Boltz Marie, Capezuti Elizabeth, Shuluk Joseph, Brouwer Julianna, Carolan Deirdre, Conway Shirley, DeRosa Sue, LaReau Rita, Lyons Denise, Nickoley Sue, Smith Tyleen, Galvin James E
New York University College of Nursing, New York, New York, USA.
Nurs Health Sci. 2013 Dec;15(4):518-24. doi: 10.1111/nhs.12067. Epub 2013 May 9.
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.
护士改善医疗系统老年患者护理（NICHE）为医院提供工具和资源，以实施一项旨在改善老年人及其家庭健康结局的倡议。从2011年开始，成员们参与了项目自我评估过程，旨在评估在发展、维持和推广NICHE方面的内部进展。本文描述了NICHE站点自我评估，并报告了180家北美医院的首次自我评估数据。NICHE成员利用老年急性护理项目的以下维度评估其项目：指导原则、组织结构、领导力、老年护理人员能力、跨学科资源和流程、以患者和家庭为中心的方法、护理环境和质量指标。大多数NICHE站点处于逐步实施阶段（n = 100，55.6%），至少在一个科室实施了跨学科老年教育和老年资源护士（GRN）模式；29%在多个科室，包括专科领域，实施了GRN模式。床位规模、教学状况和磁石状态与实施水平无关，这表明NICHE实施在各种环境和社区都可以取得成功。
