏感的护理环境。老年护理资源护士模式是该项目的基础。NICHE的目标是支持护理部门：（1）将循证老年护理实践带到床边；（2）构建以患者和家庭为中心的环境；（3）培育健康且高效的实践环境，以满足老年人及其家庭的特殊需求（“老年护理实践环境”）；（4）对老年护理举措进行全面评估。
