Nurses Improving Care for Healthsystem Elders (NICHE): Using outcomes and Benchmarks for evidence-based practice

Terry Fulmer, Mathy Mezey, Melissa Bottrell, Ivo Abraham, Julie Sazant, Sheryl Grossman, Emily Grisham

Research output: Contribution to journalArticle

59 Scopus citations

Abstract

This article describes Nurses Improving Care for Healthsystem Elders (NICHE), a project begun in 1992 with four pilot hospitals. These pilot hospitals gathered baseline data using a geriatric institutional assessment profile (GIAP) with a pre- and postdesign to capture changes in staff attitudes, knowledge, and perceptions of the care of older adults. Based on the success of the pilot effort, NICHE, now in its eight year, has evolved into a program that involves 32 health systems comprising 105 hospitals nationally. To date, more than 10,000 GIAPs have been collected by NICHE hospital staff. All NICHE settings are able to benchmark their GIAP data against comparable institutions (eg, urban, rural, university, community settings) to understand how they compare and then interpret the data at their unique sites. The opportunities for continuous quality improvement through the NICHE program are described.

Original languageEnglish (US)
Pages (from-to)121-127
Number of pages7
JournalGeriatric Nursing
Volume23
Issue number3
DOIs
StatePublished - Jan 1 2002
Externally publishedYes

ASJC Scopus subject areas

  • Gerontology

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