NICHE (Nurses Improving Care for Healthsystem Elders) announces the release of a new NICHE Hospitals Report that summarizes published outcomes, results and research related to operationalizing NICHE at hospitals and health systems. Hospitals Report – Operationalizing NICHE is one in a series of reports published by NICHE. The report can be downloaded at http://nicheprogram.org/niche_hospitals_report_series
The new report is divided into two sections: Research at NICHE Hospitals and Quality Improvement Projects at NICHE Hospitals. Linked references are provided for fuller accounts of the research and initiatives.
Research identified in the report includes:
• Research at a teaching hospital explored outcomes of participation in the NICHE Geriatric Resource Nurse (GRN) model. Testing supported the use of GRNs in acute care settings. GRNs have a greater increase in knowledge than non-GRNs on overall basic knowledge of care of older adult patients.
• Research at six NICHE hospitals reported results of a program to promote the simultaneous adoption of multiple complex care models — including NICHE — by hospitals and health systems. The research found that organizations could successfully adopt and implement all these care models and improve care for older adult patients. All hospitals indicated it was critical to maintain, expand or adopt the NICHE nursing model.
• A study at 16 hospitals attempted to understand organizational responses to the Center for Medicare and Medicaid Services hospital-acquired conditions (HACs) policy. NICHE Chief Nursing Officers (CNOs) interviewed for the study reported the policy focused attention on prevention of HACs that had previously received fewer dedicated resources.
Quality improvement project:
• Soldiers Memorial Hospital implemented Goal Attainment Scaling Rounds with interprofessional staff as a pilot project on one unit. During the pilot, the average Clinical Frailty Scale decreased from 6.57 on admission to the unit to 5.84 on discharge.
The initial report in the Hospitals Report series provides a summary of outcomes and initiatives from all care categories and hospital settings. The second in the series deals with research and initiatives related to function and older adult patients conducted at NICHE designated hospitals. Subsequent reports will focus on delirium/dementia, heart failure, catheters, medication, transitions and orthopedics. All current reports can be downloaded at http://nicheprogram.org/niche_hospitals_report_series.
NICHE (Nurses Improving Care for Healthsystem Elders) is the leading nurse-driven program designed to help hospitals improve the care of older adults. The vision of NICHE is for all patients 65-and-over to be given sensitive and exemplary care. The mission of NICHE is to provide principles and tools to stimulate a change in the culture of healthcare facilities and achieve patient-centered care for older adults. NICHE, based at NYU College of Nursing, comprises over 470 hospitals and healthcare facilities throughout North America, engages hospitals and their affiliates in achieving and sustaining the NICHE designation. NICHE designation demonstrates a hospital's organizational commitment and continued progress in improving quality, enhancing the patient and family experience, and supporting the hospital's efforts to serve their communities. For more information visit http://www.nicheprogram.org/. Follow us on Twitter @NICHEProgram