Capezuti Elizabeth, Boltz Marie P, Shuluk Joseph, Denysyk Lana, Brouwer Julianna Petra, Roberts Marie-Claire, Dickson Victoria Vaughan, Cline Daniel D, Wagner Laura M, Fairchild Susan, Kim Hongsoo, Secic Michelle
New York University College of Nursing, New York, NY 10003, USA.
Res Gerontol Nurs. 2013 Jul;6(3):198-208. doi: 10.3928/19404921-20130607-01. Epub 2013 Jun 13.
An integral part of NICHE (Nurses Improving Care for Healthsystem Elders) is a benchmarking service that provides member sites with the ability to evaluate staff perceptions of the care environment compared with other NICHE sites. The NICHE Database includes more than 100,000 surveys (Geriatric Institutional Assessment Profile). This study aimed to explain how secondary analyses of this aggregate database can inform effective geriatric programming in hospitals. We found that nurse age and experience influence nurse perceptions of organizational alignment to NICHE guiding principles and that those perceptions improve following NICHE implementation. The NICHE Database addresses knowledge generation in key areas of geriatric nursing practice and assists hospitals' systemic capacity to effectively embed NICHE Guiding Principles: evidence-based geriatric knowledge, patient-family centered care, healthy and productive practice environment, and multidimensional metrics of quality. It contributes to the growing field of implementation science that seeks to promote the uptake of research findings into clinical practice.
“护士改善医疗系统老年护理”（NICHE）的一个重要组成部分是一项基准评估服务，该服务使成员机构能够将员工对护理环境的看法与其他NICHE机构进行比较评估。NICHE数据库包含超过10万份调查问卷（老年机构评估概况）。本研究旨在解释对这个汇总数据库进行二次分析如何为医院有效的老年护理规划提供信息。我们发现护士的年龄和经验会影响护士对组织与NICHE指导原则一致性的看法，并且这些看法在实施NICHE之后会得到改善。NICHE数据库涉及老年护理实践关键领域的知识生成，并有助于医院有效融入NICHE指导原则的系统能力：循证老年护理知识、以患者家庭为中心的护理、健康且高效的实践环境以及多维度质量指标。它为日益发展的实施科学领域做出了贡献，该领域旨在促进将研究成果应用于临床实践。
